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135
27bf7f8a-98ae-468a-bd92-824f850a51ff
A diabetic patient in hypoglycemia does not regain consciousness despite blood glucose restoration to normal. Which one of the following is the not likely condition ?
Cerebral edema
Alcohol intoxication
Post-ictal state
Cerebral haemorrhage
1b
single
Alcohol consumption causes an increase in insulin secretion, which leads to low blood sugar (otherwise known as hypoglycaemia). This causes light headedness and fatigue, and is also responsible for a host of longer-term alcohol-related health problems . REf - pubmed.com
Medicine
Endocrinology
17d6e2ce-8342-41d8-8390-a8ba69009cb6
Which is the most common cause of acquired aeriovenous fistula?
Blunt trauma
Fungal infection
Bacterial infection
Penetrating trauma
3d
single
Acquired aeriovenous fistulas are caused by aificial connections between adjacent aeries and veins. Penetrating injuries are the most common cause of acquired aeriovenous fistula. Other causes includes creating vascular access for hemodialysis, as complications of aerial catheterization or surgical dissection and rarel...
Surgery
null
e6ac14d6-32b0-460d-8dc3-c17e887b88d0
Which of the following surgery for stress incontinence has highest success rate
Bursch colposuspension
Pereyra sling
Kelly's stitch
Tension free vaginal tape (TVT)
3d
single
TENSION FREE VAGINAL TAPE TVT has been designed from non reactive synthetic material Procedure: After exposing the region of the bladder neck on vaginal dissection, the hammock of the tape is placed underneath it to provide suppo, at the mid urethral level, the lateral extensions are brought out paraurethrally on to th...
Gynaecology & Obstetrics
Urogynecology
6e9b5556-0e80-43ea-b43b-61f9bc328d61
Best suture for common bile duct is -
Synthetic absorbable synthetic
Synthetic non-absorbable
Non-synthetic absorbable
Non-synthetic non-absorbable
2c
single
Ans. is 'c' i.e. Non-synthetic absorbable
Surgery
null
18cfd27d-3bc5-4ad7-ac62-017a391f28dd
Na+ uptake at basolateral surface of apical cells is by
Active transpo
Passive transpo
Diffusion
Osmosis
0a
single
Ans. is 'a' i.e., Active transpo
Physiology
null
4a911971-ea7c-49e5-98db-793a4177bfcf
Spontaneous muscle bleeding is typically seen in:
Hemophilia
Afibrinogenemia
Von Willebrand's disease
Scott's syndrome
0a
multi
Answer is A (Hemophilia) Spontaneous Hemahrosis and spontaneous muscle hematomas are charachteristic of moderate or severe congenital factor VIII or IX deficiency (Hemophilia). Spontaneous bleeding may also be seen in Afibrinogenemia, Von willebrand disease and Scott's syndrome (defect in platelet's activated surface t...
Medicine
null
d327c1a8-889a-4d59-84ef-411331ed1010
Secondary oocyte contains -
23, X
46, XY
46, XX
23, Y
0a
single
Ans. is 'a'i.e., 23, X o OOGENESIS:
Gynaecology & Obstetrics
The Ovarian Cycle
dd71abc7-6303-4982-8c1c-ec6ca1ad18bd
Most common site of Implantation of tubal pregnancy is :
Interstitial poion of fallopian tube
Isthmus
Ampulla
Infundibulum
2c
multi
Ampulla
Gynaecology & Obstetrics
null
7f468e06-6385-4e46-9f2b-952b9d495633
Which of the following is not a fundamental aspect of Disaster management ?
Disaster response
Disaster mitigation
Disaster awakening
Disaster preparedness
2c
single
There are three fundamental aspects of disaster management: (i) Disaster response; (ii) Disaster preparedness; (iii) Disaster mitigation.
Social & Preventive Medicine
null
038e51ce-35c7-4f33-9061-254a295a534d
Lying between 2-4 years of age indicate:
Antisocial behaviour
Testing parenteral attitude
As an adventure
Oppositionalism
1b
single
Ans. b (Testing parenteral attitude). (Ref. Nelson, Textbook of Paediatrics, 18th/131)BEHAVIORAL DISORDERS in children (noted around 2-4 year age)# Include : Lying, Impulsiveness, Breathe holding, Decence and Temper tantrums.# Oppositionalism, temper tantrums, and breath holding spells are not unusual during the 1st ye...
Pediatrics
Growth, Development, and Behavior
4c405f98-ccc0-4d53-9db9-e1683d4fe64b
Blow out orbit is characterized by:
Diplopia
"Tear drop: sign
Forced duction test
All
3d
multi
A i.e. Diplopia; B i.e. Tear drop sign; C i.e. Forced duction test Blow out fracture is fracture of orbital floor or medial wall Q. It presents with emphysema of lid, subconjunctival ecchymosis, diplopia & forced duction test Q (due to entrapment of muscle), epistaxis, proptosis, enopthalmos & parasthesia in distributi...
Ophthalmology
null
929a0bbf-04c6-4745-a974-8bf5c9f35b6d
Most common mutation in Alpo syndrome is in COL4A5, which is transmitted as -
Autosomal dominant
Autosomal recessive
X-linked
Variable, autosomal dominant or autosomal recessive
2c
single
The inheritance is heterogeneous, being most commonly X-linked as a result of mutation of the gene encoding a5 type IV collagen. Males, therefore, tend to be affected more frequently and more severely than females and are more likely to develop renal failure. Ref: Robbins book of pathology. 9th edition. Page 53 Alpo sy...
Pathology
Urinary tract
c127927c-80e3-4439-9cec-78501f416935
in a case of plycythemia vera which of the following rceptor overactivity is seen?
tyrosine kinase
jak 2
c GMP
none of the above
1b
multi
Receptor Types 1. Ion-channel Receptors (Ionotropic Receptors) 2. G-Protein Coupled Receptors (Metabotropic receptors) 3. Kinase-linked Receptors 4. Intracellular Receptors (Cytosolic Receptors) 5. Enzymes as Receptors 6. Drugs which act through Modulation of Voltage Gated Ion Channels (Voltage-Operated Channels) POLYC...
Physiology
All India exam
93c2fd1b-2d3a-4dba-866e-dba0c8a9707b
Pain of ovarian carcinoma is referred to:
Back of thigh
Cervical region
Anterior surface of thigh
Medical surface of thigh
3d
single
pain in the medial surface of thigh may be due to irritation of obturator nerve.other features include abdominal pain,abdominal lump,abdomibal discomfo,postmenopausal bleeding,weight loss,cachexia,anemia are the symptoms of advanced stage of cancer. Refer page no 526 of Text book of obstetrics,sheila balakrishnan.
Gynaecology & Obstetrics
Gynaecological oncology
f40703d3-88e5-4d62-8481-74f0384932b6
The most common site of fracture mandible is
Ramus
Coronoid process
Alveolar process
Parasymphyseal region
3d
single
Fractures of the mandible (Dig man's classification)Condylar process35% Angle of mandible20%Body of mandible20%Symphysis 15%Alveolar process5%Ramus 3%Coronoid process2%Most common fracture - condylar fracture followed by angle, body & symphysis of the mandible (mnemonic - CABS)(Refer: Mohindra's Fundamentals of Ohopedi...
Orthopaedics
All India exam
2b064f3a-3159-487c-85e8-9fae7299700b
Acrodermatitis enteropathica is seen with deficiency of:
Zinc
Iron
Copper
Vitamin A
0a
single
a. Zinc(Ref: Nelson's 20/cp 344-345, Ghai B/e p 121-122)Deficiency of zinc leads to acrodermatitis enteropathica, in which rashes shown on skin, especially around the orifices.
Pediatrics
Nutrition
6c6bcc9c-7b51-4ae7-9158-814a7fe24168
False regarding delirium tremens ?
Tremors
Opthalmoplegia
Visual hallucination
Clouding of consciousness
1b
multi
Ans. is 'b' i.e., Ophthalmoplegia Delirium tremens Delirium tremens is the most severe alcohol withdrawal syndrome. It occurs usually within 2-4 days of complete or significant alcohol abstinence. This is an acute organic brain syndrome (delirium) with characteristic features of delirium. Clouding of consciousness with...
Psychiatry
null
f069d049-21a5-481b-bfdc-f5f6794a211e
The condition highlighted by the arrow in the occlusal radiograph in a 8 year old child could be due to:
Non-vital tooth
Impacted tooth
Ghost tooth
Mesiodens
3d
single
null
Pathology
null
bfc7b465-cd7f-4925-9e1c-b3cffa35cf52
Investigation of choice to diagnose epilepsy is:
MRI
EEG
CT scan
Angiogram
1b
single
Ans: bRef: Harrison, 16thed, p. 2363- 2364
Medicine
C.N.S.
e3e8aa16-8c68-49f6-9657-422e09a0b641
An X ray of thewrist and handin given below . If there is a damage to structureE, Which of the following muscle weakness does it cause ?
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Brachioradialis
2c
single
The hook of hamate and the pisiform provide inseion for the flexor carpi ulnaris. Also note- If the floor of anatomic snuff box and origin of abductor pollicis brevis are damaged, bones most likely to be involved is B i.e. scaphoid forms the floor of the anatomic snuffbox and provides a site for origin of the abductor ...
Anatomy
Upper limb : Miscellaneous
62f0c0a1-fa25-4897-8269-7df506efda6c
Radiological signs of acute pancreatitis include the following except -
Colon cut-off sign
Cullen's sign
Renal halo sign
Sentinel loop sign
1b
multi
All the given signs are present in acute pancreatitis. However, Cullen's sign is a clinical sign (not radiological sign).
Radiology
null
fcc83de3-b2b0-4adc-9cd9-e84f197c3d07
Low osmolarity ORS - false statmenf is -
Glucose concentration 75 mmol/liter
Sodium eoncentation 75 mmol.'! iter
Gsmolarity is 311 mosm/liter
Postassium is 20 mmol1'here
2c
multi
Ans. is 'c' i.e., Osmolarity is 311 mosm/iitero Osmolarity of cow osmolarity ORS is 245o Standard ORS is 311o Resomal is 300Composition Comparison ofReSoMaL, Standard WHO, and Reduced-Osmolarity WHO ORS SolutionsCompositionReSoMal (mmol/L)Standard ORS (mmol/L)Reduced osmolarity ORSGlucose12511175Sodium459075Potassium40...
Pediatrics
Fluid and Electrolyte Treatment of Specific Disorders
eedaeb29-73be-46ed-9d98-222e348eb8a4
Leukotriene antagonists is: March 2009
Nicordanil
Zileuton
Sodium chromoglycate
Montelukast
3d
single
Ans. D: Montelukast Montelukast is a leukotriene receptor antagonist (LTRA) used for the maintenance treatment of asthma and to relieve symptoms of seasonal allergies. It is usually administered orally. Montelukast is a CysLT1 antagonist; that is it blocks the action of leukotriene D4 (and secondary ligands LTC4 and LT...
Pharmacology
null
4dff9ee3-d8a1-4f29-bad7-9ab14e0e9e7f
Sialograhy of normal salivary gland reveals the ductal architecture as having an appearance of
Sausage string
Fruit-Laden tree
Leafless tree
Bailin hand
2c
single
null
Pathology
null
45861c0d-5f7e-427a-baef-7e46c6f503e9
Sphincter urethrae is present in
Prostatic urethrae
Spongy urethrae
Membranous urethrae
Penile urethrae
3d
single
The urethral sphincters are two muscles used to control the exit of urine in the urinary bladder through the urethra.The internal sphincter is a continuation of the detrusor muscle and is made of smooth muscle, therefore it is under involuntary or autonomic control. ref - BDC 6e vol2 pg372-376
Anatomy
Abdomen and pelvis
18278491-ad52-4ac7-a57d-a7525d9896f2
High Anion gap is seen in -
Renal failure
Lactic acidosis
Diarrhoea
Alcoholics
1b
single
Renal failure : Non anion gap metabolic acidosis. Diarrhea : Non anion gap metabolic acidosis. Alcoholics : metabolic alkalosis + metabolic acidosis Ref: Harrison&;s 19thE
Medicine
Fluid and electrolytes
6fa231ee-1357-421e-a960-475f5d0710a6
What is the diagnosis of the following examination of the fundus
Diabetic retinopathy
Hypeension retinopathy
Optic atrophy
Central retinal vein occlusion
1b
single
This is the case of Hypeensive retinopathy with scattered flame (splinter) haemorrhages and cotton-wool spots. Hypeensive retinopathy is retinal vascular damage caused by hypeension. Signs usually develop late in the disease. Funduscopic examination shows aeriolar constriction, aeriovenous nicking, vascular wall change...
Ophthalmology
Vitreous and retina
3e192c3d-1013-444c-912b-ae64469f27a5
You see four postmenopausal patients in the clinic. Each patient has one of the conditions listed, and each patient wishes to begin hormone replacement therapy today. Which patient would you sta on therapy at the time of this visit?
Mild essential hypeension + tension headache
Liver disease with abnormal liver function tests
Treated stage III endometrial cancer
Undiagnosed genital tract bleeding
0a
single
Absolute contraindications to postmenopausal hormone replacement therapy are estrogen-dependent tumors (breast or uterus) active thromboembolic disease undiagnosed genital tract bleeding active severe liver disease malignant melanoma. Past or current history of hypeension, diabetes, or biliary stones does not automatic...
Gynaecology & Obstetrics
Gynaecology
ceed88ec-9001-4873-9c1f-3e369187fca3
Turner syndrome -
45XO
46XO
47XXX
Trisomy 21
0a
single
Ans. is 'a' i.e., 45XOTrisomy 13- Patau syndromeTrisomy 18- Edward syndromeTrisomy 21- Down syndromeXO- Turner syndromeXXY- Klinefelter syndrome
Pediatrics
Genetics of Common Disorders
1a126118-5c22-4e95-b38c-623adbe8fa00
Cystic degeneration is seen commonly in
Submucous fibroid
Subserosal fibroid
Interstitial fibroid
Cervical fibroid
2c
single
Cystic degeneration is seen commonly seen in interstitial fibroid.
Gynaecology & Obstetrics
null
7e5ae0d6-de7c-42c6-aa0d-18e27ee1c070
IPPV is useful in: March 2009
Hemopneumothorax
Pneumothorax
Flail chest
Hemothorax
2c
single
Ans. C: Flail chest PPV can be effectively used in the treatment of flail segments, which characteristically render negative pressure breathing ineffective, but does not impede PPV. Flail chest is traditionally described as the paradoxical movement of a segment of chest wall caused by fractures of 3 or more ribs anteri...
Surgery
null
3a1e8b56-1958-4b66-beb5-b6d90a6ccd8c
An adolescent child complains of night pain in the knee. It could be due to -
Juvenile rheumatoid ahritis
Idiopathic growth pain
Osteosarcoma
Paget's disease
0a
single
Ans. is 'a' i.e., Juvenile rheumatoid ahritis Causes of knee pain in adolescence (..)Time of the knee pain helps in the diagnosis of the disorders : - I. Night pain indicates i) Inflammatory disorder ---)Juvenile rheumatoid ahritis. ii) Bursitis, synovitis iii) Tumor Osteosarcoma Pain at the end of the day and after ac...
Pediatrics
null
62e6358a-3f38-40cd-a044-5a3e561369dd
Hypercalcemia is associated with all of the following, except:
Sarcoidosis
Celiac disease
Milk alkali syndrome
Hyperparathyroidism
1b
multi
Hypercalcemia can be caused by conditions such as hyperparathyroidism, malignancy, granulomatous diseases (TB, sarcoidosis), milk alkali syndrome, total parenteral nutrition, adrenal insufficiency, pheochromocytoma and by drugs (thiazides, vitaminA, anti estrogens). Celiac disease is not associated with hypercalcemia. ...
Medicine
null
556d3615-0a77-4829-bdab-e8a741380378
All of the following are true about b thalassemia trait, Except -
Microcytic hypochromic picture
↑ed HbA2
↑ed HbF
Patient requires blood transfusion
3d
multi
null
Medicine
null
fa6ba3db-40bb-487c-9681-96e4acb08c6e
Schwartz sign is seen in -(PGI 98)
Otosclerosis
Meniere's disease
ASOM
CSOM
0a
single
(A) Schwartz sign also known as Flemingo's pink sign, is a diagnostic indicator for otosclerosis, a disease of the bones of the middle or inner ear. In clinical examination of the ear drum, increased vascularity of the promontory may be seen through the ear drum.
ENT
Otosclerosis
0fb18048-57e5-407b-9439-c0ea73e044c6
Which of the following compounds is an analogue of hypoxanthine?
Arabinoside C
Allopurinol
Ribose phosphate
5-phosphoribosylpyrophosphate (PRPP)
1b
multi
Allopurinol acts on purine catabolism, without disrupting the biosynthesis of purines. It reduces the production of
Biochemistry
Metabolism of nucleic acids
fd901c28-1941-4175-87e0-4ee413a7998f
Cholinesterase activators are useful for the treatment of which poisoning?
Paraquat
Parathion
Carbamates
Organochlorocompounds
1b
single
null
Pharmacology
null
14f53d98-7343-4431-8758-cd2d351af1ad
Physiologically inactive form is
Angiotensin I
Angiotensin II
Angiotensin III
Angiotensin IV
0a
multi
Ans. (a) Angiotensin I(Ref: Ganong, 25th ed/p.696)Angiotensin II & III got physiological activitiesAngiotensin I is only the precursor of Angiotensin II
Physiology
Kidneys and Body Fluids
d17db306-2b05-418c-a4b7-d95e2f3dd6ba
In anterior colporrhaphy, the best method of suture apposing the vaginal flaps is:
Interrupted
Continuous
Interlocking
Interrupted mattress
0a
single
ANTERIOR COLPORRHAPHY An inveed T incision is made on the anterior vaginal wall. the horizontal incision is made below the bladder and the veical incision is made staing from the midpoint of the tranverse incision upto a point about 1.5 cm below the external urethral meatus. The traiangular vaginal flaps including the ...
Gynaecology & Obstetrics
Urogynecology
921ab2e2-b398-49aa-892a-a9d12449d12a
The drug of choice for chempprophylaxis in contacts of a patient of penumonic plague is
Penicillin
Rifampicin
Erythromycin
Tetracycline
3d
single
Cholera: Tetracycline or furazolidone for household contacts Bacterial conjunctivitis: Erythromycin ophthalmic ointment Diphtheria: Erythromycin Influenza: Oseltamivir Meningitis, meningococcal: Ciprofloxacin, and minocycline Plague: Tetracycline for contacts of pneumonic plague Ref: 25th edition, Park's Textbook of Pr...
Social & Preventive Medicine
Epidemiology
652d5890-94a5-4567-bb17-ec9682c6f33e
Management of pancreatic abscess is -
Needle aspiration
Gastrocystostomy
External drainage
Jejunocystostomy
2c
single
Pancreatic absecess is a complication of acute pancreatitis. It is a circumscribed intraabdominal collection of pus, usually in proximity to the pancreas containing little or no pancreatic necrosis. Treatment-- antibiotics and external drainage (percutaneous catheter based method or surgical).
Surgery
null
276efef0-0d32-42e8-a854-fe603d2f8906
Neurogenic shock is characterized by
Hypeension and tachycardia
Hypeension and bradycardia
Hypotension and tachycardia
Hypotension and bradycardia
3d
single
High spinal cord injury there is failure of sympathetic outflow and adequate vascular tone (neurogenic shock). The cause in sepsis is less clear but is related to the release of bacterial products (endotoxin) and the activation of cellular and humoral components of the immune system. There is maldistribution of blood f...
Anatomy
General anatomy
8885f990-a0e9-4b9d-a82e-28ec0868a1ed
Stop codons are all except -
UAG
UAA
UGA
UGG
3d
multi
Ans. is 'd' i.e., UGG* Out of 64 codons, 3 are stop codons. The three stop codons are UGA, UAG, UAA.# Exception is mitochondrial DNA - in mitochondria, UGA is not a stop codon. It codes for Tryptophan. Instead AGA and AGG act as stop codons in mitochondrial DNA.* 61 codons code for 21 aminoacids. Hence more than one co...
Biochemistry
Molecular Genetics
091409dd-5f4c-4d74-b2af-30007d65c583
Systolic thrill in left 2nd or 3rd intercostal space is seen in -
Subpulmonic VSD
Pink TOF
Ebstein's anomaly
Pulmonary stenosis
3d
single
null
Medicine
null
b878f231-d678-4778-ab1d-75950f137408
Features seen in hemolytic anemia are all except :
Tear drop and Burr cells
Haptoglobin
Reticulocytosis
Hemoglobinuria
0a
multi
Tear drop and Burr cells [Ref Harrison 171h/e p652 16th /e p. 6071 Burr cells are seen in uremia. Tear drop cells are seen in myelofibrosis. Haptotoglobin is an a -globulin present in high concentration in serum. It binds to free haemoglobin produced as a result of hemolysis. The hemoglobin-haptoglobin complex is rapid...
Surgery
null
8f870b3d-4905-4a56-a377-23833e3ecd17
The right placement of double lumen tube inseion gold standard of confirmation-
capnography
fibreoptic bronchoscopy
bilateral auscultation
None of the above
1b
multi
The most common complication of double lumen tube intubation is malposition of double lumen tube which is prevented by fibreoptic bronchoscopy. Trouble-shooting techniques for DLT inseion include using fiberoptic bronchoscope to cannulate bronchus and then rail road tube over the scope (perhaps the gold standard approa...
Anaesthesia
Airway
e8848f27-e38c-4c70-8e45-4c1c76d4a498
Immunoglobulin changes in variable region -
Idiotype
Isotype
Allotype
Epitope
0a
multi
an idiotype is a shared characteristic between a group of immunoglobulin or T cell receptor (TCR) molecules based upon the antigen binding specificity and therefore structure of their variable region Reff: www.mayoclinic.com
Microbiology
Immunology
1dd72853-6fbf-46d6-aceb-03a8a4edc712
The tissue of which lesion has been described as resembling a 'blood soaked sponge with large pores'?
Cavernous hemangioma
Capillary hernangioma
Aneurysmal bone cyst
Eruption hematoma
2c
single
null
Pathology
null
2e4f8a2f-054f-4fec-b498-b2df27089c4d
A cell is placed in a medium containing radioactively labelled thymidine. After the cells undergo replication 3 times, what percentage of the cells will have both strands of DNA labelled?
25%
50%
75%
100%
2c
multi
Keep in mind that question asks about cells with label on both strands. Question is based on the Meselson & Stahl experiment. Due to semiconservative mode of replication, In each round of replication, one strand is old and one is synthesized new in newly replicated DNA (see fig below). Red strand represents the labeled...
Biochemistry
Replication
46f8b8b9-0153-4a2d-8ed9-75c520b2e6da
Force required for headgear to restrain maxillary growth is:
50-100 gm per side
150-200 gm per side
250-500 gm per side
750-1000gm per side
2c
single
null
Dental
null
f3f9c1ee-cd33-4dac-b4da-dd82ab741243
A 14 year old boy comes to the physician with complaints of seizures & some skin macule as shown below. What can be the probable diagnosis?
Sturge weber syndrome
Turcot syndrome
Tuberous sclerosis
Von Hippel disease
2c
single
Ans. C. Tuberous sclerosisa. Above given image shows Ash leaf macule.b. It is the earliest manifestation of Tuberous sclerosis.c. This condition is Autosomal dominant.d. Clinical features of this disease are-- Seizures- Mental disability- Ash leaf macule- Adenoma Sebaceum- Shagreen patch(collagenoma)- Cortical tuberse....
Medicine
C.N.S.
296dc415-49ee-42f6-96af-9ba0b0f84dc2
NOT a feature of pleural effusion: September 2012
Horizontal fluid level
Low lung volume
Muffled hea sounds
Decreased chest movements
0a
single
Ans. A i.e. Horizontal fluid level
Medicine
null
c8c35c05-20a5-4054-b89a-5222bdd52b77
The given instrument is used for harvesting the graft from healthy area in split skin thickness graft. What is this called?
Humby knife
Silvers knife
Dermatome
Catlin amputating knife
0a
multi
Ans. A. Humby knife* This is a "Humby" skin-grafting knife, formerly owned by Sir Edward "Weary"Dunlop, and made in 1950s.Silver's knifeBrown dermatome
Surgery
Plastic & Reconstructive Surgery
83cece73-f4fb-4cf7-a146-083532d1eb35
Most commonly used statistical average -
Mean
Median
Mode
None
0a
multi
Arithmetic mean It is the most commonly used statistical average. To calculate mean, add up the values of all individual observation and then divide by the number of observations. The process of adding together is called summation and is denoted by the sign ∑ or S. The individual observation is denoted by ŋ The mean ...
Social & Preventive Medicine
null
51b6b314-4ff7-4299-8b6a-a552f245dde9
For a survey a village is divided into 5 lanes then each lane is sapled randomly is an example is -
Simple random sampling
Stratified random sampling
Systematic random sampling
All of the above
2c
multi
- systematic random sample is done by picking every 5th or 10th unit at regular intervals. - by this method ,each unit in the sampling frame would have the sane chance of being selected, but the number of possible samples is greatly reduced. Reference : Park's textbook of preventive and social medicine, 23rd edition, p...
Social & Preventive Medicine
Biostatistics
2d27571d-f844-44d6-b059-00d585035288
Legionnaire disease is caused by?
Motile gram positive
Motile gram negative
Non-motile gram positive
Non-motile gram negative
1b
single
Ans. is 'b' i.e., Motile gram negative . Legionnaire disease is caused by legionella pneumophila, which is a gram-negative motile coccobacilli.
Microbiology
null
44260a72-1fd0-45cf-9516-3237fc2ead0d
Which of the following is not expressed in majority of cases of pediatric B-cell acute lymphoblastic leukemia?
Terminal deoxynucleotidyl transferase (TdT)
CD19
CD10
CD7
3d
single
CD19 is a pan B-cell marker. CALLA (common acute lymphoblastic leukemia antigen) is CD 10. CD45 is known as leukocyte common antigen (LCA). Terminal deoxynucleotidyl transferase (TdT), a specialized DNA polymerase that is expressed only in pre-B and pre-T lymphoblasts, is positive in more than 95% of cases. CD7 is comm...
Pathology
Acute Lymphoblastic Leukemia
fd5d4bc6-c28e-4992-aa4d-fed1402944de
In a one-year-old child intubation is done using:
Straight blade with uncuffed tube
Curved blade with uncuffed tube
Straight blade with cuffed tube
Straight curved blade with cuffed tube
0a
single
Pediatric Airway Management - Equipment . Tracheal intubation remains the standard for airway maintenance during many procedures. Generally, a tracheal tube of the largest possible internal diameter should be chosen to minimize resistance to gas flow and avoid an excessive leak around the tube. It is impoant, however, ...
ENT
null
05d62cd5-0959-4c8c-83ce-3a05875c4abe
A female presents with a history of progressive breathlessness. Histology shows heterogeneous patchy fibrosis with several fibroblastic foci. The most likely diagnosis is -
Cryptogenic organizing pneumonia
Non specific interstitial pneumonia
Usual interstitial pneumonia
Desquamative interstitial pneumonia
2c
single
Presence of heterogeneous, patchy fibrosis with fibroblastic foci is characteristic of usual interstitial pneumonia (a type of idiopathic interstitial pneumonia). Idiopathic interstitial pneumonia (Idiopathic interstitial lung disease) Idiopathic interstitial pneumonias (IIP) comprise a group of diffuse parenchymal ...
Pathology
null
ee262b03-effd-4a7b-b8d4-f71cbf1c56b5
Which is the only nerve which exits the brainstem on dorsal side ?
Facial
Trigeminal
Trochlear
Abducent
2c
single
Unique features of trochlear nerve are :?i) Most selender cranial nerve.ii) Only cranial nerve to emerge on the dorsal aspect of brain.iii) Only cranial nerve to undergo complete internal decussation before emerging i.e. right trochlear nerve arises from left trochlear nucleus and vice versa.iv) Has'longest intracrania...
Anatomy
null
eb3884f6-faf1-44b9-9a20-0f761f747e1c
True about anorexia nervosa are all except
Leukopenia
Amenorrhea
Self induced vomiting
More common in adult females
2c
multi
Ans:C.)Self Induced Vomitting. ANOREXIA NERVOSA This disorder is characterized by self imposed dietary restrictions leading to malnutrition and severe weight loss. Clinical features Females are far more commonly affected than males. Onset usually occurs between the age of 10-30 years, usually in mid adolescence. A deli...
Psychiatry
null
2697407f-e8d7-427a-92d8-0f285121d503
Vipeholm study is used in
Oral cancer
AIDS
Caries
Periodontal disease
2c
single
null
Dental
null
d2593a38-b962-4fb0-bf22-d46a67e41e02
Contraindications to MRgFUS uterine fibroid are all except
Myoma size >10cm
Vascular myomas
Uterine size > 24 weeks
Abdominal wall scars
1b
multi
Myomas with poor perfusion is contraindication to MRgFUS.
Gynaecology & Obstetrics
null
5caf4424-33df-4ac7-98cf-f3088aafe441
Izumi fever is caused by:
Pseudomonas aeruginosa
Burkholderia mallei
Yersinia pseudotuberculosis
Pasteurella multocida
2c
multi
Ans. is. 'c' i. e., Yersinia pseudotuberculosis
Microbiology
null
e0db3f09-26f1-487d-99ae-0c083a6983bd
Maximum chances of ABO isoimmunization is seen in?
O+VE Mother to A+VE child
O+VE mother to B+VE child
A+VE mother to 0+VE child
B+VE mother to O+VE child
0a
single
TEXT BOOK OF PATHOLOGY HARSHMOHAN 6THEDITION PG NO 341 HDN due to ABO incompatibility. About 20% pregnancies with ABO incompatibility between the mother and the foetus develop the HDN. Naturally-occurring anti-A and anti-B antibodies' which are usually of IgM class do not cross the placenta, while immune anti-A and ant...
Pathology
General pathology
8053b2eb-c24f-4330-bc7e-8bd7d17e051b
Prevalence of HIV infection in antenatal women is less than 1% and in high risk population is less than 5%. The state belongs to ?
Group I
Group II
Group III
Group IV
2c
single
Ans. is `c' i.e., Group III Based on sentinel surveillance data HIV prevalence in adult population can be broadly classified in three groups of state / UT sin the country.
Social & Preventive Medicine
null
4d547af5-92fa-441a-b406-38db1f1ba519
Gegenhalten (paratonia) indicates lesion in
Parietal lobe (dominant)
Temporal lobe (dominant)
Frontal lobe (dominant)
Parietal lobe (non-dominant)
2c
single
Ans. c (Frontal lobe) (Ref. Harrison 18th/Fig 370-9).PARATONIA: | tone that varies irregularly in a manner that may seem related to a degree of relaxation, is present throughout the range of motion, affects flexors and extensors equally, usually results from lesion of bilateral frontal lobes or dominant frontal lobe.RI...
Medicine
C.N.S.
cd18c187-b4ff-4c38-9ffa-4ae9c74bbac5
All are pas of vulva except
Labia minora
Labia majora
Perineal body
Clitoris
2c
multi
The vulva includes the mons pubis, labia majora (outer lips), labia minora (inner lips), clitoris, and the external openings of the urethra and vagina. ref - BDC 6e vol2 pg 358 , pubmed.com
Anatomy
Abdomen and pelvis
55200cdf-226c-4462-ad82-7b453fa1d4e4
A 41 year female patient is taking steroids from long duration. Now she presents with onset of severe pain in the hip. Which imaging investigation can be used to diagnose this condition?
MRI
CT
USG
X-Ray
0a
single
Patient on long term steroids that presents with pain must be suffering from AVN( avascular necrosis). IOC to look for AVN is MRI.
Radiology
Musculoskeletal Radiology
36a3db30-9929-450f-9251-354b72deb0c2
b-adrenergic receptor antagonists such as propranolol is used in the treatment of which of the following?
Performance anxiety
Substance use disorders
Lithium tremor
All of the above
3d
multi
Ans. D. All of the aboveIndications for b-adrenergic receptor antagonists are lithium tremor, major depressive disorders, substance use disorders, performance anxiety, and neuroleptic-induced akathisia. The five b-adrenergic receptor antagonists most frequently studied for psychiatric applications are propranolol, meto...
Psychiatry
Pharmacotherapy In Psychiatry
4b12c82e-2b99-491e-a06e-99a2011a7b31
Splenectomy can be performed after immunization against which of the following organisms:
Haemophilus influenza
Streptococcal pneumonia
Neisseria meningitides
All of the above
3d
multi
Ans. D. All of the aboveSplenectomy is usually performed after 6 years of age following immunizations against H influenza type b, streptococcal pneumonia and Neisseria meningitides. Post splenectomy patients receive penicillin prophylaxis to prevent sepsis usually up to adulthood.
Pediatrics
Infection
d906752a-ca7f-4199-8a52-26e99bf064ec
An elderly male presents with pain in his shoulders and hips. Temporal arteries are tender to palpation. ESR is 105 mm/L.
Churg-Strauss syndrome
Cryoglobulinemic vasculitis.
Temporal arteritis
Granulomatosis with polyangiitis (Wegener granulomatosis)
2c
single
The large vessel vasculitides include temporal (giant cell) arteritis and Takayasu arteritis. Temporal arteritis typically occurs in older patients and is accompanied by aching in the shoulders and hips, jaw claudication, and a markedly elevated ESR. Takayasu arteritis, a granulomatous inflammation of the aorta and its...
Medicine
Immunology and Rheumatology
708a51ba-7b62-4775-bc0d-cc8659fec547
A butcher, who is fond of eating raw hamburger, develops chorioretinitis; a Sabin-Feldman dye test is positive. This patient is most likely infected with
Trichinosis
Schistosomiasis
Toxoplasmosis
Visceral larva migrans
2c
single
Toxoplasmosis, for example, is generally a mild, self-limiting disease; however, severe fetal disease is possible if pregnant women ingest Toxoplasma oocysts. Consumption of uncooked meat may result in either an acute toxoplasmosis or a chronic toxoplasmosis that is associated with serious eye disease. Most adults have...
Microbiology
Parasitology
d787fcb7-c142-47e4-ba59-701316a34205
Cyclo propagative means:
Only development
Only multiplication
No development and no multiplication
M ul ti plication and development
3d
single
Ref: Park 'Textbook of Preventive and Social Medicine', 22nd edition.Explanation:Biological transmission PropagativeOnly multiplication, eg - plague bacilli in flea, dengue virus in mosquitoCyclo developmentalOnly development eg- filariai parasite in mosquitoCylco propagativeMultiplication and development eg. malarial ...
Social & Preventive Medicine
General
bc662826-ec98-4b87-b2ab-b2e135190137
All of the following have non-scarring alopcia, EXCEPT:
T. capitis
Androgenic alopecia
Alopecia areata
Lichen planus
3d
multi
Lichen planus - Lichen Planus is a muco-cutaneous disease of immunological origin. It leads to a characteristic pruritic, papular, violaceous eruption of polygonal shape and is often covered with fine scales. Lichen planus most commonly leads to thick patchy rough, scaly skin that develops on the flexor surfaces of the...
Skin
null
631bbdc4-2f41-48b7-aac0-acff8f0e5020
In IV hyperalimentation, we give -a) Hypertonic salineb) Fatsc) Amino acidsd) Dextrosee) LMW dextran
abc
ad
bc
bcd
3d
single
Parenteral alimentation involves the continuous infusion of a hyperosmolar solution containing carbohydrates (Dextrose), proteins, fat and other necessary nutrients (eg. Vitamins, trace minerals).
Surgery
null
ffca4fc6-0ebf-43d6-a1bd-cd7449d624da
Guerin fracture is:
Maxillary fracture
Maxillary and zygomatic fracture
Maxillary and nasal bone fracture
Nasal bone fracture only
0a
single
null
Surgery
null
1a814009-bacf-4bca-95d2-99a4db6ae569
Which of the following is not a derivative of the middle ear cleft ?
Semicircular canal
Mastoid air cell
Tympanic cavity
Eustachian tube
0a
single
Ans. is 'a' i.e., Semicircular canal The middle - ear cleft in the temporal bone includes :? Eustachian tube The middle ear (tympanic cavity) Aditus which leads posteriorly to the mastoid antrum and air cells.
ENT
null
ba889248-edd1-45b9-80a9-7e819611dfc9
Sinus bradycardia with MI T/T-
Atropine
Digoxin
Calcium channel blocker
Propranolol
0a
single
Sinus bradycardia is a common arrhythmia in patients with inferior or posterior acute myocardial infarctions (AMIs). The highest incidence, 40%, is observed in the first 1-2 hours after AMI. Use of atropine in patients with acute myocardial infarction and sinus bradycardia. Atropine is the drug of choice for management...
Medicine
C.V.S
e8a538bb-4558-4a50-91fe-09e16901a6e8
All are helpful for the diagnosis of CSF rhinorrhea except:
High glucose
High protein
Tram line
Beta transferrin
0a
multi
Following trauma of the midface, CSF may emanate from a dural tear, resulting in rhinorrhea, otorrhea, or both.  The  disruption  usually  occurs  lateral  to  the  cribriform plate but may also result from disruption of the sphenoidal,  ethmoidal,  and  frontal  sinuses  producing  a  dural tear and communication with...
Surgery
null
1f6fb330-6121-43f4-98cd-71b166fa9e61
Hemorrhage leads to: September 2005
Septicemic shock
Neurogenic shock
Hypovolemic shock
Cardiogenic shock
2c
single
Ans. C: Hypovolemic shock Hypovolemic shock refers to a medical or surgical condition in which rapid fluid loss results in multiple organ failure due to inadequate circulating volume and subsequent inadequate perfusion. Most often, hypovolemic shock is secondary to rapid blood loss. Acute external blood loss secondary ...
Surgery
null
a2861f5d-5614-406b-8e2b-fcee59804fbe
Renin is synthesized as a large preprohormone: Renin is secreted by which among the following?
PCT
DCT
Collecting duct
Juxtaglomerular apparatus
3d
single
Ans. D. Juxtaglomerular apparatusActive renin:In the juxtaglomerular apparatus and is formed in the secretory granules of the granular cells. Only known function of its is to cleave the decapeptide angiotensin I from the amino terminal end of angiotensinogen i.e. renin substrate.
Physiology
Kidneys and Body Fluids
b61a16c8-9196-48cd-9b27-53b06bbc0bff
Define perinatal period?
The interval between the bih of an infant born after 20 weeks' gestation and the 28 completed days after that bih
The interval between the bih of an infant born after 20 weeks' gestation and the 7 completed days after that bih
The interval between the bih of an infant born after 28 weeks' gestation and the 28 completed days after that bih
The interval between the bih of an infant born after 28 weeks' gestation and the 7 completed days after that bih
0a
single
Perinatal period: The interval between the bih of an infant born after 20 weeks' gestation and the 28 completed days after that bih. When perinatal rates are based on bihweight, rather than gestational age, it is recommended that the perinatal period is defined as commencing at 500 g.Ref: William&;s Obstetrics; 24th ed...
Gynaecology & Obstetrics
General obstetrics
19133ca4-8f84-4f1a-8f62-d3e76b1e86ac
Skin is not involved in -
Erythropoietic porphyria
Porphyria cutanea torda
Acute intermittent porphyria
Hereditary coproporphyria
2c
single
Ans. is 'c' i.e., Acute intermittent porphyriaType of PorphyriaNeuropsychiatric symptomsSkin symptoms/PhototoxicityA. Hepatic porphyrias1) Acute intermittent porphyria2) 5-ALA dehydratase deficiency3) Hereditary coproporphyria4) Variegate porphyria5) Porphyria cutanea tarda++++---+++B. Erythropoietic porphyrias1) Eryth...
Skin
Vesiculobullous (Blistering) Disorders
0bb0b24e-490a-4ce1-a054-924b6de70a55
MEDNIK syndrome - which of the following is true
Caused by mutations in the AP1S1 gene
Disorder of copper metabolism
Mental retardation, deafness, neuropathy are seen in this disorder
All of the above
3d
multi
A rare multisystem disorder of copper metabolism with features of both Menke's and Wilson's diseases has been repoed. It is termed the MEDNIK (mental retardation, enteropathy, deafness, neuropathy, ichthyosis, keratodermia) syndrome and is caused by mutations in the AP1S1 gene, which encodes an adaptor protein necessar...
Medicine
Endocrinology
8742256b-6b9e-414f-952e-62273625a63e
Nerve tested in pupillary reflex is
2nd and 3rd
Only 3rd
only 2nd
3rd and 5th
0a
single
Afferent - 2nd nerve. Efferent - 3rd nerve.
Ophthalmology
null
efa8c6f3-cb24-476a-ab19-70f016d32a58
Rivastigmine and Donepezil are drugs used predominantly in the management of -
Depression
Dissociation
Delusions
Dementia
3d
single
Ans. is 'd' i.e., Dementia o Rivastigmine, Donepezil, Galantamine and tacrine all are central cholinesterase inhibitors and are used in senile dementia of Alzheimer's desease.
Pharmacology
null
f28603ee-fea9-4207-8afc-f5bb0bd167e8
Sphincter of Oddi consists of
2 sphincters
3 sphincters
4 sphincters
5 sphincters
1b
single
The sphincter of Oddi is a muscular valve that controls the flow of digestive juices through the ampulla of vater into the second pa of the duodenum. It is named after ruggero oddi. Ref - BDC 6e vol2 pg259 , britannica.com
Anatomy
Abdomen and pelvis
fdc021aa-a766-4103-9d0a-60e96877138b
Rabies is identified by -
Guarnieri bodies
Negri bodies
Cowdry A bodies
Cowdry B bodies
1b
single
Few Important Bodies in Microbiology  Bollinger bodies — Fowlpox  Brassy body — Dark shrunken blood corpuscle found in malaria  Call exner bodies — Granulosa theca cell tumour  Chromatid bodies — Entamoeba histolytica precyst  Citron bodies — cl. Septicum  Cigar bodies — Sporotrichosis  Councilman bodies — Yellow feve...
Microbiology
null
d7fc1874-20b6-4ede-858c-12d8ae7a0387
A 24-year-old woman presents with abdominal pain, joint discomfort, and lower limb rash. She was well until 1 week before presentation. On examination, she has a palpable purpuric rash on her legs, nonspecific abdominal discomfort, and no active joints. She has 3+ proteinuria, normal WBC, no eosinophils, and elevated c...
polyarteritis nodosa (PAN)
Churg-Strauss disease
Henoch-Schonlein purpura
vasculitis associated with infectious diseases
2c
multi
Henoch-Schonlein purpura, characterized by palpable purpura, arthralgias, GI symptoms, and glomerulonephritis, can be seen in any age-group but is most common in children. It can resolve and recur several times over a period of weeks or months and can resolve spontaneously.
Medicine
Immunology and Rheumatology
809686b3-7ed8-4af4-ae6f-33a0092ede82
In acute intermittent porphyria which enzyme is deficient?
ALA synthase
Uroporphyrinogen I synthase
Uroporphyrinogen II synthase
Uroporphyrinogen III synthase
1b
single
It is inherited as an autosomal dominant trait. PBG-deaminase (uroporphyrinogen-I-synthase) is deficient. 2. This leads to a secondary increase in the activity of ALA synthase since the end-product inhibition is not effective. The levels of ALA and PBG are elevated in blood and urine. As they are colorless compounds, u...
Biochemistry
Enzymes
2238e46f-0d77-412e-9063-9ba12f0727ce
A 72 year old male presented with complete rectal prolapse with history of constipation from the last 10 years. Management for this patient Is
Delorme procedure
Well’s resection
Abdominal Rectopexy
Resection Rectopexy
0a
single
For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred (delormes, altamaier). Underlying cause must be treated.
Surgery
null
9ed1fec9-add8-4ebe-8646-082e0be3cb20
The most impoant example of a compensated hemolytic anemia becomes decompensated, is when:
Infected with TB
Infected with parvovirus B19
Liver disease
Renal cell carcinoma
1b
single
A patient with a hemolytic condition may present without anemia (Compensated hemolytic anemia) It becomes decompensated in Pregnancy Folate deficiency Renal failure (Interfering with adequate EPO production). Also in Acute infections- which depresses erythropoiesis. The most dramatic example is parvovirus B19 infection...
Medicine
null
de086c94-2c35-4a25-8576-a645e7407aa3
A 31 year old female patient complainsts of bilateral impairment of hearing for the 5 year.On examination, tympanic membrane is normal and audiomgram shows a bilateral conductive deafness. Impedance audiometry shows As type of curve and acoustic reflexes are absent. All constitute part of treatment,except -
Hearing aid
Stapedectomy
Sodium fluoride
Gentamycin
3d
multi
null
ENT
null
e8f3e8bc-ee92-4a87-aaef-cc9128cf9e0d
Powerful vasoconstrictor is?
Amphetamines
Epinephrine
Isopreenaline
Dobutamine
1b
single
Ans. is 'b' i.e., Epinephrine Among the given options, only epinephrine has significant action on a-receptor, thus causes vasoconstriction. Svmpathomimetic drugs Non selective Adrenaline - a, + a, + 13, + [3, Noradrenaline- a, + a, + [3, + Slight 13, no. 132 Isoprenaline- R + [32+ 133 but no a action Mephentramine- a a...
Pharmacology
null
c470eba5-1ec3-408c-9c22-2e240f4e0d3e
All of the following statements are true regarding ligamentum denticulatum except
It is a modification of arachnoid mater
They are 2 in number on each side with 21 triangular processes
It serves as a neurosurgical landmark for AP sectioning of spinal cord
Its having a serrated appearance
0a
multi
Ligamentum denticulatum is not a modification of arachnoid mater. It is a modification of the pia mater. The ligamentum denticulatum is a flat fibrous sheet on either side of the spinal cord present between the ventral and dorsal spinal roots. It serves as a neurosurgical landmark for hemisectioning of the spinal cord....
Anatomy
Brain
21b668a5-7de5-402b-868d-cee736a62d91
Wrong about clonidine is ?
Alpha 2 receptor agonist
First line for ADHD
Sudden withdrawal causes rebound hypeension
Controls loose motions due to diabetic neuropathy
1b
single
Ans. is 'b' i.e., First line for ADHD o Behavioural therapy is the first line therapy for the treatment of ADHD. The first line drug for ADHD is Methylphenidate. Clonidine It acts (paial agonist) on areceptors, especially a2 in brainstem - Stimulation of a2A receptors in medulla (vasomotor centre) - decrease sympatheti...
Pharmacology
null
bfddc441-8b13-42d2-a06e-de13883eef99
A 25 years old man marries a 13 years girl and has intercourse with her, this constitutes rape as she is-
<15 years age
<14 years age
<21 years age
No consent taken from wife
0a
single
Sexual intercourse with wife, even with her consent is rape, if she is below 15 years of age.
Forensic Medicine
null
0d015449-3054-40a9-8daa-66d545dc9011
'Gamma knife' is a term used to denote which of the methods of treatment?
Radiotherapy
Chemotherapy
Nuclear medicine
Radioisotope scan
0a
single
Gamma Knife radiosurgery allows for the destruction of a brain lesions without cutting the skin. By focusing many small beams of of radiation on abnormal brain tissue the abnormality can be destroyed while preserving the normal surrounding structures. The Gamma Knife uses 201 narrow beam Cobalt 60 sources all aimed at ...
Radiology
null
ab08b548-3783-468c-9522-70c94d5470c6
A child having H/0 profuse watery diarrhoea not taking oraly and not passed urine since 2 days, what to be given
Milk
ORS
I.V. fluid
I.V. antibiotic
2c
single
Ans. is 'c' i.e., I.V. fluid Child having history of profuse watery diarrhoea with poor oral intake and not passed urine since 2 days is suffering from diarrhoea with dehydration and probably acute renal failure of pre renal types. Here best choice is intravenous I.V. fluid If I.V. access not possible, then you can giv...
Pediatrics
null