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135
468f97f8-7510-4f41-bbb2-d3a9b7ee5775
The karyotype of patient with androgen insensitivity syndrome is :
46XX
46XY
47XXY
45XO
1b
single
Answer is B (46XY) : Individual with 'androgen insensitivity syndrome' are XY individuals (male karyotype) with a female phenotype. Mutation in the androgen receptor causes resistance to androgen action and the androgen insensitivity syndrome results.
Medicine
null
ea3ee2e6-db3c-4b6d-83ba-e04de1d44b83
All the conditions mentioned below are associated with decreased fetal hea rate except
Fetal movement
Chronic hypoxia
Cord compression
Head compression
0a
multi
Fetal movement is associated with increase in fetal hea rate .This forms the basis of non stress test. Head compression leads to vagal stimulation and thus bradycardia. Hypoxia and cord compression (causing hypoxia) will also lead to bradycardia.
Gynaecology & Obstetrics
All India exam
b82b2c28-0258-4d75-9cb6-7430c6a1fc70
Anti-Ro antibody is found in?
SLE
Scleroderma
MCTD
Neonatal lupus
3d
single
Ans. is 'd' i.e., Neonatal lupus * Anti SS-A (Ro) and anti SS-B (La) antibodies are the serological marker of Sjogren syndrome.* They are also found in neonated lupus.
Pathology
Immunity
b6414866-766e-4c93-ac82-c62f7a6876e2
All are true about nephrotic syndrome in children except?
It is not associated with hypeension
Minimal change disease in children <10 year
Massive proteinuria > 3.5gm%/ 24 hours
Low complement levels
3d
multi
Nephrotic syndrome is kidney disease with proteinuria, hypoalbuminemia, and edema. Massive proteinuria > 3.5gm%/ 24 hours Persistently low C3 levels are indicative of Acute Glomerulonephritis Minimal change disease- most common cause of nephrotic syndrome in children (2-8 yrs)
Medicine
Nephrotic and Nephritic syndrome
3075c7f4-2770-4b81-952e-1e476d202a24
True about safe CSOM:
Aetiology is multiple bacteria
Oral antibiotics are not effective
Ear drops have no role
Otic hydrocephalus is a complication
0a
multi
(a) Aetiology is multiple bacteria(Ref. Scott Brown, 8th ed., Vol 2; 1001)CSOM is caused by mixed aerobic and anaerobic organisms. MC aerobic organism being Pseudomonas, others include Proteus, E. coli and Staph, aureus. Bacteroids are the anaerobic bacteria here.Oral antibiotics and antibiotic ear drops are given to c...
ENT
Ear
da85ca33-1eee-447d-8ad7-f69a2247a1f3
The level of branching of common carotid artery:
Upper border of thyroid cartilage
Lower border of cricoid cartilage
Lower border of thyroid cartilage
Hyoid
0a
single
COMMON CAROTID ARTERIES: There are two common carotid arteries: right and left. They are the chief arteries of the head and neck. Origin: The right common carotid artery arises in neck from brachiocephalic trunk (innominate artery) behind the sternoclavicular joint. The left common carotid artery arises in thorax (supe...
Anatomy
null
13192882-eab8-4407-98de-87f89c016ae4
A 28 year old male patient suddenly started experiencing severe pain in lower right abdominal region, the nature of pain was colicky. He underwent USG-KUB; where no stone was evident, but mild hydronephrosis was evident in relation to right kidney. Renal function test was normal and creatinine levels were in normal ran...
CT scan KUB to rule out presence of renal calculi
Treat it like pyelonephritis
Only plenty of hydration required
None of the above
0a
multi
Acute Abdominal Pain Investigations:  Patients should have a full blood count, urea and electrolytes, glucose and amylase taken to look for evidence of dehydration, leucocytosis and pancreatitis. Urinalysis is useful in suspected renal colic and pyelonephritis. An erect chest X-ray may show air under the diaphragm, sug...
Medicine
null
18621945-7bb2-4ad9-9567-81733c5c67f7
Earliest response to iron supplementation in iron deficiency anemia is denoted by?
Increase in serum ferritin
Increase in reticulocyte count
Increase in iron binding capacity
Increase in hemoglobin
1b
single
Response to iron therapy: Rapid subjective improvement, with disappearance or marked reduction of fatigue, lassitude, and other nonspecific symptoms, before any improvement in anemia is observed. Earliest hematologic evidence of response to treatment is an increase in reticulocytes on 5th to 10th day after sta of suppl...
Pathology
Iron deficiency anemia
4db026c6-d151-494f-9e77-d83d483f6982
Most common cause of endophthalmitis in AIDS patients is:
Rhizopus
Aspergillus
Cryptococcus
Candida
3d
single
Candida is most common cause of endophthalmitis in AIDS patients. Ocular Manifestations in HIV Anterior Segment Molluscum Contaiosum Herpes Zoster Ophthalmicus Kaposi Sarcoma Ocular Surface Squamous Neoplasia Trichomegaly Dry Eyes Anterior Uveitis Ocular Manifestations In HIV Posterior Segment CMV Retinitis Acute Retin...
Ophthalmology
Vitreous Humour, Uveal Disorders
e4723824-97aa-4b32-9116-d9ad029e2e58
Otoacoustic emissions arise from?
Outer hair cells
Inner hair cells
Both
Organ of corti
0a
multi
ANSWER: (A) Outer hair cellsREF: Dhingra's ENT 4th edition page 29 Repeat from December 2009 Otoacoustic Emissions (OAEs)They are low intensity sounds produced by outer hair cells of a normal cochlea and can be elicited by a very sensitive microphone placed in the external ear canal and an analysis by a computer. Sound...
ENT
Diagnostic & Operative ENT
3a29323e-444f-4de2-88da-d3ee4806718c
Genital ridge derived from which mesoderm?
Paraxial mesoderm
Lateral plate mesoderm
Intermediate mesoderm
None
2c
multi
Each testis develops from the coelomic epithelium, that covers the medial side of the mesonephros, of the corresponding side. In the region where testis is to develop, this germinal epithelium becomes thickened. This thickening is called the genital ridge. The gonadal ridge (or genital ridge) is the precursor to the go...
Anatomy
General anatomy
01732027-57ac-4716-b94f-bb2777d76956
No prior immune suppression is helpful in which type of graft rejection?
Acuterejection
Hyperacute rejection
Chronic rejection
None of the above
1b
multi
Ans is 'b' i.e. Hyperacute rejectiono Hyperacute rejection is caused by ABO incompatibility and preformed cytotoxic antibodies against donor HLA antigens. Therefore immunosuppressant is not helpful.
Pathology
Rejection of Transplants
36a9cb02-5d5d-40b8-ad94-5af1fc90e225
Fall on foot causes?
Pond fracture
Gutter fracture
Cerebral hemisphere divided into half
Compression fracture
3d
multi
ANSWER: (D) Compression fractureREF: Manual of orthopedics by Marc F. Swiontkowski MD 6th ed Ch: 7Burst Compression fractures of the lumbar spine are associated with fractures of calcaneus in a setting where a person falls and land on foot. This type of fracture is called a Don Juan fracture.Calcaneal fractures are mor...
Orthopaedics
Spinal Injuries
01322516-144a-435e-b09a-081866b3a840
Not transmitted by soft Tick
Relapsing fever
KFD in India
KFD outside india
Q fever
1b
single
null
Social & Preventive Medicine
null
37fcd55b-43c7-4594-9669-3e9703422abe
Which is characteristic of supragingival plaque and not of subgingival plaque in humans?
Motile bacteria are predominant
Spirochetes are evident microscopically
Gram negative bacteria are predominant
Bacterial composition is altered by dietary sugar composition
3d
multi
null
Dental
null
b2374762-a95d-4a95-9a2d-ee091d4a3587
Double bubble sign in children seen in A/E –
Ladds band
Annular pancreas
Pancreatic pseudocyst
Diaphragmatic hernia
3d
single
Obstruction of 2nd part of duodenum cause double bubble sign on plain abdominal radiograph. OIt may be due to - i)  Annular pancreas ii) Pancreatic pseudocyst iii) Ladds band                          iv) Tumor in the head of the pancrease
Pediatrics
null
4e472757-c712-43bc-aa76-204731920923
Oliguria causing drug is-
Acyclovir
Diazepam
Aspirin
Montelukast
0a
single
Ans. is 'a' i.e., Acyclovir Drugs Causing Oliguriao Drugs causing decreased renal perfusion - diuretics.o Drugs causing nephrotoxicity - aminoglycosides and chemotherapeutic agents,o Urine retention - adrenergic and anticholinergic drugs.o Urinary obstruction associated with precipitation of urinary crystals - sulfonam...
Pharmacology
D.O.C
5601802e-252f-4a62-9fab-812df0885026
Which has the highest cholesterol content?
HDL
LDL
VLDL
Chylomicron
1b
single
LDL contains cholesterol as the main lipid component. A positive correlation exists between the incidence of atherosclerosis and the plasma concentration of LDL cholesterol. The LDL (apoB-100, E) receptor is defective in familial hypercholesterolemia, a genetic condition which blood LDL cholesterol levels are increased...
Biochemistry
null
8414c2f4-782a-478e-949f-2d031b5011e3
which of the following is not a theory of mechanism of AGING ?
free radicle theory
crosslinking the collagen theory
telomerase shoening theroy
lysosomal degeneration theory
3d
single
MECHANISMS OF AGING Theory Principle DNA & Genetic Theory -Aging is predetermined by genetic programmng. Neuroendocrine Theory -Loss of hypothalamic regulation and cell sensitivity to ormones. Free Radical Theory Cellular damage by production of metabolic free adicals. Membrane Theory -Decline in cell efficiency loss o...
Pathology
All India exam
4af85b12-464b-4b32-af7f-ad3cdbaeee83
n-3 PUFA is present in all except -
Mustard oil
Corn oil
Fish oil
Groundnut oil
3d
multi
Fatty acid content of different fats (%) : Fats SFA MUFA PUFA Coconut oil 92 6 2 Safflower oil 10 15 75 Sunflower seed oil 8 27 65 Soya bean oil 14 24 62 Margarine 25 25 50 Ground nut oil 19 50 31 Palm oil 46 44 10 Butter 60 37 3 Ref: Park 25th edition Pgno : 649
Social & Preventive Medicine
Nutrition and health
5fa93616-e5f2-42c8-83a0-bbef25f9d378
The wall absent in class V lesion
Axial wall
Mesial
Distal
Pulpal wall
3d
multi
null
Dental
null
fe8af13b-93f4-4989-b027-754d7ba49326
The quantity of X-rays is controlled by:
Kilovoltage
Milliamperage
Total filteration
Exposure time
1b
single
null
Radiology
null
fc2101d3-48d1-4dfb-b19b-924137df336a
Declaration of Sydney is related to ?
Time of death
Infliction of toure
Therapeutic aboion
Humanitarian goals of medicine
0a
single
Ans. is 'a' i.e., Time of death Declaration of SydneyThe advent of organ transplantation made this Declaration a guide to determining the time of death of the comatose donor. "Brain death" has displaced "cardiac death" as the essential criterion; and the diagnosis must be made before there is organ death.The Declaratio...
Forensic Medicine
null
3ce9e141-545f-45cd-a58b-3385290fce5e
Following investigations are required in initial evaluation of a chronic myeloid leukemia patient EXCEPT -
Peripheral smear
Test for Philadelphia chromosome
Bone marrow testing
HLA typing
3d
multi
CML is established by identification of the clone of hematopoietic stem cells that possesses the reciprocal translocation between chromosome 9 & 22,forming Philadelphia chromosome. Peripheral smear shows metamyelocytes, myelocytes, mature segmented neutrophils , basophils.Bone marrow examination reveals hypercellularit...
Medicine
Haematology
f0a65c62-b87c-4baf-931b-111a21b024dc
Antilipidemic drugs that prevent hypercholesterolemia by inhibiting absorption -
Ezetimibe
Orlistat
Cholestyramine
Statins
0a
single
Ans. is 'a' i.e., Ezetimibe Ezetimibe inhibits the absorption of cholesterol by bidning to transpoer located in intestinal brush border. Note: Orlistat also reduces cholesterol absorption, but it is an anti-obesity drug (not an antilipidemic drug).
Pharmacology
null
8d0d13e5-bb54-47e3-a4e2-20c746281319
Which of the following is used for medical adrenalectomy?-
Mitotane
Methotrexate
Doxorubicin
5-Fluorouracil
0a
single
null
Pharmacology
null
8db51935-3aa5-4d2b-af25-085d9adc2fd9
Which of the following is an acid-fast bacillus
Mycobacterium bacilli
Treponema pallidum
Neisseria gonorrhea
All of the above
0a
multi
null
Microbiology
null
71717de2-99aa-4c1f-a677-03441bc64c4a
What is the inheritance pattern of marfan syndrome?
AD
AR
XR
XD
0a
single
Refer the byte "Menddian disorders and their Inbetitance pattern"
Pathology
null
2fa93a2c-402d-466d-a194-c3b5812a8e1c
Which one of the following drugs is useful in the treatment of gastroesophageal reflux disease?
Atropine
Ondansetron
Metoclopramide
Sodium citrate
2c
single
Metoclopramide is an effective drug in the treatment of patients with GERD. It is a prokinetic drug that speeds up gastric emptying by increasing gastric peristasis while relaxing the pylorus and first pa of duodenum. It also enhance the tone of lower esophageal sphincter thereby preventing reflux. Ref: Essentials of M...
Pharmacology
null
0a0690fc-6974-4862-89b9-2eee1360081f
Blood stained sputum may be the only symptom in-
Bronchiectasis
Carcinoma bronchus
Adenoma bronchus
Pulmonary T.B.
2c
single
null
Surgery
null
cc83d983-c4e1-453f-a412-e2448d236f0c
Examination of vitreous is best done by:
Direct ophthalmoscope
Indirect ophthalmoscope
Slit-lamp with contact lens
Oblique illumination
1b
single
Ans. Indirect ophthalmoscope
Ophthalmology
null
c1bcdb12-b44e-41c3-aaae-086d1c25eec7
Irvin Moore sign is positive in
Adenoid hyperophy
Acute tonsillitis
Chronic tonsillitis
Epiglottitis
2c
single
Irwin-Moore sign:- Expression of cheesy material from the tonsil, on pressing anterior pillar seen in case of chronic tonsillitis. Ref:- Textbook of ENT, Hazarika; pg num:- 480
ENT
Pharynx
3a57edcc-09d2-4123-a142-34fc371f9689
These ventral spinal rootlets are more prone to injury during decompressive operations because they are shoer and exit in a more horizontal direction:
C5
C6
C7
T1
0a
single
A ie C5
Anatomy
null
09115997-0526-4f1a-b5a3-4338a3fd4b6a
Tache noires is seen in -
Emphysema
Diphtheria
Boutoneuse fever
Bronchial asthma
2c
single
null
Medicine
null
6a68e64d-55ad-4532-8c91-9c8bc4ee1238
Urethritis in males is not caused by
H ducreyi
Trichomonas
Chlamydia
Gonococcus
0a
single
H Ducreyi course soft sore chancroid Infections cuase urethritis Neisseria gonorrhea chlamydia trachsmati&;s Trichsmonas Vaginalis Mycoplasma genitalium ref : ananthanaryana
Microbiology
All India exam
5d2d4927-f6ea-4342-8f13-d5ba88046882
Which one of the following condition is associated with extensive pleural thickening and calcification especially involving the diaphragmatic pleura?
Coal worker's pneumoconiosis
Asbestosis
Silicosis
Siderosis
1b
multi
Extensive pleural thickening and calcification especially involving the diaphragmatic pleura are classical features of Asbestosis. Exposure to asbestos can result in extensive pleural thickening, calcification, effusion, and malignant neoplasm of lung and pleura. Pleural fibrosis associated with asbestos fiber inhalati...
Radiology
null
dcf98e23-e1df-47e7-a4fe-49ab7de0c40c
The protein responsible for elasticity of the muscle is:
Actin
Myosin
Titin
All
2c
multi
Titin is responsible for the elasticity of the muscle present in hea and skeletal muscle Actin and myosin are regarded as contractile proteins Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:86,87
Anatomy
General anatomy
afb7cc47-218e-4d85-a2de-acbb31c799d1
Study of finger printing is:
DNA finger printing
Dactylography
Gene analysis
Poroscopy
1b
single
B i.e. Dactylography
Forensic Medicine
null
ae93a411-d875-435f-9389-c37a827a0f81
All of the following may occur in Down's syndrome, except:
Hypothyroidism
Undescended testis
Ventricular septal defect
Brushfield's spots
1b
multi
Undescended testis has not been described as an association with Down's syndrome. Hypothyroidism, ventricular septal defect, Brushfield's spots are seen in Down's syndrome. Ref: Essential Pediatrics By O P Ghai, 6th Edition, Page 592; Down Syndrome By Mark Selikowitz, 2008, Preview.
Pediatrics
null
63b23189-cdae-419f-b78f-7dfdae00f74e
In morbus caeruleus foramen ovole closes after
6 months
2 years
1 year
Never
3d
single
In few cases, foramen ovale remains patent throughout life and gives rise to cyanosis, a condition called as Morbus caeruleus.(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2162)
Pediatrics
All India exam
8045b037-5ac8-4f24-975b-8fb280ccf543
Scrub typhus is caused by -
R typhi
R Akari
R prowazekii
R tsutsugamushi
3d
single
Ans. is 'd' i.e., R tsutsugamushi o Has been explained in previous years
Social & Preventive Medicine
Rickettsial Diseases
b2b190ba-8dfb-4cf8-8149-5aa3869113fb
What is suggilation?
Rigor mortis
Algor mortis
Livor mortis
Postmortem caloricity
2c
single
Postmortem staining is also called livor mortis / suggilation/ Hypostasis / Cadaveric lividity.
Forensic Medicine
null
64249c93-cb66-4907-9d4a-bd03ae9d4fd7
Not a complication of Colles' fracture
Stiffness of wrist
Stiffness of shoulder
Carpal tunnel syndrome
Wrist drop
3d
single
D i.e. Wrist drop
Surgery
null
6e46e72d-f4e9-421c-b5b8-2176bbc58100
A five day old, full term male infant was severely cyanotic at bih. Prostaglandin E was administered initially and later ballooned atrial septosomy was done which showed improvement in oxygenation. The most likely diagnosis of this infant is:
Tetralogy of Fallot
Transposition of great vessels
Truncus Aeriosus
Tricuspid Atresia
1b
multi
Administration of Prostaglandin E and ballooned atrial septosomy which shows improvement in oxygenation in a severely cyanotic five day old male infant suggest this case as transposition of great vessels. Oxygenation is normal before bih but, after bih as ductus aeriosus closes, severe hypoxia occurs and in the absence...
Pediatrics
null
7fe63d18-b806-4244-9e9f-d2c1b9faf279
Which of the following is not included in major Jone's criteria aEUR'
Pancarditis
Chorea
Ahritis
Elevated ESR
3d
single
Elevated E.S.R. * The jones criteria for rheumatic fever: Major criteria * CarditisQ . * Migratory polyahrrusQ Minor cieria Clinical * Fever * Sydenham's choreaQ * AhralgiaQ * Subcutaneous nodules Laboratory Erythema marginatumQ * Elevated acute phase reactants * Prolonged PR interval PLUS Suppoing evidence of a recent...
Surgery
null
91eaa785-7db8-4a74-83fb-2a151b2154a3
Shade selection is done with in how much time to avoid fatigue of eyes?
5 seconds
10 seconds
15 seconds
20 seconds
0a
single
null
Dental
null
dd0850f7-f7a2-40d0-8684-21fe331c016a
The sequence of commonest fractured sites of Mandible is
Angle, Neck, Canine fossa
Canine fossa, Neck, Angle
Canine fossa, Angle, Neck
Neck, Canine fossa, Angle
2c
single
The mandible is commonly fractured at the canine socket where it is weak. Involvement of the inferior alveolar nerve in the callus may cause neuralgic pain, and if the nerve is paralyzed, the area supplied by the mental nerve becomes insensitive. The next common fracture of the mandible occurs at the angle.Reference: C...
Anatomy
General anatomy
5114e41f-83ea-4d24-a783-8be332723a3c
Facial edema, cheilitis granulomatosa and a fissured tongue characterize which of the following syndromes?
Frey's syndrome
Melkerson-Rosenthal syndrome
Treacher Collins syndrome
None of the above
1b
multi
null
Pathology
null
b74e74e7-efe6-412d-8d53-24889f8ce894
Right border of hea is formed by ?
Right ventricle
Right atrium
SVC
IVC
1b
single
External features of hea The hea has following borders and surfaces :- A) Borders i) Right border :- Formed by right atrium. ii) Left border (obtuse margin):- Formed mainly by left ventricle and paly by left auricle (in its upper most pa). iii) Inferior border (acute margin):- Formed mainly by right ventricle and paly ...
Anatomy
null
ce517c3d-6eda-4f44-82b1-e8eb066e9f47
Adipocere is likely to occur in :
Warm humid climate
Dry hot climate
Burial in sandy oil
Extreme cold
0a
single
A i.e. Warm humid climate
Forensic Medicine
null
d02e9b89-04d8-404c-b87e-24c091684acd
Shortest incubation period is seen in-
Influenza
Hepatitis B
Hepatitis A
Rubella
0a
single
Mumps → 16 - 18 days Influenza → 2 - 3 days Hepatitis A → 15 - 90 days Hepatitis B →  6 wk to 6 months
Social & Preventive Medicine
null
86411148-db00-4855-aac7-bcd18f0d0dff
Eosinophilic meningitis is seen with all except
Coccidiomycosis
Cryptococcal meningitis
Lepto meningeal metastasis
Helminthic infections
1b
multi
null
Medicine
null
66007418-6d04-45be-88ae-d043c16335fb
Which of the following is more aggressive rectal carcinoma ?
Adenocarcinoma
Secondary mucoid carcinoma
Signet ring carcinoma
Squamous cell carcinoma
1b
single
Ans. is 'b' i.e., Secondary mucoid carcinoma
Surgery
null
a32bfccd-add0-4ea5-9236-344b5fee5666
Most common complication of coeliac plexus block ?
Hypotension
Parasthesias
Diarrhea
Pneumothorax
0a
single
Ans. is 'a' i.e., Hypotension Celiac plexus block The celiac plexus is situated retroperitoneally in the upper abdomen. It is at the level of T12 and L, veebrae anterior to the crura of the diaphragm. It contains visceral afferent and efferent fibers divided from T5 to T1, by means of greater, lesser and least splanchn...
Anaesthesia
null
90001460-fad0-4b2f-ae32-107a0d1e22fe
Bipedicle flap is used for reconstruction of?
Nose
Fingeip
Eyelid
Breast
2c
single
Answer- C. EyelidBipedicled flap is a bucket handle flap supplied by both the ends. It is used for lower eyelid repair and rarely anywhere else.
Surgery
null
6b3e010e-a28c-477e-a946-4823fb1929c1
A 9 year girl presents with menarche. History reveals thelarche at the age of 8 years the most common cause of this condition in girls is
Idiopathic
Gonandal tumor
McCune albright syndrome
Hypothyroidism
0a
single
Precocious pubey:The term is reserved for girls who exhibit any secondary sexual charecters before the age of 8 or menstruate before the age of 10 Causes GnRH Dependent: 80% Constitutional : Activation of HPO axis Juvenile Primary Hypothyroidism Intracranial Lesions GnRH Independent Ovary Adrenal Liver Iatrogenic Granu...
Gynaecology & Obstetrics
Sexuality and intersexuality
2f93ab7f-d564-4b4d-ae81-fda551e94cc9
A 35 years old with 36-week pregnancy comes with history of 5 convulsions at home. Her BP is 170/100. Diagnosis made by doctor is eclampsia. Next Management is?
Only Labetalol
Only MgSO4
MgSO4 + Labetalol
Clonidine
2c
single
Eclampsia management: DOC: Magnesium sulphate IM +IV (Pritchard regimen) IV only (Zuspan regime) Pritchard regimen I.M. & I.V. regime This is the most preferred and the 'method of choice' Loading dose-Sta with a loading dose of 14g in which 4g given as intravenous and 10g given as intramuscular Maintenance dose - Maint...
Gynaecology & Obstetrics
FMGE 2019
eeae81bf-4a78-4b80-b772-a95a3bef49aa
Which of the following is involved in tumor metastasis cascade:-
Fibronectin
E-Cadherin
Type IV collagenase
Tyrosine kinase
1b
single
Ans. is 'b' i.e. E. cadherin For the tumor cells to metastasize they must-1st - detach from each other.Next - traverse the extracellular matrix (i. e. the basement membrane and interstitial connective tissue).Normally the cells are neatly glued to each other and their surrounding by a variety of adhesion molecules.Of t...
Medicine
General
a91d8346-e723-4104-a28c-daa7906ca0ec
All are Orofacial pain of vascular origin except:
Cluster headache
Migraine
MPDS
Chronic paroxysmal hemicrania
2c
multi
The various orofacial pains of vascular origin are: Cluster headache Temporal arteritis (involves extracranial carotid circulation) Chronic paroxysmal hemicranias Migraine – (MC)
Pathology
null
12ca959b-f4ef-4fdb-89c5-e5d91b2ffe6c
Acute radiation hepatic damage is most marked between -
1-7 days
7-21 days
21-40 days
40-100 days
3d
single
Ans. is 'd' i.e., 40-100 days o Acute radiation damage normally affects rapidly proliferating tissue : - i) Hematopoietic tissue Latent period 2-3 weeks. ii) Epithelium of GIT --> Latent period 3-5 days. iii) Lymphoid tissue o Acute radiation damage also affects the CNS Latent period 15 minutes to 3 hours. o Hepatic ra...
Pathology
null
5d1d7709-f6ef-4377-808d-8f540a2008a9
Which of the following is a "water scarce disease"?
Trachoma
Leprosy
Rabies
Tetanus
0a
single
Many diseases are caused by scarcity of water in enough amount to be able to maintain personal hygiene and cleanliness. These are called water scarce disease or water washed disease. Examples include trachoma, conjunctivitis, lice infestation, scabies, ascariasis etc. Ref: Park, 21st Edition, Page 657.
Social & Preventive Medicine
null
7744e56f-58db-4493-8436-ef6cbe051304
`La facies sympathique' is a condition seen in cases of -
Hanging
Strangulation
Myocardial insuffciency
Railway accidents
0a
single
o In case of pressure of ligature on cervical sympathetic chin the eye on that side is found open (La facie sympathique). It confirms antemortem banging.
Forensic Medicine
null
10dc619f-10c4-46dc-bc9b-e9b7e50caf0c
All of the following statements about paneth cells are true, Except.
Rich in Rough Endolasmic Reticulum
Rich in Zinc
Contain Lysozyme
Foamy appearance
3d
multi
D i.e. Foamy appearance
Anatomy
null
40ce6f49-918b-4d3e-8721-5d1556503a32
Onodi cells and Haller cells of ethmoid labyrinth is seen in relation to following respectively
Optic nerve and floor of orbit
Optic nerve and internal carotid aery
Optic nerve & naso lacrimal duct
Orbital floor and nsolacrimal duct
0a
multi
A i.e. Optic nerve and floor of orbit Agger nasi cells are medial relations of lacrimal sac & duct; Haller's cells develop medially beneath orbital floort2 and Sphenoethmoid or Onodi cells is intimately related to optic nerve & canal and internal carotid aeryQ. It may contain tuberculum nervi optic, where the optic can...
Anatomy
null
d548d5c9-4a24-4480-98e7-82fd8b8b8c72
All are true in megaloblastic anaemia except:(1995)
Microcytes
Megakaryocytes
Decrease in platelets
Neurological symptoms
0a
multi
Ans: a (Microcytes)Ref: Robbin's, 7th ed, p. 638, 639 & p. 642 for d & 6th ed, p. 622 for b 623 for c p. 624 for d. Also see Harrison, 16llled, p. 605, 606 & 15th ed, p. 679
Pathology
Blood
37ad6932-54bd-40c0-8fbf-0ca90b7b543f
If a substance "X" has more renal clearance than the GFR, it means:
"X" is only being reabsorbed by the tubules
"X" is being secreted by the tubules
"X" is being secreted as well as reabsorbed by the tubules
"X" is neither secreted nor reabsorbed
1b
single
For the given substance "X": > GFR {That is, clearance of "X" is greater than GFR.} It means, urinary excretion of the substance (Ux x V) is greater than the total filtration of the substance (Px x GFR). So the substance must have been secreted by the tubules. Option B is correct. If is greater than , it means the amou...
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
44fe3598-c6b8-42e3-b465-0d243ee2ef15
The four points of probe placement in Focused Abdominal Sonogram for trauma (FAST) in blunt thoraco-abdominal trauma are -
Epigastrium, (R) hypochondrium, (L) Lower chest, hypogastrium
Epigastrium, (R) and (L) Hypochondria, (R) Iliac fossa
Epigastrium, (R) and (L) Lumbar regions, hypogastrium
Hypogastrium, (R) and (L) Lumbar regions, (R) lower chest
2c
single
null
Surgery
null
9ce5c8ea-e89d-4909-b689-428e30e5ad91
True about Ribozyme:
Peptidyl Transferase activity
Cuts DNA at specific site
Participate in DNA Synthesis
GTPase activity
0a
multi
Ans. A. Peptidyl Transferase activity(Ref: Harper 31/e p396)Ribozyme is RNA with catalytic activity.E.g.: SnRNA in Spliceosome-Takes part in splicing of exons and removal of intronsRibonuclease P--Cuts the RNAPeptidyl Transferase: Peptide Bond formation other optionsCuts the DNA at specific site--Restriction Endonuclea...
Biochemistry
Molecular Genetics
754b6b54-56e8-4708-8128-67015a57c6a0
The drug of choice for treatment of hypehyroidism during lactation period is -
Carbimazole
Propylthiouracil
Methimizole
Radioactive iodine
1b
single
Hypehyroidism in pregnancy Methimazole crosses the placenta to a greater degree than propylthiouracil and has been associated with fetal aplasia cutis. However, propylthiouracil can be associated with liver failure. Some expes recommend propylthiouracil in the first trimester and methimazole thereafter. Radioiodine sh...
Medicine
Endocrinology
ad576c50-6109-49ee-8498-d60dd73c95b2
Which of the following is order of development is not charac-teristic
Caudal -Cranial
Cranial - Caudal
Generalised - specific
Distal - proximal
0a
single
Ans a (Caudal - Cranial)Ref O P ghai 7th edOrder of growth in human beings is cephalocaudal and distal to proxi-mal. During the fetal life, growth of head occurs before that of neck and arms grow before legs. Distal part of the body such as the hands increase in size before the upper arms.Generalised mass activity give...
Pediatrics
Growth, Development, and Behavior
5718e593-4089-49aa-bea0-8b91d06b1d05
Chagas disease and is transmitted by the following:
Kissing bugs
Tsetse flies
Dogs
Birds
1b
single
Chagas disease is transmitted by tsetse flies. There are two distinct types of human trypanosomes: African, which causes sleeping sickness and is transmitted by tsetse flies (eg, Glossina): Trypanosoma brucei rhodesiense and Trypanosoma brucei gambiense; American, which causes Chagas disease and is transmitted by kissi...
Microbiology
null
cc01dfd4-f642-45fa-96d1-f22f1ad58755
Ulnar nerve injury results in: March 2012
Ape thumb deformity
Wrist drop
Clawing of fingers
Pointing index
2c
single
Ans: C i.e. Clawing of fingers
Surgery
null
f8f1b5c9-f5e9-4f93-83b0-a45fd35cf76a
The commonest type of cataract is –
Blue dot
Zonular
Cupuliform
Cuneiform
3d
single
You must be thinking, why not a blue dot? Carefully read the question. Here the question is about the commonest type of cataract (not congenital cataract). A most common type of cataract is senile cataract (Age-related cataract). A most common type of senile cataract is cuneiform cataract (70%). "In general, the predo...
Ophthalmology
null
99046035-1a17-4668-b2c8-8a12503ff249
Agnes hunt traction:
Flexion deformity of hip
Trochantric fracture
Fracture shaft of humerus
Low backache
0a
single
Ans. A. Flexion deformity of hipRef: Campbell, Ebnezer and MaheshwariExplanationThese are commonly asked memory based questions in orthopedics. These charts are must to memorize.Commonly asked tractions, fractures, splints and castNameUseGallow's tractionFracture shaft of the femur in children below 2 yearsBryant's tra...
Orthopaedics
Management In Orthopedics
2a8fc88d-40a8-4c7b-8372-b0e91597262c
A 2-year-old boy is brought to the physician by his parents, who complain that their son continually loses his balance. They also report that his speech seems more slurred. Physical examination confirms the truncal ataxia and wide-based gait. The child appears lethargic, and there is bobbing of the head while he is sit...
Cerebellum
Corpus callosum
Frontal lobes
Hypothalamus
0a
multi
The neuroectoderm may (albeit infrequently) give rise to a neoplasm of neuronal heritage. These tumors occur most often in childhood, and their cellular composition is usually primitive. An example is medulloblastoma, which arises in the cerebellum, generally in the first decade of life. This entity is usually situated...
Pathology
Central Nervous System
fcb0e0bd-95e7-466e-b801-34f47c002e2b
Fosphenytoin is different from phenytoin as
It is less damaging to intima on intravenous administration
It can be injected in a drip of glucose solution
It is a prodrug of phenytoin
All the above
3d
multi
Ans. is 'd' i.e., All the above Fosphenytoin* This water soluble prodrug of phenytoin* It has been introduced to overcome the difficulties in i.v. administration of phenytoin in status epilepticus.* In the body, it is rapidly converted to phenytoin.* Its doses are expressed as phenytoin equivalents (PE).* On i.v. injec...
Pharmacology
C.N.S
5780b369-5b19-421e-953d-68a040223c43
Western blot is used for ?
DNA
RNA
Sugar
Protein
3d
single
Ans. is 'd' i.e., ProteinVisualization of a specific DNA or RNA fragment among the many thousand of contaminating molecules requires the convergence of number of techniques collectively termed the blot transfer.
Biochemistry
null
587f97f5-6dac-4731-9424-519d8c160b0b
Fever is caused by:
IL 3
IL 6
IL 5
IL 9
1b
single
Ans. b. IL 6
Microbiology
null
181fa858-e637-442e-8ecd-cb1b40baed59
Ducts of the main lacrimal gland open in:
Superior fornix
Inferior fornix
Both of the above
None of the above
2c
multi
Ans. Both of the above
Ophthalmology
null
b94716ac-966c-418b-b4c7-3e2e8682bc99
All are true about popliteus except
Flexes the knee
Unlocks the knee
Intracapsular
Inseed to medial meniscus
3d
multi
POPLITEUS:- Origin:-intracapsular origin.lateral condyle of femur.lateral meniscus of knee.Inseion:-posterior surface of shaft of tibia above soleal line. Nerve supply:- tibial nerve.Action:-Unlocks knee by lateral rotation of femur on tibia prior to flexion. <img src=" /> {Reference: BDC 6E pg no. 108}
Anatomy
Lower limb
d4466a23-04b5-4691-be5c-128b16aa86ed
A neurologist notes that a patient has weakness when she attempts internal rotation of her right arm at the shoulder. This could be caused by weakness in which of the following muscles?
Infraspinatus
Pectoralis minor
Subscapularis
Supraspinatus
2c
single
The subscapularis muscle arises from the anterior surface of the scapula and inses onto the lesser tubercle of the humerus. It is one of the rotator cuff muscles. Its tendon passes on the anterior side of the shoulder joint capsule, where it reinforces the capsule. Contraction of this muscle causes internal rotation of...
Anatomy
null
b56f2e83-a2fb-455b-837d-c79a6660235d
X-ray abdomen of neonate shows:
Duodenal atresia
Jejunal atresia
Pneumatosis intestinalis
Hirschsprung's disease
2c
single
Ans. (c) Pneumatosis intestinalis.* The finding of pneumatosis intestinalis (air in the bowel wall) confirms the clinical suspicion of NEC and is diagnostic; 50-75% of patients have pneumatosis when treatment is started.* NEC is the most common life-threatening emergency of the gastrointestinal tract in the new-born pe...
Pediatrics
Gastro Intestinal System
563cb9a8-42c9-4ba2-bd12-254ebc1cf813
The effects associated with cold working can be eliminated by a heat treatment called
Age hardening heat treatment
Annealing heat treatment
Homogenization heat treatment
Solution heat treatment
1b
multi
null
Dental
null
9dfd0367-124f-4ee6-b3d0-c4bb5fe2a23d
Stress ulcers seen in burns are:
Curling's ulcer
Cushing's ulcer
Meleney's ulcer
Rodent ulcer
0a
single
Answer is A (Curling's Ulcer) Stress ulcers after severe burns are called curling's ulcers Stress ulcers after head trauma : Cushing's Ulcers Stress ulcers after severe burns : Curling's Ulcers
Medicine
null
9fddc48a-2732-4849-9811-0a7a1615d9ae
Which generation of bonding system combines the primer and bonding agent into a single step?
Fourth
Fifth
Sixth
Seventh
1b
multi
FIFTH GENERATION   To decrease the number of steps PRIME AND BOND WERE COMBINED.  ETCH +   (PRIME+BOND).  Called self priming adhesive.   Bond strength 17-24 MPA.  Less number of steps less post operative sensitivity.  Eg: Prime and bond NT, Adper single bond, Opti bond solo. Reference- Sturdevant 6th ed
Dental
null
673efb91-ea61-4ecc-998d-2e16e47ff30b
Which of the follow ing drugs is contraindicated in liver dysfunction?
Pefloxacin
Vancomycin
Amikacin
Hydralazine
0a
single
Ans. is 'a' i.e., Pefloxacin In liver dysfunctionDrugs contraindicatedDrugs require dose adjustmento Erthromycin estolaleo Tetracyclineso Pyrazinamideo Pefloxacino Chloremphenicalo Methotrexateo INHo Rifampicino Tacrineo Talcaponeo Clindamycin
Pharmacology
Adverse Drug Effect
4a70e36b-e0f0-4d98-9252-07c0dfd424e1
To say twin discordance the differences in the two twins should be :
15% with the larger twin as index
15% with the smaller twin as index25% with the
25% with the larger twin as index
25% with the smaller twin as index
2c
multi
Ans. is c i.e. 25% with the larger twin as index Unequal sizes of twin fetuses with a difference of 25% (larger twin being used as the index), is called as Discordant growth. It is a sign of pathological growth restriction in the smaller fetus. As the weight difference within a twin pair increases and the earlier the g...
Gynaecology & Obstetrics
null
66d4d847-1114-49f4-9e79-7ad0e1677796
Which of the following conditions is least likely to present as an eccentric osteolytic lesion -
Aneurysmal bone cyst
Giant cell tumor
Fibrous cortical defect
Simple bone cyst
3d
single
null
Orthopaedics
null
fde0d0ac-7e72-43ee-b732-287902537614
Score 4 of IOTN?
No treatment
Minor anomaly, no treatment
Borderline treatment
Treatment need
3d
single
null
Dental
null
fc9337be-9d08-4fe4-aa79-86797be8e8fc
a-receptor of estrogens are?
Membrane receptors in breast
Nuclear receptors in breast
Membrane receptors in ovaries
Nuclear receptors in ovaries
1b
single
Ans. is 'b' i.e., Nuclear receptors in breast(Ref: Principles of medical physiologlt p. 777).Estrogen binds to nuclear receptors --> Estrogen receptors (ERs)
Physiology
null
f63f22bd-7623-4256-a0d1-f5ffc82e09ab
Which of the following is an exclusive 5-HT 1F receptor agonist approved by FDA for treatment of acute migraine attack?
Rimegepant
Lasmiditan
Eletriptan
Dosulepin
1b
single
Lasmiditan has been approved by FDA in October 2019 for acute treatment of migraine attack which is a selective 5-HT 1F receptor agonist. The triptans were designed to stimulate selectively subpopulations of 5-HT receptors; at least 14 different 5-HT receptors exist in humans. The triptans are potent agonists of 5-HT1B...
Medicine
C.N.S
cface494-0e42-4f5c-a090-d06b389c8db7
A person of 60 years age is suffering from myositis ossificans progressive. The usual cause of death would be -
Nutritional deficiency
Bed sore
Lung disease
Septicemia
2c
single
Severe restrictive chest wall disease reduces pulmonary volumes and predisposes to right ventricular dysfunction (cor pulmonale). Cardiopulmonary failure may lead to premature death.
Orthopaedics
null
4423b336-9d6b-4da0-bf57-56d45cf354a8
Lacunar infarcts manifests as -
Pure sensory weakness
Pure motor weakness
Dysarthria
All of the above
3d
multi
null
Medicine
null
f5d6c9da-7c19-458b-8008-9faaffab9aab
Genital ulcers are seen in all except -
H. aegyptius
H. ducreyi
HSV
Chlamydia
0a
multi
null
Microbiology
null
4c084b55-afd9-4f19-b99d-ad0c5dcd0568
Wormian bones are seen in all except ?
Fibrous dysplasia
Osteogenesis inperfecta
Cretinism
Rickets
0a
multi
Ans. is 'a' i.e., Fibrous dysplasia Wormian bones Wormian bones are extra bone pieces that occur within a suture in the cranium. These are irregular isolated bones which appear in addition to the usual centers of ossification of the cranium. They occur most frequently in the course of the lambdoid suture. Causes of wor...
Surgery
null
8f73c214-4f86-40c6-bc88-718cc34b9f73
Site of RBC formation in 20-year-old healthy male is
Flat bones
Long bones
Liver
Yolk sac
0a
single
RBC formation in 20-year-old healthy adult takes place in flat bones. It also occurs in end of long bones.RBC formation during mesoblastic stage (3rd week to 3rd month) of intrauterine life takes place in yolk sac.RBC formation during hepatic stage (after 3 months) of intrauterine life takes place in liver.Ref: Medical...
Physiology
Cardiovascular system
c1cb9416-3bc8-44b2-8c1c-1433b8891fe2
Which of the following is an analgesic which does not inhibit prostaglandin synthesis?
Nefopam
Tenoxicam
Ketorolac
Piroxicam
0a
single
Nefopam is nonopioid analgesic and does not inhibit prostaglandin synthesis relieves traumatic, postoperative, sho lasting musculoskeletal pain produce anticholinergic and sympathomimetic side effects Ref: KD Tripathi 8th ed ESSENTIALS OF MEDICAL PHARMACOLOGY;7TH EDITION;KD TRIPATHI;PAGE NO 208
Pharmacology
Autacoids
1e0d43d9-5e26-4ac8-ab31-e06cc4b89ec9
Biopsy from parathyroid gland from a 55-year old male who presented to nephrology department of AIIMS has been shown below. He is a known case of chronic kidney disease with hypertension and type II diabetes. He has recently developed bone pain, lesions in skin and recurrent stones in kidney
Water clear cells in parathyroid hyperplasia
Water clear cells in parathyroid Ca
TB parathyroid
Parathyroid Necrosis
0a
single
Ans. (a) Water clear cells in parathyroid hyperplasia.*The given histology shows abundant optically clear cells of variable size (hyperplasia and hypertrophy), with spherical clear vacuoles surrounded by thin eosinophilic material; basal nuclei, compact or alveolar patterns.
Pathology
Endocrine
89402e30-0636-4b9b-a976-72921cbea25f
A sample to look for uric crystal (Gouty tophus) would be submitted to the pathology laboratory in:
Formalin
Distilled water
Alcohol
Normal saline
2c
single
C i.e. Alcohol
Forensic Medicine
null
7ec3e7e3-3ef0-4f0d-95c3-e2bd7640605d
Which of the following is a "Fenestrated hip prosthesis"?
Bipolar prosthesis
Austin Moore prosthesi
Thompson prosthesis
All
1b
multi
ANSWER: (B) Austin Moore prosthesisREF: Essential Handbook of Practical Orthopedic Examination, By Dr. Kaushik Banerjee, page 146Bipolar prosthesis is used for total hip replacement (THR) while the Austin Moore and Thompson both are used for hemiarthroplasty. Bipolar prosthesis can be both fenestrated and non-fenestrat...
Orthopaedics
Avascular Necrosis & Osteochondroses