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135
0b6aacc6-4478-4f61-9f96-7a5ff1b7cae1
Metachromatic granules are found in:
Diphtheria
Mycoplasma
Chlamydia
Staphylococcus
0a
single
Metachromatic granules It is a type of intracytoplasmic inclusion characteristically seen in diphtheria bacilli. Also known as volutin or metachromatic or Babes Ernst granules. Strongly basophilic bodies consist of polymetaphosphate. They are reservoir of energy and phosphate. They are most frequent in cells growing u...
Microbiology
null
fdd3f411-6956-41af-a5ce-99045776df32
Elevation of which of the following metabolite in MR Spectroscopy suggests a possibility of carcinoma prostate?
Citrate
Acetate
Choline
NAA
2c
single
Ans CMR Spectroscopy of Prostate - Principal among the identifiable metabolite is citrate, found in relatively high concentration in the glandular tissue of a healthy prostate. The normal MRI spectrum of the prostate reveals a prominent citrate peak, which often appears as a doublet if the shim is good enough. Other ar...
Radiology
Genito Urinary System
9a5cd6bb-94ed-41a8-bcb9-f2580674f322
All the following are angiogenic factors EXCEPT -
VEGF
PDGF
IFN
TGF\/3
2c
multi
Robbins basic pathology 9th edition page no 67,heading=Growth factors involved in Angiogenesis. Correct option is 3,IFN Vascular endothelial growth factor (VEGF) stimukates both migration and proliferation of endothelial cells,thus initiating the process of capillary sprouting in angiogenesis. Placental growth factor(P...
Pathology
General pathology
370225f9-931c-4e60-8755-12abbdb27861
Not a feature of REM sleep:
Bruxism
Irregular breathing
Muscle tone in the body is depressed
Is associated with active dreaming
0a
single
Bruxism REF: GUYTON & HALL, Ganong, various internet resources. See APPENDIX-11 for "SLEEP PHYSIOLOGY"
Physiology
null
931ee4c4-ca82-4f2c-82b2-4d8722cd72cf
Function of larynx ?
Speech
Protection of airway
Conduit of air
All
3d
multi
Ans. is 'd' i.e., All There are three impoant functions of larynx, which are of real concerns to the clinician :? Provision of airway Larynx serves as a conduit for air and waste gases to and from lungs. Protection of airway Larynx prevents the passage of secretions of food and of other forein material into the upper r...
Anatomy
null
519a9d2c-c1e9-4684-b3a5-59ce07c36571
Most common nerve injured in ligation of inferior thyroid aery
Recurrent laryngeal nerve
Facial nerve
Mandibular nerve
Audirory nerve
0a
single
Recurrent laryngeal nerve may pass anterior, posterior or through the branches of the aery and care is taken to preserve it. RLN is injured near the ligament of Berry when cautery or aery forceps is used indiscriminately while cutting the ligament of Berry to free the thyroid lobe. Ref: Dhingra 7e pg 382.
ENT
Diagnostic and operative ENT
e712b8a4-bf0f-4f2b-8ab8-74ab9ff0b1b0
Most common cause of death in Electrocution is-
Respiratory muscle paralysis
Ventricular fibrillation
Asphyxia
Regurgitation of fluids
1b
single
Ventricular fibrillation is the usual cause of death in electrocution.
Forensic Medicine
null
ddb0d347-ee2c-4abd-ad3c-26cc6946c9cc
With slowly advancing enamel caries and rapid involvement of dentin, the type of dentin formed is:
Secondary
Tertiary
Reparative
Sclerotic
3d
single
Sclerotic dentin  Dentin that forms in response to stimuli such as aging or mild irritation (slow advancing caries). When responding to initial caries demineralization events, crystalline material precipitates in intratubular and intertubular dentin. Sclerotic dentin walls off a lesion by blocking (sealing) the dentina...
Dental
null
c5770f93-938a-4521-a4cb-c9a5e91e2c4d
Inveor of foot is
Tibialis posterior
Peroneus teius
Peroneus brevis
Gastrocnemius
0a
single
Eversion: movement in which the lateral border of the foot is elevated so that the sole faces laterally. Inversion: movement in which the medial border of the foot is elevated so that the sole faces medially. In eversion and inversion, the entire pa of the foot below the talus moves together. Inversion is accompanied b...
Anatomy
Lower limb
279044be-7094-40c9-bfb6-e78794b809e0
All are TRUE about hyperparathyroidism, except-
Commonly occurs after thyroidectomy
May cause hypercalcemia
Solitary adenoma is the most common cause
None of the above
3d
multi
solitary adenoma is the most common cause ( Harrison 17 pg 2380)
Medicine
Endocrinology
65fe69af-5937-4e7b-8287-0824643f73de
Population attributable risk is defined as the difference between-
Incidence in exposed and incidence in non exposed compared with incidence in non - exposed
Incidence in population and incidence in exposed compared with incidence in population
Incidence in population and incidence in non exposed compared with incidence in population
Incidence in population and incidence in exposed compared with incidence in non exposed
2c
single
.population attributable risk is the incidence of the disease or death in the total population minus the incidence of disease or death among those who were not exposed to the suspected casual factor..this concept is useful in that it provides an estimate of the amount by which the disease could be reduced in that popul...
Social & Preventive Medicine
Epidemiology
deca12fd-0c6f-4619-9169-f1c176e09be2
A child of 5 years can use sentences of around how many words?
6 words
10 words
100 words
250 words
1b
single
Ans. is 'b' i.e., 10 words * Although a child has a vocabulary of 250 words at 3 years, the child can use sentence of 10 words at 5 years.* At 18 months, the child can use 10 words with meaning.Other milestones asked in the question are achieved in children older than 18 months* Making a tower of 9 cubes - 30 months* T...
Pediatrics
Growth, Development, and Behavior
41d40940-8b35-47b2-8eae-825f4ff21c99
Which of the following inhibits both gastric acid secretion and motility?
Vasoactive intestinal polypeptide (VIP)
Gastric inhibitory peptide (GIP)
Somatostatin
Ghrelin
1b
multi
G.I.P Secretion + glucose /fat in duodenum, in large doses it inhibits gastric secretion and motility V.I.P -They are inhibitory to the smooth muscles of the intestines. -It causes smooth muscle relaxation in the GIT --> decreases the motility Somatostatin: -Central mechanism of inhibition of gastric acid secretion. -N...
Physiology
Gastrointestinal System
7436f1aa-4539-4e78-948f-beedb6edea3d
A 23 year old presented with fever with chills and back pain. He also complained about increased frequency of voiding. USG examination reveals that bladder stones. All of the following are true about bladder stones, EXCEPT:
Rare in Indian children
Most bladder calculi are seen in men
Small stones can be removed per urethra
Solitary bladder stone is the rule
0a
multi
Primary vesical calculi are rare in the United States but are common in Southeast Asia and the Middle East. Most bladder calculi are seen in men. In developing countries, they are frequently found in prepubescent boys. Stone analysis frequently reveals ammonium urate, uric acid, or calcium oxalate stones. A solitary bl...
Surgery
null
dfe2662e-36f0-425d-9468-24f4ec01c6ec
Specific gravity of enamel is
1.5
2.8
3
3.8
1b
single
null
Dental
null
d0a2f317-8640-4ad1-8993-e08071247d6e
Nerve most commonly injured in Mcburney's incision:
Subcostal
Iliohypogastric N
11th thoracic
Ilioinguinal
1b
single
Ans. (b) Iliohypogastric NRef: Bailey and Love 26th edition, Page 1214* Most common nerve injured in McArthur grid iron incision is Iliohypogastric nerve
Surgery
Small & Large Intestine
92d07de6-9c0c-44b4-a327-f77e7862010d
A 40-year-old women presented with a CT scan of the head showing an enlarged sella tursica. Neurological and endocrine work up in detail were found to be normal. The most likely diagnosis is -
Prolactinoma
Chromophobe adenoma
Craniophobe
Empty sella syndrome
3d
single
null
Medicine
null
86e4c4ff-d15e-4130-bd3c-ed03d13501f9
Which of the following is the clinical indication for using Cidofovir?
Respiratory papillomatosis
Herpes simplex
Herpes zoster
All of the above
3d
multi
Cidofovir is a cytidine nucleotide analogue. This is a broad spectrum agent with in vitro activity against human herpesviruses, adenovirus, HPV, polyomaviruses and human poxviruses. Cidofovir is under clinical investigation for a variety of potential applications. Examples include intravenous administration of cidofovi...
Pharmacology
null
8c5a8ee6-988b-4fb1-822b-04207567e4c1
Testis descends the in inguinal canal during - month
5th month
6th month
7th month
8th month
2c
single
Testies descent : 4th month - itiac fossa. 7th month - deep inginal ring. 7th and 8th month - Inguinal canal.
Anatomy
null
f5831c48-845a-4f9b-873f-b3adf82d9b9c
An adult patient presents with normal or enlarged kidneys with massive proteinuria. Most likely cause is -
Chronic pyelonephritis
Chronic glomerulonephritis
Amyloidosis
Renal aery stenosis
2c
single
Answer- C. AmyloidosisAmyloidosis causes :-Enlarged kidneyMassive proteinuria (nephrotic range proteinuria)
Medicine
null
c5622b08-134f-4a5b-96ab-538d8288e89b
There is an outbreak of MRSA infection in a ward. What is the best way to control the infection?
Vancomycin given emperically to all the patients
Fumigation of ward frequently
Washing hand before & after attending patient
Wearing mask before any invasive procedure in ICU
2c
multi
Ans. is 'c' i.e.,Washing hand before & after attending patients " Given the prominence of cross infection, hand hygiene is the single most preventive measure in hospitals."
Microbiology
null
2bd2f256-0923-45c2-9159-6cd87fdbcf52
Iron supplementation in a healthy term breast fed baby should be staed at the age of -
2 weeks
4 weeks
8 weeks
None
3d
multi
Ans. is NoneCorrect answer is 6 months.
Pediatrics
null
dfe47c10-cc57-42c1-b38b-a40a9dc991df
Which branch of poal vein is involved in chronic pancreatitis
Superior mesenteric vein
Inferior mesenteric vein
Left branch of poal vein
Splenic vein
3d
single
,
Anatomy
G.I.T
504b5222-cec9-4d82-80a7-05f187c95926
No chemoprophylaxis for
Typhoid
Chicken pox
Influenza
Cholera
1b
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
30418d29-b25b-4b44-977b-ed8b301ac2d0
Oblique view is required to diagnose fracture of
Capitate
Scaphoid
Navicular
Hamate
1b
single
B i.e. Scaphoid
Surgery
null
79c10174-3787-4d46-a814-df9cd7e9d718
CD marker of stem cell is:
CD 34
CD 1
CD19
CD 21
0a
single
Ans: A (CD 34) Ref: Robbins Pathologic Basis of Disease, 8th edition. Explanation:(See following table)Some Immune Cell Antigens Detected by Monoclonal AntibodiesAntigenDesignationNormal Cellular DistributionPRIMARILY T-CELL ASSOCIATEDCD1Thymocytes and Langerhans cellsCD3Thymocytes, mature T cellsCD4Helper T ceils, sub...
Pathology
Cells and Tissues of Immune System
49a911d8-e965-4d86-8d02-004d9b647e97
Most common sinus to be involved in acute sinusitis?
Ethmoid
Maxillary
Sphenoid
Frontal
1b
single
Ans. is 'b' i.e., Maxillary Most common sinus affected by sinusitis overall Maxillary Most common sinus affected in adult Maxillary Most common sinus affected in children Ethmoid Least common sinus affected Sphenoid Sinuses involved in order of frequency Maxillary > Frontal > Ethmoid > Sphenoid
ENT
null
3f40872f-11d4-4efe-a19d-1ad91c96919b
The visualization of the angle of anterior chamber by:
Direct ophthalmoscopy
Indirect ophthalmoscopy
Gonioscopy
Perimetery
2c
single
(Gonioscopy) (546-Khurana 4rd)GONIOSCOPY - The angle between the posterior corneal surface and the anterior surface of the iris constitute the angle of the anterior chamber the configuration of which is relevant to the pathogenesis of glaucoma contact between peripheral iris and cornea signifies, a closed angle, which ...
Ophthalmology
Glaucoma
5497ff97-299b-45c4-91a8-4e0a84811cf8
Most common indication of liver transplant in children is:
Biliary atresia
Von Gierke disease
Tyrosinemia
Chronic viral hepatitis
0a
single
A. Biliary atresia(Ref: Nelson's 20/e p 1975)Biliary atresia is the most common indication for liver transplantation in children, followed by metabolic and inborn disorders, autoimmune and familial cholestatic disorders, and acute hepatic necrosis.
Pediatrics
Gastro Intestinal System
b49a9b39-19d2-4d48-a7d8-ace41b7c3560
Nuk Sauger Nipple has been designed to prevent the problem of:
Thumb sucking
Mouth breathing
Maxillary proclination
Bruxism
0a
single
Children who have the habit of thumb sucking derive the pleasure from keeping their finger/thumb at various depths of mouth.  Initially, they start this at conscious level and soon it goes to the subconscious level.  If it is not intervened, it will alter the muscle balance and might cause malocclusion.  Along with this...
Dental
null
0e37d1fa-3a31-4293-bc13-6d7544c502df
The phenomenon where subsequent generations are at risk of earlier and more severe disease is known as
Anticipation
Pleiotropy
Imprinting
Mosaicism
0a
single
Ref Robbins 9/e p169 Anticipating refers to observation that clinical features of a genetic disease worsen with each successive generations.it is observed in fragile X syndrome and Huntington disease commonly
Anatomy
General anatomy
f380fffc-8843-4291-ae8e-933abb8a67e5
People are arranged alphabetically by their names and then every 3rd person is chosen for study. The type of sampling is -
Stratified random
Systematic random
Simple random
None of the above
1b
multi
Ans. is 'b' i.e., Systematic random Simple random samplingo Simple random sampling, also, known as 4unrestricted random samplingis applicable for small, homogenous, readily available population and is used in clinical trials,o In simple random sampling each individual is chosen randomly and entirely by chance,o So, eac...
Social & Preventive Medicine
Statistical Tests
cc6d065b-0846-464e-95f4-f9b2a4219dba
A 30 years old lady was brought to the hospital with strong labour pains for the last 3 hours and no progress. She was found to have pelvic deformities which lead to cephalopelvicdisproportion. The baby was delivered by a cesarean section. The woman is likely to have suffered from the deficiency of
Vitamin D
Vitamin B
Vitamin C
Vitamin A
0a
single
null
Social & Preventive Medicine
null
f254143f-a7c0-4a09-b8d5-4fa20e818f45
Negri bodies are found in-
Rubella
Rabies
HSV
IMN
1b
single
Ans. is 'b' i.e., Rabies * The characteristic histopathological picture in rabies is the intra-cytoplasmic inclusion body (Negri body) in the neurons, most abundant in the cerebellum and Hippocampus.* Negri bodies are pathognomic of rabies.
Microbiology
Virology
61066d35-b011-48e5-9538-90bb7e547b81
A 35-year-old patient has a small but painful tumor under the nail of the little finger. Which of the following nerves would have to be anesthetized for a painless removal of the tumor?
Superficial radial
Common palmar digital of median
Common palmar digital of ulnar
Deep radial
2c
multi
The common palmar digital branch comes off the superficial branch of the ulnar nerve and supplies the skin of the little finger and the medial side of the ring finger. The superficial branch of the radial nerve provides cutaneous innervation to the radial (lateral) dorsum of the hand and the radial two and a half digit...
Anatomy
Upper Extremity
684faee7-042d-4fcd-9efd-06f32c364fa8
The most common cause of vocal cord palsy is:
Total thyroidectomy
Bronchogenic carcinoma
Aneurysm of aoa
Tubercular lymph nodes
0a
single
Thyroidectomy was the single most common surgical cause for unilateral vocal cord palsy, followed by other nonthyroid neck surgeries (20%) and anterior cervical decompression (18.3%). Conclusion: The most common cause for unilatera lvocal cord palsy is idiopathic.
ENT
null
adf2ac70-d908-4f98-9d55-5c7b09ef4908
Tinnels sign indicates:
Atrophy of nerves
Neuroma
Injury to nerve
Regeneration of nerves
3d
single
Ans: d (Regeneration of nerves)Ref: Schwartz surgery, 7th ed, p. 1885
Surgery
Nervous System
8d8d8996-bdb8-45c5-b8ea-aabe808ae8bf
Which of the following is not a pathogenic mycobacteria -
M. kansasii
M. scrofulaceum
M. chelonae
M. smegmatis
3d
single
According to RUNYON classification atypical mycobacterium is classified under RAPID GROWERS which include M.chelonie, M.fouitum, M.smegmatis, M.abscess, M.phlei. Non pathogenic- M. smegmatis M. kansasii- Pulmonary disease resembling tuberculosis M. scrofulaceum- Cervical lymphadenitis M. chelonae- chronic abscess
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
ce2cbddf-8fa3-4b23-b667-9d4963a93200
Organophosphate insecticides are all except
Dieldrin
Fenthion
Diazinon
All
0a
multi
Ans. is `a' i.e., Dieldrin
Social & Preventive Medicine
null
f34cd9be-331d-4aa7-8bc2-2f1db3da3837
Interpret the developmental anomaly shown in the following radiograph:
Dens invaginatus
Regional odontodysplasia
Dentinal dysplasia
Dentinogenesis imperfecta
0a
single
Dens invaginatus This anomaly is the result of an infolding of the enamel organ prior to calcification and represents, in its coronal form, an accentuation of the cingulum pit. The anomaly is believed to be genetically determined and has a prevalence of 5%. The maxillary lateral incisors are commonly affected. The cond...
Radiology
null
99c3313a-adcb-45b7-9b76-1e46dab19f4b
A 40-year-old male patient presented with slowly progressive dysphagia both to solids and liquids, regurgitation, chest pain and weight loss for 2 months. Barium swallow and esophageal manometry was advised by the doctor. Upper GI endoscopy was also performed. Which of the following organism has been most commonly impl...
HSV 1
HSV 2
Varicella
CMV
0a
multi
This is a case of achlasia cardia. Barium swallow x-ray appearance shows a dilated esophagus with poor emptying, an air-fluid level, and tapering at the les giving it a beak-like appearance. Esophageal manometry shows impaired lower esophageal sphincter (LES) relaxation and absent peristalsis and minimal pressurization...
Unknown
Integrated QBank
310bb630-b733-485a-bb37-42d0692fe53f
Hyperophic pyloric stenosis presents after how many months of bih :
One
Two
Three
Six
0a
single
Pyloric stenosis is the most common surgical disorder producing emesis in infancy. It results from hyperophy of the circular and longitudinal muscularis of the pylorus and the distal antrum of the stomach with progressive narrowing of the pyloric canal. The cause is not known. The male-to-female incidence is 4:1.It pre...
Surgery
null
5da8ddf7-3243-4e71-b0bc-8cf34838c00a
Gold is used for management of?
Ankylosing Spondylitis
Rheumatoid Arthritis
Psoriatic arthritis
Rheumatic arthritis
1b
single
Ans. (b) Rheumatoid ArthritisRef: Harrison 19th ed. / 2144-45* Minocycline, gold salts, enicillamine, azathioprine, and cyclosporine have all been used for the treatment of RA with varying degrees of success; however, they are used sparingly now due to their inconsistent clinical efficacy or unfavorable toxicity profil...
Medicine
Immunology and Rheumatology
d76d05ff-50ff-44dc-92f4-491180f2668a
The Y shaped central developmental groove is most likely found on which of the following premolars?
Maxillary first.
Mandibular first.
Maxillary second.
Mandibular second.
3d
single
Y shaped central developmental groove is found on the mandibular second premolar.
Dental
null
255375a7-7234-43cd-967e-eed1b8f66642
Which one of the following is not a feature of type 2 respiratory failure ?
p CO2 38 mm Hg and pO2 50 mm HG
p CO2 68 mm Hg and pO2 50 mm Hg
Papilloedema
Asterixis
0a
single
null
Medicine
null
beff3f6a-7673-4b99-b163-70da44e71dd4
What is the most commonly involved in carcinoma colon -
Caecum
Rectosigmoid colon
Transverse colon
Ascending colon
1b
single
null
Surgery
null
8dc8f52b-605e-469d-b079-cc4f8076ab3f
Which of the following is not a feature of tropical pulmonary eosinophilia(TPE)?
Eosinophil > 3000/mm3
Presence of circulating Microfilaria
Paroxysmal cough and wheeze
Bilateral chest mottling
1b
single
In tropical pulmonary eosinophilia, microfilariae and parasite antigens are rapidly cleared from the blood stream by the lungs and is therefore not found in the circulation. TPE develops in individuals infected with lymphatic dwelling filarial species. Characterisitc features includes paroxysmal cough and wheezing, fev...
Medicine
null
6f6ba67d-d4d3-430f-9582-42587cd0ea91
The distinct golden colour in transgenic Golden rice is due to presence of
Riboflavin
β-carotene
Vitamin B12
Xanthopyll
1b
single
Golden rice: Variety of rice produced through genetic engineering to boisynthesize beta carotene, a precursor of vitamin A. The distinct golden colour is due to the beta carotene content. It is indented to produce a fortified food to be grown and consumed in areas with a shortage of dietary vitamin A.  Golden rice diff...
Social & Preventive Medicine
null
29cfa4f6-44f1-4f70-8e44-c7fcc88a142e
Tumour cells avoid immugenic response by all except:
Decreased expression of MHC I molecule
Decreased expression of MHC II molecule
Immunosuppression
Antigen loss
1b
multi
Ans: B (Decreased...) IMMUNE SURVEILLANCE IN CANCER Robbins 8th/331-32Most cancers occur in persons who do not suffer from any overt immunodeficiency. It is evident then that tumor ceils must develop mechanisms to escape or evade the immune system in immunocompetent hosts.Several such mechanisms may be operative: They ...
Pathology
Tumor Immunity
da63ef41-7881-47c0-b0e6-f7ebba70c6c8
The second number in a four number instrument formula denotes
Blade angle
Blade length
Primary cutting edge angle
Blade width
2c
single
null
Dental
null
16e14048-c91a-4492-aab4-a1372ceb64e1
Lyedig ceils secrete -
Testosterone
Inhibin
Mullerian inhibiting substance (MIS)
ABP
0a
single
Ans. is 'a' i.e., Testosterone o The hormone-secreting cells in the testes are the leydig cells and sertoli cells. Leydig cells have receptors for LH and secrete all the androgens, i.e., testosterone (major androgen), dihydrotestosterone (DHT), androstendione and dehydroepiandrosterone (DHEA). All of theme have 19 carb...
Physiology
Sex Hormones
99da1ca6-b55d-4dbe-96f8-ca8025dc6c35
Test not used for diagnosis of syphilis
VDRL
TPI
Reagin Test
Frei Test
3d
single
D i.e. Frie - test - Most specific test is TPI > FTA -ABSQ Non treponemal test becomes non reactive after t/t; the Treponemal test often remain reactive & therefore not helpful in determining the infection status of person with past syphilis Q. Response to treatment in early syphilis is seen by sequential VDRL or RPR t...
Skin
null
8ac82d69-08cb-45af-a920-c1241a6cacbb
Which of the following muscle relaxant is contraindicated in muscle dystrophy?
Quinine
Succinyl choline
Dantrolene
All of the above
1b
multi
Succinyl choline can cause hyperkalemia in especially in nerve & muscle disorders. Hence it is avoided in patients with paraplegia, Guillain barre syndrome, Myasthenia gravis & muscle dystrophy.
Pharmacology
null
7b85af45-7775-4d20-988d-7f9ecd8a220b
Which of the following is most preferred graft in CABG?
Saphenous vein
Radial aery
Internal mammary aery
Internal jugular vein
2c
single
Vascular graft Bioprosthetic Synthetic Autograft Homograft (allograft) Heterograft (xenograft) Tissue engineered Textile Dacron Non textile ePTFE Polyurethane Best natural vascular graft: Reversed saphenous vein Best synthetic vascular graft: Dacron Best vascular graft for supra inguinal bypass: Dacron Best vascular gr...
Surgery
Thorax And Mediastinum
ed0bf5d4-ea4c-4f1a-9f78-df7d6bdb1840
Which waves is predominantly seen in EEG with eyes closed in normal alert adult?
Alpha waves
Beta waves
Theta waves
Delta waves
0a
single
Ans. A. Alpha wavesBandFrequency (Hz)Location NormallyDelta<4frontally in adults, posteriorly in children; high-amplitude waves* adult slow-wave sleep* in babiesTheta4-7Found in locations not related to task at hand* higher in young children* drowsiness in adults and teensAlpha8-15posterior regions of head, both sides,...
Psychiatry
Sleep Disorders
5dc249fb-caf6-42bf-b6c9-b77fe224d93b
SERM drug used in treatment of osteoporosis aEUR'
Raloxifene
Estrogen
Strontium
Alendroate
0a
single
Raloxifene Traditionally hormone replacement therapy with estrogen was being used to prevent/treat osteoporosis in postmenopausal worsen. H has been shown to reduce the risk of osteoporosis in women. But long term use of estrogen leads to range of adverse effect including cardiovascular disease, stroke, pulmonary embol...
Pharmacology
null
33ad1c0e-2238-4504-bf55-f78ca4cc8805
Phlycten is due to -
Exogenous allergy
Endogeneous allergy
Viral keratitis
Fungal keratitis
1b
multi
Phlyctenular conjunctivitis - Endogenous allergy It is believed to be a delayed hypersensitivity (Type IV cell mediated) response to endogenous microbial proteins. Causative allergens are :- (i) Staphylococcus proteins (most common); (ii) Tuberculous proteins and (iii) Proteins of Moraxells axenfeld bacillus and ceain ...
Ophthalmology
Conjunctiva
31d24c5b-9beb-4504-b7e9-bc70b7cb0059
Delayed tuberculin test response is due to-
B lymphocytes
T lymphocytes
Monocytes
Histiocytes
1b
single
Tuberculin test is type IV hypersensitivity reaction. Delayed or cell mediated hypersensitivity is a cell mediated response. The antigen activates specifically sensitised CD4 & CD8 T lymphocytes leading to the secretion of lymphokines and phagocyte accumulation. Reference : Anathanarayan & paniker's 9th edition, pg no:...
Microbiology
Immunology
96f64706-770c-441f-9692-48285ef41353
Which muscle arises from 4th pharyngeal arch?
Cricothyroid
Cricoarytenoid
Posterior cricoarytenoid
Thyroarytenoid
0a
single
(a) Cricothyroid(Ref. Scott Brown, 8th ed., Vol 3; 884)We can remember it as the only muscle supplied by external laryngeal nerve (the 4th pharyngeal arch nerve) is cricothyroid hence derived by 4th arch.Rest all the muscles are derived by 6th arch nerve as they are supplied by 6th arch nerve, the recurrent laryngeal n...
ENT
Larynx
039281af-6a5f-4aae-a01e-e8bbca9d81dd
Steroid hormones are believed to enter target cells via:
Facilitated diffusion
Carrier — mediated endocytosis
Cholesterol lined pores in the plasma membrane
Simple diffusion
3d
single
null
Physiology
null
0dde9dbf-406c-4b49-a01a-870366f684a5
Gene not associated with Diabetes malitus?
PPARγ
KCNJ11
CTLA4
PDGF-R
3d
single
PDGF-R gene is associated with glioma. Most important Genes associated with the Development of Diabetes Type 1 Diabetes
Pathology
null
bdee525d-ada1-4e1c-94fa-a63733311428
Dystrophic calcification are calcifications seen in
Skin layers
Salivary glands
Normal tissues
Dead tissue
3d
single
null
Pathology
null
5dece492-1abd-4fd9-ba41-ca2a8bec9274
Simultaneous perception in binocuiar vision is -
Grade I
Grade II
Grade III
Grade IV
0a
single
Ans. is 'a' i.e., Grade I Grades of binocular single visiono There are three grades of binocular single vision, which are best tested with the help of a synoptophore.1. Grade-1-Simultaneous perceptiony It is the power to see two dissimilar objects stimultaneously.It is tested by projecting two dissimilar objects (which...
Ophthalmology
General Considerations - Definition, Classification, Pathogenesis
946c21b4-0df5-4a5e-8c04-0b840813a290
All are cholinergic drugs except
Memantine
Tacrine
Rivastigmine
Donepezil
0a
multi
Memantine acts on NMDA receptors .remaining all the drugs are indirectly acting cholinergicn drugs used in the treatment of alzhimers disease. Ref: KDT 6th ed pg 472,473
Pharmacology
Autonomic nervous system
3c027b06-f6bd-4b8d-b684-4c3f6faf879d
In leprosy, the best bactericidal agent is :
Clofazimine
Dapsone
Rifampicin
Ethionamide
2c
single
Best and the fastest acting drug for leprosy is rifampicin. Clofazamine and dapsone are bacteriostatic agents.
Pharmacology
null
184ed503-e979-4bb5-93bf-39c3f5913a7a
A 39 week primigravida with breech presentation is in labour. MOST common breech presentation is:
Right sacroanterior
Left sacroanterior
Right sacroposterior
Left sacroposterior
1b
single
The sacrum is the denominator of breech and there are four positions. In anterior positions, the sacrum is directed towards the iliopubic eminences and in posterior positions, the sacrum is directed to the sacro-iliac joints. The positions are, First position - left sacro-anterior- being the commonest 2nd position - ri...
Gynaecology & Obstetrics
null
bdc7362f-b489-4db6-ba72-cc10e6b551b5
Cognisable offence comes under which section of Cr. P.C. -
2C
2B
1A
None
0a
multi
Ans. is 'a' i.e., 2C o Cognisable offence: Section 2C Cr. PC.-it is an offence in which a police officer can arrest a person without warrant from the magistrate. Eg murder, ragging.o In such offences, the person is sent by police to the doctor for medical examination.
Forensic Medicine
Introduction to Forensic Medicine and Medical Jurisprudence
704fab4c-9e5e-46d4-b23d-132020ed3158
True about H. pylori includes all except:
Gram positive bacillus
Urease positive bacillus
Highly associated with deodenal ulcer
Urease breath test can be performed only in specialized labs
0a
multi
Ans. is. 'a' i. e., Gram positive bacillus
Microbiology
null
db4eb62a-903e-48f6-a1ea-b8afafce5d31
A 30 year old female epileptic on phenytoin, developed weakness and fatigue. Blood examination revealed Hb = 4.6 gm. MCV = 102 fl and MCH = 40 pg/dl. What is the most probable diagnosis
Heart failure
Iron deficiency anemia
Phenytoin induced agranulocytosis
Megalobalstic anemia.
3d
single
Ans. is 'd' i.e. Megaloblastic anaemiaNormal valuesMCU- 86 - 98 fLMCH- 28 - 33 pg/cellHb (female) - 12-16 gm/dLLab finding in this pt. go in favour of megaloblastic anemia. H/O phenytoin intake is also suggestive of same.
Pharmacology
Epilepsy
7892390f-a69e-4063-a732-50c29ff50d72
All of the following are used for giving skeletal traction, except -
Steimann's pin
Kirschner's wire
Bohler's stirrup
Rush pin
3d
multi
Traction Traction is defined as a pulling force to treat muscle or skeletal disorders (fractures, dislocation). There are two major types of tractions: skin & skeletal traction. A) Skin traction Here the traction is applied to the skin (using adhesive or nonadhesive tape or straps) which is indirectly transmitted t...
Orthopaedics
null
e6e85177-f5f7-44e1-950f-a3e96ccfe060
Left vertricular hypertrophy is not a feature of
Mitral regurgitation
Isolated mitral stenosis
Isolated ventricular septal defect
Aortic stenosis
1b
single
null
Medicine
null
d956fbcf-074a-4e27-bc68-f94c0379a23d
Intracranial pressure may be increased by all of the following drugs except -
Hypervitaminosis A
Coicosteroids
Quinolones
Aminoglycosides
3d
multi
Ans. is 'd' i.e., Aminoglycosides
Pharmacology
null
a85dfa8d-1ef3-4cf4-9d46-37ba58e151f8
A 10-year old child presented with severe sore throat and a grey pseudomembrane over pharynx and tonsils. The organism causing this infection is most likely:
A gram positive bacillus
A gram negative bacillus
A catalase-positive gram positive coccus that grows in clusters
A single-stranded positive sense RNA virus
0a
single
Ans. a. A gram positive bacillus (Ref: Harrison 19/e p978, 18/e p1189-1190: Ananthanarayan 9/e p239)A 10-year old child presented with severe sore throat and a grey pseudomembrane over pharynx and tonsils. The clinical features are strongly suggestive of a diagnosis of diphtheria, caused by Corynebacterium diphtheria, ...
Microbiology
Bacteria
5dc38ed3-ecc6-4f31-b6e2-b3533b612481
Which of the following are true for Bronchiolitis in children?
Commonly seen in children between 1- 6 months of age, but can be seen upto 2 years
RSV is the most common causative organism
Disease usually occurs in winter and spring season.
All of the above
3d
multi
Ans. D. All of the aboveBronchiolitis primarily affects young infants (1- 6 months some may be affected upto 2 years of age), clinical manifestations are initially subtle. Infants may become increasingly fussy and have difficulty feeding during the 2 to 5-day incubation period. A low-grade fever, usually less than 101....
Pediatrics
Miscellaneous
126cd1da-abeb-4d76-8f09-bfb627f2ed50
The periodontal Index is
reversible
irreversible
partially reversible
none of the above
2c
multi
null
Dental
null
857c6126-6389-487b-83bc-3a819aa89050
A membrane phospholipid that does not contain glycerol is:
Lecithine
Cardiolipin
Sphingomyelin
Cellulose
2c
single
Sphingomyelin has got sphingosine alcohol, not the glycerol. Lecithin & cardiolipin has got glycerol in it and they are membrane phospholipid.
Biochemistry
null
4d86a200-ceab-404b-991f-9749ceeab8ce
The commonest space-occupying lesion in the cerebellopontine angle is
Meningioma
Glioma
Neurofibroma
Acoustic neuroma
3d
single
Common tumors of CP (cerebellopontine) angle are 1. Acoustic neuroma (commonest: 80- 90%) 2. Meningioma (2nd commonest: 5- 10%) Ref: Harrison; 20th edition , pubmed.com
Medicine
C.N.S
b1c936fd-3f47-467c-ac81-c423b04a65d2
Which of the following is not a treatment modality for stress incontinence?
Kelly suture
Stanley's combined vaginal and supra pubic operation
Marshall-Marchetti-Krantz Procedure
Fothergill's repair
3d
multi
Fothergill's repair is used to treat uterine prolapse. Ref: Shaw's Textbook of Gynaecology, 12th Edition, Pages 138-39.
Gynaecology & Obstetrics
null
18b157f9-20a5-4b20-ac5e-62894eac65b3
Drug showing additional nitric oxide activity:
Atenolol
Metoprolol
Bisoprolol
Nebivolol
3d
single
Ans. D. NebivololAll the drug mentioned are selective beta 1 blockers. Out of all nebivolol has additional nitric oxide activity which increase the level of cGMP and thus causing vasodilation.
Pharmacology
C.V.S
d8b8dd2c-4414-4fe2-b97e-975bc4205ad9
Synytial osteoclastic giant Cells are seen in all except
Osteosarcoma
Ewings sarcoma
Chondroblastoma
Aneurysmal bone cyst
0a
multi
Refer Robbins page no 8th edition
Anatomy
Musculoskeletal system
f06a0630-35e0-413a-963c-185c245ef159
A chronic alcoholic presented with repeated episodes of non-bilious vomiting after meals. On the basis of CECT findings, what is the diagnosis?
Gastric outlet obstruction
Pseudocyst
Carcinoma pancreas
Chronic pancreatitis
1b
single
Symptoms are s/o pancreatitis In the given CT scan, pancreatic psudocyst is seen Pancreatic Pseudocyst - MC cystic lesion of pancreas (75%)- Not lined by Epithelium, but with granulation tissue - M/C cause of pseudocyst - Alcohol- More common in chronic pancreatitis > Acute pancreatitis- MC complication- Infection (14%...
Surgery
Pancreas
1a823a77-3fe7-472b-adb0-0685a8839b25
Drug of choice for impetigo herpetiformis is -
Prednisolone
Dapsone
Acitretin
Methotrexate
0a
single
Only indication for use of systemic steroids is generalized pustule psoriasis in pregnancy( impetigo herpetiformis). From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 56
Dental
Papulosquamous disorders
ac8fd289-fa9d-43ce-9064-be0e0438b248
A man with chills, fever, and headache is thought to have "atypical" pneumonia. History reveals that he raises chickens and that approximately 3 weeks ago he lost many them to an undiagnosed disease. The most likely diagnosis of this man's condition is
Anthrax
Q fever
Relapsing fever
Psittacosis
3d
single
Ornithosis (psittacosis) is caused by Chlamydia psittaci. Humans usually contract the disease from infected birds kept as pets or from infected poultry, including poultry in dressing plants. Although ornithosis may be asymptomatic in humans, severe pneumonia can develop. The disease is cured easily with tetracycline
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
ea63e379-9fa5-4e06-81b5-2f7301cbb87c
Openings of the tube of bronchoscope are known as-
Holes
Apertures
Vents
Any of the above
2c
multi
Bronchoscope is similar to esophagoscope, but has openings at the distal part of the tube, called Vents which help in aeration of the side bronchi.
ENT
null
76b91b0e-4aea-4f39-8bb9-7b5a75e2de84
Treatment of choice for the other eye in open angle glaucoma is
Peripheral iridectomy
Laser trabeculoplasty
Laser iridotoomy
Trabeculectomy
1b
single
Ans. (b) Laser trabeculoplasty* Please refer to above explanation* Treatment of choice for primary angle closure glaucoma (fellow eye, latent stage, subacute or intermittent stage , chronic stage) is laser iridotomy* Peripheral surgical iridectomy can also be used.* In acute congestive stage of PACG drug of choice is P...
Ophthalmology
Surgical Procedures For Glaucoma
2d1c1dea-b66e-44e4-8aa2-006875c301bf
Massive Splenomegaly is least likely to be associated with which of the following Myeloproliferative disorders:
Chronic Myeloid Leukemia (CML)
Polycythemia Vera (PV)
Essential Thrombocytosis (ET)
Primary Myeloproliferative (PMF)
2c
single
Answer is C (Essential Thrombocytosis (ET)) Essential Thrombocytosis is not associated with massive splenomegaly. 'Physical Examination in Essential Thrombocytosis is generally unremarkable except occassionally for mild splenomegaly. Massive splenomegaly is indicative of another Myeloproliferative disorder in paicular ...
Medicine
null
cb71b7e7-b8e0-42a2-8150-e87efff05bb8
. Gartners cyst can be differentiated from cystocele by all except:
Not reducible
No impulse on coughing
Presence of rugosities of overlying vaginal mucosa
None of above
2c
multi
null
Gynaecology & Obstetrics
null
a8789c13-4c7f-4657-be6e-30faa4b96d33
Axillary nerve supplies
Supraspinatus
Teres minor
Teres major
Infraspinatus
1b
single
Posterior division of axillary nerve supplies the posterior pa of deltoid muscle and teres minor. Teres minor is one of the muscle in rotator cuff muscles. B D Chaurasia 7th edition Page no : 180
Anatomy
Upper limb
ce710632-22b6-43fd-a078-37d20dfb9f47
A 32 yrs lady having 10 yrs old child of down syndrome is presenting at 9th week of pregnancy. what will be advice by doctor?
Blood investigation can definitely say if it is down's
USG diagnosis can be definite
Plan a Chorionic Villous sampling
There is no use of any fuher investigations as the patients age is lesser than 35 yrs
2c
single
The population risk for Down syndrome is approximately 1 in 800 live bihs and the recurrence risk after the bih of an affected child is approximately 1-2 %. As the lady is already having a child with Down's , the doctor will advice her Chorionic Villous sampling (CVS) to assess fetal karyotype to check for Trisomy 21 c...
Gynaecology & Obstetrics
Intra Uterine Growth Restriction, Intrapaum and Antepaum Fetal Surviellance
8c091721-5477-4049-b9c6-4161e2b09d14
Dietary cholesterol is transported to extrahepatic tissue by
VLDL
LDL
Chylomicrons
HDL
1b
single
LDL It is worth noting that dietary cholesterol is not directly transported to extrahepatic tissues. Though the major function of chylomicrons is to transport exogenous triglyceride to various tissues, it also transports the other dietary lipids (including cholesterol) to the liver after conversion into chylomicron re...
Biochemistry
null
850ee076-1de1-4454-b197-e97c960af0fb
The cells of the enamel organ which differentiate into future ameloblasts are
Cells of inner enamel epithelium
Cells of outer enamel epithelium
Cells of stellate reticulum
Cells of stratum intermedium
0a
single
Fate of various cells in enamel organ: Inner enamel epithelium — differentiate into ameloblasts Stellate reticulum — collapses and does not exist Outer enamel epithelium — cells flattens and thrown into folds.
Dental
null
cd7af99c-6a08-4873-9199-059758b67d22
The correlation coefficient can range from:
0 to + 1
0 to -1
-1 to +1.
0 to 100
2c
single
null
Dental
null
5a17d496-98ca-484f-a6cd-6093a34d8683
Mauriacs syndrome is characterised by all except
Diabetes
Obesity
Dwarfism
Cardiomegaly
0a
multi
It is a rare complication of type 1 diabetes mellitus in children assoasiated with Growth impairment Hepatomegaly Cushingoid features
Anatomy
Musculoskeletal system
0ceff480-299f-480e-be8b-da09cecf7f62
Berlin's edema is due to
Blunt trauma to eye
Extradural hemorrhage
Choroidal melanoma
Parsplanitis
0a
single
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 431)Berlin's edema (commotio retinae) is a common condition caused by blunt injury to the eye. It is characterized by a decreased vision in the injured eye a few hours after the injury. Under examination, the retina appears opaque and white in color in...
Ophthalmology
Ocular trauma
55479bf7-4f41-4d06-94cc-78b753c241bf
The following are Not predisposing factors for genuine stress incontinence, except:
Pregnancy
Endometriosis
Detrusor instability
PID
2c
multi
Detrusor Instability, Genuine stress incontinence is defined as urinary leakage occurring during increasedbladder pressure. It is caused by sphincter weakness. Detrusor instability, urethral diverticulum, neurological cases are responsible.
Unknown
null
f1af678b-773b-4cbb-966e-b982da9b82cc
Commonest nerve involved in leprosy is:
Ulnar
Median
Radial
Sciatic
0a
single
A i.e. Ulnar nerve
Skin
null
81b036b7-5694-4430-b98b-151d05ff7965
Testes completely descend in the scrotum by the age of?
End of 7th month of intrauterine life
End of 8th month of intrauterine life
End of 9th month of intrauterine life
After bih
2c
single
End of 9th month of intrauterine life PhaseIntrauterine agePosition of testisTransabdominal phaseUp to the sta of 3rd monthEntrance of future inguinal canal (internalinguinal ring)Transinguinal phaseBetween 4 to 5 monthsNo descent7th to 9th monthPasses through inguinal canalBefore bihInto the scrotum
Anatomy
null
c4b3ca8c-ff3a-40ae-908c-6287a20ffc8e
Lymphocytic infiltration is diagnostic in :
Brenner's tumour
Dysgerminoma
Dermoid cyst
Struma ovarii
1b
single
Dysgerminoma
Gynaecology & Obstetrics
null
cd1e67a9-7a65-4729-8691-f7fc9f68ae28
Amino acid required for conversion of norepinephrine to epinephrine:-
Lysine
Phenyl-alanine
Methionine
Tryptophan
2c
single
Norepinephrine to Epinephrine conversion requires SAM (S-Adenosyl Methionine). Enzyme involved is Phenylethanolamine N-methyl transferase. Coisol is the activator. Synthesis of Catecholamines (Dopamine, NE and E) from Tyrosine. SAM (S - adenosyl methionine) is synthesized from dietary methionine with the help of enzyme...
Biochemistry
NEET 2019
49e310f3-8127-4479-bc0e-d34018d73cc2
WHICH OF THE FOLLOWING ANTIHYPEENSIVES DRUG IS AVOIDED IN PATIENTS WITH HIGH SERUM URIC ACID LVELS?
ENALAPRIL
PRAZOCIN
ATENALOL
HYDROCHLOR THIAZIDE
3d
single
REF : KD TRIPATHI 8TH ED
Pharmacology
All India exam