id
stringlengths
36
36
question
stringlengths
1
1.57k
opa
stringlengths
1
287
opb
stringlengths
1
287
opc
stringlengths
1
286
opd
stringlengths
1
301
cop
class label
4 classes
choice_type
stringclasses
2 values
exp
stringlengths
1
22.5k
subject_name
stringclasses
21 values
topic_name
stringlengths
3
135
12b79674-4d82-4411-8b8b-be232488fa0e
All of the following drugs were found to reduce the efficacy of combined OCP when used together, EXCEPT:
Rifampin
Penicillin
Griseofulvin
Carbamazepine
1b
multi
Penicillin was found to have no association with the efficacy of OCP when used together. It is excreted through kidney. Drugs which induce Cyt P450 was found to lower the efficacy of OCPs when combined together. Drugs which induce Cyt P450 are: Rifampin Griseofulvin Phenytoin, mephenytoin Phenobarbital Primidone Carbam...
Gynaecology & Obstetrics
null
3183b786-3544-4fc6-bed0-f4becc1c171c
An 80-year-old woman is admitted to the intensive care unit with sepsis due to a urinary tract infection. While in the ICU she develops atrial fibrillation with rapid ventricular response and is treated with a loading dose of amiodarone. She converts to sinus rhythm and is sent home on amiodarone to prevent recurrences...
Stop the amiodarone and follow the TSH and the clinical response.
Start low dose levothyroxine and repeat TSH in 6 weeks.
Start a beta-blocker and begin weaning off the amiodarone.
Check for anti-TPO antibodies to help guide your decision.
1b
single
Amiodarone is a widely used antiarrhythmic drug. It is related structurally to thyroid hormone and is stored in adipose tissue. The drug has a high iodine content as well. Taking amiodarone on an ongoing basis can lead to hypothyroidism by inhibiting deiodinase activity and by acting as a direct antagonist to T4 . In s...
Medicine
Endocrinology
8c167b69-8d63-4740-90b6-45fd40169d6d
Internal resorption in a tooth is seen as:
Ca(OH)2 pulpotomy
Replacement resorption
Non-proliferating lesion
Desensitizing tooth
2c
single
null
Dental
null
d15e7f25-ff35-4225-a0c8-43b9b0bc98f1
Contents of Deep perennial pouch include all of the following, Except
Dorsal Nerve of penis
Bulbourethral gland
Root of penis
Root of penis
2c
multi
C i.e. Root of penis
Anatomy
null
d90e6ee5-d542-4a06-9324-b3b456d86e3b
A cook prepares sandwiches for 10 people going for a picnic. Eight out of them develop severe gastroenteritis within 4-6 hrs of consumption of the sandwiches. It is likely that on investigation the cook is found to be the carrier of
Salmonella typhi
Vibrio cholerae
Entamoeba histolytica
Staphylococcus aureus
3d
single
Staphylococcus aureus produces toxins that can act as food poisons. Ref: Ananthanarayan and Paniker&;s Textbook of Microbiology, 9th edition; pg no: 207
Microbiology
miscellaneous
a0120faa-68b7-4b60-bd0e-d5e1ddda9087
All of the following statements are true about Benedikt's syndrome, except:
Contralateral tremor
3rd nerve palsy
Involvement of the penetrating branch of the basilar aery
Lesion at the level of the pons
3d
multi
In Benedikt's syndrome, there is injury to the red nucleus and surrounding fibers of the superior cerebellar peduncle. It is not involved with the lesion at the level of pons. Ref: Harrison's Principles of Internal Medicine, 16th Edition, Page 174; Neurology secrets 4th Edition, Page 138; DeJong's The Neurologic Examin...
Medicine
null
c119985e-f780-4d8b-a7ac-a4c6cedc0a0d
Bullet marking indicates -
Type of weapon
Type of wound
Range of firing
Severity of tissue damage
0a
single
Ans. is 'a' i.e., Type of weapon o The kind of firearm weapon which fired the shot can be determined by -1) Size, shape, composition and primary or secondary marking of bullet.2) Appearance of wound.o Primary markings (class characteristics or bare codes):# These markings result during passage of bullet through barrel ...
Forensic Medicine
Injuries by Firearms
2052a990-7dca-474a-a1ea-9576131f685d
Which of the following behavioural problems would suggest an organic brain lesion
Formal thought disorder
Auditory hallucinations
Visual hallucinations
Depression
2c
multi
Visual hallucinations are more common in acute organic states with clouding of consciousness than in functional psychosis. Visual hallucinations are extremely rare in schizophrenia, so much so that they should raise a doubt about the diagnosis. Fish's Clincal Psychopathology 3rd edition, pages 23,24.
Psychiatry
Organic mental disorders
9dba680e-62cf-4325-89a7-5be77a1befe5
Which of the following disease has incubation period< 1week?
Cholera
Kala-azar
Filariasis
Measles
0a
single
Incubation period of cholera: 1-2 days. Incubation period of kala azar: 1-4 months. Incubation period of filariasis: 8-16 months. Incubation period of measles: 10-14 days.
Social & Preventive Medicine
Intestinal Infections, Worm Infestations
9f523cdf-ae04-4897-b4ed-07ae68181de3
A patient in ICU has normal pulmonary A pressure; low systemic peripheral resistance; low cardiac index; aerial PO,- 93; diagnostic possibilities are
Cardiogenic shock
Septic shock
Hypovolemic shock
Cardiac tamponade
3d
single
Cardiac tamponade, also known as pericardial tamponade, is when fluid in the pericardium (the sac around the hea) builds up, resulting in compression of the hea.Onset may be rapid or gradual. Symptoms typically include those of cardiogenic shock including shoness of breath, weakness, lightheadedness, and cough. Other s...
Medicine
C.V.S
2995edc2-1e08-4273-b70c-b79bb58c6dfa
A contraindication to the use of ciprofloxacin is a history of :
Epilepsy
Deep vein thrombosis
Gout
G–6 PD deficiency
0a
single
null
Pharmacology
null
b6d33a38-e7b6-4170-bd01-4a9f58018e79
Most effective natural barrier to rabies
Heat
Humidity
Water
None
2c
multi
Ans. is 'c' i.e., Water Rabies is primarily a zoonotic disease of warm-blooded animals, paicularly carnivorous such as dogs, Cats, Jackals and wolves. It is transmitted to man usually by bites or licks of rabid animals. It is the communicable disease which is always fatal. Rabies is an enzootic and epizootic disease of...
Social & Preventive Medicine
null
1d16199d-f44e-4c77-8e7c-53c485507a12
Steven-Johnson syndrome involves
Type I hypersensitivity reaction
Type II hypersensitivity reaction
Type III hypersensitivity reaction
Type IV hypersensitivity reaction
2c
single
Both erythema multiformae and steven Johnson syndrome are due to deposition of immune complexes in the superficial microvasculature of skin and mucosa. These immune complex diseases are mediated through type III hypersensitivity reaction.
Pathology
null
98022009-6caf-411d-aee4-e8f1ad9acba1
Acute suppurative Otitis media (ASOM) is treated using all except:
Erythromycin
Penicillin
Streptomycin
Cephalosporin
2c
multi
(c) Streptomycin(Ref. Scott Brown, 8th ed., Vol 2; 142)Streptomycin--an aminoglycoside is used in anti- tubercular treatment.The MC organism causing ASOM is Streptococcus pneumoniae followed by Haemophilus influenzae. So beta-lactum, macrolides and fluro-quinolones active against these bacteria, are the antibiotics of ...
ENT
Ear
3930fa7f-ce72-4df8-ae2d-af36a10a72d6
Prodrornal symptoms precede 1 to 2 days before the onset of disease in
viral fever
erythema multiforme
pemphigus
pemphigoid
0a
single
null
Pathology
null
ccda0b7b-eac0-4e3b-8761-cf14916c2e08
Which of the following drug is given intranasally?
Desmopressin
Ribavarin
Amiloride
Oseltamivir
0a
multi
Ans. is 'a' i.e., Desmopressin Drugs which can be given by intranasal route are :- Desmopressin Liposomes Butorphanol Zanamivir Calcitonin
Pharmacology
null
f7834c25-ec73-4da0-ba42-b3df9f290db8
Regarding IUGR
Abdominal circumference (AC) is the least sensitive parameter for detection of IUGR
In asymmetric IUGR head circumference/abdominal circumference (HC/AC) is reduced
Serial biparietal diameter (BPD) is the only important measurement in IUGR
AC indirectly reflects fetal liver size and glycogen storage
3d
single
‘AC is the single most sensitive parameter to detect IUGR’ Dutta Obs 7/e, p 462 ‘Serial measurements of AC (not BPD) and estimation of fetal weight are more diagnostic to fetal growth restriction’ Dutta Obs 7/e, p 462 Head circumference (HC) and abdominal circumference (AC) ratios: In a normally growing fetus the HC/AC...
Gynaecology & Obstetrics
null
bf7aff7f-4c06-4e70-a69b-5a9eb8352b34
A 6 year old boy has a history of recurrent dislocation of the right shoulder. On examination, the orthopedician puts the patient in the supine position and abducts his arm to 90 degrees with the bed as the fulcrum and then externally rotates it but the boy does not allow the test to be performed. The test done by the ...
Apprehension test
Sulcus test
Dugas test
MC Murray's test
0a
multi
Apprehension (boy does not allow the test to be performed) on abduction and external rotation of arm is seen in apprehension test for anterior shoulder instability.
Orthopaedics
null
83dec394-646c-41ed-bbff-fc931e45902d
One of the follo wing does not form hypopharynx:
Epiglottis
Py riform fossa
Posterior pharyngeal wall
Post cricoid region
0a
multi
Ref: Grays Anatomy, 40th ed., Dhingra PL. s ENTExplanation:BOUNDARIESThe laryngopharynx is situated behind the entire length of the larynx (known clinically as the hypopharynx) and extends from the superior border of the epiglottis, w'here it is delineated from the oropharynx by the lateral glossoepiglottic folds, to t...
Anatomy
Pharynx
1fad66ac-3fba-41d9-a9cb-e10ddff725f6
Lamina cribrosa is absent in:
Morning Glory syndrome
Nanophthalmia
Colobama of retina
Optic nerve agenesis
0a
single
Ans. (a) Morning Glory syndromeRef: Morning Glory syndrome- A histopathological study British Journal of ophthalmology; the morning Glory syndrome' Opthalmologica 1983; 187 (7): 222-230 1990, 74; 56-58
Ophthalmology
Neuro-Ophthalmology
1e9edf03-ee3a-48d3-9d07-1ce1fac819cd
Flag sign and flaky paint dermatitis are characteristically seen in
Kwashiorkar
Marasmus
Pellagra
Nutritional dwarf
0a
multi
(A) Kwashiorkar # Hair changes: The hair is thin, dry, brittle, easily pluckable, sparse, and devoid of their normal sheen. It becomes straight and hypopigmented. The length of the hair that grows during the period of nutritional deprivation appears reddish brown. During the phases of better nutrition, the growing part...
Pediatrics
Miscellaneous
fb158faa-588e-4410-a86d-c14a40f0e02d
Lucio phenomenon is treated with
Steroids
Lenalidomide
Clofazimine
Exchange transfusion
3d
single
Answer- D. Exchange transfusionLucion phenomenon is a very rare comcomplication of leprosy.It presents as sudden necrotizing vasculopathy in Patients with longstanding, untreated lepromatous leprosy.TreatmentOptimal wound care and therapy for bacteremia are indicated. Ulcers tend to be chronic and heal poorly.In severe...
Medicine
null
96008d1f-b88f-433f-a95d-73ff61bca2ff
True about physiological Jaundice -
Jaundice appear within first 24 hour
Jaundice disappear in 3rd week
Sudden rise of bilirubin
None
3d
multi
Ans. is None Criteria for physiological jaundice Clinical jaundice appears after 24 hours of age Total bilirubin rises by less than 5mg/dl per day (no sudden rise) o Peak bilirubin occurs at 3-5 days of age, with a total bilirubin of no more than 15 mg/dl Clinical jaundice is resolved by 1 weeks in term infants and 2 w...
Pediatrics
null
4c320d62-c9b0-4d8c-b952-b6223a3375fc
Atomic weight is equal to total number of:
Protons
Protons and neutrons
Protons and electrons
Protons, neutrons and electrons
1b
single
Ans. Protons, neutrons and electrons
Radiology
null
f669f208-4895-4cfa-aa2d-8fd018deddba
Aspirin should be used with caution in the following groups of patients because of which of the following reason:
In diabetics because it can cause hyperglycemia
In children with viral disease, because of the risk of acute renal failure
In gout, because it can increase serum uric acid
In pregnancy, because of high risk of teratogenicity
2c
single
Aspirin- Urate excretion: Aspirin in high dose reduces renal tubular excretion of urate- dose more than 5 grams per day- that is more than the antiinflammatory dose ESSENTIALS OF MEDICAL PHARMACOLOGY;7TH EDITION; KD TRIPATHI; PAGE NO 195
Pharmacology
Autacoids
fb1109b3-6119-4c6f-b479-4a5be4408e0b
20 year old patient presents with hypokalemia, alkalosis with normal blood pressure and no edema. the diagnosis is
Bartter syndrome
Liddle syndrome
Glucocorticoids remediable aldosteronism
Apparent mineral ocorticoid excess syndrome
0a
single
It is characterized by hypokalemia , alkalosis, high rennin level and hypercalciuria , but with normal blood pressure and no edema. This is due to mutation Na-k-cl co transporter gene , usually begins in childhood.
Unknown
null
fd9ee9c7-31a5-49e1-a4b0-5140f098c7a9
Setting expansion is advantageous in:
Casts
Models
Investment
Dies
2c
single
null
Dental
null
248a65c0-33c5-4c93-9f2b-67e4e4266b9d
Post resection of terminal ileum, deficiency of which of the following vitamins is seen along with Steatorrhea:
B12
B9
C
B6
0a
single
Ans. (a) B12Ref: Harrison 18th ed, ch. 294* Post resection of ileum, vitamin B12 deficiency is seen.* Steatorrhea is fat malabsorption leading to malodorous stools. Fat malabsorption leads to deficiency of vitamin A,D,E,K.
Surgery
Miscellaneous (Small & Large Intestine)
6d80888e-bbed-4d42-9acb-0ce5350736ad
The lymphatic drainage of pyriform fossa is to:
upper deep cervical nodes
Prelaryngeal node
Para pharyngeal nodes
Mediastinal nodes
0a
single
Pyriform sinus drains into jugular chain and then to deep cervical group of lymph nodes. Post cricoid region drains into para pharyngeal and paratracheal group of lymph nodes. Posterior pharyngeal wall drains into para pharyngeal lymph nodes and finally to deep cervical lymph nodes. Ref Tuli 1/e,p 231,232.
Anatomy
null
c33164c3-6451-43b9-b35f-7036ca63e47e
Injection DMPA is given once in ?
3 days
3 week
3 months
3 years
2c
single
Ans. is 'c' i.e., 3 months Depot formulations (Injectable hormones) They are given i.m. as oily solution 1. Long acting progestin alone Depot medroxy progesterone acetate (DMPA) 150 mg at 3 month intervals. or Norethindrone (norethisterone) enanthate (NEE) 200 mg at 2 months intervals. The most impoant undesirable prop...
Social & Preventive Medicine
null
a560d271-be00-495d-ac57-5f0931df19e6
Swarming is seen in:
Clostridium perfringens
Clostridium tetani
Clostridium botulinum
Clostridium difficile
1b
single
Ans. B. Clostridium tetaniSwarming/ spreading type of growth is seen in many bacteria i.e. Proteus, Clostridium tetani, Vibrio parahemolyticus etc.
Microbiology
Bacteria
bb13e20c-da67-41df-b1ff-63a8de37ff29
Perception without stimuli is
Delusion
Illusion
Hallucination
Delirium
2c
multi
Delusion: False belief, based on incorrect inference about external reality, that is firmly held despite objective and obvious contradictory proof or evidence and despite the fact that other members of the culture do not share the belief. Delirium: Acute reversible mental disorder characterized by confusion and some im...
Psychiatry
All India exam
da367131-7867-421c-aacd-624a69ed4314
Which one of the following is not a treatment of gastroesophageal variceal haemorrhage -
Sclerotherapy
Sengstaken tube
Transjugular intrahepatic portacaval shunt
Gastric freezing
3d
single
null
Surgery
null
28d1060c-9839-4162-9ffc-0817d8f362f0
PGF2 alpha maximum dose in PPH management which can be given over 24 hours is-
250 mg
200 mg
2 mg
20 mg
2c
single
PGF2[?] is CARBOPROST 250 ug I.M. up to 8 doses and maximum dose is 2 mg given I.M. always ( i.v. can cause sudden hypeension )
Gynaecology & Obstetrics
NEET 2019
5a96bf61-8505-4d7a-b597-f01f4f99147d
Epstein pearls are cysts that arise from:
Squamous tissue of the mucosa
Connective tissue of the mucosa
Rests of malassez
Dental lamina
3d
single
null
Pathology
null
a6728aaa-408a-4738-a65a-973af62346bd
Young female with painless, mobile lump of 4 cm in a breast. Diagnosis is?
Breast abscess
Breast cyst
Fibroadenoma
Peau dorange
2c
single
Ans. (c) FibroadenomaRef: Sabiston 19th ed. / 827* Fibroadenoma aka Breast mouse is the most common benign tumor of breast.* It is MC seen in young age group females (15-30 yrs)* Clinically, it is slow growing, painless solitary mass, which is mobile in nature (that's why known as breast mouse).* IOC: FNAC* Upon mammog...
Surgery
Fibroadenoma
a28ae554-3214-4b97-b1ce-7f5a1b7e2cf1
Relative contraindication to thrombolytic therapy includes all the following except :
Hypotension
Recent surgery
Active peptic ulcer
Pregnancy
0a
multi
null
Pharmacology
null
006c9660-3a80-4a54-8b2a-5c5e860f8ffb
Tactile hallucination seen in abuse with -
Heroine
Cocaine
Cannabis
Alcohol
1b
multi
Ans. is 'b' i.e., Cocaine o Magnan's symptoms is tactile hallucination (formication) i.e. feeling of bugs crawling under the skin is seen with cocaine abuse/ poisoning.Cocaineo Cocaine is an alkaloid derived from the Coca bush, Erythrexylum CoCa. It was the first local anaesthetic which was used clinically. Toxicity' o...
Forensic Medicine
Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques
5ca7b5b4-1227-4904-ac50-9a29b9c0b923
The subtype of Hodgkin&;s disease, which is histogentically distinct from all the other subtypes is -
Lymphocyte predominant
Nodular sclerosis
Mixed cellularhy
Lymphocyte depleted
0a
multi
<p>The lympocytic predominance type of HD is characterised by proliferation of small lympocytes admixed with a varying number of histiocytes.Polypoid ( or popcorn )Reed Sternberg cells are seen in thus type of HD with lobulated nucleus in the shape of popcorn.</p><p>Reference :Harsh Mohan textbook of pathology 6th edit...
Medicine
Haematology
b60208cb-96cc-456f-aec3-4706f5bc56ae
Kidney changes in AIIDS patient -a) Membranous GNb) Wire loop lesionc) Focal segmental glomerulosclerosisd) Mesangioproliferative glomerulonephritise) Kimmelstiel Wilson lesion
abc
ad
bc
bde
2c
single
null
Pathology
null
afd51f88-46e3-4de9-94bd-7076e689d3df
APC gene is located on which chromosome
Chromosome 5
Chromosome 6
Chromosome 9
Chromosome 11
0a
single
Ref Robbins 9/e p296 APC is classified as a tumor suppressor gene. Tumor suppressor genes prevent the uncontrolled growth of cells that may result in cancerous tumors. The protein made by the APC gene plays a critical role in several cellular processes that determine whether a cell may develop into a tumor. The APC pro...
Anatomy
General anatomy
89bdbe5d-9abd-413e-a9cb-a0cc0997ffa8
Under classification of Renal injuries, Laceration more than 1 cm without extension into the renal pelvis or collecting system comes under which Grade?
Grade I
Grade III
Grade IV
Grade V
1b
single
Grade Type Description I Contusion Microscopic (>3 RBCs/HPF)or gross hematuria, urological studies normal Hematoma Subcapsular, nonexpanding without parenchymal laceration. II Hematoma Nonexpanding perirenal hematoma, confined to renal retroperitoneum Laceration <1 cm parenchymal depth of renal coex without urine extra...
Surgery
Kidney and ureter
dcd171c8-d0e2-42e5-bfb9-8d19fdcd57c7
Which of the following is considered the highest and most severe classification of maxillary fracture?
LeFort I
LeFort II
LeFort III
LeFort IV
2c
single
Maxillary fractures may be classified as LeFort I, II, or III. The LeFort III is the highest and most severe.
Surgery
null
35e469a0-9445-47f5-8bd9-0bf42f4a5f5b
Tylectomy literally means?
Excision of a lump
Excision of LN
Excision of breast
Excision of skin
0a
multi
Ans. is 'a' i.e. Excision of a lump
Surgery
null
8be435d6-41cc-473f-9977-b109a7cb4900
All sensations carried through lateral spinothalamic tract except
Pain
Cold
Hot
Vibration
3d
multi
(D) Vibration
Physiology
Nervous System
6e575b9e-e732-435f-bd1e-6126b0bb54c8
In Pemphigus vulgaris, tzank smear shows –
Acantholytic cells
Macrophages
Fibroblasts
Neutrophils
0a
single
null
Dental
null
668d9054-b03f-4e8b-9d36-79860c80fab9
Which of the following terms best describes a drug that blocks the action of adrenaline at its receptors by occupying those receptors without activating them?
Pharmacologic antagonist
Non competitive antagonist
Physiologic antagonist
Chemical antagonist
0a
single
null
Pharmacology
null
e634e804-c0f4-433f-9009-2d309c3e01a1
Ilio femoral ligament arise from:
Ischial tuberosity
Anterior superior iliac spine
liopubic rami
Anterior inferior iliac spine
3d
single
D i.e. Anterior inferior iliac spine
Anatomy
null
a9b413d6-553e-4e08-9c6f-79da1442565e
Glucose reabsorption occurs in the
Proximal tubule.
Loop of Henle.
Distal tubule.
Cortical collecting duct.
0a
single
Glucose, amino acids, and bicarbonate are reabsorbed along with Na+ in the early portion of the proximal tubule.
Physiology
null
d30d7415-841b-475e-956f-2b334c2367c0
A 24-year-old man is brought to the emergency room with symptoms of acute intestinal obstruction. His temperature is 38degC (101degF), respirations are 25 per minute, and blood pressure is 120/80 mm Hg. Physical examination reveals a mass in the right lower abdominal quadrant. At laparoscopy, there are numerous small b...
Adenocarcinoma
Carcinoid tumor
Crohn disease
Pseudomembranous colitis
2c
multi
Crohn disease is a transmural, chronic inflammatory disease that may affect any part of the digestive tract. Intestinal obstruction and fistulas are the most common intestinal complications of Crohn disease. Occasionally, free perforation of the bowel occurs. The risk of small bowel cancer is increased at least threefo...
Pathology
G.I.T.
63100bb5-cb14-44ed-9eb2-b7d629d85d06
Furasol DA is :
Free radical
Aificial blood
CO antagonist
Used to increase 02 delivery to tissue
3d
single
D i.e. Used to increase oxygen delivery to tissue
Physiology
null
46e406e9-5a3d-4b5b-92b2-065a4faf5a12
Western equine encephalitis virus is transmitted by-
Anophales mosquito
Culex mosquito
Sandfly
Aedes mosquito
1b
single
Ans. is 'b' i.e., Culex mosquitoMosquito speciesDisease transmittedAnophelesMalaria, filariasis (not in India), arboviruses of febrile and encephalitic diseaseCulexBaneroftian filariasis, Japanese encephalitis, West- Nile fever, St. Louis encephalitis, western equine encephalitisAedesYellow fever (in Africa), Dengue, D...
Social & Preventive Medicine
Communicable Diseases
d1d6fc93-cac6-4357-92c8-bd1b95b8c41c
Cause for pneumatoceles
Staph.aureus
P.carini
H.influenzae
All of the above
3d
multi
Pneumatoceles an thin - walled, gas - filled cystic lung spaces. Causes : S.aureus (infants & children). P.carini (AIDS). H.influenzae & E - coli (Neonate).
Radiology
null
604d3185-8b4d-42b1-9c0d-df2b267dd2ca
Merciful anosmia is seen in -
Nasal polyp
Atrophic rhinitis
Rhinosporidiosis
Rhinoscleroma
1b
single
Ans. is 'b' i.e., Atrophic rhinitis Clinical features of atrophic rhinitis o The disease is mostly seen in females and tends to appear during puberty. o The disease is always bilateral except in case of DNS where it is seen on the wider side. o There is foul smell from the nose making the patient a social outcast thoug...
Unknown
null
3aef4ead-0142-4621-9008-d7cf37f5ed90
Parathyroid glands develop from .............branchial pouches?
1st & 2nd
2nd & 3rd
3rd & 4th
5th & 6th
2c
single
HUMAN EMBRYOLOGY-INDERBIR SINGH TENTH EDITION-PAGE NO:136The inferior parathyroid glands develop from endoderm of the third pharyngeal pouchThe superior parathyroid glands develop from endoderm of the fouh pharyngeal pouch
Anatomy
General anatomy
89b26b03-3517-446a-8c9e-82e00f17b3a6
All of these pulmonary changes are seen in restrictive lung disease except:
|FEV1/FVC
|TLC
|RV
| VC
3d
multi
Vital capacity is sum of ERV + TV + IRV. All these lung volumes are Reduced in Restrictive lung disease due to pulmonary fibrosis. Do not mix with Timed vital capacity which is a ratio of FEV1/ FVC and is increased in restrictive lung disease.
Medicine
Flow Volume curve, Spirometry and DLCO
5032d293-19a2-48f2-b738-6f19154c2893
Propofol infusion syndrome is characterized by
Hypokalemia
Hypolipidemia
Bradycardia
Tachycardia
2c
single
Propofol infusion syndrome occurs when propofol infusion is continued for more than 48 hours Severe metabolic acidosis Acute cardiacfailure Hyperkalemia Hyperlipidemia Skeletal myopathy Refractory bradycardia.
Anaesthesia
null
0acf2922-b428-408f-848c-f3cda67fb8bb
Adequate mixing of mercury is indicated by:
Dry Mix
Shiny Mix
Short Mixing Time
None
1b
multi
null
Dental
null
bc879aff-9d2a-40e3-9495-77b4bf720f11
Organism which is CAMP test positive and Bacitracin resistant is
S.Aureus
S.pyogenes
S.Agalactiae
Enterococcus
2c
single
S.Agalactiae which is a group B Streptococcus shows  CAMP test positive  HHT positive BACITRACIN RESISTANT
Microbiology
null
9829a93e-1135-479b-a757-e47038a51849
Missing cases are detected by
Active surveillance
Passive surveillance
Sentinel surveillance
Prevalence rate
2c
single
Sentinal surveillance is a method of identifying the missing cases and thereby supplementing the notified cases. Helps to estimate disease prevalence. Repoing bias minimized. Note: India is the 1st country to have Sentinal surveillance set up for follow up of cataract surgeries. Ref: Park's Textbook of Preventive and S...
Social & Preventive Medicine
Concept of health and disease
2d0129ab-1708-43f6-be20-46c703963c5e
A patient presents with unconjugated hyperbilinibinemia and presence of urobilinogen in urine. Which amongst the following is the least likely diagnosis-
Hemolytic jaundice
Crigler Najjar syndrome type 1
Gilbe s syndrome
crigler najjar syndrome type 2
0a
single
Hemolytic jaundice results from excessive RBC destruction.there is increased release of Hb that leads to overproduction of bilirubin. Hyperbilirubinemia develops whn the capacity of liver to conjugate large amt of bilirubin is exceeded. There is also increased urinary excretion of urobilinogen. Ref.Harsh mohan page no....
Medicine
G.I.T
523b04e3-7030-4435-be04-2bc780a69adf
Cause of secondary PPH is
Atonic uterus
Retained placental bits
Ruptured uterus
Cervical laceration
1b
single
Causes of secondary PPH: Retained bits of cotyledon or membranes Infection and separation of slough over a deep cervicovaginal laceration Endometritis Hemorrhage from cesarean section wound Withdrawal bleeding following estrogen therapy for suppression of lactation Ref: Dutta Obs 9e pg 392.
Gynaecology & Obstetrics
General obstetrics
d73391b9-4a8d-4fb5-a575-d533e6393853
Amnion is present on :
Decidua basalis
Fetal surface
Maternal surface
All of the above
1b
multi
B i.e. Fetal surfaceAmnion is the inner most layer facing fetus Q; decidua perietalis & basalis are the outer most layers & face towards maternal surface Q
Anatomy
null
4d64f5b5-57e9-4513-9a00-3dd6a33e7048
In case of Myelofibrosis what is most likely to be seen on the peripheral blood smear?
Schistocytosis
Sickle cells
Spherocytes
Dacrocytes
3d
single
Dacrocytes(D),more commonly known as tear-drop cells, are strongly indicative of myelofibrosis. Sickle cells (B) occur due to homozygous haemoglobin S which causes cell sickling on polymerization. Schistocytes (A), more commonly known as fragmented red cells, can be seen in a number of conditions such as haemolytic ana...
Unknown
null
187c26ca-25db-417e-81a2-9946bc7830b2
Which is not a feature of benign hypeension in Kidney?
Hyaline aeriosclerosis
Interstitial lobular fibrosis
Medial hyperophy of small vessels
Fibrinoid necrosis
3d
multi
Ans. is 'd' i.e., Fibrinoid necrosis
Pathology
null
afe157f4-1ef4-4883-9eaf-8b58a96d7701
All the following are hormonal agents used against breast cancer except
Letrozole
Exemestane
Taxol
Tamoxifen
2c
multi
Refer Katzung 10th/897 Letrozole, anastrozole and exemestane are aromatase inhibitors useful for the treatment of tamoxifen resistant breast cancer Tamoxifen is a SERM It is also used for breast cancer Taxol is commonly used term for paxclitaxel
Pharmacology
Chemotherapy
22f26c9e-a375-430e-9804-73140433bfab
The following is the feature of depolarizing blockade ?
Tetanic fade
Post tetanic potentiation
Progression to dual blockade
Antagonism by anticholinesterases
2c
single
null
Pharmacology
null
5fa8d9b4-5567-4008-9132-a24203b6ba27
True about generator potential:
Graded
Follows all or none law
Propagated
Does not show summation
0a
multi
Generator potentialare graded potentials whose magnitude is propotional to ghe intensity of the stimulus . Graded potentials have different names depending on which type of stimulus causes them and where they occur. For eg, when a graded potential occurs in the dendrites or cell body of a neuron in response to a neurot...
Physiology
Nervous System
0baa0c32-258f-4431-9f03-53ecc324e58c
In normal pressure hydrocephalus, all are seen except?
Convulsion
Ataxia
Dementia
Incontinence
0a
multi
Ans. is 'a' i.e. Convulsion Normal Pressure Hydrocephalus is an uncommon syndrome consisting of an abnormal gait (ataxic or apractic) dementia (usually mild to moderate) urinary incontinence This is a communicating hydrocephalus with patent aqueduct of Sylvius. NPH is presumed to be caused by obstruction to normal flow...
Surgery
null
5315263e-33a3-4788-82a1-579001fc5e22
All of the following are a features of mania except -
Decreased need for sleep
Elated mood
Delusion of grandeur
Decreased motor activity
3d
multi
Psychomotor activity is increased in mania.
Psychiatry
null
becc8aff-8b05-40ed-bb84-d614da0b525e
Maximum age of foetus for MTP is :
12 weeks
30 weeks
20 weeks
16 weeks
2c
single
20 weeks
Gynaecology & Obstetrics
null
fc128e1e-0226-413a-ac92-d1d2dcf9f450
Tonsiloliths are best treated with:
Antibiotic
Hydrogen peroxide
Steroids
None of the above
1b
multi
The treatment for these tonsillar concretions or chronic tonsillitis is aggressive mouth care, which includes irrigation of the tonsils or cleaning them with a cotton swab soaked in 3% hydrogen peroxide. With time, the cellular debris is often retained in the branching crypts and with recurrent formation of focal bacte...
ENT
null
69dfb1e3-36a4-4f61-b0fc-911907ddcc13
The lacerated wound will look like an incised wound in the region of-
Palm
Forehead
Chest
Abdomen
1b
single
Ans-B (4.10-Parikh 6th)Split lacerations (Incised like or incised looking wound)* Blunt force on areas where the skin is close to bones, and the subcutaneous tissues are scanty, may produce a wound which by the linear splitting of the tissues may look like an incised wound. Common sites (4.10 Parikh 6th)(181- Reddy 32t...
Unknown
null
d145dcfc-6d1f-4d7a-8ec8-7504c18995aa
Most common tumour of pineal region is?
Germinoma
Pineocytoma
Pineoblastoma
Secondaries
0a
single
Most common tumour of pineal region is germinoma. Most common tumour of pineal parenchymal gland is pineocytoma.
Radiology
Neuroradiology
34aae19a-2460-4960-ace8-15d3507cb121
Reflux oesophagitis is common in which type of Hiatus Hernia
Sliding type of Hiatus Hernia
Paraoesophageal type of Hiatus Hernia
Both
None
0a
multi
HIATUS HERNIA It is displacement of stomach into the chest through oesophageal opening of the diaphragm. Most patients are elderly, past 40 years. This disorder is of two types: 1. Sliding:- Stomach is pushed into the thorax, in line with the oesophagus. Reflux oesophagitis is common and may give rise to ulceration and...
ENT
Oral cavity & Oesophagus
d15ec1de-960f-4a01-a36b-3bff5f25f61b
An elderly male presented with fever, dry cough and chest pain. The causative organism was detected in sputum which is cultured on charcoal yeast medium. The organism is:
H. influenzae
Moraxella catarrhalis
Legionella
Burkholderia cepacia
2c
single
This is a case of Legionella infection. The established approach to diagnosis combines direct fluorescent antibody (DFA) with culture of infected tissues. Cultures must be made on buffered charcoal yeast extract (BCYE) agar medium that includes supplements (amino acids, vitamins, L-cysteine, ferric pyrophosphate), whic...
Microbiology
null
4b1d41b4-557f-4089-bb19-82720b161994
The greatest advantage of using extra oral anchorage is that:
More force can be applied
It has a direct reciprocal action on opposing arch
It permits posterior movement of teeth in one arch without disturbing the opposing arch adversely
Any of the above
2c
multi
null
Dental
null
a6a83e16-ab4b-4a9f-b843-9a30e991cb44
All of the following are pneumatic bones except?
Frontal
Ethmoid
Mandible
Maxilla
2c
multi
Pneumatic bones are maxilla, frontal, sphenoid, ethmoid bones and mastoid process.
Anatomy
null
007f86d1-96a8-4762-8dd3-4470cd71d669
Management of stage 2 pressure sore, clean ulcer without cellulitis is
Protective dressing
Moist dressing
Absorbent dressing
Topical antibiotics
1b
single
Answer- B. Moist dressing
Surgery
null
da965615-9a28-4c26-9f44-599a28adc6f8
The ductus aeriosus is derived from the following aoic arch
3rd
4th
5th
6th
3d
single
The pa of the left sixth arch aery, between the branch to the lung bud and aoa,forms the ductus aeriosus HUMAN EMBRYOLOGY-INDERBIR SINGH TENTH EDITION-PAGE NO:255
Anatomy
General anatomy
e79626a2-f448-4b6d-9602-ac817ea20802
Turner no of chromosomes -
45
47
46
42
0a
single
Ans. is 'a' i.e., 45 Molecular pathogenesis of Turner's syndromeo Turner's syndrome results from complete or partial monosomy of the X chromosome and is characterized primarily by hypogonadism in phenotypic females,o The genotype in Turner's syndrome is AOo As already discussed absence of Y chromosome allows the develo...
Pathology
Mendelian Disorders: Single-Gene Defects
120bb24e-4ead-480e-b60b-c5b33d4c899d
Phosphofructokinase is the key enzyme of
Glycogenolysis
Glycogenesis
Glycolysis
TCA cycle
2c
single
Step 3 of Glycolysis -6-phosphate is fuher phosphorylated to fructose1,6-bisphosphate. The enzyme is phosphofructokinase. ii.PFK is an allosteric, inducible, regulatory enzyme. It is an impoant key enzyme of this pathway. This is again an activation process, the energy being derived by hydrolysis of yet another molecul...
Biochemistry
Metabolism of carbohydrate
1dbd3749-528b-4da8-8bf9-018ee6fa2544
Which of the following antibiotics is not used in the treatment of infectious mononucleosis?
Ampicillin
Gentamycin
Erythromycin
Ciprofloxacin
1b
single
null
Pharmacology
null
4d3a5d89-3881-472f-96ba-4ec2b649bf56
Which of the following drugs inhibits de nove synthesis of purines?
Cyclosporine
Tacrolimus
Mycophenolate
Infliximab
2c
single
(Ref: KDT 6/e p841) By inhibiting the enzyme IMP dehydrogenase, mycophenolate inhibits the de novo synthesis of purines.
Pharmacology
Other topics and Adverse effects
e6d0585a-5853-4ccc-87ed-a6daa5855cc2
Level of lower border of lung at mid axillary line is
6th rib
8th rib
10th rib
12th rib
1b
single
B i.e. 8th rib
Anatomy
null
65df051a-6d6f-49a9-ab96-4347cbf1fc8a
In femoral hernia the base of sac lies -
Below and lateral to pubic tubercle
Below and medial to pubic tubercle
Above and lateral to pubic tubercle
Above and medial to pubic tubercle
0a
multi
Ans. is 'a' i.e., Below and lateral pubic tubercle * The base of hernia sac appears below and lateral to the pubic tubercle and lies in the upper leg rather than in the lower abdomen.Femoral hernia* In this hernia the abdominal contents pass through the femoral ring, traverse the femoral canal and come out through the ...
Surgery
Hernia
f95aba06-a303-49f2-8713-3e1aaa6de1ef
Screening test for cervical cancer is:
Biopsy
Papaniculaou smear
Visual inspection
Colposcopy
1b
single
Ans. (b) Papaniculaou smearRef. Shaw's Gynae 15th ed./. 403* Pap smear is taken from cervix, with Arye spatula, rotated 360deg to pick up cells from squamo-columnar junction. Vaginal smear for hormonal evaluation is taken from lateral fornix* The objective of screening is to reduce the incidence and mortality from cerv...
Gynaecology & Obstetrics
Staging, Investigation and Prognostic Factors
194e56bb-233f-4eb3-9655-d58f87a06179
Multiple myeloma is a tumor of?
B-lymphocyte
T-lymphocyte
Lymph nodes
Plasma cell
3d
single
Ans. (d) Plasma cell(Ref: Robbins 9th/pg 598-602)Multiple myeloma is a malignant proliferation of plasma cells derived from a single clone.
Pathology
Misc. (W.B.C)
c139a603-f5f3-4277-9c84-598f18fc4b6b
A 3 year old boy is brought to the emergency depament after the acute onset of headache, vomiting, nuchal rigidity, and impaired mental status. MRI reveals a posterior fossa tumor that fills the 4th ventricle. Surgery is immediately staed, and intraoperative consultation leads to a "frozen section" diagnosis of medullo...
Acute hemorrhage into the 4th ventricle
Alteration of medullary function
Increased intracranial pressure
Infiltration of the cerebellar vermis by the neoplasm
2c
single
Any tumor "filling the 4th ventricle" blocks the circulation of cerebrospinal fluid (CSF). This blockage leads to increased intracranial pressure, which manifests with nausea, vomiting, headache,nuchal rigidity, and mental status changes. If surgery is not performed promptly, cerebellar tonsillar herniation and rapid d...
Pathology
null
4021ecf5-b444-4c22-9fc2-e0eca65a4aa2
A 40 yrs old female who is known case of ischemic hea disease (IHD) is diagnosed having hypothyroidism. Which of the following would be most appropriate line of management for her -
Sta levothyroxine at low dose
Do not sta levothyroxine
Uselevothyroxine
Thysoid extract is a better option
0a
multi
Levothyroxine replacement in ischaemic hea disease Hypothyroidism and ischaemic hea disease are common conditions that often occur together. Although angina may remain unchanged in severity or paradoxically disappear with restoration of metabolic rate, exacerbation of myocardial ischaemia, infarction and sudden death a...
Medicine
Endocrinology
bf0ea0b7-404a-4fec-9d3a-64d176374b40
Ivermectin is indicated in:
Scabies
Intestinal nematode infection
Filariasis
All of the above
3d
multi
null
Pharmacology
null
ed175afd-e4c9-48c8-9516-161a4d836edc
Increased sweat chloride is seen in all except -
Ectodermal dysplasia
Nephrogenic diabetes insipidus
Glucose 6 phosphatase deficiency
Obesity
3d
multi
Ans. is d i.e., Obesity Increased sweat chloride is seen in - i) Cystic fibrosis v) Familial cholestasis ix) Untreated adrenal insufficiency (Addison disease) ii) Malnutrition vi) Ectodermal dysplasia x) Hereditary nephrogenic diabetes insipidus iii) Pancreatitis vii) Fucosidosis xi) Hypoparathyroidism iv) Hypothyroidi...
Pediatrics
null
676a9af0-24a9-4205-8efb-68c7016b4d84
True about colour blindness: September 2005
Autosomal dominant inheritance
Tritanopia is the commonest disorder
Trichromats are unable to appreciate blue colour
Defect in 1 or more prime colours
3d
multi
Ans. D: Defect in 1 or more prime colours Colour blindness is inherited as recessive and X-linked characteristics. The prefixes "Prot-" "Deuter-"and "Trit-" stands for defects of Red, Green and Blue cone systems. So tritanopia (Rarest) has Defect of blue colour. Trichromats are normal individuals.
Ophthalmology
null
50ec54ba-e9b0-4360-8f1c-445ba13a0928
Causes of unilateral dysmenorrhea are all except:
Rudimentary horn
Right ovarian vein syndrome
Unicornuate uterus
Large fundal fibroid
3d
multi
Ans. is 'd' i.e., Large fundal fibroid * Causes of unilateral dysmenorrhea1) Ovarian Dysmenorrhea (Right ovarian vein syndrome)2) Bicornuate uterus3) Unicornuate uterus4) Rudimentary horn5) Unilateral pelvic endometriosis6) Small fibroid polyp near one cornu
Gynaecology & Obstetrics
Gynaecological Disorders in Obs.
6fac1637-9717-41ab-b999-255bae4e223d
Copper content in low copper amalgams is:
6%
12-30%
29%
19%
0a
single
null
Dental
null
35722221-c999-43fa-9d2e-e540efa0fb2d
Neill-Mooser reaction is used to diagnose-
Rickettsiae
Chlamydiae
Mycoplasma
Herpes
0a
single
null
Microbiology
null
217da2db-05bb-4e2c-8965-4ecef5b88cb2
Smallest cross-section of large bowel is seen at:
Descending colon
Ascending colon
Transverse colon
Sigmoid colon
3d
multi
(Refer: Richard S. Snell’s Clinical Anatomy by Regions, 9th edition, pg no: 158) Characteristic Features of Rectosigmoid Junction The diameter of the large intestine narrows. There is an absence of complete peritoneal investment. There is no true mesentery. The three taeniae coli diverge to form a continuous longitudi...
Unknown
null
e4fb8b5b-7cb0-4d48-ae7f-9a545ebd41ca
A young patient presents to the ophthalmic outpatient depament with gradual blurring of vision in the left eye. Slit lamp examination reveals fine stellate keratatic precipitates and aqueous flare and a typical complicated posterior subcapsular cataract. No posterior synechiae were observed. The most likely diagnosis i...
Intermediate Uveitis (Pars plants)
Heerford's disease
Heterochromic iridocyclitis of Fuch's
Subacute Iridocyclitis
2c
single
Ans. Heterochromic iridocyclitis of Fuch's
Ophthalmology
null
110280b5-b343-4166-b11e-9e4304dc6346
Granular layer is absent in:
Ichtyosis vugaris
X linked ichthyosis
Epidermolytic hyper keratosis
Lamellar ichthyosis
0a
single
A i.e. Ichtyosis vugaris Icthyosis vulgaris - Icthyosis vulgaris is autosomal dominant disorderQ, occurring due to reduced or absence of filaggrin protein and granular layerQ. It presents with dry scaly skin resembling fish (reptile or crocodile) skin K/a sauroderma. AD means one parent should also manifest disease. It...
Skin
null
f9a33b1f-fed6-4651-97f3-c649d6c04015
Which method is not used for autopsy -
Virchow
Rokitansky
Lettulle
Thomas
3d
single
Ans. is 'd' i.e., ThomasMethods of removal of organso Virchow's technique - organs are removed one by one. Crania] cavity is exposed first, followed by thoracic, cervical & abdominal organs.o Rokitansky rs technique - It involves in situ dissection in part, combined with en block removal,o Lettulle's technique - Cervic...
Forensic Medicine
Medicolegal Autopsy