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
db97c2d4-0fed-4b4a-82b2-d1bcab9367d5
Why a TB patient is recommend a regimen of 4 drugs on 1st visit -
To avoid emergence of persistors
To avoid side effects
To cure early
None
0a
multi
Ans. is *a' i.e., To avoid emergence of persistors 6. Two phase chemotheraphyo There are two phase of treatment of tuberculosisIntensive phaseThis is short phase in the early course of treatment and lasts for 1-3 months.Three or more drugs are given to kill as many bacilli as possible, w hich prevents emergence of pers...
Social & Preventive Medicine
Communicable Diseases
dffcf095-396b-4068-a15f-b652e06c07d4
The agent of choice for controlling heparin induced bleeding is
Protamine sulphate
Injectable vitamin K
Whole blood
Fresh frozen plasma
0a
single
null
Medicine
null
f16dd8e1-dcb4-45bf-84f1-76e40c3181e6
Gallow's traction is used for fracture -
Shaft femur
Neck femur
Shaft tibia
Tibial tuberosity
0a
multi
Gallows traction is used for treatment of fracture shaft femur, in infants and children < 2 yrs of age.
Orthopaedics
null
6b12637c-86f0-45d0-ae62-57248494864c
Critical period of development of fixation reflex is
2-4 months of age
6-8 months of age
2 years
3 years
0a
single
A. i.e. 2-4 months Unilateral cataract in children should be operated early in life because the critical period for development of fixation reflex is between 2" & 4th months of age.Q Age Visual Development At Bih * * * * Eye appear to move randomly & there is no central fixation Fovea is not fully developed & visual ac...
Ophthalmology
null
1bf3873a-9655-4742-b1cf-b0bf676783ea
Over extension of complete denture for a prolonged period without adjustment may cause.
Epulis fissuratum
Pyogenic granuloma
Papillary hyperplasia
Giant cell reparative granuloma
0a
single
null
Dental
null
89bbe76b-71fc-4051-a7e0-04a2c33d8ad4
Which of the following is involved in peristalsis by causing relaxation ?
Substance P
Acetylcholine
VIP
Norepinephrine
2c
single
Ans. is 'c' i.e., VIP In peristlasis :- Acetylcholine & substance P - Causing smooth muscle contraction. VIP, NO & ATP - Producing relaxation ahead of stimulus.
Physiology
null
6549bed4-6f07-41bf-b1ba-4854c7c20573
Function of phospholipid in cell membrance is:
Cell to cell variation
Transduction of Signals
Transmembrane preparation of protein
DNA replication
1b
single
B i.e. Transduction of signals
Physiology
null
077ae14b-099b-42da-ad69-9af24d5e4762
Which of the following is an atypical antidepressant?
Citalopram
Sealine
Venlafaxine
Reboxetin
2c
single
Ans. is 'c' i.e., Venlafaxine Antidepressants A. Typical Tricyclic antidepressants NA + 5HT reuptake inhibitors :- Imipramine, Trimipramine, Amitriptyline, Clomipramine. Predominantly NA reuptake inhibitors :- Desipramine, Noriptyline, Amoxapine, Reboxetine. Selective serotonin reuptake inhibitors :- Fluoxetine, Paroxe...
Psychiatry
null
badd402a-995d-4d1b-9c26-74c12505fb79
Surfactant deficiency causes ?
Transient tachypnea of newborn
Respiratory distress syndrome
Neonatal jaundice
Hypeensive encephalopathy of newborn
1b
single
Ans. is 'b' i.e., Respiratory distress syndromeInfant respiratory distress syndrome is due to deficiency of surfactant. Dipalmitoylphosphatidylcholine (Dipalmitoyllecithin) is the major constituent of surfactant.SurfactantSurfactant is a Soap-like substance secreted by the type-II pneumocytes of the alveolar epithelium...
Physiology
null
78b2011a-3d61-4594-a04d-1a1b5d831640
Which of the following is seen in Churg-Strauss syndrome?
Sinusitis
Raynaud's phenomenon
Allergic rhinitis
Epistaxis
2c
multi
Churg-Strauss syndrome is a small vessel vasculitis. The acute presentation includes skin lesions, eosinophilia and asymmetric mononeuritis multiplex. There can be a prodromal period lasting many years in which the patient can have allergic rhinitis, nasal polyposis and asthma. Treatment is by high dose steroids and cy...
Medicine
All India exam
6a6fc2f7-ba60-4205-bb1e-ac71de21e57b
Which of the following pontic designs require surgical procedure?
Modified ridge lap
Saddle
Ovate
Sanitary
2c
single
The ovate pontic is the pontic design that is most esthetically appealing. Its convex tissue surface resides in a soft tissue depression or hollow in the residual ridge, which makes it appear that a tooth is literally emerging from the gingiva.  Careful treatment planning is necessary for successful results. Socket-pre...
Dental
null
e354f9c1-380f-4912-84aa-5a53f89a4a1c
Mild hoarseness with stridor is seen in:
Unilateral abductor palsy
Bilateral abductor palsy
Laryngomalacia
Tracheal stenosis
1b
single
(b) Bilateral abductor palsy(Ref. Current Diagnosis & Treatment Otolaryngology, Lalwani, 3rd ed., 478)Laryngomalacia and tracheal stenosis do not affect the VC hence voice remain normal in these though stridor is present.
ENT
Larynx
145af935-fb3f-411c-9965-f8d385f39902
Mechanism of action of bromocriptine is:
Agonism at D2 receptors
Antagonism at D2 receptors
Antagonism at D1 receptors
Antagonism at α receptors
0a
single
null
Pharmacology
null
9e4a1a85-feb4-4357-bc60-02e6051ddd7e
Bruxism occurs in _______ phase of sleep
ReM
NREM I
NREM II
NREM III
2c
single
Bruxism can occur in any stage of sleep or at arousal from sleep. It is most common in stage N1 and N2 and least common during REM sleep Ref: guyton and hall textbook of medical physiology 12 edition page number: 721,722,723
Physiology
Nervous system
b4a6c3e9-30fe-4c5c-9d1f-87e0e43e5dcd
Which of the following is not a type of teukoplakia:
Ulcerative
Bullous
Speckled
Homogenous
1b
single
null
Pathology
null
2a25ac10-2bd9-40b7-aa7e-66829da11cec
An infant presents with hypotonia and hyporeflexia. During his intrauterine period there was polyhydramnios and decreased fetal movements. Most probable diagnosis is -
Spinal muscular atrophy
Congenital myasthenia
Congenital myotonia
Muscular dystrophy
0a
single
Ans. is 'a' i.e., Spinal muscular atrophy o Out of the given options only spinal muscular atrophy is able to cause hypotonia and hyporeflexia during infancy. Rest of them either present late in childhood or do not give the symptoms. o Polyhydromnios and decreased fetal movements can occur in any neuromuscular disorder ...
Pediatrics
null
77abd1ce-c704-406e-8a3d-b1687782bac7
Sterilization control used in membrane filters is
B pumilis
B stereo thermophilus
C tetani
Brevundimonas diminuta
3d
single
Sterilization control for membrane filters is Brevundimonas diminuta and sarratia marcescens.
Microbiology
null
a30f10bf-1c87-487f-ae7d-e719cb8fc2ab
Halo sign and handkerchief test are positive in-
CSF Rhinorrhoea
Deviated nasal septum
Nasal Myiasis
Choanal atresia
0a
single
Ans. is 'a' i.e., CSF Rhinorrhoea Detection of CSF Leak in CSF Rhinorrhoea1) Biochemical testso Concentrations of Glucose are higher in CSF than in nasal discharge. Glucose value > 30-40 mg% protein value <100 mg % (max 200 mg %) support a diagnosis of CSF leako Presence of b2 transferrin is the most definitive test fo...
ENT
Trauma of Nose and Face
b19f67cd-a8be-482f-b760-2109a43092c2
A sea snake is -
Neurotoxic
Hemotoxic
Musculotoxic
All of the above
2c
multi
null
Forensic Medicine
null
b91a8673-4f24-4d83-a9b2-3dea567855f0
Rotavirus vaccine- contraindication are all of the following EXCEPT?
SCID
Intussusception
Severe allergic reaction
Child on top feeds
3d
multi
ROTAVIRUS VACCINE- - Live oral vaccine - Given at 6,10 & 14 weeks (maximum age- 1 year) - Strain used- 116E strain of Indian origin - Contraindications: SCID Previous history of Intussusception / severe allergic reaction to a previous dose of the vaccine.
Pediatrics
Types of vaccines
109d3ec5-7c75-4181-884f-65ff0741c1b0
Which of the following prostaglandin analogues used in Glaucoma
Misoprostol
Latanoprost
Enprostil
Rioprostil
1b
single
(Latenoprost): Ref: 88-KDT, 394-Khurana 3rd (147-KDT 6th)* Prostagland analogues used in Peptic ulcer are - Misoprostol Enprostil, Rioprostil (588-KDT)* LATANOPROST (0.0005%) It is synthetic drug which is an ester analogue of prostagland in F2a* It acts by increasing uveoscleral outflow and by causing reduction in epis...
Pharmacology
Prostaglandins
4409c8da-0b8a-4df2-8b4f-a5cb0f24cd6f
Which can cause loose body in the joint -
RA
Ankylosing spondylitis
OA
SLE
2c
single
Ans. is 'c' i.e., OA o Causes of loose bodies includei) Osteoarthritisiii) Osteochondral fracture (injury) v) Synovial chondromatosisii) Osteochondritis dessicansiv) Charcot's disease o Among these, osteochondral fracture causes single loose bodies, while all other can cause multiple loose bodies, maximum by synovial c...
Orthopaedics
Arthritis
5ecd4ade-4b2d-4563-9161-08d1c41e8029
Which of the following is an example of disability limitation?
Reducing occurrence of polio by immunization
Arranging for schooling of child suffering from PRPP
Resting affected limbs in neutral position
Providing calipers for walking
2c
single
Resting affected limbs in neutral position Repeat from May 06 & 07 Disability limitation is the mode of intervention used if the patient presents in late pathogenic phase. The objective is to prevent the transition of the disease proecess from impairment to handicap. The sequence of events leading to disability and han...
Social & Preventive Medicine
null
b1c1b9bc-4ac2-4775-959e-c2367ca89f96
MRI is the investigation of choice in all of the following complications of CSOM except:
Extradural abscess
Bezold abscess
Coalescent mastoiditis
Cerebral abscess
2c
multi
MRI gives little information in bone disease and is not useful in coalescent mastoiditis' in which CT scan would be the investigation of choice. It shows bone destruction and coalescence of mastoid air cells. In Bezold abscess, size, extent and location of abscess in soft tissues can be appreciated.Similarly, extradura...
ENT
Ear
edf72077-5bc7-4157-aa8a-ff41f348bad1
When launching a study, many respondents are invited, some of whom fail to come, this is called
Response bias
Volunteer bias
Selection bias
Berkesonian bias
0a
multi
.
Social & Preventive Medicine
Epidemiology
9602a861-4056-4800-9bd2-ea8f1e285434
A patient with salicylic acid poisoning has the following arterial blood gas analysis report: pH = 7.12; PCO2 = 18 mmHg; HCO3 = 12 mmol/L. The resulting acid-base abnormality can be best labeled as:
Metabolic acidosis with respiratory alkalosis
Metabolic acidosis with respiratory acidosis
Respiratory acidosis with metabolic alkalosis
Metabolic acidosis
0a
single
Ans. is 'a' i.e. Metabolic acidosis with respiratory alkalosisRef. Harrison 17th/e p 288 & 16th/e p 2591, 266 (15th/e page 284, 286,187)Also see June 2000 Q. No. 94.In patients with salicylate poisoning, initially the acidic metabolites of salicylic acid accumulate and cause metabolic acidosis.This causes the following...
Medicine
Fluid & Electrolyte
da1479d3-dc75-4a01-b255-b11fe5d9fbf1
Which of the following drugs is best for reducing pro teinuria in a diabetic patient?
Metoprolol
Perindopril
chlohiazide
Clonidine
1b
single
ACE inhibitors like lisinopril, perindopril, ramipril and ARBs like losaan, telmisaan could decrease the incidence of diabetic nephropathy by decreasing protein levels in the urine especially albumin They r DOC for diabetes with HTN. Ref: KD Tripathi 8th ed.
Pharmacology
Cardiovascular system
b2e65332-8691-44d0-819c-91eb2c26a32f
Drug of choice for precocious pubey:
Cyproterone acetate
Danazol
Medroxyprogesterone
GnRH agonists
3d
single
Treatment of precocious pubey: Rx the underlying cause Long acting GnRH analogues (Leuprolide)
Pediatrics
Disorders of Pubey
172853cc-506a-4da4-bef0-9295fa1fa79d
Awareness of having a disease is
Insight
Perseveration
Delusion
Incoherence
0a
single
Ans. a (Insight). (Ref. Psychiatry by Niraj Ahuja, 5th ed., 14, 41, 57, 72, 85, 95, 171)Term DefinitionPerseverationis persistent repetition of words beyond their relevance.Verbigerationis senseless repetition of same words or phrases.Delusionsare false unshakable belief in something that is not true.Insightis awarenes...
Psychiatry
Miscellaneous
ec8ce4a8-a881-4e63-a1a9-24b3c710d034
Carbohydrate-related to blood grouping?
Arabinose
Xylulose
Xylose
Fucose
3d
single
The major blood groups of this system are A, B, AB, and O.O type RBCs lack A or B antigens. These antigens are carbohydrates attached to a precursor backbone, may be found on the cellular membrane either as glycosphingolipids or glycoproteins, and are secreted into plasma and body fluids as glycoproteins. H substance i...
Surgery
General surgery
d4a2c9b1-018d-4a49-bd7a-f173c5ad9dae
All of the following factors decrease the minimum alveolar concentration (MAC) of an inhalational anaesthetic agent except
Hypothermia
Hyponatremia
Hypocalcemia
Anemia
2c
multi
MINIMUM ALVEOLAR CONCENTRATION: The MAC of an inhaled anesthetic is the alveolar concentration that prevents movement in 50% of patients in response to a standardized stimulus (eg, surgical incision). MAC is a useful measure because it mirrors brain paial pressure, allows comparisons of potency between agents, and prov...
Anaesthesia
Fundamental concepts
29dc1dd9-b79a-408a-a2b8-89544613b6ce
A 27-year-old patient with a chief complaint of mild veigo of 3-months duration is seen by a neurologist. Examination reveals a positional (horizontal and veical) nystagmus that is bidirectional. The patient repos the absence of tinnitus. Which of the following is the most likely etiology of veigo?
Labyrinthitis
Meniere's syndrome
Lesion of the flocculonodular lobe of the cerebellum
Lesion of the spinocerebellum
2c
single
Pathologic veigo is generally classified as peripheral (labyrinthine) or central (brainstem or cerebellum).The clinical presentation, in this case, is most consistent with central veigo. Positional (especially horizontal) nystagmus (to-and-fro oscillation of the eyes) is common in the veigo of central origin, but absen...
Microbiology
All India exam
bfdd8469-050c-4a06-b4bd-e7047e590ff7
Cephalosporin that does not require dose reduction in patient with any degree of renal impairment is:
Cefuroxime
Cefoperazone
Ceftazidime
Cefotaxime
1b
single
CEPHALOSPORINS These are a group of semisynthetic antibiotics derived from &;cephalosporin-C&; obtained from a fungus Cephalosporium. They are chemically related to penicillins; the nucleus consists of a P-lactam ring fused to a dihydrothiazine ring, (7-aminocephalosporanic acid). By addition of different side chains a...
Pharmacology
Chemotherapy
a302a433-875d-446f-855b-2f8dfc39d874
Germ cell tumor(s) of paediatric includes all except?
Pure yolk sac tumor
Leydig cell tumor
Choriocarcinoma
Embryonal cell carcinoma
1b
multi
Ans. is 'b' i.e., Leydig cell tumor Germ cell tumors o Germ cell tumors, as the name suggests, arise from Primordial germ cells (Precursor germ cells or gametocytes), o Germ cells develops early in life. In growing fetus, germ cells migrate from their point of origin to the gondal area. o Germ cells that still have to ...
Pediatrics
null
598e0602-1fc3-4364-91ff-d6f5a4be0754
Regarding the action of Anti Diuretic Hormone (ADH) all are true, except:
Post operative secretion is more
ADH secretion occurs when plasma osmolality is low
Acts on DCT
Neurosecretion
1b
multi
ADH/Vasopressin is stored in the posterior hypothalamus and is released into the blood stream when the effective osmotic pressure of plasma is increased above 285mOsm/kg. Its secretion is regulated by osmoreceptors located in the anterior hypothalamus. Vasopressin secretion is increased in: Increased effective osmotic ...
Physiology
null
7944f612-642b-4e97-a7ff-2e8f7380548b
The medium of choice culturing yeast form of dimorphic fungi is:
BHI
SDA
SDA with antibiotics
Any medium incubated at 35-37deg C
2c
single
Ans. is 'c' i.e., SDA with antibioticsSDA with antibiotics (Chloramphenicol) is always preferred over plain SDA to avoid bacterial contamination and make it more selective.
Microbiology
Mycology
6dcb3757-04e2-4e4d-82ad-a4a093ddd3ab
True statements regarding DMPA includes all the following except :
3% failure rate
Protects against ovarian cancer
Can be given in women with seizures
Useful in treatment of menorrhagia
1b
multi
Risk of endometrial cancer is substantially reduced by past use of DMPA Noncontraceptive benefits of DMPA:Anemia, PID, Ectopic pregnancy, and Endometrial cancer are repoedDMPA benefits women with sickle cell diseaseRef: Novak and Bereks Gynecology; 15th Edition; Chapter 10
Gynaecology & Obstetrics
Contraception
063bcfd8-17ce-4ff2-9640-d5f11871b53a
Which of the following does not come in contact with anterolateral surface of left kidney?
Spleen
Liver
Stomach
Pancreas
1b
single
A small medial area of the superior pole is related to the left suprarenal gland. Approximately the upper two-thirds of the lateral half of the anterior surface is related to the spleen. A central quadrilateral area lies in contact with the pancreas and the splenic vessels. Above this a small variable triangular region...
Anatomy
null
5fc9ca86-7657-40af-8f42-ac6b9241184b
Which of the following is TRUE regarding classical spontaneous bacterial peritonitis ?
Ascitic fluid neutrophil count is > 250/mm'
Bowel perforation should be present
Multiple organisms are isolated from ascitic fluid
Board-like rigidity is present in abodmen
0a
multi
Spontaneous bacterial peritonitis (SBP) is one of the potentially lethal complications of cirrhosis and is defined as infected ascites in the absence of any recognizable secondary cause of infection. .UGI bleeding and abdominal pain were the most common presenting symptoms of SBP SBP is an acute ascites infection an as...
Medicine
G.I.T
52e42883-d6cb-4ad2-a34c-20900948ffcb
Non specific esterase is positive in all the categories of AML except
M3
M4
M5
M6
3d
multi
Non specific esterase on cytochemistry is strongly positive in M5(acute monocytic leukemia- Schilling type) and M4(acute myelomonocytic leukemia -Naegeli type) which have monocytic component.It is also positive in M3(acute promyelocytic leukemia).But non specific esterase is negative in M6(acute erythroleukemia-Di Gugl...
Pediatrics
Childhood tumors
f1156838-0cdb-4583-b8bf-39448a505f39
A young patient presents with enlargement of costocondral junction and with the white line of fraenkel at the metaphysis. The diagnosis is-
Scurvy
Rickets
Hyperparathyroidism
Osteomalacia
0a
single
*Enlargement of costochondral junction and white line of Frankel are seen both in scurvy and rickets. *However, best answer here is scurvy as white line frankel is seen in healing rickets, not in active rickets. And rickets refers to active disease. ref : maheswari 9th ed
Anatomy
Metabolic and endocrine disorders
009c43cf-5ce9-4e6f-9dc6-130d19eeed65
A 54-year-old woman presents with prominent scattered erythematous papules on the right side of her forehead. She had "burning" pain and hypersensitivity in that area for the past 2 days. Her pain is localized to the right supraorbital area and the right aspect of the dorsum of her nose. She denies headaches, mental st...
Early Cellulitis
Varicella zoster
Giant cell aeritis with ulceration
Erysepalas
1b
single
Woman is suffering from herpes zoster, or "shingles" - a late complication of prior infection with varicella zoster virus. The virus remains latent in the ganglia of sensory nerves after the primary infection. The characteristic shingles rash is always confined to a dermatome and does not cross the midline. Specificall...
Dental
Viral infections
5de00d7a-0cab-4f17-9fc7-5b89e186a30d
Atropine is used in organophosphate poisoning because of its
Reactivate acetylcholinesterase
Compete with acetylcholine release
Binds with both nicotinic and muscarinic acetylcholine receptors
It is competitive antagonist of acetylcholine
3d
multi
Refer kDT 6/e p 106 atropine acts as antagonist in muscarinic receptors. It has no activity on nicotinic receptors and do not interfere with the release of acetylcholine
Anatomy
General anatomy
72d08e62-576f-4568-af0d-b08d3dfc59a5
The major functional difference between DNA and RNA is
RNA contains ribose
DNA carries the information in all living organisms
DNA is localized in nucleus
RNA does not contain thymine
1b
multi
null
Physiology
null
06ac2735-96b1-4ef2-b0c2-cd7b39749e8f
Most "Radiosensitive" Tissue is:
Gonads
Bone-marrow
RBC
GIT epithelium
1b
single
Bone-marrow
Radiology
null
f4d29428-7d26-4ac0-8d6e-106e91127de1
Which of the following drugs is associated with the untoward side effect of renal tubular damage?
Cisplatin
Streptozocin
Methysergide
Cyclophosphamide
0a
single
Cisplatin is a highly emetic and nephrotoxic agent. Streptozocin causes the destruction of β-cells of the pancreas and may result in hyperglycemia. Methysergide can cause retroperitoneal fibrosis on long-term use. Cyclophosphamide can result in hemorrhagic cystitis.
Pharmacology
null
5d3dcce3-bc5c-4014-a53e-7d5c5faaf805
If urine sample darkens on standing, the most likely condition is :
Phenylketonuria
Alkaptonuria
Maple syrup disease
Tyrosinemia
1b
single
Alkaptonuria a condition d/t defective homogentisate 1, 2- dioxygenase (1/t defective tyrosine degradation) usually presents after age of 40 with characteristic triad of Homogentisic aciduria (which blacken/darkens on exposure to air /standing and is strongly Benedict's positive), Ochronosis (i.e black pigmentation of ...
Biochemistry
null
d588dcab-db70-4a04-bd1c-20228f28da86
The different semen in case of gang rape is identified by:-
Acid phosphatase test
Christmas tree stain
PSA
Single photon flourimetry
3d
single
Single photon fluorimetry has been used to differentiate between different semen in a gang rape case TESTS FOR SEMINAL STAINS Creatine phosphokinase test Acid phosphatase testQ Florence testQ (Choline iodide crystals) Barberio's test (crystals of spermin picrate)
Forensic Medicine
Trace evidences
794f3bf4-844d-438f-930b-fcfaa1b35201
Submucosal fibroid is detected by :
Hysteroscopy
Hysterosalpingography
USG (Transabdominal)
All
3d
multi
Ans. is a, b and c i.e. Hysteroscopy; Hysterosalpingography; and USG (Transabdominal) USG * Ultrasound is the main diagnostic tool in case of fibroid.deg It checks the numberdeg, locationdeg and sizedeg of fibroids and helps to reduce overlooking small fibroids during surgery (which might lead to persistence or recurre...
Gynaecology & Obstetrics
null
1fc30362-91fd-424a-9b6e-d3f2f5a7e8f9
The tumor causing polycythemia due to erythropoietin production is -
Cerebellar hemangioma
Medulloblastoma
Ependymoma
Ougodendroglioma
0a
single
<p>The tumors causing inappropriate rise in erythropoietin are renal cell caarcinoma,hepatocellular carcinoma ,cerebellar hemangioblastoma.</p><p>Reference :Harsh mohan textbook of pathology sixth edition pg no 359.</p>
Medicine
Haematology
0960aa1f-42fc-48db-bf36-94d098a4807e
A female with IUCD develops pelvic inflammatory disease. which of the following should be done:
Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCD removal
Sta antibiotic & remove IUCD
Remove IUCD & sta antibiotic
Wait for next menstrual cycle for any intervention
0a
single
Ans. is 'a' i.e., Keep the IUCD, give antibiotic, follow up for antibiotic response & then take decision regarding IUCDremoval If an IUD user receives a diagnosis of PID, the IUD does not need to be removed. However, the woman should receive treatment according to these recommendations and should have close clinical fo...
Gynaecology & Obstetrics
null
ed9da13f-c9c0-401d-87db-696fc9e09ff7
Which of the following culture medium is made by adding Agar:
Solid medium
Liquid medium
Selective medium
Transport medium
0a
single
Ans. (a) Solid mediumRef: Microbiology by Ananthanarayan and Paniker 8th ed. / 39-40GROWING BACTERIAL CULTURES IN LIQUIDNUTRIENT BROTH* Nutrient broth is a liquid bacterial growth medium made of powdered beef extract and short chains of amino acids that have been dissolved in water.* Liquid medium is convenient to use ...
Microbiology
Culture media and method
1d17bad7-792e-4122-a4f1-ff9f32fa1307
Amphiphatic helices are
α helices having predominantly hydrophobic R-groups projecting from one side and predominantly hydrophilic R-groups projecting from the other side of the axis of the helix
Clusters of twisted strands of β sheet
Short segments of amino acids that join two units of the secondary structure
Supersecondary structures
0a
single
Many α helices have predominantly hydrophobic R-groups projecting from one side of the axis of the helix and predominantly hydrophilic R-groups projecting from the other side. These amphipathic helices are well adapted to the formation of interfaces between polar and nonpolar regions such as the hydrophobic interior of...
Biochemistry
null
3ded4e6d-f5b6-4ff1-a91d-7d00e8c6bb7f
In Duke's classification of cancer rectum, B2 denotes -
Growth extends to perirectal fat
Regional nodes involved
Limited to thickness of bowel wall
Hepatic metastasis
2c
multi
null
Pathology
null
6576cf14-bd25-4d13-bf8c-cf1e634d918d
Maximum density of goblet cells is seen in
Superior conjunctiva
Inferior conjunctiva
Temporal conjunctiva
Nasal conjunctiva
3d
single
Goblet cells form the mucus layer of the tear film They are maximum nasally and least superiorly REF:Refer Khurana 6th edition page number 59
Ophthalmology
Conjunctiva
f4cca320-2458-488e-b44c-868116f03d10
Which is the most common cytogenetic abnormality in myelodysplastic syndrome (MDS)?
Trisomy 8
20q-
5q-
Monosmy 7
3d
single
Monosomy 7 is most common cytogenetic abnormality in children whereas 5q - is seen frequently in adults and is very rare in children. Although 5q may be commoner than monosomy 7 in some settings, overall monosomy 7 appears more common. Myelodysplastic syndromes are a group of stem cell disorders with altered hematopoes...
Pathology
null
d7eae1cb-dfc2-4e82-b300-166ee4e8709e
Appendicitis-like syndrome is caused by
Y. pestis
Y. pseudotuberculosis
Pasturella septica
Brucella abois
1b
single
Yersinia enterocolitica: Type 1- Enterocolitis and gastroenteritis; Type 2- mesenteric adenitis and inflammatory terminal ileitis that may mimic appendicitisYersinia pseudotuberculosis: also mimics appendicitisRef: Ananthanarayan 9th edition, p324
Microbiology
Bacteriology
62d24ba7-2223-4392-a811-8065c7838246
Which of the following parameters adds predictive information regarding cardiovascular risk stratification and the measurement of serum cholesterol?
Anti-chlamydia pneumoniae antibodies
C-reactive protein
Homocysteine
Plasminogen activator inhibitor 1
1b
single
Recent studies have demonstrated that markers of inflammation correlate with coronary risk and that inflammation plays a role in atheromatous plaque instability. Elevations of C-reactive protein, (CRP) identify patients at increased risk of myocardial infarction (MI) and poor outcome of acute coronary syndromes. Measur...
Medicine
null
eddb09b4-7e94-4b0a-b8ea-efadc38f2140
Side effects of oxygen therapy are all except:
Absorption atelactasis
Increased pulmonary compliance
Decreased vital capacity
Endothelial damage
1b
multi
B i.e., Increased pulmonary compliance Hyperoxia (oxygen toxicity) may lead to hypoventilation, hypercapnia (but not necessarily hypoxia), absorption atelectasis, decreaed vital capacity, deterioration of pulmonary compliance & blood gasesQ, interstitial edema, pulmonary fibrosis, tonic clonic seizure & retinopathy of ...
Anaesthesia
null
5e4d2fdd-8412-49dc-804a-7207fded32c8
Irresistible urge to do a thing repeatedly is seen in
Obsessive - compulsive disorder
Schizophrenia
Schizoaffective disorder
Depression
0a
single
An obsession is defined as an idea, impulse or image which intrudes into the conscious awareness repeatedly, patient tries to resist against it but is unable to . an obsession is usually associated with compulsion and a compulsion is defined as a form of behaviour which usually follows obsessions,the behaviour is not r...
Psychiatry
Anxiety disorders stress disorders and grief
472c9c79-3263-4324-bbb8-8254948cfd0c
Duret haemorrhage is/are seen in:
Conjunctiva
Middle ear
Endocardium of hea
Brain
3d
single
D i.e. Brain Whiplash injury results from acute hyperextension of cervical spineQ in the region of C4 - C6 veebrae. Coup & Count-re coup lesions are most commonly seen in brainQ. Lucid interval is seen in insanity & epidural haemorrhageQ Fracture - ala - signature / signature fracture is also known as depressed fractur...
Forensic Medicine
null
39130a40-67a1-4dd9-a494-cc1dbfb14eef
CD 19 positive, CD22 positive, CD103 positive monoclonal B-cells with bright kappa positivity were found to comprise 60% of the peripheral blood lymphoid cells on flow cytometric analysis in a 55 year old man with massive splenomegaly and a total leucocyte count of 3.3 x 109/L. Which one of the following is the most li...
Splenic lymphoma with villous lymphocytes
Mantle cell lymphoma
B-cell prolymphocytic leukemia
Hairy cell leukemia
3d
single
Answer is D (Hairy cell leukemia) Presence of massive splenomegaly, and granulocytopenia, alongwith characteristic immunophenotypic features (specially CD103) suggests the diagnosis of Hairy cell leukemia. CD103 is exclusively positive in Hairy cell leukemia and thus leaves no doubt as regards the correct diagnosis.
Medicine
null
83965e8c-d334-49ad-a40a-ff226ba11e09
Most specific marker for myeloid series is
CD 34
CD 45
CD 99
CD 117
3d
single
The markers for myeloid series are CD13, CD33, CD 11b, CD15, CD117 and cMPO. c MPO is the most lineage specific marker amongst these. Regarding other options, CD 34 - Myeloid and lymphoid blasts, stem cells, CD 45 - Leukocyte common antigen (nonerythroid hematopoietic cells), CD 99 - Ewing's sarcoma/primitive neuroecto...
Pathology
Diagnostic procedures
07822661-2aca-4f91-a6b9-3406e2d6b956
Which surgical procedure has the highest incidence of ureteric injury?
Vaginal hysterectomy
Abdominal hysterectomy
Weheim's hysterectomy
Anterior colporraphy
2c
single
The Weheim type of radical hysterectomy for cancer of the cervix is notorious for ureteric injury for which over-dissection of the ureter or accidental injury is most often responsible. Ref: Shaw's Gynaecology, 13th Edition, Pages 180-81; Dutta Gynecology, 4th Edition, Pages 391-92; Management of Common Problems in Obs...
Gynaecology & Obstetrics
null
328dc4a1-e76f-4e5a-b0a2-22cd463dcb00
An 18 year old student complains of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches. The most appropriate clinical approach would be:
Leave him as normal adolescent problem
Rule out depression.
Rule out migraine.
Rule out an oppositional defiant disorder.
1b
single
B i.e. Rule out depressionLet us consider the options one by one. This can be a normal behaviour but use definitely need to rule out of few disorders before reaching this conclusion. Recent studies have suggested a possible correlation b/w migraine and behavioural problems. There is nothing in the question to point out...
Psychiatry
null
403f2990-e071-45f6-a054-0695a148a5e5
Which of the following is FALSE regarding Kishori Shakti Yojana?
Targets pregnant woman
Targets girls in the age group 11 - 18 year
It addresses the needs of literacy and numerical skills
It addresses the nutritional needs
0a
multi
It is a scheme for adolescent girls and is being implemented using the ICDS infrastructure. It targets girls between 11 - 18 years of age. It addresses their needs of self development, nutrition and health state's, literacy and numerical skills, vocational skills etc. Ref: Park, Edition 21, Page - 545.
Social & Preventive Medicine
null
0c16496f-2d57-4e32-9e17-db977170d626
All of the following statements about synovial fluid are true. Except-
Follows Non - Newtonian fluid kinetics
Secreted primarily by type A synovial cells
Contains hyaluronic acid
Viscosity is variable
1b
multi
synovial fluid is plasma transudate from synovial capillaries, modified by secretory activities of type-B synovial lining cells.
Orthopaedics
null
79f45476-3669-45d1-8f9f-226e20d829e4
A 25 year old male was hospitalized with liver cyst due to Echinococcus granulosus. He refused to undergo surgery for removal of cyst. Therefore, albendazole was used at high dose for 3 months. This patient should be monitored for the toxicity to :
Gonads
Kidney
Liver
Peripheral nerves
2c
single
null
Pharmacology
null
efd08e7f-c8a3-4ec4-92e1-8fa9b0479bf6
ln which of the following transmission, meiosis occurs :
Primary to secondary spermatocyte
Secondary spermatocyte to globular spermatid
Germ cells to spermatogonium
Spermatogonium to primary spermatocyte
0a
single
Primary to secondary spermatocyte
Anatomy
null
8e4f61b0-cd26-4647-913d-136f0d3e6e16
Copper-T is preferably inseed postnatal, after:
2 weeks
4 weeks
5 weeks
8 weeks
3d
single
Timings of IUD inseion During menstruation or within 10 days of begining of menstrual period: Best time for IUD inseion Cervical canal diameter greatest, lesser expulsive, least risk of pregnancy. Immediate post-paum inseion: During 1st week after delivery before woman leaves hospital. High chance of perforation High c...
Social & Preventive Medicine
Demography and family planning
938eb978-7b45-469e-a265-ac3e364aaa4e
Consider the following statements regarding thyroid hormones-
Majority of the circulating T3 remains in bound form
Only 50% of the circulating T3 is secreted by Thyroid
TSH estimation is not a sensitive test for diagnosis of primary hypothyroidism
Fatel pituitary-thyroid axis is dependent to a large extent on maternal pituitary-thyroid axis
0a
multi
Thyroid Hormones physiology The thyroid secretes predominantly thyroxine (T4) and only a small amount of triiodothyronine (T3); approximately 85% of T3 in blood is produced from T4 by a family of monodeiodinase enzymes that are active in many tissues, including liver, muscle, hea and kidney. Selenium is an integral com...
Medicine
Endocrinology
2cd4fb6d-17b8-40be-bd3f-2ea92b341648
who gave the concept of la belle indiffernce
seligman
lorenz
freud
bleuler
2c
single
CONTRIBUTIONS OF FREUD o Father of psychoanalysis He founded a type of psychotherapy called psychoanalysis. It is nothing but analyzing the psych(MIND) o Interpretation of dreams According to Freud dreams are royal road to unconscious In dreams several conflicts that are present in the unconscious comes to the consciou...
Anatomy
Treatment in psychiatry
b5988495-d56c-42ab-a01d-3a769711b7cf
Vitamin A is stored in:-
Kupfer cells
Hepatocytes
Ito cells
Endothelial cells of liver
2c
single
HSCs (Hepatic Stellate Cells) are: Pericytes which exist in the space between parenchymal cells and liver sinusoidal endothelial cells of the hepatic lobule. Also called Vitamin A-storing cells, Lipocytes, Interstitial cells, Fat-storing cells or Ito cells, Perisinusoidal cells Store 50-80% of vitamin A in the whole bo...
Biochemistry
NEET 2019
80004ad9-1a07-4bf4-ab19-852425e0b1f6
The best bone graft which can be utilized for reconstruction is:
Costo chondral graft
Calvarial graft
lilac crest graft
Metatarsal bone graft
2c
single
null
Dental
null
54648451-e155-4f8f-87ba-1584183aeb4e
The best parameter for assessment of chronic malnutrition is -
Weight of age
Weight for height
Height for age
Any of the above
2c
multi
parks textbook of preventive and social medicine 23rd edition * height is a stable measurement of growth as opposed to body weight .whereas the weight reflects only the present health status of the child,height indicate the events in the past also. *low height for age also knownn as nutritional stunting or drawfting.it...
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
1d772eff-6181-49b2-baee-8ed7c6574d1e
True about the basic structure of atherosclerosis plaque is ?
Concave pa formed by fibrous cap
Convex pa formed by tunica media of the vessel
Convex pa formed by fibrous cap
Necrotic core contains collagen, elastin and proteoglycans
2c
multi
Ans. is 'c' i.e., Convex pa formed by fibrous cap
Pathology
null
31af59cc-67d0-4056-8338-8f028f26eb5d
Right border of heart is formed by all except -
Right atrium
Rightventricle
SVC
IVC
1b
multi
Ans. is 'b' i.e., Right ventricle o Dont get confused with above question. Most probably this question has been framed by a radiologist. Read following factsi) Right border of heart is formed by (anatomically) - Right atrium.ii) Right border of heart is formed by (on X-ray PA view) - Right atrium (majority), SVC, I VC....
Anatomy
Pericardium & Heart
3abf388a-5cc3-4b14-a00b-d2ddc8fc2740
Rao and Singh's index is?
Age-dependent index
Age-independent index
Age and sex-dependent index
Independent of wt and ht
1b
single
RAO & SINGH'S INDEX: - It is calculated as Weight (in kg) x 100/height2 (in cm) - Normal value: 0.14 - In children with malnutrition: 0.12 - 0.14
Pediatrics
Growth
f0ba3c8f-0f3b-47d4-a3c4-15f6a495f26f
Adult scabies is characterized by?
Involve palm & soles
Involve face
Involve anterior abdomen
All
0a
multi
A i.e. Involve palm & soles
Skin
null
e69da445-8863-4ac0-9d9e-a27d5b9fd260
All are elevators of the larynx except -
Thyrohyoid
Digastric
Stylohyoid
Sternohyoid
3d
multi
Elevators : Primary elevators act directly as they are attached to the thyroid cartilage and include stylopharyngeus, salpingopharyngeus, palatopharyngeus and thyrohyoid. Secondary elevators act indirectly as they are attached to the hyoid bone and include mylohyoid (main), digastric, stylohyoid, geniohyoid. Depressors...
ENT
null
538ef57b-9b58-4be3-b70e-49f492885264
Leukemia associated with Disseminated Intravascular Coagulation is:
Acute lymphocytic leukemia
Acute promyelocytic leukemia
Chronic myeloid leukemia
Chronic lymphoid leukemia
1b
single
Major Disorders Associated With Disseminated Intravascular Coagulation (DIC) Obstetric Complications Abruptio placentae Retained dead fetus Septic Abortion Amniotic fluid embolism Toxemia Infections Sepsis (gram-negative and gram-positive) Meningococcemia Rocky Mountain spotted fever Histoplasmosis Aspergillosis  ...
Pathology
null
2643d26f-638f-4d2c-ad5b-387ff1481556
The effect of morphine which has least tolerance is?
Analgesia
Respiratory depression
Constipation
Bradycardia
2c
single
ANSWER: (C) ConstipationREF: KDT 6th edition page 457Tolerance is exhibited to all actions except meiosis and constipation
Pharmacology
Opioids
7f3d49bb-f723-436b-9c34-de28dfb5e911
Stability of denture can be increased by
V-Y plasty procedure
Z plasty procedure
Both
None
2c
multi
V-Y plasty procedure or Z plasty procedure is used for frenectomy procedure to increase the stability of denture.
Surgery
null
ae711017-66be-45f1-87f0-293e670c88b1
'Meralgia paresthetica' is due to the compression of which off the follwoing nerves?
Medial cutaneous nerve of thigh
Lateral cutaneous nerve of thigh
Sural nerve
Femoral nerve
1b
single
Meralgia Paraesthetica results from compression neuropathy of the lateral cutaneous nerve of thigh. It is also called Bernhardt-Roth syndrome. This nerve can be compressed as it runs through the inguinal ligament, just medial to the Anterior superior Iliac spine. Pain, numbness, tingling and paresthesia localised to an...
Surgery
null
af336b40-2603-4fb5-b889-3d26e32ad926
Example of secondary active transport-
K+ transport
Water Transport
Transport of oxygen
Na+-amino acid transport
3d
single
Ans. is 'd' i.e., Na+-amino acid transport Transport mechanismExamplesSimple diffusionMovement of fats, oxygen, CO2 through lipid portion of membraneFacilitated diffusionMovement of glucose and some amino-acidsOsmosisMovement of water into and out of the cellPrimary active transportIons K+, Na+, Ca++, H+Secondary activ...
Physiology
Transport Across Cell Membrane
4a7e2645-fa04-4e3a-9527-db58296dee3d
Microscopic examination of a specimen shows 'Schiller-Duval bodies'. This most probably will have:
Seminoma
Choriocarcinoma
Yolk sac tumor
Embryonal carcinoma
2c
single
Yolk sac tumor only occurs as a pure tumor in young males (at about 3 years of age). In adults, yolk sac tumors are pa of mixed germ cell tumors. One characteristic feature of yolk sac tumor is Schiller-Duval bodies, which resemble endodermal sinuses. Schiller-Duval bodies have a capillary at the core and are surrounde...
Gynaecology & Obstetrics
null
a84f80bb-febe-49d3-8290-4ecda820da87
Pre-anaesthetic medication is given to ?
Reduce anxiety and fear
Reduction of secretion of saliva
To prevent undesirable reflexes
All of the above
3d
multi
Ans. is 'd' i.e., All of the above Preanaesthetic medication Premedication (Preanaesthetic medication) refers to the use of drugs before anaesthesia to make it more pleasant and safe. The aims are : Relief of anxiety and apprehension preoperatively and to facilitate smooth induction. Amnesia for preoperative and postop...
Anaesthesia
null
65c4d2d3-b886-48c3-b65f-bd9098894659
Rate limiting step in facilitated diffusion?
Availability of contranspo
Conformational change in transpoer
Synthesis of carrier protein
Polarization of solute
1b
multi
Ans. is'b'i.e., Conformational change in transpoer(Ref: Essentials of membrane Biophysics p. 25I).The relative slowness of the rate constant for conformational change reorienting the Solute-unoccupied transpoer (Step-4) makes it the rate-limiting step in the process of facilitated diffusion.
Physiology
null
e11e0a84-54e0-4678-9060-26a198f5bce8
Fixed performance device is –
Ventury mask
Nasal cannula
Simple mask
Non rebreathing mask
0a
single
Ventimask (venturi mask) is a fixed performance (high flow) oxygen delivery device. Nasal cannula, non-rebreathing mask (Hudson mask) and simple mask are variable performance (low flow) devices.
Anaesthesia
null
8a0b0d9a-79c0-4f79-9880-e590026bad08
Hemivertebra is a defect of:
Body
Transverse process
Spine
Posterior vertebral arches
0a
single
Ans. A. Bodya. Vertebral bodies mainly develop from ventral sclerotome (VS) and thus hemivertebra is a defect of VS.b. Hemivertebra can lead to defects in the vertebral column - scoliosis.c. Posterior vertebral arches (PVA) contribute mainly to the lamina & spines. PVA are contributed by the dorsal sclerotome.
Anatomy
Thorax
d518d93d-6d27-499d-bdd9-68814eeef581
Not a metabolic product of urea cycle-
Citrulline
Ornithine
Alanine
Arginine
2c
single
Biosynthesis of urea occurs in five steps. 1) Carbamoyl phosphate synthase-I (CPS-I), a mitochondrial enzyme, catalyzes the formation of carbamoyl phosphate by condensation of CO2 and ammonia. Two molecules of ATP are required for the reaction. CPS-I is the rate-limiting enzyme of the urea cycle. It is an allosteric e...
Biochemistry
null
2b7b3a5f-af45-4cb8-a84f-72959bb9bdf1
A patient was operated for forearm fracture under general anesthesia under tourniquet. Following surgery, he was unable to move his fingers and there was sensory loss over the whole hand. Most common type of injury is:
Neuropraxia
Axonotmesis
Neurotmesis
None of the above
0a
multi
Ans. A. NeuropraxiaTourniquet paralysis is usually Neuropraxia. Application of tourniquet may press on all the nerves passing beneath it, resulting in mostly neuropraxia.
Orthopaedics
Peripheral Nerve Injuries
feccd93c-1c40-4e26-84af-a0e4849eb878
Most common source of error in a false positive finding of dental caries is:
Cervical burnout
Fluorosis
Dental pigmentation
All of the above
0a
multi
Although this can be caused by a variation in the morphology of the tooth, the most common source of error is the misinterpretation of cervical burnout as dental caries. Cervical burnout produces an artifact that mimics a carious lesion near the cementoenamel junction (CEJ) area of the tooth. As the X-ray beam meets th...
Radiology
null
2efc4520-cef6-49ab-8eac-ff9557b543b8
Tophi in gout found in all regions except
Prepatellar bursae
Muscle
Helix of ear
Synol membrane
1b
multi
Ans. is 'b' i.e., Muscle Location of Tophi They are classically located along the helix of the ear. Can also be seen in :- Fingers Toes Prepattelar bursa Olecranon Although gout typically cuases joint inflammation, it can also cause inflammation in other synol-based structures, such as bursae and tendons. Tophi are col...
Medicine
null
74cebd18-4025-4732-b117-fde9b4d81453
A mother comes with her 3 year old female child with complain of that child is not eating anything. Her weight is 11 kg (50th percentile) and height is 88 cm. (75th percentile). What should be done next –
Vitamin rich tonic to be given
Forceful eating
Nothing should be done actively and assure the parent
Complete investigation for UTI
2c
single
"Allowable normal range of variation in observation, is conventionally taken between 3'd and 97th percentile curves"  -Ghai This female child has weight (50 th percentile) and height (75th percentile) in normal range of variation (3rd-97th percentile). So, nothing should be done actively and the parent should be assur...
Pediatrics
null
3f70d001-441a-4b6e-8499-b4120fb5f56d
Fornication and delusion of persecution, both are together seen in -
LSD psychosis
Amphetamine psychosis
Cocaine psychosis
Cannabis psychosis
2c
multi
This question is tricky one as tactile hallucination (fornication) and delusion of persecution are seen both in cocaine as well as amphetamine abuse. Read the question carefully, examiner has asked about the presence of fornication and delusion of persecution together. In amphetamine abuse these two do not occur togeth...
Forensic Medicine
null
52cb9242-2bc1-4e8f-9a9f-6651a0674322
Lingual tonsils arise:
As developmental anomalies
From carcinomatous transformation
As a result of hyperplasia
Due to repeated trauma in the area
0a
single
null
Pathology
null
ddcf5f2f-c9a2-4c2e-ba72-904e1c5e2b78
IUCD must not be used in a woman with-
Genital herpes with severe non-purulent discharge
Pelvic tuberculosis
AIDS on ARV therapy
Recto-vaginal fistula
1b
single
Pelvic tuberculosis is an absolute contraindication for IUD inseion. Absolute contraindications for IUD Relative contraindications for IUD Suspected Pregnancy PID Vaginal Bleeding of undiagnosed etiology Ca Cervix,Uterus or Adnexa and other pelvic tumours Previous Ectopic Pregnancy Anaemia Menorrhagia History of PID si...
Social & Preventive Medicine
Natural Methods, Barrier Methods, IUDs, OCPs
2af68c98-1f39-4900-b275-515bebed135f
All enveloped helical RNA viruses belong to one large group, which includes all of the following except:
Influenza
Parainfluenza
Mumps
Herpes
3d
multi
Ans. d. Herpes
Microbiology
null
92e6d38b-7f7b-480d-b81e-07533d8f24d8
Which toll like receptors are involved in action of bacterial endotoxins -
I
II
III
V
1b
single
Ans. is 'b' i.e., II o Ten different mammalian Toll like receptors (TRRs) have been identified --> TLR 1 to 10. o TLRs are involved in responses to widely divergent types of molecules that are commonly expressed by microbial but not mammalian cells. TLR Microbial ligand molecules Peptidoglycan of Gram (+)ve bacteria zy...
Pathology
null