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135
81c90529-2161-4cdf-84ef-ff43d8e0e7b6
Type IIIB Endometrial cancer (FIGO) is
Endometrial cancer invading cervical stroma
Endometrial cancer with vaginal involvment
Endometrial cancer involving uterine adnexa
Endometrial cancer invading Pelvic lymph nodes
1b
single
null
Gynaecology & Obstetrics
null
9aa280ee-800a-4d0d-a1a6-a35e45a10d29
Secondary Polycythemia may be seen in:
Cor pulmonale
Congestive cardiac failure
Acyanotic congenital hea disease
All of the above
0a
multi
Answer is A (Cor pulmonale): Secondary polycythemia due to decreased tissue oxygenation may be seen in chronic corpulmonale. Polycythemia may also be seen in association with cyanotic congenital hea diseases. Physiologically Appropriate Polycythemia Physiologically inappropriate polycythemia (Secondary to decreased tis...
Medicine
null
79202c53-4f02-49ab-ac97-475b1219e301
Most definitive diagnosis of sinusitis is
X-ray PNS
Proof puncture
Sinuscopy
Transillumination test
2c
single
Sinuscopy or Diagnostic nasal endoscopy is the most appropriate investigation.The classical feature is the presence of mucopus in the middle meatus or above the middle meatusA more appropriate investigation would be CT scan of the nose and PNS.Ref: Hazarika; 3rd ed; Pg 331
ENT
Nose and paranasal sinuses
d86a75a0-2453-4cf4-a309-330d5a3bbdc3
Intravenous regional anaesthesia is contraindicated in
Sickle cell disease
Thalassemia
Hereditary spherocytosis
G6PD deficiency
0a
single
As tourniquet application can precipitate sickling and hypoxia, IVRA is contraindicated in sickle cell anemia.
Anaesthesia
null
895cbaf3-f475-4170-83fb-c3ac1e880b8c
Coverings of spermatic cord are all except ?
Internal spermatic fascia
Cremasteric fascia
External spermatic fascia
Daos muscle
3d
multi
Ans. is 'd' i.e., Daos muscleThe spermatic cord consists of a tubular sheath extending from the deep inguinal ring to the upper pa of posterior border of testis. Constituents of spermatic cord are ?Ductus deferens (Vas deferens)Aeries :- Testicular aery, cremestric aery, aery to ductus deferens.Veins :- Pampiniform ple...
Anatomy
null
35a35502-e061-433b-b3a1-d92c46f15496
BCG vaccine in HIV (+) newborn is:
Contraindicated
Double dilution
Half dilution
Dose double
0a
single
Ans (a)BCG vaccine should not be given to infants and children with active HIV disease. Babies born to mother with AFB positive spectum should not be given BCG at birth, but only after a course of preventive chemotherapy.
Microbiology
Bacteria
a6bb24d6-9850-4755-8805-48c7e673cd31
A person is diagnoses with pulmonary embolism invasive modality for diagnosis is -
Venous ultrasonography
Pulmonary angiography
CT
MRI
1b
single
Ans. is 'b' i.e., Pulmonary angiography o The definitive diagnostic for pulmonary thromboembolism is pulmonary angiography.o It is the most specific investigation for pulmonary> thromboembolism but it is expensive time consuming and invasive,o Therefore chest CT with contrast has virtually replaced angiography as the d...
Medicine
Pulmonary Embolism
946868d8-9927-4cc0-9f25-1fd9cf8f5418
Wof is an immunosuppressant that acts by inhibiting mTOR and is non nephrotoxic
Azathioprine
Tacrolimus
Sirolimus
Rapamycin
2c
single
mTOR INHIBITORS Sirolimus This new and potent immunosup-pressant is a macrolide antibiotic (like tacrolimus), which was earlier named Rapamycin. Mech of action:- It binds to immunophillin FKBP and the sirolimus-FKBP complex inhibits kinase called 'mammalian target of rapamycin' (mTOR). uses:- 1)For prophylaxis and ther...
Pharmacology
Immunomodulators
c4e826d7-647a-42f7-a687-b4fcdd5b5008
Which of the following Osteotomy is carried out for mandibular deformity
Inverted 'L' Osteotomy
'C' Osteotomy
Intraoral sagitall split Osteotomy
All of the above
3d
multi
null
Surgery
null
16edd80b-d637-48f9-94e7-0f645b257705
Paramesonephric duct develops into:
Vas deferens
Seminal vesicle
Ureter
Uterus
3d
single
Ans. D. Uterus MaleFemaleMesonephric ductDuct of epididymisDuct of epoophoron(Wolffian duct)Ductus deferensPart of bladder and urethra Ejaculatory duct Part of bladder and prostatic urethra (Paramesonephric or Mullerian duct)Appendix of testisUterine tube Prostatic utricleUterus Vagina
Gynaecology & Obstetrics
Obstetrical Anatomy
329f4086-c777-4455-9ff0-79e80575784a
True about immunoglobulins-
IgE has maximum serum concentration
IgG has maximum serum concentration
IgA has minimum serum concentration
IgM has minimum serum concentration
1b
multi
null
Microbiology
null
7f280242-ffab-48b0-b914-4363c54b43c0
Toxin involved in the streptococcal toxic shock syndrome is:
Pyrogenic toxin
Erythrogenic toxin
Hemolysin
Neurotoxin
0a
single
Streptococcal TSS is caused by pyrogenic exotoxin. Ref: Text Book of Microbilogy By Ananthanarayan, 8th Edition, Page 208-209 ; Harrison's Principles of Internal Medicine, 14th Edition, Page 889, 15th Edition, Page 903
Microbiology
null
da329f21-34db-46ee-86d7-dadd692f8868
Radiopharmaceutical used for the liver scan is
Tc-99m sulphur colloid
Tc-99m mebrofenin
Tc-99m MIBI
Tc-99m DTPA
0a
single
Tc-99m sulphur colloid is used in liver scan.Tc-99m DTPA measurement of GFR.Tc99m-sestamibi is taken up by cells with a high concentration of mitochondria i.e. highly cellular/metabolically active tissues such as the hea but also abnormal tissues such as oxyphil cell parathyroid adenomas, myeloma and breast cancer.
Radiology
GIT and hepatobiliary system
c51d0052-17e9-4bc9-8383-1f8aaa2de323
From which of the following routes absorption of local anaesthetic is maximum?
Intercostal
Epidural
Brachial
Caudal
0a
single
Ans. is 'a' i.e., Intercostal According to miller "The greater the blood supply to the area injected, the greater is the systemic absorptionSites of absorption from greatest to least include:-Intrapleural > intercostal > pudendal > caudal > epidural > brachial plexus > infiltration.
Anaesthesia
Miscellaneous (Local and Regional Anesthesia)
567628cd-b703-47c4-a7d9-a89890b445b0
Atypical pneumonia is caused by all except
Mycoplasma
Adeno virus
Chlamydia
Hemophilus
3d
multi
Haemophilus influenza causes lobar pneumonia .it is one of the frequent cause of fatal pneumonia in the pandemic of influenza in 1918 _1919 where as atypical pneumonia is not as serious as typical pneumonia Ref:anantnarayan and paniker's microbiology 10th edition
Microbiology
Bacteriology
376581cf-6d0e-4111-ba2f-80d966b0f64d
A 28 year female patient presented with history of bilateral hearing loss and tinnitus. She can hear better in noisy environment. Examination showed intract ear drums bilaterally and Rinne test is negative bilaterally. Pure tone audiometry given below. What is the most probable diagnosis?
Meniere's Disease
Endolymphatic fistula
Stapedial otosclerosis
Vestibular schwannoma
2c
multi
Ans. (c) Stapedial otosclerosisRef: Logan Turners ENT 11th Ed; Page No-464Otosclerosis* Most commonly seen in third decade, i.e. 20-30 years of age.* Most commonly seen in females, with a ratio of 2:1.* It is most commonly seen in white peoples.* The most common site origin of otosclerosis is fissula ante fenestrum.* I...
ENT
Ear
3bcd6b57-0434-4a90-8102-e129fc1e7cf9
Select the false statement about P. jiroveci?
It is seen in only immunocompromised individuals
Frequently associated with CMV
May be associated with pneumatocele
Diagnosed with sputum microscopy
1b
multi
Ans. is 'b' i.e., Frequently associated with CMV Lets see each option one by one. Robbin's Option 'a' - See following statements of Topley's mycology; "Pneumocystis are found in low number in the lungs of mammalian hosts with intact immune system and in more abundance in homeotherms with compromised immune status". "A ...
Microbiology
null
9ebccb1c-687b-4031-ae37-436c0450d4e4
Capacitance of sperms takes place in
Seminiferous tubules
Epididymis
Vas deference
Uterus
3d
single
Sperm is the male reproductive cell in the sexual reproduction. Capacitation is the penultimate step in the maturation of mammalian spermatozoa and is required to render them competent to feilize an oocyte. This step is a biochemical event; the sperm moves normally and looks mature prior to capacitation. In vivo, this ...
Physiology
Endocrinology
69d34d76-8d26-492e-a0d1-50a9c22a7a6f
Complication which commonly accompanies acute prostatitis -
Epididymitis
Orchitis
Seminal vesiculitis
Sterility
2c
single
• Acute inflammation of prostate associated with UTI • Caused by ascending urethral infection or reflux of infected urine into prostatic ducts • MC organism: E. coli • Patients present with sudden onset high grade fever with chills and rigors, severe irritative symptoms and enlarged, tender and boggy prostate • Cathete...
Surgery
null
29269e38-1995-4ea5-8711-5aa3e23869b0
An 18-year-old female passenger injured in a rollover car crash was rushed to the emergency department. After the patient is stabilized she undergoes physical examination. She demonstrates considerable weakness in her ability to flex her neck, associated with injury to CN XI. Which of the following muscles is most prob...
Iliocostalis thoracis
Sternocleidomastoid
Rhomboid major
Rhomboid minor
1b
single
The iliocostalis thoracis muscle is found in the deep back and functions to maintain posture. It is not associated with neck flexion. The sternocleidomastoid muscle is innervated by CNXI and functions in contralateral rotation and bilateral flexion of the neck. Rhomboid major and minor are both innervated by the dorsal...
Anatomy
Upper Extremity
0ce21cea-db71-4aad-bd80-f8299f82169f
Which of the following statements about Cushing's disease is true?
Serum adrenocoicotropin (ACTH) levels usually are low
Pituitary microadenoma usually is present
There is a high incidence of nonendocrine tumors
Nonsuppression of coisol production by the high-dose dexamethasone suppression test is a characteristic finding
1b
multi
Cushing's syndrome is due to increased adrenal coisol production, regardless of aetiology.Cushing's disease usually is caused by a pituitary microadenoma producing high adrenocoicotropin (ACTH) levels.In most patients, coisol levels would be suppressed as a result of the high-dose dexamethasone suppression test.Transsp...
Microbiology
All India exam
d7d496ac-5807-403f-bf2f-8ea8e21b2ed5
Intractable secondary glaucoma is seen in:
Diffuse iris melanoma
Nodular iris melanoma
Melanocytic deposits in anterior part of iris
Melanocyte proliferation in posterior uveal tissue
0a
single
Ans. (a) Diffuse iris melanomaRef: Surgical Pathology of Head & Neck p. 1935Intractable secondary glaucoma may also occur in cases of blunt trauma due to anteriorly dislocated lens setting caught in the pupil.Iris melanoma(malignant neo plasms that arise from neuroectodermal melanocytes with in the Iris)Circumscribed/n...
Ophthalmology
Uveal Tract
092bb26b-405d-409c-96b4-509ab4014460
A normally developing 10 months old child should be able to do all of the following except _________
Stand alone
Play peak to boo
Pick up a pellet with thumb and index finger
Build a tower of 3-4 cubes
3d
multi
the child is able to make tower of 2 blocks by 15 months and tower of 3 blocks by 18 months. Ref: OP GHAI - ESSENTIAL PEDIATRICS - 8 TH edition page no 50
Pediatrics
Growth and development
3afe29f0-2f63-4d40-9f28-2068b3c8b68c
Trench mouth is caused by
β - hemalytic streptococci
Borrelia vincenti
Epstein Barr virus
Diphtheria
1b
single
null
ENT
null
660d1904-8eb1-4399-9d9c-9bd07a441316
A child with pyoderma becomes toxic and presents with respiratory distress. His CXR shows patchy areas of consolidation and multiple bilateral thin walled air containing cysts. The most likely etiological agent in this case is:
Mycobacterium TB
Staph aureus
Mycobacterium avium intracellulare (MAC)
Pneumocystis jiroveci
1b
multi
b. Staph aureus(Ref: Nelson's 20/e p 2088-2093, Ghai 8/e p 379-381)The given chest X-ray finding is suggestive of pneumonia with pneumatoceles, seen in infection due to Staph aureus.
Pediatrics
Respiratory System
3a8461f3-aa07-4dd5-89d4-3a401d701d90
For most molar anchor teeth, retainer used is:
W56
W7
W8
W4
0a
single
null
Dental
null
c994e2a7-87c4-4396-9688-3a062c15bc52
Locard’s principle is concerned:
Theory of relativity
Theory of decomposition
Theory of trauma
Theory of exchagnge
3d
single
Ref. Textbook of forensic medicine. Krishnan Vij. Page. 302   Locard Principle: When any two objects come into contact, there is always a transfer of material from each object on the other. Some examples are fingerprints, footprints,hair, tool marks etc.
Unknown
null
98d72f63-ca49-42ac-a301-034db712388a
Most common ovarian tumor
Serous cystadenoma
Choriocarcinoma
Teratoma
Fibroma
0a
single
Ans. (a) Serous cystadenoma(Ref: Robbins 9th/pg 1023)*Most ovarian tumors are surface epithelial (65-70%)*Serous cystadenoma is the most common surface epithelial tumor
Pathology
Female Genital Tract
d2fbae43-2e86-4e55-8dcd-730439ee9c13
Best diagnostic aid in blunt trauma abdomen is -
CT scan
4 quadrant aspiration
Peioneal lavage
Ultrasound
3d
single
Ans. is 'd' i.e., Ultrasound
Surgery
null
0648d1c0-2723-41b4-8580-93423c3e811e
Which of the following lipids is found exclusively in mitochondria?
Cephalin
Phosphatidylserine
Cardiolipin
Phosphatidylinositol
2c
single
Cardiolipin Is a Major Lipid of Mitochondrial Membranes Phosphatidic acid is a precursor of phosphatidylglycerol, which in turn gives rise to cardiolipin. This phospholipid is found only in mitochondria and is essential for the mitochondrial function. Decreased  cardiolipin levels or alterations in its structure or met...
Biochemistry
null
2b1986d5-0c62-466a-91e0-31b4dbb5aa2b
Lateral repositioning flap is done for
gingival recession
high frenal attachment
increasing the width of attached gingiva
shallow vestibule
0a
multi
null
Dental
null
eee6144a-9a77-4dd7-94c6-64f461421689
A 20 yr old girl presents with 9 month history of neck swelling with thyrotoxicosis symptoms. On investigation increased T4 and decreased TSH with palpable 2 cm nodule was found. Next investigation will be
USG
Thyroid scan
Radioactive iodine uptake
CT scan
1b
single
In clinical cases of thyroid nodule, Thyroid profile (T3 T4 TSH) is done. If TSH is low, thyroid scan is done to see if nodule is hot or cold. If TSH is low or normal, ultrasound followed by FNAC is done Source :Sabiston 20 th edition Pg 890
Surgery
Endocrinology and breast
8dab6439-dbff-471f-846f-0f5c84f93ff9
Investigation of choice for Hydrocephalus in infants ?
Cranial USG
CT Scan
MRI
X-ray skull
0a
single
Brain imaging Imaging tests can help diagnose hydrocephalus and identify underlying causes of the symptoms. These tests may include: Ultrasound. Ultrasound imaging, which uses high-frequency sound waves to produce images, is often used for an initial assessment for infants because it&;s a relatively simple, low-risk pr...
Pediatrics
Central Nervous system
350a37e4-377c-41ba-9724-310a6002eec5
A pt. presented with renal cell carcinoma invadving IVC and the renal vein. False statement is ?
Preop biopsy is not necessary
IVC involvement indicates inoperability
Pre op radiotherapy is not essential
Chest x-ray should be done to rule out pulmonary metastasis
1b
multi
Ans. is 'b' ie. IVC involvement indicates inoperability A renal cell carcinoma that has spread to renal vein, IVC or even upto the thorax (hea) is operable. A preop biopsy is not necessary as a RCC is the most common malignant neoplasm of kidney (90 - 95%) and any solid renal mass is considered to be RCC until unless p...
Surgery
null
6b637bca-5962-401b-9799-60fec3343407
Commonest neurological tumour associated with NF-2:-
Acoustic neuroma
Optic glioma
Cafe-Au-Lait macules
Meningioma
0a
single
NF is a type of genetic condition Gene Chromosome Protein Features NF 1 17 Neurofibromin - Cafe-au-lait-macules (CALM) NF 2 22 Merlin -Vestibular Schwannoma (Acoustic neuroma): commonest neurological tumour. -Giant Neurofibromas, Meningioma - Axillary Freckling
Dental
FMGE 2018
1da6386b-e6b8-4cef-af55-fdb380869829
Tumor seen exclusively in parotid:
Wahin tumor
Pleomorphic adenoma
Mucoepidermoid
Adenoid cystic carcinoma
0a
single
Wahin Tumor: Viually restricted to the parotid gland More common in Male; Smoking is most impoant risk factor EXTRA EDGE: Most common salivary gland tumor - Pleomorphic Adenoma. Most common Benign salivary gland tumor - Pleomorphic Adenoma MC Primary malignant salivary gland tumor - Mucoepidermoid carcinoma. Adenoid cy...
Pathology
DNB 2018
934a9a89-1d6e-4be2-9962-99a01cce5cc2
Unna boot is used in treatment of
Fracture of ankle joint
Calcaneum fracture
Varicose ulcer
Diabetic foot ulcer
2c
single
null
Orthopaedics
null
c0714db8-f3b7-4880-a895-829a1ca99063
Hypochloremia, hypokalemia and alkalosis are seen in?
Congenital hyperophic pyloric stenosis
Hirschsprung's disease.
Esophageal atresia
Jejunal atresia
0a
single
Ans is 'a' i.e. Congenital hyperophic pyloric stenosis Biochemical abnormality in congenital hyperophic pyloric stenosis is a regular feature of AIIMS and AI examinations it has been repeated several times. The biochemical abnormalities seen are: ( I ) Hypokalemia (3) Alkalosis and (2) Hypochloremia (4) Paradoxical aci...
Surgery
null
2c32c23c-b3bf-475b-8306-3430701b1712
Axillary abscess is safely drained by which approach
Medial
Anterior & posterior circumflex humeral
Floor
Lateral
2c
single
Axillary abcess should be incised through the floor of axilla, midway between the anterior and posterior axillary folds,and nearer to the medial wall in order to avoid injury to the main vessels running along the anterior,posterior and lateral walls.
Anatomy
null
5b915b5d-3499-4e95-b3d0-ed3a9a698877
Anti HIV drug used for prevention of vertical transmission -
Nevirapine
Lamivudine
Efavirez
Tenofovir
0a
single
Ans. is 'a' i.e., Nevirapine Treatment during pregnancyo HIV infected mother can transmit the virus to fetus/infant during pregnancy, during delivery or by breast feeding,o Early diagnosis and antiretroviral therapy to mother and infant significantly decrease the rate of intrapartum and perinatal transmission (vertical...
Pharmacology
Anti-Viral
20604413-1578-43e5-a9b3-836d94ba53b9
Thump print sign in the abdominal radiograph indicates which of the following conditions?
Ischemic colitis
Crohn's disease
Pseudomembranous colitis
All the above
3d
multi
The thump print sign is seen in Inflamatory bowel disease (Ulcerative colitis, Crohns), infectious colitis (amoebic, pseudomembranous), ischaemic bowel disease and diveiculitis. The sign is a result of haustral mucosal thickening in most of the cases.
Surgery
null
e1fc3d9a-a2f1-40f7-af79-4db8d840552c
Alcohol dependence is associated with all of the following except
Anxiety disorder
Dementia
Sexual dysfunction
Alcohol amotivational syndrome
3d
multi
Amotivational syndrome is seen with chronic cannabis abuse.
Psychiatry
null
1c4a90d6-9fb9-4af8-82f0-f8b17523f120
A patient presented in casualty with a history of sudden paplitation, sensation of impending doom and constriction in his chest. This lasted for about 10-15 minutes after which he became all right. The diagnosis is likely to be:
Phobia
Personality disorder
Generalized Anxiety disorder
Pannic attack
3d
multi
D i.e. Panic attack Feeling of impending doom with sympathetic symptoms (chest discomfo/pain/constriction, anxiety apprehension, breathlessness, sweating, palpitations, tremors etc.) of sudden onset and lasting for few minutes are diagnostic of Panic attackQ. - In generalized anxiety disorder, there must be a period of...
Psychiatry
null
b5406864-f3bc-4053-92c3-a6de01530ce4
The cough response caused while cleaning the ear canal is mediated by stimulation of:
The V cranial nerve
Innervation of external ear canal by C1 and C2
The X cranial nerve
Branches of the VII cranial nerve
2c
single
Auricular branch of vagus nerve provide innervation of the external auditory canal. So mechanical stimulation of ear canal while cleansing it cause stimulation of this nerve branch of vagus nerve and may induce cough. The auricular branch of vagus nerve passes through the mastoid canaliculus and through a space between...
ENT
null
814eb5ab-fd48-460c-a791-53501fcd2259
All of the following can cause methemoglobinemia except-
Prilocaine
Benzocaine
Nitroglycerine
Bupivacaine
3d
multi
Methemoglobinemia is a rare but potentially life - threatening complication that may follow theadministration of ceain drugs that causes oxidation of hemoglobin to Methemoglobin. Drugs whichcause this - prilocaine benzocaine, rarely Lignocaine, nitroglycerine, Phenytoin sulphonamide.
Anaesthesia
Regional Anesthesia
f2c3bcb0-5bd9-48a5-90a5-11b1632a1f50
Amine hormone is ?
Insulin
Glucocoicoid
PTH
Thyroxine
3d
single
Ans. is 'd' i.e., Thyroxine
Physiology
null
4e9b8c2c-3599-4b04-9655-cb891a61d598
Darkening of urine on standing is associated with
Alkaptonuria
Cystinuria
Fabry's disease
Tyrosinemia
0a
single
Alkaptonuria is caused by defect of the enzyme homogentisate 1,2-dioxygenase(homogentisic acid oxidase).The disorder comes to attention due to change in colour of urine to brownish black/ staining of diapers.The urine becomes dark on standing,especially if the pH of urine is alkaline,due to the presence of homogentisic...
Pediatrics
Metabolic disorders
10c89805-08ba-468c-877d-0eb2b9423a39
Extravascular hemolysis causes -
Hemoglobinemia
Hemosiderinuria
Jaundice
All
2c
multi
null
Pathology
null
6b09287c-b9b3-4214-bb81-9c45b6b9bd99
Which of the following is most strongly associated with coronary hea disease?
Apolipoproteins
VLDL
HDL
Totallipoproteins
0a
multi
Apolipoprotien B (major LDL protien) is better predictors of CHD. Ref-Park&;s textbook of Preventive and Social Medicine 24th edition.
Social & Preventive Medicine
Non communicable diseases
71578fcf-b514-42ab-a0c8-07d9937b50a8
A 19 year old boy fell from the motorbike on his shoulder. The doctor diagnosed him as a case of Erb's paralysis. All of the following signs and symptoms will be observed in this boy, EXCEPT?
Loss of abduction at shoulder joint
Loss of lateral rotation
Loss of pronation at radioulnar joint
Loss of flexion at elbow joint.
2c
multi
Due to Erb's paralysis there is damage of biceps brachii and supinator due to which there is loss of pronation of forearm. It is associated with loss of abduction at shoulder joint, loss of lateral rotation and loss of flexion at elbow joint and is not associated with loss of pronation at radioulnar joint.Erb's paralys...
Anatomy
null
6f796142-482f-4156-9811-61f55dd7b2e0
Svere myopathy commonly is a side effect of
Rosuvastatin
Nicotinic acid
Ezetimibe
Colesevelam
0a
single
ESSENTIALS of medical PHARMOCOLOGY SEVENTH EDITION KD TRIPATHI Page :636,637 Impoant statins are :lovastatin Simvastain, pravastatin, rosuvastatin etc Rosuvastatin This is the latest and the most potent statin (10 mg rosuvastatin :::::. 20 mg atorvastatin), with a plasma tlh. of 18-24 hours. Greater LDL-CH reduction ca...
Pharmacology
Other topics and Adverse effects
fa1db88b-cd77-44f5-9e03-897ba2a37810
In a young female of reproductive age with regular menstrual cycles of 28 days ovulation occurs around 14th day of periods. When is the first polar body extruded
24 hrs prior to ovulation
Accompanied by ovulation
48 hrs after the ovulation
At the time of feilization
0a
single
A i.e. 24 hours prior to ovulationEvent In OogenesisTime periodMaximum number of germ cell (Oogonia & few oocyte) - 7 million are found by5th month (prenatal)All oogonia become atretic and only primary oocyte surrounded by follicular cell (k/a primordialfollicle) remain by7", month (prenatal)All primary oocyte have sta...
Anatomy
null
91a4b0ea-310b-4655-b4f7-733ebaf5804d
Basophilic stippling is seen with
Thalassaemia
Sickle cell anemia
Megaloblastic anemia
Splenectomy
0a
single
i.e. (Thalassaemia) : (292-Harsh mohan 6th) (658-H17th/6th)Punctate basophilia or basophilic stippling is diffuse and uniform basophilic granularity in the cell which does not stain positively with Perl's reaction (in contrast to pappenhamer bodies which stain positively)Examples -* Aplastic anaemia* Thalassaemia* Myel...
Pathology
Blood
0ed3ede0-9389-4bdf-a1e5-c9d5fe935bc4
Which is the WRONG way to apply dam using a wingless clamp?
Put the clamp on the tooth
Place the dam on the tooth with fingers, and then position the clamp over it
Attach the dam over the clamp and frame outside the mouth, then put the assembly over the tooth using clamp holders OVER the dam.
Attach the dam over the clamp and frame outside the mouth, and then put the assembly over the tooth using clamp holders UNDER the dam.
2c
single
null
Dental
null
665c3491-7982-4e75-8d24-5c791bd29cf7
Thumb print sign is seen in: March 2011
Crohn's disease
Deal carcinoma
Ischemic colitis
Lymphoma of colon
2c
single
Ans. C: Ischemic colitis Earlier features of intestinal ischemia seen on abdominal radiographs include bowel wall edema, known as "thumb printing". Radiological signs in GIT: Thumb printing sign: Ischemic colitis Bird of prey sign: Sigmoid volvulus Double bubble sign (X-ray abdomen): - Annular pancreas - Duodenal atres...
Radiology
null
bf3f5204-fcc0-46ed-a644-414b23b1fdef
Endothelium activation refers to -
Aberration of anatomy of vessel wall
Irreversible changes in functional state of vessel wall
Smooth muscle proliferation
Increased expression of adhesion molecules for leukocyte recruitment
3d
multi
Ans. is 'd' i.e., Increased expression of adhesion molecules for leukocyte recruitment o Vascular endothelium in its normal, unactivated state does not bind circulating cells or impede their passage,o In acute inflammation, the endothelium is activated and can bind leukocytes as a prelude to their exit from the bloodve...
Pathology
Miscellaneous (Blood Vessels)
46354617-2c12-4b35-be52-0f58c85782ad
An amoebic liver abscess can be diagnosed by demonstrating-
Cysts in the sterile pus
Trophozoites in the pus
Cysts in the intestine
Trophozoites in the feces
1b
single
Exploratory puncture is one of the most practical methods for confirming the diagnosis of amboebic liver abscess. The aspirated pus may be examined for the demonstration of trophic forms (trophozoites) of E. histolytica. Aspirations from the center of amoebic liver abscess do not show trophozoites, while aspirates from...
Microbiology
null
d5d5045e-5143-462e-bbd9-ff6208dddd9a
Carboxylases requires -
Vitamin B12
Folic acid
Niacin
Biotin
3d
single
Ans. is 'd' i.e., Biotin o Biotin is a coenzyme for carbon dioxide fixation reactions.o It serves as prosthetic group of ATP-dependent carboxylase, i.e., in carboxylation reactionQ,o It acts as coenzyme tor acetyl-CoA carboxylaseQ, propionyl-CoA carboxylaseQ, pyruvate carboxylaseQ and metbylcartonyl-CoA carboxylase.
Biochemistry
Mechanisms of Enzyme Action
9ec12699-fe6d-40a1-965b-db246ee5ad11
Mechanism of action of sulfonamide is?
Inhibit bacterial cell wall synthesis
Inhibits translocation of mRNA
Inhibits folate synthesis
Inhibits bacterial respiration
2c
multi
Ans. is 'c' i.e., Inhibits folate synthesis Sulfonamides are bacteriostatic and act by inhibiting folic acid synthesis by inhibiting enzyme folate synthatase.
Pharmacology
null
4852dd25-ebe3-4198-b88f-1360cb325152
Osteoradionecrosis results from:
Infection, trauma, radiation
Radiation, trauma, infection
Trauma, radiation, infection
None of the above
1b
multi
null
Radiology
null
cf1d1c90-8224-4bb8-b075-5e257c3dcf7a
All are true about Net protein utilization (NPU) except
Defined as Nitrogen retained by Nitrogen consumed X 100
1 gram protein is equivalent to 1 gram Nitrogen
Good for estimating protein quality
Egg has the highest NPU value
1b
multi
• 1 gram of proteins is equivalent to: 6.25 grams Nitrogen • NPU of India diets: 50-80
Social & Preventive Medicine
null
0ce83d8e-363e-4fff-bc24-7d480ea68165
Following vasectomy for family planning, a patient should be advised to use some other method of contraception, till :
Removal of all sutures
Pain completely subsides
Two weeks
None
3d
multi
None
Gynaecology & Obstetrics
null
62494723-8451-4c3b-9c18-f9b020a63570
The structures passing posterior to diaphragm are all except:
Aoa
Azygous vein
Thoracic duct
Greater splanchnic nerve
3d
multi
D i.e. Greater splanchnic nerve
Anatomy
null
b218a6ff-3bfb-428f-857a-7f6de3d87271
True about acid phosphatase is ?
Acts at pH 8-9
Prostate isoform is taarate resistant
Erythrocyte isoform is inhibited by cupric ions
All of the above
2c
multi
Acid phosphataseAcid phosphatase (ACP) hydrolyzes phosphoric acid esters at pH 5-6.It is found in different isoforms in prostate, spleen, liver, erythrocytes, platelets and bones. Prostatic and erythrocyte isoform can be differentiated by ?i) Prostatic isoform is inhibited by taarate (taarate sensitive), whereas erythr...
Biochemistry
null
7129c530-5c65-4e5c-a90b-19a7dfaaab51
Which is not a dietary fiber ?
Lignin
Lactulose
Pectin
Cellulose
1b
single
Ans. is 'b' i.e., LactuloseDietary fibres (Review) Dietary fibre consists of unabsorbable cell wall and other consititutents of vegetable food like celluloseQ, lignin, hemicellulosee, gums, pectinsdeg, aliginates and other polysaccharides.In herbivorous animals, intestinal microoganism breakdown these polysaccharides i...
Biochemistry
null
67827206-8695-439b-8acc-dde9e7eb4dff
RNA polymerase does not require :
Template (ds DNA)
Activated precursors (ATP, GTP, UTP, CTP)
Divalent metal ions (Mn2+, Mg2+)
Primer
3d
single
D i.e. Primer
Biochemistry
null
12f94e6e-10b3-44b0-bf3f-138ee297c7b0
The protein in the GBM responsible for charge dependent filtration is
Albumin
Collagen type IV
Fibronectin
Proteoglycan
3d
single
Glomerular basement membrane contains: a. Collagen type IV b. Laminin c. Polyanionic proteoglycans (responsible of charge-dependent filtration) d. Entactin e. Fibronectin f. Sialoglycoprotein coating on endothelial and visceral epithelial cells. Ref: ROBBINS BASIC PATHOLOGY 10th ed Pg no: 551
Pathology
Urinary tract
e5cb89ab-5bbe-4e7f-a1c1-3a6dd86dd003
Which is the most impoant prognostic marker in ALL?
Leucocyte count >50000
Hyperploidy
Response to treatment
Organomegaly
2c
multi
Response to treatment is the most impoant prognostic marker in ALL. Leucocyte count> 50000/ul Poor prognosis Hyperploidy Favorable prognostic factor Response to treatment Remission status at 14 days of chemotherapy is best guide to prognosis. Organomegaly Poor prognosis. Lymph node, liver, spleen and testis enlargement...
Medicine
AML & ALL
a0b35bf5-98a5-4f11-9cd2-528476d6cbdd
A patient complains of knee pain. Routine investigations are unremarkable and still, the patient is unsatisfied. Urine turns black on standing, what is the enzyme involved?
Homogentisate oxidase
Xanthine oxidase
Methyl malonate oxidase
Phenyl pyruvate oxidase
0a
single
Alkaptonuria - Due to deficiency of Homogentisate dioxygenase/ oxidase (requires Iron) Fresh urine is normal in colour On standing or on exposure to air - turns Black - Homogentisic acid accumulated - get oxidised - gives rise to Black urine - Homogentisic acid gets polymerized in body forming ALKAPTON BODIES, which ge...
Pediatrics
NEET Jan 2020
8f0e1a44-996c-4d95-ac95-105fbbdb5736
Minimum pneumothorax is best seen in which of the following view (chest x-ray)?
Lordotic view
Right lateral view
Left lateral view
Chest x-ray in complete expiration
3d
single
A pneumothorax is, when looked for, usually easily appreciated. Typically they demonstrate: visible visceral pleural edge is seen as a very thin, sharp white line. no lung markings are seen peripheral to this line.
Physiology
All India exam
b390caa1-84cc-46dd-8aeb-8a4e3cfbbb4c
Calculate GCS of 25 old head injury patient with following parameters confused,opening eyes in response to pain ,localising pain response to pain
6
11
12
7
1b
single
Glasgow coma scale: Eye opening Best verbal response Best motor response Response Score Response Score Response Score Spontaneously 4 Oriented and Converses 5 Obeys commands 6 To verbal stimuli 3 Disoriented and converses 4 Localises pain 5 To pain 2 Inappropriate words 3 Flexion- withdrawal to pain 4 Never 1 Incompreh...
Surgery
All India exam
c1d28c2f-2713-4781-921d-76eed2d1463a
The nerve supply to pronator muscle of distal radioulnar joint is :
Median nerve
Ulnar nerve
Anterior interosseous nerve
Posterior interosseous nerve
2c
single
Pronator of proximal radioulnar joint - Pronator teres (median nerve). Pronator of distal radioulnar joint - Pronator quadratus (anterior interosseous nerve).
Anatomy
null
6b2f8217-46c6-4e5f-8684-dbbaa46a98d6
Acquire IgA deficiency may occur in ?
Severe Congenital toxoplasmosis
Severe Measles infection
Severe Brucellosis
Severe Leptospirosis
0a
single
Severe Congenital toxoplasmosis Block in B cell differentiation due to defective interaction between T and B cells. Naive B cells are not able to differentiate into IgA - producing cells.
Microbiology
null
0ddf3989-776a-4623-bd72-2a1693b0b16c
Which category of ICD is associated with mood disorders?
F0
F1
F2
F3
3d
single
Ans. is 'd' i.e., F3 International classification of disease-10 (ICD-10)o ICD -10 is WHO classification for all diseases and health problems (and not only psychiatric disorders). ICD-10 uses alpha numeric code made of an alphabet (in contrast DSM-IV uses numerical coding) - 'F' is for mental disorders. There are 10 mai...
Social & Preventive Medicine
Miscellaneous
495c46c1-b480-45aa-96bb-fe95e064d2a3
True about intertrochanteric fracture
> 1 inch shortening
> 1 inch lengthening
Tenderness in scarpa's triangle
< 45 degree external rotation of limb
0a
multi
null
Orthopaedics
null
88b9e21e-380b-4921-b420-d0dfc516837d
Influenza is caused by which virus -
Paramyxovirus
Orthomyxovirus
Bunyaviridae
Togaviridae
1b
single
Ans. is 'b' i.e., Orthomyxovirus DNA virusesPoxviridaeVariola, vaccinia, cowpox, monkeypox, tanapox, molluscum contagiosumHerpesviridaeHSV-1, HSV-2, varicella-zoster, EBV, CMV, HTLV-1, RK-virusAdenovirideAdenovirusParvoviridaeParvovirus, Adenosatellovirus, DensovirusPapovaviridaePapilloma \4rus (HPV), PolyomavirusHepad...
Microbiology
Virology
e0fec2c5-ddc6-44c1-b5e0-b41bf96137f2
'Whip-lash' Injury is caused due to-
A fall from a height
Acute hyperextension of the spine
A blow on top to head
Acute hyperflexion of the spine
1b
multi
* Whiplash Injury is caused by sudden unexpected hyperextension of cervical spine followed immediately by flexion. <img alt="" src=" /> Ref: Apley's 9th/e p.820
Anatomy
Spinal injuries
d190fe02-76e4-49b4-bbf5-bc3cfe129ad2
Increase in height in first year is by –
40%
50%
60%
75%
1b
single
At birth, the average height of a child is 50 cm.             During first year height increases about 50% of birth height (25 cm).
Pediatrics
null
0fce4709-52c5-4717-80a9-956f48216267
The pre-malignant condition with the highest probability of progression to malignancy is
Dysplasia
Hyperplasia
Leuoplakia
Erythroplakia
3d
single
Incidence of malignant change in erythroplakia is 17- fold higher than in leukoplakia.
Surgery
null
90375327-d079-465e-b701-95c18f927451
Hemoglobin unlike myoglobin showsa) Sigmoid curve of oxygen dissociationb) Positive cooperativityc) Hills coefficient of oned) None of above
ac
ab
ad
bc
1b
multi
Hb-O2 dissociation curve- Sigmoid shape Co-operativity- Hb is a tetramer. If one molecule of O2 binds to the tetramer more easily if other O2 is already bound.   Hills coefficient of Hb- 2.8
Physiology
null
7195909e-bcd7-49a0-911d-08fbd12c6a7a
Not an Ideal Candidate for inseion of IUCD
Have normal menstrual periods
No history of PID
Has at least one child
Cancer Cervix
3d
single
The Ideal IUCD candidateThe planned parenthood federation of America has described the ideal IUCD candidate as a woman:who has born at least one childhas no history of pelvic diseaseis willing to check the IUCD tailhas access to follow up and treatment of potential problems, andis in a monogamous relationshipRef: Park ...
Social & Preventive Medicine
Demography and family planning
bd266e66-a71c-4c99-9aec-b775f7223524
A 32 year old male with painless lymph node in cervical region. Lymph node biopsy shown normal thyroid gland features. The thyroid is normal on palpation clinically. The diagnosis is
Lateral aberrant thyroid
Papillary carcinoma thyroid
Follicular carcinoma thyroid with metastatic lymph nodes
Anaplastic carcinoma
1b
multi
Thyroid tissue present in cervical lymph nodes in the face of a clinically normal thyroid gland is a metastasis from an occult primary thyroid carcinoma Occasionally, a metastatic papillary thyroid cancer manifests as a painless lateral neck mass that is clinically detected before detecting the primary thyroid lesion. ...
Surgery
Endocrinology and breast
ca13a82e-7978-4817-be45-acd2f797deb4
Tourette is a disorder of
Attention deficit
Tics
Autism
Mental retardation
1b
single
Tourette's disorder(Gilles de la Tourette) - combined vocal and multiple motor tic disorder. presence of both multiple motor and one or more vocal tics (>1 year) Onset <18 years involuntary, spasmodic, stereotyped movement of small groups of muscles; seen most predominantly in moments of stress or anxiety Ex: Nose twit...
Psychiatry
All India exam
899b017e-2364-4501-b772-c64e47e292f5
All of the following radiologic features are seen in patients with chronic cor pulmonale, except
Prominence of pulmonary aery segment
Kerley's B lines
Dilatation of the main pulmonary aeries
Attenuated pulmonary vessels in lateral one third of the lung fields
1b
multi
Diagnosis of Chronic cor pulmonale:Chest X-rayECGECHORight ventricular hyperophyRight atrial dilatationProminent pulmonary aeryPeripheral lung fields show reduced vascular markingsFeatures of hyperinflation: Widened intercostal space, increased translucency of lung and flattened diaphragm. Right ventricular hyperophy R...
Medicine
All India exam
2a0023f6-c4b3-4143-b4df-288431ec314b
Osgood schlatter disease is osteochondritis of ?
Tibial tuberosisty
Lunate
Calcaneum
Navicular
0a
single
Ans. is 'a' i.e., Tibial tuberosity
Surgery
null
d3c4006e-171a-4908-9af8-1c9b67f10fde
A male neonate is born with an omphalocele (shown in Figure below). This entity can be distinguished from gastroschisis, because in an omphalocele, the protrusion is:Giant omphalocele in a newborn male.
Not covered by a sac
A defect in the abdominal musculature
Associated with an umbilicus attached to the abdominal wall musculature
Associated with partial or complete malrotation of the bowel
3d
multi
In omphalocele (see figure below), the swelling is covered by a membrane formed by the peritoneum, Wharton's jelly, and amnion. The membrane is transparent, and underlying intestine can be seen. The other features listed are characteristic of gastroschisis. In gastroschisis, the protrusion is not covered by a membrane ...
Surgery
Hernia
4b122166-7e01-453d-a28d-896b95c9c028
Xeroderma pigmentosum is caused due to defect in: (Repeat)
Base pair
Nucleotide excision repair
Mismatch repair
Translocation
1b
single
Ref: Chapter 7. Neoplasia; page: 275; Robbins and Cot ran Pathologic Basis of Disease: 8t>? editionExplanation:* Defective DNA - repair syndromes are set of syndrome due to defect in DNA repair genes and resultant DNA instability.* These are autosomal recessive in inheritance and include:Xeroderma pigmentosumBloom synd...
Pathology
Cytogenetic Disorders
c39e905d-7eff-44d4-8255-0079e74828d3
A 23-year-old individual who believes in megavitamins therapy develops a severe headache, fundoscopy reveals papilloedema. The likely cause for this problem is
Vitamin B12 intoxication
Vitamin A intoxication
Vitamin E intoxication
Vitamin K intoxication
1b
single
null
Medicine
null
120f0df5-d2e8-485d-8f24-f50b45c17ae9
Which of the following transmits the Internal Carotid aery?
Foramen ovale
Foramen lacerum
Foramen spinosum
Foramen rotundum
1b
single
ForamensStructuresCribriform plate of ethmoidOlfactory nervesOptic foramenOptic nerve, ophthalmic aery, meningesSuperior orbital fissureOculomotor, trochlear, and abducens nerves; ophthalmic division of trigeminal nerve; superior ophthalmic veinForamen rotundumMaxillary division of trigeminal nerve, small aery and vein...
Anatomy
All India exam
51181250-90e8-407c-9853-8fab29a64d15
Which of the following compounds acts as a benzodiaz epine antagonist?
Flumazenil
Naloxone
Furazolidone
Naltrexone
0a
single
A specific BZD antagonist flumazenil is used for BZD poisoning ,it is a BZD analogue which has little intrinsic activity (no effect on normal subject), but competes with BZD agonist as well as inverse agonist for BZD receptor &reverse its effect . Ref: KD tripathi 8th ed.
Pharmacology
Central Nervous system
095b6bbe-cd69-434e-82a0-9f1ff27967a6
Structures Passing Through The Foramen Marked in the Diagram are all EXCEPT?
Spinal accessory nerve
Spinal cord
Veebral venous plexus
Veebral aery
1b
multi
The Structure Marked is Foramen Magnum Lower pa of medulla oblongata (not the spinal cord) passes through posterior pa of foramen magnum, and veebralaeries are transmitted through the subarachnoid space in foramen magnum Ref : BD chaurasia
Anatomy
All India exam
b4fd053c-6aa1-49e5-bb01-4aefbcb872c4
70 year old man with cervical lymphadenopathy.What can be the cause -
Nasopharyngeal carcinoma
Angiofibroma
Acoustic neuroma
Otosclerosis
0a
single
Ans. is 'a' i.e., Nasopharyngeal carcinoma o Among the given options only nasopharyngeal carcinoma is a common cause of cervical nodes in 70 years male,o Information in this question :i) Cervical adenopathy (Neck node) Most common presentation of nasopharyngeal carcinoma.ii) Type B tympanogram Indicates serous otitis m...
ENT
Pharynx
ca581498-2aba-4daf-8561-7900cc3684e9
Vi antigen is present in all except-
S.typhi
S.paratyphi A
S.paratyphi C
S.dublin
1b
multi
Vi antigen is present in all except S.paratyphi A. Vi Antigen: It is the surface polysaccharide envelope or capsular antigen covering the O antigen. Expressed in :- S.typhi, S. paratyphi C, S. dublin and some strains of Citrobacter freundii. When Vi antigen is present, it renders the bacilli inagglutinable with the O a...
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
74f8bcd1-57bc-4b6a-9816-f22f87aef869
Child having long history of hemoglobin 5 gm% next step?
Blood transfusion
CBC,reti count with periphesal smear.
Sta Iron
Hb elechophoresis
1b
multi
Ans. is 'b' i.e., CBC,reti count with peripheral smear In above question, if child is stable, then no need to give blood transfusion. Before staing Iron, we have to rule out types of anemia as Iron is indicated only in nutritioral anemia. Hb ele ctrophoresis is indicated if there is featuer of hemolytic anemia (thalass...
Pediatrics
null
86f53dbf-591a-4e58-beea-37369112da8a
Serum alkaline phosphatase levels increases in:
Hypothyroidism
Carcinoma of prostate
Hyperparathyroidism
Myocardial infarction
2c
single
Ans. C. HyperparathyroidismSerum alkaline phosphatase is increased in hyperparathyroidism, rickets, obstructive jaundice and Paget's disease.
Biochemistry
Enzymes
bc0be6bb-40ea-4455-a903-ef81a0268d84
Which of the following is true regarding the trophozoite of E. histolytica?
Has eccentric karyosomes
Presence of bacteria inside
Has four nuclei
Shows erythrophagocytosis
3d
multi
Ans. (d) Shows erythrophagocytosis Differntial features of intestinal entamoede Features E. histolytica E. hamanni E. coli Trophozoite Size (pm) 12-60 4-12 20-50 Motility Motility Active Sluggish Pseudopodia Finger shaped, rapidly extruded Finger shaped, rapidly extruded Sho, blunt, slowly extruded Cytoplasm Clearly de...
Microbiology
null
c386102d-8ad4-4ec0-a762-14d20a84e1b7
You have diagnosed intrinsic asthma in a patient and is explaining to him regarding his illness. He has no family history of asthma. All the following are true regarding intrinsic asthma, EXCEPT:
Patients with intrinsic asthma may be allergic to aspirin
Emphysema is common
IgE levels are normal
Dander is the commonest allergen
3d
multi
Intrinsic asthma is a non atopic condition and so no allergen is detected. The onset in during adulthood and family history may be absent. No preceding allergic illness may be evident and unlike extrinsic asthma it has no association with chronic bronchitis or nasal polyp. Ref: Harsh Mohan Pathology Quick Review, 4th E...
Pathology
null
57806d84-8003-48c4-a41d-781179b580ff
A 40 year old presenting with dizziness on standing with systolic reduction of BP of 50mm Hg;appropriate treatment -a) Graded compression stockingsb) Salbutamolc) Fludrocortisoned) β-blockers
a
bc
ac
b
2c
single
null
Medicine
null
553586eb-4e08-4bb9-81f5-e2c4b82d56c9
Root Value of Pudendal Nerve is:
S1S2S3
S2S3S4
S3S4S5
L5S1S2
1b
single
Ans. B. S2 S3 S4 The pudendal nerve (Root Value S2 S3 S4 ) is the main nerve of the perineum. It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the ext...
Anatomy
Lower Extremity
29ad87d7-6845-4b55-9f24-97c17e11ee78
Budd chiari syndrome can be caused by -
Thrombosis of hepatic veins
Polycythemia
Drinking Herbal tea
All
3d
multi
Ans. is 'd' i.e., AllBudd-chiari syndrome o Budd-chiari syndrome is the clinical picture caused by occlusion of the hepatic vein or inferior vena cava.o It presents with classical triad of abdominal pain, ascites and hepatomegaly.Causes of Budd-chiari syndromeHepatic vein thrombosisMyeloproliferative disorders (Polycyt...
Pathology
null