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135
a91606e8-cd58-4502-8de0-4fa8365930c5
Insulinoma is most commonly located in which pa of the pancreas
Head
Body
Tail
Equally distributed
3d
multi
Viually,all insulinomas are located in the pancreas and tumors are equally distributed with the gland Bailey & Love ,26th,788.
Surgery
G.I.T
3e115372-d73e-4606-a2e5-8041beceb76b
Difference between acute and chronic pancreatitis is?
Acute pancreatitis has reversible changes
Alcohol causes only acute pancreatitis
Chronic pancreatitis shows no signs of inflammation]
Acute pancreatitis affects mainly younger population
0a
single
ANSWER: (A) Acute pancreatitis has reversible changesREF: Harrison's 18th ed chapter 313Chronic pancreatitis is a disease process characterized by irreversible damage to the pancreas as distinct from the reversible changes noted in acute pancreatitis. The condition is best defined by the presence of histologic abnormal...
Surgery
Pathophysiology - Acute Pancreatitis
9f78a3cf-c64c-461c-908c-bbfe5f885174
Tinea incognito is seen with -
Steroid treatment
1% BHi3
5% permethrin
Antibiotics
0a
single
Tinea incognito- coicosteroid modified tinea. Clinical features: topical coicosteroids will suppress the inflammation , less visible lesions. Raised margins will be diminished scaling is lost and inflammation is reduced. Concentric rings with steroid induced erythema , atrophy telengiectasia are seen . Iadvl textbook o...
Dental
Fungal infections, Scabies, Pediculosis
c67a5ffe-6cf8-4246-83a9-2dcf486e8af0
Color of the normal gingiva is
Pink
Red
Coral pink
None of the above
2c
multi
null
Dental
null
09bde39a-49d5-449d-97c6-e20d4529ae8c
Guddu, a 5–year–old female was brought to the emergency with fever, headache and confusion. A provisional diagnosis of bacterial meningitis was made. The baby developed a severe allergic reaction to penicillin aroud six months back. She was admitted and intravenous antibiotics were started. Few days later her investiga...
Gentamicin
Chloramphenicol
Doxycycline
Vancomycin
1b
multi
null
Pharmacology
null
1a122417-34c3-4c3e-9642-962cac2702d8
Which of the following will be LEAST useful in treating Obsessive Compulsive Disorder?
Clomipramine
SSRI's
Cognitive behavioral therapy
Systematic desensitisation
3d
single
(D) Systematic desensitisation # SSRIs are drug of choice. Fluoxetine, fluvoxamine, paroxetine, sertraline have been approved for OCD# Antidepressants: Some patients may improve dramatically with specific serotonin reuptake inhibitors (SSRIs). Clomipramine (75-300 mg/day), a non specific serotonin reuptake inhibitor (S...
Psychiatry
Miscellaneous
266c0685-8f9e-4763-9f91-cddfbb7f7cc9
MC cause of intermittent stridor in a 10-day-old child sholy after bih is:
Laryngomalacia
Foreign body
Vocal nodule
Hyperophy of turbinate
0a
single
Laryngomalacia is the most common cause of inspiratory stridor in neonates. The stridor in case of laryngomalacia is not constantly present, rather it is intermittent. So laryngomalacia is also the M/C cause of intermittent stridor in neonates.
ENT
null
6b3e23b9-f6c3-4df0-87e2-f42c7bd90f4f
The term "balanced anaesthesia" has been given by?
Simpson
Fischer
Lundy
Moan
2c
single
Ans. is 'c' i.e., Lundy Term 'balanced anaesthesia' was introduced by Lundy in 1926. Balanced anaesthesia The cardinal feature of general anaesthetics are : ? Loss of all sensations, especially pain Sleep (unconciousness) and amnesia Immobility and muscle relaxation Abolition of reflexes In modern practice of balanced ...
Anaesthesia
null
e9b60794-62a1-4b9c-a02d-41cd28f5ca5c
Focal and diffuse thickening of gall bladder wall with high amplitude reflections and 'comet tail' aifacts on USG suggest the diagnosis of:
Xanthogranulomatous cholecysitis
Carcinoma of gall bladder
Adenomyomatosis
Cholesterolosis
2c
multi
C i.e. Adenomyomatosis - Adenomyomatosis of gall bladder is chracterized by diffuse (generalized), segmental (annular) or localized hyperplastic muscular wall thickeningQ, mucosal overgrowth and intramural diveicula/crypts/or sinus tracts (so called Rokitansky-Aschoff Sinuses). It characteristically pesents with comet ...
Radiology
null
72f4c110-d7dd-49b8-ab1a-32ffd14d6faf
A 42-year-old woman is admitted to the emergency department after a fall from the balcony of her apartment. During physical examination there is an absence of heart sounds, reduced systolic pressure, reduced cardiac output, and engorged jugular veins. Which condition is most likely characterized by these signs?
Hemothorax
Cardiac tamponade
Hemopneumothorax
Pneumothorax
1b
multi
Cardiac tamponade is a condition in which fluid accumulates in the pericardial cavity. It can result from pericardial effusion or from leakage of blood from the heart or proximal portions of the great vessels. The increased pressure within the pericardial sac leads to decreased cardiac filling during diastole and there...
Anatomy
Thorax
f5c1b1fd-bdf7-4bcd-bb3b-8148c4cd1445
CT findings of acute pancreatitis are all except:
Dilatation of pancreatic duct
Fuzzy outline of pancreas
Parapancreatic fluid collection
Edematous pancreas
0a
multi
Ans. Dilatation of pancreatic duct
Radiology
null
4688afb9-1453-40b5-bcad-7f29455fcce4
In considering the process of eruption, the pre-functional eruptive stage of a tooth begins when the:
Bud stage begins
Cap stage begins
Bell stage begins
Dental lamina begins forming
3d
single
The dental lamina serves as the primordium of ectodermal portion of deciduous teeth. The permanent molars arise directly from a distal extension of dental lamina.
Dental
null
1bd6357e-9075-4c38-9338-fe3757ad2b08
Superficial thrombophlebitis is seen in: March 2005
AV fistula
Raynaud's disease
Buerger's disease
Aneurysm
2c
single
Ans. C: Buerger's disease Risks for superficial thrombophlebitis include: Chemical irritation of the area Disorders that involve increased blood clotting Infection Pregnancy Sitting or staying still for a prolonged period Use of bih control pills Varicose veins Superficial thrombophlebitis may be associated with: Abdom...
Surgery
null
18c14d87-6efb-4ecc-9ac7-fe1db2f0a41b
Moschcowitz repair is done for
Vault prolapse
Enterocoele
Chronic inversion of uterus
Adenomyosis
1b
single
In Moschcowitz repair, several purse string sutures staing from below are used to obliterate the cul-de-sac of the pouch of Douglas. Care should be taken not to include the ureter in the stitch. Ref: Shaw's Textbook of Gynaecology,18th edition, p342.
Gynaecology & Obstetrics
All India exam
bd43a04e-24cd-41ea-9989-c6ec27068250
Bull's neck is characteristically seen in:
Hamaoma of Lung
Diphtheria
Glaucoma
Hepatic Candidiasis
1b
multi
Faucial diphtheria : commonest type of diphtheria. Characterized by fever, sore throat, pseudo membrane over fauces. Cervical adenitis with sub-mandibular edema is called bull neck.
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
d3dcbf18-0daf-4185-8d1b-0984095e9536
Watson and Crick are associated with -
Discovery of helical structure of DNA
Association of Helicobacter pylon with chronic gastritis
Discovery of HIV virus
None of the above
0a
multi
They proposed the double hellical model of DNA
Pathology
General pathology
9bc7ff9f-f829-4e66-b0c0-ee09e4e5ad03
All of the following statements are TRUE about second generation antihistaminic agents EXCEPT:
These do not impair psychomotor performance
These possess high anti-motion sickness activity
These lack anticholinergic actions
These may possess additional antiallergic mechanisms
1b
multi
1st generation 2nd generation Cross BBB, cause sedation Donot cross BBB, no sedation Ach blockade, anticholinergic side effect occur No Ach blockade Useful for - Motion sickness - Drug induced parkinsonism - Muscular dystonias - Allergy Useful only for allergy Promethazine, diphenhydramine, diphenhydrinate, phenramine,...
Pharmacology
Histamine, 5-HT and PGs
6a697011-88fa-4273-880a-fdd9d28f4771
Venous drainage of esophagus is into the:
Azygous and inferior thyroid veins
Azygous, inferior thyroid and left gastric veins
Azygous, inferior thyroid and right gastric veins
Superior thyroid, inferior thyroid veins, azygous and hemi-azygous veins
1b
single
Ans. b. Azygous, inferior thyroid and left gastric veins
Anatomy
null
470826f4-16d4-4456-bb98-c5b3067fe328
Example of multiphasic screening is
Chest X-ray for TB on large population
Annual health check up
Pap smear in old females
Mammography in all young females
1b
multi
Multiphasic screening: It is the application of two or more screening tests to a large population at one time instead of carrying out separate screening tests for single diseases.Randomised control studies suggested that multiphasic screening has not shown any benefit accruing to the population in terms of moality and ...
Social & Preventive Medicine
Screening
33fcddc1-0637-4b7c-8e97-11509e58c8ca
Least useful for a 800-m run in a competitive event would be
Oxidative phosphorylation
Pale muscle fibres
Lohmann reaction
Muscle glycogen
0a
single
800-m run would be over in about 2 min, and it would need a quick burst of activity of the muscle rather than a slow and sustained activity for prolonged periods. Option A: Oxidative phosphorylation generates ATPs in a slow and sustained manner for a low-intensity muscular activity that continues for prolonged periods ...
Physiology
Muscle
4fa6d10b-88db-48f0-bca6-d3ae9bbb9b70
Role of marijuana in AIDS-related cachexia?
Euphoric
Psychostimulator
Increases appetite
Decrease emetic feeling
2c
single
Ans:C- Increases appetiteMarijuana or cannabis sativa contains the active principle tetrahydrocannabinol (THC), which has an appetite stimulant effect.While marijuana derivatives do not appear to reverse cachexia, they could potentially form pa of a combination treatment for wasting.For example, cannabinoid drugs might...
Psychiatry
null
74773879-f784-47eb-aa88-4a61a52f592a
Cytoprotectant among the following is
Minocycline
Oxytetracycline
Amifostine
Doxycycline
2c
single
Amifostine:It is used as a cytoprotectant(Radioprotectant) in anticancer chemotherapy.Ref: Sharma and Sharma 3rd ed/pg 877
Pharmacology
Antibiotics
82cb9f1e-8ca8-4609-8c02-208fba5e70a4
A 22 year old female presents with diy way papules in the seborrheic areas especially in the summer. Her father also gives a h/o similar lesions. What is the most probable diagnosis?
Pemphigus foliaceus
Keratosis pilaris
Darier's disease
Seborrheic dermatitis
2c
multi
It is also known as Keratosis follicularis with autosomal dominant inheritance.
Skin
null
1af0b2c9-6a1a-4b69-a142-3a190a095b1d
Most commonly gas used in Laparoscopy is
Oxygen
Carbondioxide
Nitrous oxide
Room air
1b
single
B. i.e. (Carbon - dioxide) (560 - Dutta 4th) (217- Shaw's 14th)* Pneumoperitoneum - Most commonly used gas is carbon dioxide (1L - 4L)* For diagnostic purposes nitous oxide or room air or oxygen can be used* CO2 is safer than air and nitrous oxide which can cause air embolism and accidental explosion respectively* The ...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
a3273a33-bae8-4cc0-99b6-bfbb7416921a
Which of the following amino acid is involved in the synthesis of ceramide?
Serine
Tyrosine
Arginine
Threonine
0a
single
Ceramide is synthesized in the endoplasmic reticulum from the amino acid serine. Ceramide is an impoant second messenger regulating pathways such as apoptosis, cell cycle, cell differentiation and senescence. Sphingomyelins are formed when ceramide reacts with phosphatidylcholine to form sphingomyelin plus diacylglycer...
Biochemistry
null
9bc4d68d-f6fb-4eba-9137-c00ef858373d
Structures passing through the lateral part of superior orbital fissure are all except:
Lacrimal nerve
Trochlear nerve
Oculomotor nerve
Frontal nerve
2c
multi
null
Anatomy
null
4ac47f50-2f52-4596-8b14-b0f21b2687a3
True about Bidutamide is?
Binds to androgen receptor
Causes gynecomastia
It can be given as monotherapy in prostatic carcinoma
All are true
3d
multi
ANSWER: (D) All are trueREF: Cancer Chemotherapy and Biotherapy: Principles and Practice by bruce A. Chabner, Dan L. Longo Page 679, Goodman Gillman's 11th ed p. 1021ANDROGEN RECEPTOR ANTAGONISTS(Flutamide, Bicalutamide, and Nilutamide)* Bicalutamide is an oral non-steroidal anti-androgen used in the treatment of prost...
Pharmacology
Sex-Hormone
00403daa-2518-42a1-b213-39faa13b6144
Shoest acting skeletal muscle relaxant is ?
Suxamethonium
Mivacurium
Pancuronium
Vecuronium
0a
single
Ans. is 'a' i.e., Suxamethonium Suxamethonium (succinylcholine) is the shoest acting skeletal muscle relaxant. o Mivacurium is the shoest acting nondepolarizing skeletal muscle relaxant.
Pharmacology
null
c59e1644-9f27-4248-8ad7-ae167e62cb44
Which of the following drug is not used in the management of lepra reaction?
Chloroquine
Rifampicin
Clofazimine
Thalidomide
1b
single
Rifampicin is not used in the management of lepra reaction. Reversal reaction, or lepra type 1 reaction, is a delayed-type hypersensitivity reaction that arises when borderline leprosy shifts toward borderline lepromatous leprosy with treatment. The reaction is characterized by edema and erythema of existing skin lesio...
Medicine
null
8c79bc07-60d8-415c-8595-b24fbb91aa5a
A-65 years alcoholic suffering from diabetes has a flexion deformity at the right little finger over the metacarpophalangeal joint of around 15 degrees. The ideal management for him would be -
Observation
Percutaneous fasciotomy
Subtotal fasciectomy
Total fasciectomy
0a
single
The information in this question are:- Patient is alcoholic and diabetic (both are risk factors for Dupuytren's contracture). Flexion deformity at MCP joint of little finger. Patient is old (65 years). The Diagnosis is Dupuytren's contracture. The only effective treatment is by operation; however, operation is not ...
Orthopaedics
null
f85738bf-cb6a-4679-8097-d59da9aab463
A 36 year old male presents with a complaint of passing dark-reddish urine. He states that yesterday he played basketball for 4 hours, which was the first time he had exercised in 4 months. He awoke this morning with sore muscles and discolored urine. Physical examination is unremarkable. The urine is reddish-brown in ...
Hemolyzed blood in the urine
Ingestion of foods that contained red dye C. Myoglobinuria
Myoglobinuria
Nephrolithiasis
2c
multi
The appearance of a dark-reddish urine is suggestive of a number of conditions, including hematuria; however, there are no red blood cells present on microscopic examination. Fuhermore, the dipstick test for blood is positive, which is suggestive of myoglobinuria. Myoglobin is a pigment that, if present in the urine, w...
Biochemistry
null
51b38807-1dfa-4b22-acaa-e58fd6123c0a
Burkitts lymphoma shows which translocation-
t (8-14)
t (11-14)
t(14-18)
t (14-21)
0a
single
Cytogenetic abnormalities in the tumor cells of Burkitt&;s lymphoma is t (8;14) ,and t (8;22) involving MYC gene on chromosome 8 witho overexpression of MYC protein having transforming activity. Reference textbook of Pathology 6th edition Author Harsha Mohan page number 378
Pathology
Haematology
f3fa9dea-a9c7-4a1e-be83-c7e51a89f0af
Patient presented with fever, coughing, headache. He developed rash on 3rd day, what is probable diagnosis ?
Measles
Mumps
Small pox
Chicken pox
0a
multi
Ans. is 'a' i.e., Measles Measles - Rash appears 3-4 days after onset of febrile illnessMumps - There is no rashSmall pox - Already eradicatedChicken pox - Rash appears on day 1 of febrile illness.
Microbiology
null
3eb07ed5-34fb-424e-a21a-0a06437d9725
Frieberg's disease involve -
Tibial tuberosity
Calcaneal tuberosity
2nd metatarsal
5th metarasal
2c
single
*Frieberg's disease is osteochondritis of 2nd metatarsal head. Ref: Appley's 9th/e p.723
Anatomy
null
7e5a7213-6e4f-4eb0-b587-fe457dc7dea8
The drug which is dangerous to take without medical supervision is
Schedule H
Schedule G
Schedule M
Schedule P
1b
single
null
Pharmacology
null
ba0a5e39-38ce-4ab6-81f6-43ed1f44b192
Childhood-obesity prevention is an example of which of the following types of prevention? (E. REPEAT 2007)
Primordial
Primary
Secondary
Tertiary
0a
single
Ref: Park's Textbook of Preventive and Social Medicine, 22nd edition, Pages 39, 40 Explanation: Preventing childhood obesity becomes primordial prevention for most of the non-communicable diseases. This is because the risk factor for other diseases is prevented, which means primordial prevention. Level of prevention Ph...
Unknown
null
13c68052-4c1a-42f2-96a5-0045e3ca9b77
A patient has 2 months POP cast for tibial fracture of left leg. Now he needs mobilisation with a single crutch. You will use this crutch on which side:
Left side
Right side
Any side
Both side
1b
multi
B i.e. Right side
Surgery
null
10c7736d-38ba-4509-b9c0-e0fe9e5aa0a5
Deformity in anterior dislocation of hip is -
Ext. rotation, abduction, flexion
Ext. rotation, adduction, flexion
Int. rotation, abduction, flexion
Int. rotation, adduction, flexion
0a
single
Ans. is 'a' i.e., Ext. rotation, abduction, flexion Anterior dislocation of hipo Anterior dislocation of the hip is much less common than posterior dislocation. Indeed, it is a very uncommon injury.o It is caused by forced abduction and lateral (external) rotation of hip, usually in a violent injury such as a motor acc...
Orthopaedics
Congenital Dislocation of Hip (C.D.H.)
6ecf1028-787b-47a7-a010-a6b525dc5858
Epithelial granuloma is caused by -
Neutrophil
Cytotoxic T cells
Helper T cells
NK cells
2c
single
Granuloma formation is a type IV hypersensitivity reaction mediated by helper T cells. This reaction is similar to caseating granuloma formation in TB Basic Pathology, Robbins. Page no.: 56
Pathology
General pathology
c0d35225-3d34-4216-877d-17cc7639cb0d
First line drug used for painful diabetic neuropathy is?
Carbamazepine
Duloxetine
Venlafaxine
EMLA
1b
single
Ans. (b) DuloxetineRef: Harrison 18/e, chapter 384
Medicine
Endocrinology
a7599647-04f2-4e3f-82fa-bc3fc723a427
Which of the following is required in the initial stage of the synthesis of haemoglobin?
Glycine
Histidine
Iron
Folic acid
0a
single
Heme is synthesized in the mitochondria. Staing substances required in the synthesis of heme are succinyl CoA and glycine. Pyridoxal phosphate is required for activation of glycine. Globin the protein pa of hemoglobin is synthesized in ribosomes.
Biochemistry
null
24a7b961-0023-4e7e-9c9f-89996f746d76
S/E of OC pills is -
Dysmenorrhoea
Prolactin level
Carbohydrate intolerance
Endometriosis
2c
single
Ans. is 'c' i.e., Carbohydrate intolerance Adverse effects of OCPs c Nausea, vomiting, headache (migraine may be worsened). o Breakthrough bleeding or spotting, Amenorrhoea o Breast discomfo (mastalgia) o Weight gain, acne and increased body hair. o Cholasma, pruritus vulvae o Carbohydrate intolerance o Mood swing, abd...
Social & Preventive Medicine
null
4a00bad1-a8c2-4dd2-bd40-c749f4ab8859
Following a head injury a man lost his tears from his both eyes. Absence of lacrimation is due to injury to:
Nasociliary nerve
Greater petrosal nerve
Supraorbital nerve
Tympanic plexus
1b
multi
The greater petrosal nerve exits the geniculate ganglion and ultimately innervates the lacrimal gland. The injury to the greater superficial petrosal nerve may cause reduction or absence of tear production. Unilateral loss of lacrimation suggests injury at or proximal to the geniculate ganglion. Ref: BDC, 4th edition, ...
Anatomy
null
57c069aa-2f96-4190-81ad-13aa6ab712a4
All the following are primary colours except
Blue
Green
Red
Yellow
3d
multi
(D) Yellow > Blue, green and red are the primary colours but the cones with their maximal sensitivity in the yellow portion of sensitive enough in red portion to respond to red light at a lower threshold than green
Physiology
Special Senses: Vision and its Elements
c3acd5f1-56e1-480d-a92d-2745e314ac3c
Most common nerve used conduction study in H reflex -
Median nerve
Ulnar nerve
Tibial nerve
Peroneal nerve
2c
single
*The H reflex is basically an electrophysiologically recorded Achilles' tendon stretch reflex. *It is performed by stimulating the tibial nerve in popliteal fossa. *It is recorded over the soleus or gastrocnemius muscle. *It is used most commonly to evaluate S1 radiculopathy or to distinguish it from an L5 radiculopath...
Anatomy
Miscellaneous
331380ab-00ab-4f48-bd9d-f0c7272379ef
A 16-year-old girl is in your office for a preparticipation sports examination. She plans to play soccer in the fall, and needs her form filled out. Which of the following history or physical examination findings is usually considered a contraindication to playing contact sports?
Congenital heart disease, repaired
Obesity
Absence of a single ovary
Absence of a single eye
3d
multi
The preparticipation sports physical examination is important in that it allows the physician to screen patients for potential risks associated with the sport they intend to play. That said, there are few real contraindications to sports participation. Having one eye is typically seen as a contraindication to playing c...
Pediatrics
Adolescence
70a7547e-ab04-4f1f-ab95-0b84b961077d
All contribute to postpaum hemorrhage, except:
Epidural analgesia
Small for date
Prolonged labour
High multiparity
1b
multi
Small for date
Gynaecology & Obstetrics
null
ec47bfd1-0864-49f2-ad1a-bd6c92918979
A patient has prottitetic valve replacement and he develops endocarditis 8 months later. Organism responsible Is
Stahylococcus aureus
Streptococcus viridans
Staphylococcus epidermidis
HACEK
2c
single
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:161 Infective Endocarditis (IE) It is the colonisation of the hea valves with microbiologic organisms, leading to the formation of friable, infected vegetations and frequently valve injury. Types 1. Acute infective endocarditis: Caused by highly virulent...
Medicine
C.V.S
91aa8c3d-253f-4926-8028-605d39ca0bce
Common presenting manifestations of Meniere's disease are all except:
Tinnitus
Vertigo
Sensorineural deafness
Loss of consciousness
3d
multi
(d) Loss of consciousness(Ref. Scott Brown, 8th ed., Vol 2, 819)The patient is fully conscious and oriented during an attack of Meniere.Meniere being a disturbance of peripheral vestibular system is therefore not characterised by any focal (such as diplopia, dysarthria, paresthesia, etc.) or generalised neurological sy...
ENT
Ear
3a913ca2-d389-4704-8160-14df91fb40d4
What is the T/t of pt with carcinoid tumor of appendix of size more than 2 cm -
Right hemicolectomy
Appendicectomy
Appendicectomy + abdominal CT scan
Appendicectomy + 24 hrs urinary HIAA
0a
single
Carcinoid tumours * Neuroendocrine tumors - comprise a broad family of tumors, the most common of which are ; - carcinoid tumors (most commonly arising in the lungs and bronchi (so-called bronchopulmonary), small intestine, appendix, rectum, and thymus) and - pancreatic neuroendocrine tumors. - Other less common neuroe...
Surgery
All India exam
c92c15f2-2c89-436a-be85-22838c855912
Which parts of cell cycle are fixed in durationa) GIb) G2c) Sd) M
c
d
bcd
ac
2c
single
The time taken for S, G2 and M phases are similar for most cell types, occupying about 6, 4 and 2 hours respectively whereas the duration of G1 shows considerable variation as short as 2 hours in rapidly dividing cells i.e., embryonic tissue or longer than 12 hours in some adult tissue.
Biochemistry
null
73df60dd-6a85-49d8-be32-f01ff5d9496d
Infant body weight is tripled by age of –
5 months
11 months
2 years
18 months
1b
single
The average birth weight of neonates is about 3 Kg. During first few days after birth, the newborn loses extracellular fluid equivalent to about 10% of the body weight. Most full term infants regain their birth weight by the age of 10 days. Subsequently, they gain weight at a rate of approximately 25 to 30 gm per day f...
Pediatrics
null
23ef563d-5d23-4b2f-be48-bfe36a1c9ac0
Which type of anemia is seen in Rheumatoid ahritis?
Normocytic, normochromic
Hyperchromic, Normocytic
Hypochromic, normocytic
Hypochromic, leucopenia
0a
single
Anemia of chronic illness traditionally encompassed any inflammatory, infectious, or malignant disease of a long-standing nature. Includes rheumatoid ahritis, severe trauma, hea disease, or diabetes mellitus. There is primarily a decreased availability of iron, relatively decreased levels of erythropoietin, and a mild ...
Medicine
Rheumatoid Ahritis
a8ad764b-f3f2-4cc9-8fc7-f2bfdc95c505
Which of the following is the most common urethral injury?
Rupture of bulbar urethra
Rupture of penile urethra
Rupture of prostatic urethra
Rupture of membranous urethra
0a
single
Rupture of the bulbar urethra There is a history of a blow to the perineum, usually due to a fall astride injury. The bulbar urethra is crushed upwards onto the pubic bone, typically with significant bruising. Extravasation of urine is common if the urine is not diveed and the extravasated urine is confined in front of...
Surgery
Urology
e1f5f525-57ab-494e-a8fd-fd7256f505b1
Strawberry appearance is seen in
Lupus vulgaris
Rhinosporidiosis
Rhinoscleroma
Angiofibroma
1b
single
Rhinosporidiosis caused by rhinosporidium seeberi, mostly affects nose and nasopharynx, other sites such as lip, conjunctiva, epiglottis, larynx, trachea, bronchi, skin, vulva and vagina. In the nose, the disease is presented as leafy, polypoidal mass, pink to purple in colour and attached to the nasal septum or latera...
ENT
null
276fe8e5-43ce-4d50-9245-6881562bcd10
Death of a patient due to an unintentional act by a doctor, staff or hospital is
Therapeutic misadventure
Vicarious liability
Therapeutic privilege
Diminished liability
0a
single
Therapeutic misadventure is a mischance or an accident or a disaster. Therapeutic misadventure is a case in which n individual has been injured or had died due to some unintentional act by a doctor or agent of the doctor or hospital. Vicarious liability is liability for act of others i.e. an employer is responsible not...
Forensic Medicine
Medico legal procedures
78e536ab-91c2-45d2-9bf6-b742dce60f60
Following protein is not found in organ of coi ?
Myosin
Microtubule associated protein 2
Microtubule associated protein 4
Fodrin
2c
single
Ans. is 'c' i.e., Microtubule associated protein 4 Proteins present in cochlea Actin-binding and microtubule-associated proteins regulate microfilament and microtubule number, length, organization and location in cells. In freeze-dried preparations of the guinea pig cochlea, both actin and tubulin are found in the sens...
ENT
null
51ddd9e5-6bb3-4e5e-9926-11540270a253
Which among the following is the commonest site of fracture of mandible?
Angle
Body
Coronoid process
Condylar process
3d
single
The commonest site of the mandible is condylar process followed by angle, body and symphysis of mandible (Mnemonics - CABS).
ENT
null
c20bbd0f-1974-4e26-b2e7-30e35a2ca00e
A 59-vear-old man with type 2 diabetes goes for a screening eve examination. The ophthalmologist reports that the patient has developed non-proliferative retinopathy. (List the findings.)For the above patient with a complication of diabetes, select the most likely diagnosis or findings.
microaneurysms and hemorrhage (dot and blot)
vitreal hemorrhage
dilated veins
open-angle glaucoma
0a
multi
Background retinopathy is present in about 90% of diabetes after 25-30 years of disease. Microaneurysms, dilated veins, dot and blot hemorrhages, cotton-wool spots, and hard exudates are common findings.
Medicine
Endocrinology
1f62809c-4a05-4aa9-8ab3-2940d7ce5791
P4 pf vagina during reproductive life is
Alkaline
Acidic
Neutral
Variable
1b
single
Vaginal secretion is acidic during reproductive life which is oestrogen dependent, and inhibits growth of pathogenic organisms.
Gynaecology & Obstetrics
null
1fdcc5d5-c4de-4827-b385-2f6b16b104c0
All of the following are not true with respect to erythema multiforme except ?
Targetoid lesions are seen
Steroids are the drug of choice
Koebner's phenomenon is seen
Most commonly due to leukaemia
2c
multi
Erythema multiforme Known cause MC- Viral infection, commonly Herpes simplex > Mycoplasma Drugs : antiepileptic, antibiotics,anti gout, anti retroviral etc. Other : (antimalarial >Leukemia) Unknown cause : Idiopathic C/f: Target/ iris /bulls eye lesion are seener CAUTION : ALL ARE NOT TRUE ; MEANS ALL ARE FALSE EXCEPT ...
Dental
NEET 2019
37dffdb2-3587-47e6-b50d-c35379d00406
Commonest cause of hirsutism in a teenage girl :
Ovarian disease
PheochromocytomaObesity
Obesity
Adrenogenital syndrome
0a
single
Ans. is a i.e. Ovarian disease As explained earlier PCOD is the most common cause of hirsutism. PCOD most common affects teenage girls (15 - 25 years). Therefore, In teenage girls most common cause of hirsutism is PCOD.
Gynaecology & Obstetrics
null
f0fb85d2-cb84-4a72-94af-59899f533eaf
Most common pattern of Joint involvement in psoriatic arthropathy
Psoriatic spondylitis
Arthritis mutilans
Symmetrical polyarthritis
Asymmetrical inflammatory oligoarthritis
3d
single
Asymmetrical inflammatory Oligoarthritis - Most common pattern.
Medicine
null
82f66941-2765-4a6d-8a1e-e0833664b5c3
In transmission of malaria, mosquito bite transfers?
Sporozoite
Merozoite
Hypnozoite
Gametocyte
0a
single
Ans. is 'a' i.e., Sporozoite Sporozoites are infective to man. Human infection begins when a female anopheline mosquito inoculates plasmodial sporozoites from its salivary gland during a blood meal.
Microbiology
null
b40f178c-6947-465f-bef7-7b2d5ea8a8eb
Osteoradionecrosis occurs at a dose of:
> 10 Gy
> 70 Gy
> 30 Gy
None of the above.
1b
multi
Life-Long threat: Hyposalivation Radiation caries Occurs 3 months after expose (PG1) Trismus Osteoradionecrosis > 70 Gy
Radiology
null
cfe5c9e3-41ea-482c-ae5b-3d3b8c5ad416
Antigen binding site in immunoglobulin is
Variable region
Hypervariable region
Constant region
all
1b
multi
Ans. is 'b' i.e., Hypervariable region
Microbiology
null
a14e2aa0-4fb2-467d-b08a-d942504af643
DOT's indicates
Short term treatment under supervision
Short term treatment without
Long term treatment with supervision
Long tenn treatment with supervision
0a
single
null
Social & Preventive Medicine
null
e51bd8df-394b-4546-820a-c40d378fdcee
Which is true about Sex hormone-binding globulin (SHBG):
Binds testosterone with a higher affinity than estradiol
Reduces the total amount of circulating testosterone
Decreases the half-life of testosterone
Stimulates the secretion of inhibin
0a
multi
And. A. Binds testosterone with a higher affinity than estradiolSex hormone-binding globulin binds to both testosterone and estradiol, but it binds with higher affinity to testosterone. The bioactivity of testosterone is reduced by SHBG because testosterone cannot bind to its receptor when bound by SHBG. SHBG increases...
Physiology
Endocrinology and Reproduction
0a4629cd-b72e-4aef-a801-bffd2d95a47c
Sq. cell tumor of urinary bladder is due to -a) Stoneb) Schistosomiasisc) Chr. cystitisd) Diabetes mellitus
ab
bc
abc
bcd
2c
single
Risk factors for squamous cell ca of bladder Schistosoma haematobium it's a risk factor for both TCC & sq. cell ca, but more for sq. cell ca. Chronic irritation from urinary calculi, long term indwelling catheters, chronic urinary infections Bladder diverticula
Surgery
null
c626ae23-2ab4-408a-9f7c-fbdc1e400087
The important fatty acid present in breast milk which is important for growth is –
Docosahexaenoeic acid
Palmitic acid
Linoleic acid
Linolenic acid
0a
single
Up to 5-10% of fatty acids in human milk are polyunsaturated. Most of these are linoleic acid with smaller amounts of linolenic acid. Linoleic acid → gives rise to Arachidonic acid Linolenic acid → gives rise to Docosahexaenoic acid Docosahexaenoic acid is found in human milk and brain lipids and is required for the de...
Pediatrics
null
23b6a6ff-c056-4c39-8f9e-21763c2e6809
Lesion is Alzheimer's disease are commonest at
Aniygdala
Nucleus of Meynes
Pineal gland
Prefrontal sulcus
1b
single
Nucleus basalis of Meyne for Alzheimer's disease and Parkinson's disease dementia. The nucleus basalis of Meyne (NBM) is a large source of cholinergic innervation to widespread coical areas. There have been two repos of DBS of the NBM for either AD or PD. Ref Harrison20th edition pg 2456
Medicine
C.N.S
46af490a-fde8-4064-b42e-e435498e4ef1
Untrue about articular cartilage is
Overs the articular surfaces of all synovial joints
Is of hyaline variety in all synovial joints
No ossification with age
Is devoid of nerves, vessels and perichondrium
1b
multi
In synovial joints (like temporomandibular and sterno-clavicular) the articular surfaces are lined by fibro-cartilage instead of hyaline cartilage. Hyaline cartilage loses the tendency to ossify with age as it takes the role of articular cartilage Hyaline cartilage also loses the perichondrium, as it becomes articular ...
Unknown
null
851fd0ae-2912-44b9-aae9-e3291a73de3c
Smoking is not a risk factor for ?
Lung carcinoma
Osteoporosis
Nonunion of bones
Alzhiemers disease
3d
single
Ans. is 'd' i.e., Alzhiemers disease Smoking is not a risk factor for the development of alzhiemers disease
Pathology
null
49199e89-682e-4025-8ee4-4fc0929e9f24
Which among the following is true about Caplan's syndrome?
Pneumoconiosis with lymphadenopathy
Pneumoconiosis with CCF
Pneumoconiosis with HIV
Pneumoconiosis with rheumatoid ahritis
3d
multi
Caplan's syndrome also known as rheumatoid pneumoconiosis or rheumatoid lung. It occurs in patients with both rheumatoid ahritis (usually seropositive patients) and pneumoconiosis related to mining dust (coal, asbestos, and silica) exposure and consists of multiple rounded nodules in the lung. Ref: Harrison's 17th ed c...
Medicine
null
28553c97-0ff3-45c1-ad41-d853a1fb3d08
Which among the following is an anaerobic bacteria?
Staph aureus
E. coli
Str. pneumoniae
Corynebacterium diphtheria
3d
single
Corynebacterium diphtheriae is an aerobic and facultative anaerobic gram positive rod that appear club shaped. They are arranged in V or L shaped formations. The rods have a beaded appearance and the beads consist of granules of highly polymerized polyphosphate. These granules stain metachromatically. It is transmitted...
Microbiology
null
d0da27b3-93ea-470a-aa5f-0ccd38ec4e54
Commonest presentation of Hodgkin's lymphoma is -
Painless enlargement of lymph node
Pruritis
Fever
Leuocytosis
0a
single
Most patients present with palpable lymphadenopathy that is nontender; in most patients, these lymph nodes are in the neck, supraclavicular area, and axilla. More than half the patients will have mediastinal adenopathy at diagnosis, and this is sometimes the initial manifestation. Subdiaphragmatic presentation of Hodgk...
Surgery
null
6eef68a0-bd74-4934-8bbd-6822e4f7e605
Which of the following is not included in the SAFE strategy?
Surveillance
Antibiotics
Facial hygiene
Environmental modification
0a
single
In order to deal with the blindness caused by trachoma, the WHO has declared the SAFE strategy which includes the following: S - Surgery A - Antibiotics F - Facial hygiene ( Face washing) E - Environmental modification Surveillance is not included in the SAFE strategy. Ref: Park's Textbook of Preventive and Social Medi...
Social & Preventive Medicine
null
b807a6bd-bdd5-47b6-b6d4-8f7557bfcc45
A 42-year-old man with sexual interest in children (pedophilia) is given an electric shock each time he is shown a videotape of children. Later, he feels tense around children and avoids them. Which of the following management techniques does this example illustrate?
Implosion
Biofeedback
Aversive conditioning
Flooding
2c
single
The management technique described here is aversive conditioning, in which a maladaptive but pleasurable stimulus (for this man, sexual interest in children) is paired with painful stimulus (e.g., a shock) so that the two become associated. Flooding - Type of behavioral therapy in which maximum stimulus is given in fir...
Psychiatry
Miscellaneous
c734fa46-4af3-4016-88bb-b2eea7b81994
Compared to conventional amalgams, spherical amalgams:
Require more mercury
Require heavy compaction forces
Have longer setting times
None of the above
3d
multi
Amalgams made from lathe-cut powders or admixed powders tend to resist condensation better than amalgams made entirely from spherical powders. Since freshly triturated amalgams from spherical powders are very plastic, one cannot rely on the pressure of condensation to establish a proximal contour for a class II restora...
Dental
null
3f386916-305d-4cf6-8d13-ca9b97f2134a
A patient has the pink papules and plaques over genital. What serotype of human papilloma virus (HPV) is the most likely cause?
HPV 1
HPV 2
HPV 5
HPV 6
3d
single
C/o of Anogenital was- cause by HPV 6 HPV type Associated clinical conditions 1 (m/c) Deep plantar and palmar was 2 (m/c) Superficial plantar was 3 Plane was 4 Common was, plantar was 5 Epidermo dysplasia verruciformis 6 (m/c) Laryngeal was, Anogenital was 7 (m/c) Butcher wa Mnemonic: DSP- CELB
Dental
Viral infections
4c49da46-ede8-4efd-a39d-864a7a903b4f
All of the following factors evaluate the chances of amputation in a limb, except
Age
B.P
Velocity of trauma
Presence of infection
3d
multi
D i.e. Presence of infection Mangled Extremity Severity Score (MESS) can be used as predictor of eventual amputation versus limb salvageQ. Higher the score lower the chances of salvage i.e. higher score has higher chances of amputation. However recent studies have shown it to be inaccurate in predicting the functional ...
Surgery
null
e72cdf7a-c29d-47d8-981d-1965ce84623e
All are vectors except -
Ticks
Spider
Mosquito
Fly
1b
multi
Ticks are the vectors of Q fever, relapsing fever, KFD, Tularemia Mosquito are the vectors of malaria, filaria, Japanese encephalitis, dengue, chikungunya Flies are the vectors of typhoid, diarrhoea,dysentery, cholera, gastroenteritis, anthrax, yaws. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 8...
Social & Preventive Medicine
Environment and health
b855325c-950f-4d35-8cb4-e1f201c55c3a
'STEPS' is recommended by WHO as a method for:
Surveillance of moality from communicable disease
Surveillance of risk factors for communicable diseases
Surveillance of moality from non communicable diseases
Surveillance of risk factors for non communicable diseases
3d
multi
From 2005, WHO introduced stepwise approach to surveillance of noncommunicable disease risk factors termed STEPS, as a pa of global surveillance strategy aiming to monitor emerging patterns and trends worldwide and contain and reduce noncommunicable diseases. Ref: Commonwealth Health Ministers Update, 2011 By Philip D ...
Social & Preventive Medicine
null
4bfa1367-a61f-416f-bad8-f2bf6e8caaa5
Twelve elderly residents living in an assisted care facility suffered from sinusitis, otitis media, and mild pneumonias during midwinter. Despite the fact that they had all received the 13-valent pneumococcal conjugate vaccine recently licensed for adults, S. pneumoniae was isolated from 10 of the patients. Which of th...
Elderly patients do not mount good immune responses to vaccines
Some patients will not respond to the vaccine
The capsular type responsible was not present in the vaccine
The vaccine was defective
2c
multi
There are more than 90 capsular immunotypes of Streptococcus pneumoniae. Immunity to S. pneumoniae is conveyed by antibodies against the specific capsular type. Vaccines have been formulated to contain the most commonly isolated capsular types. Originally, the S. pneumoniae conjugated vaccine contained seven serotypes....
Microbiology
General
a3fe0626-3702-4b6a-b97b-35968a91a857
Most number of false positives by a screening test is because of?
High specificity
High sensitivity
High prevalence
Low prevalence
3d
multi
ANSWER: (D) Low prevalenceREF: Park 20ch edition page 128More prevalent disease gives less is the number of false positiveLess prevalent disease gives more is the number of false positiveHighly specific screening test gives few false positiveHighly sensitive screening test gives few false negative
Social & Preventive Medicine
Screening for Disease
acde5f2f-3381-4f3b-badc-93860808a9c1
Residual chlorine of water should be:
1 mg/ltr after 1 hr
1 mg/ltr after ½ hr
0.5 mg/ltr after 1 hr
0.5 mg/ltr after ½ hr
2c
single
Principles of chlorination:  The "chlorine demand" of the water should be estimated. The chlorine demand of the water is the difference between the amount of chlorine added to the water and the amount of residual chlorine remaining at the end of a specific period of contact at a given temperature and pH of the water. ...
Dental
null
57454cd4-d62c-4ded-91f4-10c17f1aa9ee
The cardiac marker that is elevated the earliest in a case of Myocardial Infarction, among the following is -
CPK-MB
LDH
Myoglobin
Troponin I
2c
single
Ans- C Myoglobin
Unknown
null
b2528021-83db-4301-b893-182742bce5dd
luorescence is used in assessment of levels of which hormone commonly -
Thyroid
Steroid
Catecholamines
Leutenising releasing hormone
0a
single
(A) (Thyroid) (Internet)Fluoroscopy is used in assessment of all the hormones.Fluorescence spectroscopy aka fluorometry or spectrofluorometry, is a type of electromagnetic spectroscopy which analyzes fluoescence from a sample. It involves using a beam of light, usually ultraviolet light that excites the electrons in mo...
Biochemistry
Endocrinology
f69507d8-075b-4200-98d6-6ce96558eb73
How do you manage an established freys syndrome?
Facial nerve stimulation
Physiotherapy
Antidepressants
Tympanic neurectomy
3d
single
MANAGEMENT OF ESTABLISHED FREY'S SYNDROMEAntiperspirants, usually containing aluminium chloride;Denervation by tympanic neurectomy;The injection of botulinum toxin into the affected skin.PreventionTechniques described to prevent Frey's syndrome following parotidectomy. These include:Sternomastoid muscle flap;Temporalis...
Surgery
Head and neck
c9ac41f2-22b2-4791-be39-9332afa80cba
Combination of fixed dilated pupil with iris atrophy and secondary glaucoma following penetrating keratoplasty is:
Benedicts syndrome
Possner Scholsman Syndrome
Urrets Zavalia Syndrome
Kauffman
2c
single
Typical symptoms of Urrets zavalia, after corneal transplant in keratoconus surgery. URRETS ZAVALIA SYNDROME * Fixed dilated pupil unresponsive to pilocarpine * Iris atrophy due to iris ischemia Multiple posterior synechiae * Seen in post corneal transplantation in Keratoconus * Elevated IOP a risk factor Use of mydria...
Ophthalmology
Diseases of Cornea
d65c226d-0a05-4486-a265-2a571dff2646
Drug of choice for Pneumocystis Pneumonia
Cotrimoxazole
Penicillin
Itraconazole
Ivermectin
0a
single
Cotrimoxazole is Doc for Pneumocystis Pneumonia.
Microbiology
null
a7b3a003-db8b-481c-81e0-64e512e7c03e
60 year female with tense bulla in lower extremity and subepidermal bullous lesion on microscopy, diagnosis is
Bullous pemphigoid
Pemphigus vulgaris
Erythema mulforme
Dermas herpeformis
0a
single
null
Dental
null
12fd64bd-9aeb-4e00-80bd-fcb3d1c7711e
Most common type of shock in surgical practice:-
Cardiogenic
Hypovolemic
Neurogenic
Septic shock
1b
single
Most common type of shock in surgical practice is hypovolemic shock. HYPOVOLEMIC SHOCK Causes of hypovolemic shock: Blood lossQ(Trauma, bleeding) Loss of plasma due to extravascular fluid sequestration in burnsQ Loss of body sodium & water (diarrhea & vomitingQ)
Surgery
Shock
cb56c94e-2a94-4c0a-a39b-9bbc5f100af4
Extremely pruritic excoriation & papules on buttocks with autoantibodies against epidermal transglutaminase and IgA deposition in dermis on immunohistological examination of normal perilesional skin. Diagnosis is –
Pemphigus vulgaris
Pemphigoid
Linear IgA disease
Dermatitis herpetiformis
3d
single
Following information suggest the diagnosis of dermatitis herpetiformis. Extremely pruritic Paulo - excoriation Buttock involved Antibodies against epidermal transglutaminase IgA deposition in dermis
Dental
null
1c1e38a0-c7e4-47ac-8cb6-d7f57da28194
The most definitive clinical sign of pregnancy is :
Ballottement
Fetal hea sounds
Braxton Hick's contraction
Enlarged uterus
1b
multi
Fetal hea sounds
Gynaecology & Obstetrics
null
97a82343-c65f-4228-9aa0-4cc3f16c87a8
Conservative surgical treatment of PPH includes
Internal iliac artery ligation
Intravenous methergin
Packing of uterus
Vaginal hysterectomy
0a
single
Ans. a (Internal iliac artery ligation). (Ref. Dutta, Obstetrics 4th/ 447, Williams, Obstertrics, 21st/620, 635)Traditionally, postpartum hemorrhage (PPH) has been defined as the loss of 500 mL of blood or more after completion of the third stage of labor. This is unreasonable, because nearly half of all women who are ...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
6a94747c-e154-4e4d-ae31-961a081a4332
A patient is suspected to have vestibular schwannoma the investigation of choice for its diagnosis is:
Contrast enhanced CT scan
Gadolinium enhanced MRI
SPECT
PET scan
1b
single
Ans. B (Gadolinium enhanced MRI) Vestibular schwannoma (VS) - arise from inferior vestibular division of eight nerve as from the auditory division a. MRI with gadolinium is the current standard for screening for suspected vestibular schwannomas because of the high false negative rate associated with BSERA Treatment Und...
ENT
null
6dcaddeb-f66b-4725-b36a-d7a759a510e0
Sudden painful diminition of vision in Anterior Uveitis is due to
Blood in Anterior chamber
Cells in Anterior chamber
Edema of Cornea
Ciliary muscle spasm
3d
single
Due to ciliary muscle spasm, convexity of lens increases leading to blurred vision and pain due to spasm.
Ophthalmology
null
6bc861c1-ae2b-4def-8f2f-c8eacc8b105f
In poal hypeension the sites of poosystemic anastomosis includes
Lower end of oesophagus
Around umbilicus
Lower third of rectum and anal canal
All of the above
3d
multi
In poal hypeension the sites of poosystemic anastomosis includes lower end of esophagus, around umbilicus, lower third of rectum and anal canal, posterior abdominal wall, bare area of liver Poosystemic anastomosis Location Poal component Systemic component Esophagus(lower end) esophageal varices Left gastric vein Azygo...
Anatomy
G.I.T
d7c47562-a86a-4800-875d-823dc7713237
In case of rape victim vaginal swab is taken within?
2 days
3 days
4 days
7 days
1b
single
According to the Guidelines (given by Ministry of Health and family welfare for rape victim examination): Vaginal swab should be taken within 72hrs , after this time period chances of demonstration of sperm (which might be a potential evidence) are very less.
Forensic Medicine
Trace evidences