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135
e148f0be-4282-4543-ada5-e737b17ca185
Which of the following conditions is not considered as premalignant
Erosive lichen planus
Syphilitic glossitis
Leukoedema
Leukoplakia
2c
single
null
Pathology
null
b2b095ff-db8a-4e67-8b65-1936442ae192
Molecular mimicry is an explanation for -
Immune tolerance
Autoimmune disorders
Hypersensitivity
Immunosuppression
1b
single
Ans. is 'b' i.e., Autoimmune disorders* Molecular mimicry is defined as the structural similarity between foreign antigens and self-antigens, because of which T cells and B cells directed against foreign antigens cross react with self antigens resulting in autoimmunity.* Molecular mimicry does not always demand a struc...
Biochemistry
Molecular Genetics
0c369038-0fa3-4517-be1f-15a0a81afdfe
Variation in eruption in permanent dentition
4-5 months
7-9 months
1-2 months
12-18 months
3d
single
null
Dental
null
cd77c111-3f6d-469f-b749-c4ccaeec5641
Nephrocalcinosis is seen in all except -
Sarcoidosis
Distal RTA
Milk alkali syndrome
Medullary cystic kidney
3d
multi
null
Medicine
null
f56138c5-13ef-4348-82c7-402bc01f0345
A 9-year-old boy is diagnosed with multiple sclerosis (MS). Which of the following nervous structures would most likely be affected by this disease?
Trigeminal ganglion
Superior cervical ganglion
Optic nerve
Facial nerve
2c
single
Multiple sclerosis affects only axons in CNS (spinal cord and brain) that have myelin sheaths formed by oligodendrocytes. Optic nerve is considered to be pa of CNS, as it is derived from an outpouching of diencephalon. All other nervous structures are in the PNS and have their myelin sheaths formed by Schwan cells
Medicine
Demyelinating disorder
37aa9733-bcf6-46c1-adf8-87af041d6ab8
All are true about gang rape, except: Bihar 11
Sexual intercourse by one person
Sexual intercourse by two persons
Sexual intercourse by three persons
Sexual intercourse by many persons
0a
multi
Ans. Sexual intercourse by one person
Forensic Medicine
null
0c1f1a9b-3875-4628-810d-ec55fc0e2c84
Which of the following is a risk factor for development of gastric carcinoma?
Blood group O
Intestinal metaplasia type III
Duodenal ulcer
All of the above
1b
multi
Blood group A, not O was considered as the risk factor for Gastric carcinoma but blood group A is also not considered as risk factor according to standard books. About duodenal ulcers standard books writes "Although once considered a premalignant conditions, it is likely that older literatures was confounded by mistake...
Surgery
null
12999651-b65d-4a8e-8159-9bf85f04d08a
Following are the findings in later stages of sickle cell Anemia, except -
Fish veebra
Enlarged hea
Splenomegaly usually seen
Leukocytosis
2c
multi
Ans. is 'c' i.e., Splenomegaly usually seen o Splenomegaly is found in early stage of sickle cell anemia. By continued infarction and hypoxia leads to progressive scarring and shrinkage of spleen, so that by adolescent or the adulthood, only a small nubbin of fibrous tissue may be left; this is called autosplenctomy. o...
Pathology
null
6421adc1-aa77-46df-813e-02bf2b50615f
A patient with cancer developed an extreme degree of radiation toxicity. Further history revealed that the dose adjustment of a particular drug was missed during the course of radiotherapy. Which of the following drugs required a dose adjustment during radiotherapy in order to prevent radiation toxicity
Vincristine
Dactinomycin
Cyclophosphamide
6–Mercaptopurine
1b
single
Anthracyclines and actinomycin-D (dactinomycin) can cause severe radiation toxicity. This is known as radiation recall syndrome.
Pharmacology
null
dce22fbf-f388-4ed4-983e-82be2d2b52fc
Fincham test is used to diagnose
Open angle glaucoma
Cataract
Mucopurulent conjunctivitis
Acute angle closure glaucoma
1b
single
Ans. (b) CataractRef: Khurana 4/e, p. 146If the halos break it is due to cataract and if not it is due to angle closure glaucoma.Thus, the test is positive in diagnosing cataract. Glaucoma is not being diagnosed by this test. It is a diagnosis by exclusion.
Ophthalmology
Lens
531d2db7-4f1e-49e0-984a-7c8a8a52cf7c
The CNS tumor present with calcification -
Oligodendroglioma
Astrocytoma
Medulloblastoma
Pheochromocytoma
0a
single
Although many intracranial tumors show calcification, oligodendroglioma shows calcification in 70-90% of cases. Ref : Robbins 8/e p1333 (
Surgery
Head and neck
b653276a-0820-4ec1-9109-95f8f05f49d5
The ideal place to record temperature in a dead body is from:
Axilla
Groin
Rectum
Mouth
2c
single
Reddy - “The rectum is the ideal place to record temperature except in cases of sodomy. The temperature can also be recorded by making a small opening into the peritoneal cavity and inserting the thermometer in contact with the inferior surface of the liver. The external auditory meatus or the nasal passages also can b...
Forensic Medicine
null
ec83896e-97a1-4c1d-801b-bb6c36334475
Kostmann's syndrome–treatment is –
Anti–thymocyte globulin + cyclosporin
Anti–thymocyte globulin + cyclosporin + GM–CSF
G–CSF
GM–CSF
2c
single
Kostmann's syndrome (severe congenital neutropenia) Kostmann's syndrome, an autosomal recessive disorder, is an inherited disorder of the bone marrow in which there is the arrest of maturation of neutrophils at promyelocyte stage. There is congenital neutropenia and neutrophils are often completely absent in the blood...
Pediatrics
null
907ed984-f110-4d61-8349-1d57e0ec7f95
"Child guidance clinic" is most helpful in all except
Bed Wetting
Cerebral palsy
Squint
School adjustment problems
2c
multi
C Squint * Child guidance clinic was started in 1922, as part of a programme sponsored by a private organization 'Common Wealth fund's Programme' for the prevention of juvenile delinquency. * The first CGC was started in India in 1939 at the TATA Institute Mumbai. The CGC in Delhi was started in 1955 at RAK con, simult...
Unknown
null
4ffa7b40-8f31-4028-87d7-7b96403eb858
Clue cells are found in:
Bacterial vaginosis
Chlamydia trachomatis
Neisseria gonorrhoea
Trichoomonas
0a
single
Bacterial vaginosis
Pathology
null
880295f1-d26d-4ffc-8617-6380598b637d
What is the impact on fetus in case of use of Indomethacin in utero in third trimester?
Patent ductus aeriosus
Early closure of ductus aeriosus
Ventricular septal defect
Atrial septal defect
1b
single
Prostaglandins helps to keep ductus aeriosus open. Indomethacin inhibits prostaglandins levels | So, closure of ductus aeriosus | DOC for PDA
Medicine
Valvular hea diseases
1fe8c133-2971-495a-90fd-63e171f2dc2f
Arrange coverings on peripheral nerve from inner to outer
Endoneurium, Epineurium, Perineurium
Endoneurium, Perineurium, Epineurium
Perineurium, Endoneurium, Epineurium
Epineurimn, Endoneuriu, Perineurium
1b
single
coverings on peripheral nerve from inner to outer are Endoneurium, Perineurium, EpineuriumINDERBIR SINGH&;S TEXTBOOK OF HUMAN HISTOLOGY PAGE NO:171
Anatomy
General anatomy
48b7203b-1ab9-4001-8eb4-bab58edf6f66
The cyst which arises from the remnants of mesonephric duct and is seen in the vaginal wall is:
Baholin's cyst
Inclusion cyst
Endometriotic cyst
Ganer's duct cyst
3d
multi
Ganer's duct cyst is a benign vaginal cyst that originates from the Ganer's duct, which is a vestigial remnant of the mesonephric duct (wolffian duct) in females. Treatment is simple excision.
Gynaecology & Obstetrics
Mullerian Abnormalities
451137d2-8699-45c0-9202-efbc62623dd9
Ergot alkaloids are used in all except ?
Migraine
Acromegaly
Hypeension
Parkinsonism
2c
multi
Ans. is 'c' i.e., Hypeension Uses of ergot alkaloids 1. Migraine In migraine, throbbing headache is due to dilatation of pain sensitive aeries outside the brain, i.e. extracerebral vessels. Ergot alkaloids are vasoconstrictor (due to a agonistic action) and oppose these effects. Ergot alkaloids used in migraine ? Proph...
Pharmacology
null
862ba2b1-011a-4dc5-9f57-53bb211f3d98
A diabetic female on INH and Rifampicin for TB developed DVT. She was started on Warfarin, PT is not raised, and next step should be:
Increase the dose of Warfarin
Replace Warfarin with Acenocoumarol
Switch Ethambutol for Rifampicin
Use LMW heparin
3d
multi
The anticoagulant effect of warfarin is assessed by the measurement of prothrombin time (PT). Failure of elevation of PT indicates the decreased effect of warfarin. Rifampicin is an enzyme inducer and can decrease the effect of warfarin. Rifampicin is the most effective drug for tuberculosis and should not be replaced....
Pharmacology
null
93eda98a-92ba-4049-91a7-50629b492068
Abdominal pa of esophagus is supplied by
Bronchial aery
Abdominal aoa
Right gastric aery and inferior phrenic aery
Left gastric aery and inferior phrenic aery
3d
single
AERIAL BLOOD SUPPLY TO ESOPHAGUS: Cervical pa of esophagus Esophageal branches of inferior thyroid aery. Thoracic pa of esophagus PICA (posterior Inter costal aery) (Branch of descending Thoracic aoa) + Bronchial aeries. Abdominal pa of esophagus Left gastric aery (Branch of Celiac trunk) + Inferior phrenic aery (Branc...
Anatomy
FMGE 2018
e7cd8dcd-b0ce-4932-92e4-5383ffa087c2
Inverse agonist of GABA receptor is
Benzodiazepines
Flumazenil
β- Carboline
None of the above
2c
multi
β - Carboline is the inverse agonist. Benzodiazepines are full agonists that open chloride channels by acting on GABA receptors. Flumazenil is antagonist for Benzodiazepines given to treat toxicity.
Pharmacology
null
dbb27195-fcb6-46da-8342-bf319a9a6daf
In the following X-ray marked structure is-
Transverse process
Lamina
Pedicle
None of the above
2c
multi
Ans. is 'c' i.e., Pedicle* Given image is the AP view spine and the marked structure is pedicle of vertebra.
Orthopaedics
Spinal Injuries
2950c951-c546-4362-993a-4d6ff9d02054
Which one of the following lymphoma is associated with translocation of c-myc gene on chromosome 8?
Burkitt's lymphoma
Mantle cell lymphoma
Follicular lymphoma
Anaplastic large cell lymphoma
0a
single
All forms of Burkitt lymphoma are highly associated with translocation of MYC gene on chromosome 8 that lead to increased MYC protein levels. Mantle cell lymphomas have an (11;14) translocation involing the IgH locus on chromosome 14 and the cyclin D1 locus on chromosome 11 that leads to overexpression of cyclin D1. In...
Pathology
Haematology
a8e533b0-9384-417a-bbf9-8e2c89c67bf5
Which of the following is false regarding acute conjuctivitis
Vision is not affected
Cornea is infiltrated
Topical antibiotics is the treatment of choice
Pupil is not affected
0a
multi
Among all four options, option A seems the most appropriate as any corneal infiltration will lead to decreased vision though in conjunctivitis it is commonly reversible Refer: Khurana 6th edition page number 76
Ophthalmology
Conjunctiva
7d12b3fb-ce02-4ee7-9af1-01241a16b063
Which of the following is not a fungal infection: September 2007
Blastomycosis
Cryptococcus
Actinomycosis
Histoplasmosis
2c
single
Ans. C: Actinomycosis Actinomycosis is an infectious bacterial disease caused by Actinomyces species such as Actinomyces israelii or A. gerencseriae. It can also be caused by Propionibacterium propionicus, and the condition is likely to be polymicrobial.
Microbiology
null
9f9f768e-48b0-4ac2-9ff0-69c822263bab
A female developing haemarrhagic cystitis, with following -- treatment
5-FU
Methotrexate
Bleomycin
Cyclophosphamide
3d
single
(Cyclophosphamide) (320- CSDT 12th)* Haemorrhagic cystitis can develop in patients recieving cyclophosphamide or Ifosamide* Other drugs causing hemorrhagic cystitis- Carmustine- Chlorumbucil- Extended spectrum penicilline- Nitrogen mustard- Vincristine* Remember these following two very important points* Hemorrhagic cy...
Surgery
Urinary Bladder
9807b671-246f-48d8-8233-74c5f40e6bfe
All belong to Picorna viruses except -
Enterovirus 70
Coxsackie virus
Rhinovirus
Herpes simplex virus
3d
multi
General of picornavirus are a)enterovirus, rhinovirus, hepatovirus,parechovirus REF:ANANTHANARYANAN TEXTBOOK OF MICROBIOLOGY 9EDITION PGNO.484
Microbiology
Virology
c620c8ae-796f-4873-b0ae-b8ad2237f9ef
The innocent murmur is best heard in children at:
Pulmonic area
Aoic area
Left lower mid-sternal border
Apex
2c
single
Innocent murmurs Murmurs not associated with significant hemodynamic abnormalities. Aka functional/ normal or insignificant murmurs >30% of children have innocent murmur at some time in their lives; MC innocent murmur is a medium - pitched, vibratory or "musical," relatively sho systolic ejection murmur, best heard alo...
Pediatrics
Other hea diseases in children
e009a61b-b2a0-4205-ab95-b026ed0f47c3
Elimination of leprosy is define as prevalence -
< 1 per 1000
< 1 per 10000
< 1 per 1 lakh
< 1 per 100
1b
single
<p> Prevalence <1 per 10,000. Reference:Park&;s textbook of preventive and social medicine,K.Park,22nd edition,page no:288. <\p>
Social & Preventive Medicine
Communicable diseases
bd62c0cc-efc2-41a1-9756-0afbdd71b3b8
Sunflower cataract is seen in ?
Wilson's disease
Congenital rubella
Blunt trauma to eye
Myotonicdystrophica
0a
single
Ans. is 'a' i.e., Wilson's disease
Ophthalmology
null
530095ca-8f41-41e9-8673-74368f313bc0
Following are the findings in sickle cell Anemia, except –
Fish vertebra
Enlarged heart
Splenomegaly usually seen
Leukocytosis
2c
multi
Splenomegaly is found in the early stage of sickle cell anemia. By continued infarction and hypoxia - leads to progressive scaring and shrinkage of the spleen, so that by adolescent or adulthood, only a small nubbin of fibrous tissue may be left; this is called autosplenctomy. About other options Option 'a' Bone chang...
Pediatrics
null
d154cc81-3c5e-459e-a6bf-39c0bc7fe923
A 37 year old woman has cyclical premenstrual pain. Her breasts have a "lumpy-bumpy" texture on palpation. A biopsy is performed. The histopathologic features include small cysts lined by epithelial cells with apocrine metaplasia, calcium deposits, areas of fibrosis, increased number of acini (adenosis), and foci of fl...
Adenosis
Apocrine metaplasia
Calcium deposits
Epithelial hyperplasia
3d
multi
Fibrocystic changes usually come to clinical attention by causing pain(often cyclical, in premenstrual phase), palpable lumps, or mammographic densities and calcifications. A "lumpy-bumpy" texture is caused by cysts and fibrosis. Fibrocystic changes, per se, do not increase the risk of developing breast cancer, unless ...
Surgery
null
4f285c2b-a96c-4018-b19c-55f9211cf281
Entropion is
Inversion of eyelid
Inversion of eyelashes
Eversion of eyelid
Eversion of eyelashes
0a
single
Entropion is a condition in which the lower eyelid turns inward, rubbing against the eye. Entropion occurs most commonly as a result of aging. Infection and scarring inside the eyelid are other causes of entropion.
Physiology
All India exam
56970685-9bca-4906-ac69-17946cfbe640
Basement membrane around Schwann cells contains which of the following collagen?
Type IV
Type X
Type XX
Type XXVIII
3d
single
Type XXVIII is distributed in Basement membrane around Schwann cells Reference: Harper; 30th edition; Page no: 628 Table no: 50-1
Biochemistry
miscellaneous
efc11b2c-f629-4cd4-85f1-21d5956f2d8d
In 1947 a committee at ADA recommended symbolically, which of the following tooth numbering system
Zsigmondy/Palmer system
ADA system
Two digit system
Zsigmondy/Palmer system & ADA system
0a
multi
null
Dental
null
0db5c98c-6c48-4cdb-9405-08f7ca7d7f82
Oho-toluidine test measures the levels of:-
Combined chlorine
Both free and combined chlorine
Nitrates in water
Hardness of water
1b
multi
1. OHOTOLUIDINE (OT) TEST Gives value of free and total (combined + free) chlorine levels. Combined chlorine can be easily calculated by subtracting free chlorine from total chlorine. Reagent: Ohotoluidine dissolved in 10% solution of hydrochloric acid. Yellow color produced on reacting with chlorine. Reading within 10...
Social & Preventive Medicine
Water
90b0b521-4a15-453b-b629-7afdf6039aee
False regarding Anganwadi worker-
Training for 4 months
Under ICDS scheme
Gets 1500 Rs per month
Full-time worker
3d
multi
Ans. is 'd' i.e., Full time worker o Anganwadi workers are under ICDS scheme.o There is an anganwadi worker for a population of 400-800 in plains and 300-800 in hilly/tribal areas.o She undergoes training in various aspects of health, nutrition and development for 4 months. o She is a part-time worker.o She is paid an ...
Social & Preventive Medicine
Community Healthcare
f805eb19-e79e-42c0-a894-b88a306519bd
Which of the following is used in the treatment of hyperprolactinemia
Cimetidine
Methysergide
Bromocriptine
Ondansetron
2c
single
Refer KDT 6/e p 236 It is an ergot alkaloid and is a Dopamine agonist Dopamine acts as prolactin inhibiting hormonal big the brain Agonism of Dopamine receptors by Bromocriptine is responsible for it's use in hyperprolactinemia
Pharmacology
Endocrinology
a5d6e4fe-ee14-4802-9bc1-2bfa12af5c1f
Which of the following lesion is hyperdense on CT?
Ependymoma
Medulloblastoma
Oligodendroglioma
Astrocytoma
1b
single
Most Brain tumors are Hypodense on NCCT Hyperdense Brain tumors include Medulloblastoma, CNS Lymphoma, and Pineal Germinomas. NCCT showing a hyperdense lesion in 4th ventricle s/o Medulloblastoma.
Radiology
Neuroradiology
368a61b3-9969-4bc9-8e69-d85961b27e6d
A person having CD-4 count of 200 presents with difficulty of breathing. Most probable diagnosis is?
Tuberculosis
Histoplasmisis
Candidiasis
Pneumocystis carinii
3d
single
Pneumocystis carini REF: Harrison's 17th ed chapter 182, CURRENT Medical Diagnosis & Treatment Chapter 31. HIV Infection & AIDS The host factors that predispose to the development of Pneumocystis pneumonia (PcP) include defects in cellular and humoral immunity. The risk of PcP among HIV-infected patients rises markedly...
Surgery
null
074b6dea-d74c-4789-ad0f-bc2aa727871d
Dangerous area of face is so called because?
Its infection can lead to cavernous sinus thromobosis and can be life threatning
Trauma here leads to massive bleeding and death
It is easily scarred
it's easily hurt in injuries
0a
multi
ANSWER: (A) Its infection can lead to cavernous sinus thromobosis and can be life threateningREF: Dhingra 4th ed page 191The dangerous triangle of the face or maxillofacial death pyramid (MDP) consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. Due to the specia...
ENT
Head & Neck Infections
0d2f17b9-4c6f-4047-ac60-74cce2717c59
A non symmetrical frequency distribution is known as -
Normal distribution
Skewed distribution
Cumulative frequency distribution
None of the above
1b
multi
.
Social & Preventive Medicine
Biostatistics
8228f497-b538-457c-a6ce-bb3afa8afff3
Which of the following is associated with an increased incidence of heterotopic pregnancy?
Obesity
Multiparity
Prior cesarean delivery
Assisted reproductive technologies
3d
single
A heterotopic pregnancy is more likely associated with any of the following: Conception achieved by Assisted reproductive techniques Persistent or rising hCG levels after dilatation and curettage for an induced or spontaneous aboion A uterine fundus larger than menstrual dates More than one corpus luteum Absent vaginal...
Gynaecology & Obstetrics
Ectopic Pregnancy (Hello ! Where are you ?)
9a21620f-9d3d-42b8-96aa-b2c8fa78eec6
Raju, a 10 yr old boy is having difficulty in learning at school. He has sho lapses of awareness with eyelid fluttering that occur every 5-10 minutes. EEG studies reveal brief 3 Hz spike and wave discharges appearing synchronously in all the leads. Which of the following drugs would be effective but has the disadvantag...
Diazepam
Ethosuximide
Clonazepam
Valproic acid
2c
multi
Diagnosis of the patient is petit mal epilepsy (absence seizures). Drugs effective against absence seizures are: Ethosuximide Valproate Clonazepam Lamotrigine Clonazepam is a benzodiazepine that can cause sedation and tolerance. Thedrug of choicefor childhood absence seizures (in India) issodium valproate.
Pharmacology
CNS
4dffa19d-e239-419d-8f9d-e9d1e5ba0c8c
Peak level of LH required for ovulation:
15 ng/ml
50ng/ml
30ng/ml
75ng/ml
3d
single
Peak level of LH required for ovulation is 75 ng/ml It lasts for 24 hrs Ref: Shaw Gynecology 17 e pg 40.
Gynaecology & Obstetrics
Disorders of menstruation
eba34bef-a2d5-46a0-be77-4bf89588d64e
Anesthetic agent of choice in asthma patient is?
Thiopentone
Methexitone
Ketamine
Propofol
2c
single
Ans. is 'c' i.e., Ketamine * Ketamine is a potent bronchodilator; therefore it is the anesthetic agent of choice in bronchial asthma patients.* Halothane is the inhalational agent of choice in asthmatics.Anesthetics safe in asthma patientsInducing agentPropofol, etomidate, ketamineOpioidsPethidine, Fentanyl, Alfentanil...
Anaesthesia
Anaesthesia For Special Situations
df777c64-9b09-43be-b040-7e50efd9de18
Which of the following drugs is used as adjunct therapy for treatment of fungal corneal ulcer?
Atropine eye drops
Dexamethasone eye drops
Pilocarpine eye drops
Lidocaine
0a
single
Atropine eye drops are used to reduce pain from ciliary spasm and prevent formation of posterior synechiae.
Ophthalmology
null
89293cb9-27a1-4486-ac88-d406ef59e980
Nerve supply to stylohyoid is from?
1st arch
2nd arch
3rd arch
4th arch
1b
single
The stylohyoid is supplied by the facial nerve, which is the nerve of the second pharyngeal arch. Ref: BD Chaurasia's HUMAN ANATOMY, Volume 3, 4th edition.
Anatomy
Head and neck
c28cef40-7c75-4833-a31b-884e22264746
Hyponatremia is seen in
Hypehyroidism
Hypothyroidism
DM
Increased insensible loss
1b
single
Hypothyroidism is one of the causes of hyponatremia, thus thyroid-stimulating hormone determination is mandatory during the evaluation of patients with reduced serum sodium levels. .Patients with moderate to severe hypothyroidism and mainly patients with myxedema may exhibit reduced sodium levels (<135 mmol/L) Ref Davi...
Medicine
Fluid and electrolytes
68baa4f2-06da-4a0d-a006-585f19afc8ee
Threonine, while metabolism is conveed to which amino acid:
Proline
Alanine
Glycine
None of the above
2c
multi
Threonine aldolase cleaves threonine to acetaldehyde and glycine. Ref: Harper 28th edition, chapter 29.
Biochemistry
null
26c5c388-86f4-4546-b743-e2b613ef738c
In a child, non - functioning kidney is best diagnosed by-
Ultrasonography
IVU
DTPA renogram
Creatinine clearance
2c
single
Ans. is 'c' i.e., DTPA renogram o The most convenient method of estimation of renal function is by isotope renography. Kumar/85] o Two types of isotope renography is there ? 1) Renogram, DTPA scan or MAG3 DTPA and MAG3 are rapidly excreted by the kidney and are therefore used as radiopharmaceutical agents for dynamic s...
Pediatrics
null
323ec616-c821-491f-8082-6d1dc6e28e54
Ground glass hepatocytes are seen in which of the viral hepatitis -
HAV
HBV
HCV
HDV
1b
single
HBV-infected hepatocytes may show a cytoplasm packed with spheres and tubules of HBs Ag, producing a finely granular cytoplasm ("ground-glass hepatocytes").
Pathology
null
8d89de30-dcdc-4acf-bc70-9b05a7e1746d
Example of Dimorphic fungus -
Cryptococcus
Blastomyces
Cladosporum
T. montagrophytes
1b
single
Ans. is 'b' i.e., Blastomyces Dimorphic fungio Fungi that have two growth forms, such as mold (filaments) and a yeast, which develop under different growth conditions.o In host tissues or cultures at 3 / C they occur as yeasts, while in the soil and in cultures at 22 C they appear as moulds.o Most fungi causing systemi...
Microbiology
Properties of fungus
47345e92-a6c5-4703-99f9-a870533e8fa5
First cell of RBC development:
Proerythroblast
Intermediate normoblast
Reticulocyte
Basophilic erythroblast
0a
single
a. Proerythroblast(Ref: Nelson's 20/e p 2304-2308, Ghai 8/e p 330)Stage of RBC development are: Proerythroblast - Basophillic - polychromatic - Orthochromatic erythroblast - Nucleated RBC - Reticulocyte - Mature RBC.
Pediatrics
C.V.S.
cc030538-a787-4f0e-8e35-f94df4542831
Hair on end appearance is seen in:
Thalassemia
Scurvy
Rickets
Sickle cell disease
0a
single
Ans. Thalassemia
Radiology
null
30c559f1-3482-4c19-97e1-1b8f02d94371
Amalgam often tends to discolor the teeth. This can be inhibited by using:
A zinc free alloy
An alloy containing zinc
Calcium hydroxide on the pulpal floor
Cavity varnish on all cut surfaces
3d
multi
null
Dental
null
63528280-d85b-4534-b479-d0b82a759723
Level III neck nodes are
In the sub-mental triangle
In the posterior triangle
In the midline from hyoid to suprasternal notch
around the middle 1/3rd of internal jugular vein
3d
single
null
Anatomy
null
c3915a7c-fc1a-462a-83ad-056263f912c2
A patient with multiple hypopigmented & hypesthetic patches on lateral aspect of forearm with abundance of AFB and granulomatous inflammation on histology. The diagnosis is
Tuberculoid leprosy
Indetermediate leprosy
Borderline leprosy
Lepromatous leprosy
2c
single
C i.e. Border line leprosy
Skin
null
0168dc6e-279a-49e6-9007-23cac5ab884e
Gartners duct cyst lies in
Lateral aspect of uterine wall
Upper edge of broad ligament
Anterolateral wall of vagina
Posterior to ovarian ligament
2c
multi
Gartners duct cyst lies in anterolateral wall of vagina.
Gynaecology & Obstetrics
null
812b3c91-0ed3-46bb-819f-e57b82cb9f7e
A child can laugh aloud at the age of:-
2 months
4 months
6 months
9 months
1b
single
A child laughs aloud at the age of 4 month. 1 month - ales to sound 2 months - Vocalizes 3 months - Coos 4 months - Laughs aloud
Pediatrics
Social and Language Milestones
c9ebbee0-8360-4f04-95d5-5c39ad53ca89
In which of the following conditions of malabsorption, an intestinal biopsy is diagnostic-:
Celiac disease
Tropical sprue
Whipple's disease
Lactose intolerance
2c
single
Answer is C (Whipple's Disease): An intestinal biopsy is diagnostic/specific for malabsorption due to Whipple's disease. Three most commonly asked forms of Malabsorption Syndromes Whipple's Disease Tropical Sprue Coeliac Disease Malabsorption syndrome with systemic Malabsorption syndrome of infectious Malabsorption syn...
Medicine
null
fd993b30-1b91-483f-9b5b-46f68efe2016
Constrictions in esophagus are seen at all the levels except:
At the begining of esophagus
At the site of crossing of esophagus by aoic arch
Where esophagus pierces the diaphragm
At the point of crossing of thoracic duct
3d
multi
The esophagus has four constrictions.Where the pharynx joins the upper end - 15 cm from incisor teethThe second is at the where the aoic arch - 22.5 cm from incisor teethThe left bronchus cross its anterior surface - 27.5 cm from incisor teethWhere the esophagus passes through the diaphragm into the stomach - 37.5 cm f...
Anatomy
null
61b96f11-caa4-4af7-accd-f86194e58cde
. Immunity by vaccine of yellow fever is provided for:
6 years staing from 6 days after vaccination
6 years staing from 10 days after vaccination
10 years staing from 6 days after vaccination
10 years staing from 10 days after vaccination
3d
single
10 years staing from 10 days after vaccination
Social & Preventive Medicine
null
294b2f7f-844b-4f8a-9f35-fdd928f87362
Only Hepatitis virus which can be cultured is:
HAV
HBV
HDV
HCV
0a
single
HAV
Microbiology
null
024d5620-1855-4066-81d2-3644f81526b5
All muscles are useful in Supination and Pronation of Hand EXCEPT
Anconeus
Brachio-radialis
Supinator
Biceps brachii
0a
multi
(A) Anconeus # Supination & Pronation are rotatory movements of forearm (and hand) around a vertical axis.> In a semiflexed elbow, the palm is turned upwards in supination, and downwards in pronation Remember: Kings pronate, Beggars supinate> The movements are permitted at the superior and inferior radioulnar joints, t...
Anatomy
Misc.
f751c247-3392-4a11-8530-6ba4332c68ba
Vitamin required for collagen synthesis
Vitamin A
Vitamin C
Thiamine
Folic acid
1b
single
The active form of vitamin C is ascorbic acid (Figure 28.8). The main function of ascorbate is as a reducing agent in several different reactions. Vitamin C has a well-documented role as a coenzyme in hydroxylation reactions, for example, hydroxylation of prolyl and lysyl residues of collagen (see p. 47). Vitamin C is,...
Biochemistry
vitamins
8ec816e6-2a4d-4fa5-bfc9-c11ee1827c57
Global removal of disease agent refers to
Disease control
Disease elimination
Disease eradication
Prevent disease
2c
single
Disease control : Is decrease in incidence of disease, so that it is no more public health problem. Disease elimination : Complete reduction in incidence of disease in defined geographical area, but organism persists. Disease Eradication : Global removal of organism.
Social & Preventive Medicine
null
b5a42778-95c4-44e1-abab-5e192cf9c3d0
The drug of choice in mycoplasma pneumonia in children is –
Tetracycline
Streptomycin
Cotrimoxazole
Erythromycin
3d
single
Treatment of pneumonia in children For mildly ill patient (not require hospitalization) Empirical treatment → Amoxicillin is the DOC. Atypical (mycoplasma) pneumonia → macrolides (Azithromycin, Erythromycin). For Hospitalized patients IV cefuroxime or cefotaxime or ceftriaxone. If clinical features suggest staph...
Pediatrics
null
1a212c75-d96a-474e-93c0-69f7d2c9cded
Which of the following does not cross blood brain barrier ?
Glycopyrolate
Atropine
Scopolamine
Promethazine
0a
single
null
Pharmacology
null
023c50ba-333c-452b-8090-196ff7c6ac72
All of the following are advantages of paralleling technique except:
An excellent bone level assessment
The shadow of the zygomatic bone frequently overlies the roots of the upper molars
No elongation or foreshortening seen in periapical region
Interproximal caries is clearly indicated
1b
multi
Advantage of Long Cone Technique: 1. Accuracy: The paralleling technique produces an image that has dimensional accuracy (A profile view of the tooth with buccal and lingual roots projected in their normal respective lengths as buccal and lingual cusps correctly related on the same plane); the image is very representat...
Radiology
null
8e6ac4be-6dba-4fe1-ba3f-2245af1b17e8
Which muscle is attached to intra-articular disc of temporomandibular joint ?
Masseter
Temporalis
MedialPterygoid
Lateral pterygoid
3d
single
Ans. is 'd' i.e., Lateral pterygoid Temporomandibular jointo It is a synovial, bicondylar joint between the mandibular fossa and articular tubercle of temporal bone above and the head of mandible below. The joint is completely divided into two compartments (upper and lower) by a fibro cortilaginous articular disc. Liga...
Anatomy
Temporomandibular Joint
10daf4c6-13c4-4d99-8506-2a16c6537ff2
The commonest cause of death in a patient with primary amyloidosis is -
Renal failure
Cardiac involvement
Bleeding diathesis
Respiratory failure
1b
single
null
Medicine
null
e68ee764-24f3-4664-9cbc-5b86fb894b0f
Flowing wax appearance on anterior and posterior borders of veebrae is seen in -
Ankylosing spondylitis
DISH
Psoriatic ahropathy
Rheumatoid ahritis
1b
single
Radiological features of DISH (Diffuse Idiopathic skeletal hyperostosis) : Flowing calcification and ossification along the anterolateral aspect of veebral bodies. - Flowing wax appearance Preserved disc space. Absence of bony ankyosis of facet joints,absence of sacroiliac bony erosion,sclerosis or bony fusion.
Radiology
Skeletal system
d4cf5568-8aaa-49db-b4a9-849c59d5880a
A 4-year-old child presented with a palpable abdominal mass in the right flank region which was painless and slowly increasing in size along with some episodes of fever and hematuria. On examination, hypeension was noted. CT scan of the abdomen was done. The patient was operated and the mass was resected. The gross spe...
Doxorubicin
Dactinomycin
Vincristine
Bleomycin
3d
multi
This is a case of Wilm's tumour. Wilms tumor is often associated with mutations in the WT1 gene, CTNNB1 gene, or AMER1 gene CT image shows a mass in the right kidney. Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. HPE image shows the characteristic three components: Mali...
Unknown
Integrated QBank
0c456031-a4aa-47d5-9e34-914db7f17ca5
Which hormone increases with age ?
GI
Prolactin
FSH
Insulin
2c
single
Ans. is 'c' i.e., FSHIncreasing age affects the hormonal secretion of body.
Physiology
null
3ac4674b-f654-46b3-8913-a7d92e78bc53
Most common cause of hypercalcemic crisis is -a) Carcinoma breastb) Parathyroid hyperplasiac) Parathyroid adenomad) Paget's disease
a
bc
ad
ac
3d
single
null
Medicine
null
7ec12dae-2636-4937-b34b-60bf79af3efc
Most common genetic mutation in Ca pancreas
KRAS
p-16
P53
COX - II
0a
single
MC genetic mutation in Ca pancreas/ Cholangiocarcinoma - KRAS > p-16 MC genetic mutation in Ca- GB - P53 > K-RAS MC genetic mutation in Ca stomach - P53 > COX - II
Surgery
Pancreas
75d70663-3e4c-47b8-a0e7-a9a7ccf10ab9
Leukocyte alkaline phosphate is increased in all, except
Polycythemia vera
CML
Myelofibrosis
Myeloid metaplasia
1b
multi
Answer is B (CML): Leucocyte Alkaline phosphatase is decreased in CML (chronic myeloid leukemia) PNH (Paroxysmal nocturnal hemoglobinuria)
Medicine
null
da09b0d3-f21d-4e62-9a7a-977fd55999b7
All are true about FTA -ABS in Syphilis, except
FTA - ABS becomes negative after treatment
Present in secondary syphilis
It is a specific test
May be positive in Lyme's disease
0a
multi
null
Medicine
null
e57b5a8c-552e-407a-8607-f119b915591d
The protein synthesis is soed out at/by
Ribosomes
Mitochondria
Golgi-apparatus
Endoplasmic reticulum
2c
single
Main function of Golgi apparatus is protein soing, packaging, and secretion. Mitochondria are the powerhouse of cell. Detoxification of various drugs is an impoant function of ER. Ribosomes are involved in protein synthesis.Ref: DM Vasudevan - Textbook of Biochemistry for Medical Students, 7th edition, page no: 12
Biochemistry
Metabolism of protein and amino acid
2259c755-1b66-4ce8-b2bd-57c4908c8f21
The below mentioned fundus shows presence of:
Forster-Fuchs spots
Papilledema
Papillitis
Optic neuritis
0a
single
Ans. (a) Forster-Fuchs spots.
Ophthalmology
Retina
d6e7e1a0-3b5f-4fa5-9c0b-d808251774b1
Open fracture is treated by
Tourniquet
Internal fixation
Debridement
External fixation
2c
single
C i.e. Debridement
Surgery
null
b30d20a7-38b3-44ce-ab13-36e9bf6ccdbd
Maxillary prominence develops in
1st pharyngeal arch
1st pharyngeal groove
1st pharyngeal pouch
1st pharyngeal membrane
0a
single
null
Anatomy
null
2a60aa57-2594-4fc1-85e3-10302e60b0f3
A 59 yr old man with severe myxomatous mitral regurgitation is asymptomatic,wi wia left ventricular ejection fraction of 45% and an endsystollic diameter index of 2.9cm/m2 . The most appropriate treatment is
Mitral valve repair or replacement
No treatment
ACE inhibitor therapy
Digoxin and diuretic therapy
0a
single
Ref Harrison 19 th ed pg 1545 Valve repair for ischemic MR is associated with lower periopera- tive moality rates but higher rates of recurrent MR over time. In patients with ischemic MR and significantly impaired LV systolic function (EF <30%), the risk of surgery is higher, recovery of LV per- formance is incomplete,...
Anatomy
General anatomy
eb3c2655-40d5-48c2-a4bd-3970abe8227a
Pregnant and lactating mothers need_____ mg of dietary calcium per day
400 mg
600 mg
800 mg
1000 mg
3d
single
Ans. d (1000 mg) (Ref. Park Textbook of PSM 22nd/pg.590; table 29)PREGNANCYLACTATION# Extra calories - 300,# Extra calories - 550 (0 to 6 months) 400 (6 to 12 months),# Extra proteins - 15 g,# Extra proteins - 25 gm (0 to 6 months) 18 gm (6 to 12 months),# Calcium 1000 mg/day,# Calcium 1000 mg/day, iron - 30 mg/day,# I...
Social & Preventive Medicine
Obstetrics, Paediatrics and Geriatrics
599a3005-7caf-4b6a-aee5-ec71f4557739
Most common malignancy in children is
ALL
AML
Neuroblastoma
Wilm's tumor
0a
multi
Leukemia is most common malignancy in the pediatric age groupLeukemia/lymphoma =40% (ALL is more common than AML)CNS Tumor=30%Embryonal & Sarcoma=10%2nd most common is CNS Tumor (30%)(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2437-2445)
Pediatrics
All India exam
58123203-0382-402b-bedb-48fde85da14f
Blood loss in class III hemorrhagic shock
< 750 mL
750 - 1500 mL
1500 - 2000 mL
> 2000 mL
2c
single
Class I - < 750 mL Class II - 750 - 1500mL Class III - 1500 - 2000mL Class IV - 2000mL.
Medicine
null
e5fe83ce-e1b4-4049-aaae-4d3c794123c8
Which of the following agents is recommended for treatment of Gastrointestinal Stromal Tumors (GIST) -
Sorafenib
Imatinib
Gefitinib
Erlotinib
1b
single
Ans. is 'b' i.e., Imatinib Tyrosine kinase inhibitors imatinib and sunitinib are approved for the treatment of Gastrointestinal Stromal Tumors (GIST)
Pharmacology
null
14bc1395-5cdc-4ef9-b87f-53693c97c7ef
Drug causing impaired taste is
metronidazole
losaan
paracetamol
aspirin
0a
single
antibiotics, such as ACE inhibitors like <a class="content-link" style="-webkit-font-smoothing: antialiased; box-sizing: inherit; background-color: transparent; cursor: pointer; text-decoration-line: none; border-color: currentcolor; color: ;" href=" anhydrase inhibitors, such as methazolamide etc</li> ESSENTIALS of me...
Pharmacology
Other topics and Adverse effects
7fda6dd5-0af1-46cd-a6ba-6611b3daf757
Down syndrome is due to non-disjunction of?
21
18
11
15
0a
single
Ans. is 'a' i.e., 21 Chromosome In 95% of cases of Down syndrome-trisomy of 21:? Extra chromosome is of maternal in origin. 1% have mosaic with some all have 46 chromosome. 4% have robesonian translocation. t (13 21) o t (14 : 21) t (15 : 21) Very rarely long arm of chromosome 21 is triplicate (Paial trisomy).
Pediatrics
null
8f2fb49a-8206-456d-b914-66a934286b9d
Secretin stimulation test used for -
Gastrinoma
Pituitary adenoma
Incidenteloma
Insulinoma
0a
single
Ans. is 'a' i.e., Gastrinoma Gastrin Provoking tests* Gastrin provocative tests have been developed in an effort to differentiate between the causes of hypergastrinemia.* The tests are the secretin stimulation test and the calcium infusion study.* The most sensitive and specific gastrin provocative test for the diagnos...
Medicine
Endocrinology
94da6857-11f3-4be5-8931-fd383095d180
A patient has Bullous Lesion; on Tzank smear
Langerhans cells are seen
Acontholysis
Leucocytosis
Absence of melanin pigment
1b
single
B i.e. Acantholysis
Skin
null
d15a7ec8-7ffe-49ef-b878-52dc74ff5278
Klatskin tumor: (Repeat)
Primitive neuroectodermal tumor in chest
Cholangiocarcinoma arising from bifurcation of bile duct
Lung adenocarcinoma involving apical region
Enterochromaffin cell tumor
1b
single
Ans: B (Cholangiocarcinoma arising from bifurcation of bile duct) Ref: Benbrahim Z et al. Askin's tumor: a case report and literature review. World J Surg Oncol. 2013: 11: 10.Explanation:Cholangiocarcinoma arising from bifurcation of bile duct - Klatsin tumorLung adenocarcinoma involving apical region - Pancoast tumorA...
Pathology
Clinical Aspects of Neoplasia
ab18a851-bd99-4980-a0dc-fae234b3d917
TRUE about Vein of Labbe:
Drains into Superior Sagittal Sinus
Drains into Transverse Sinus
Anastomotic channel for Superior Cerebral Veins
Superior anastomotic channel for Superficial Middle Cerebral Vein
1b
multi
Superficial Middle Cerebral Vein communicates with the transverse sinus inferior anastomotic vein of Labbe. The Vein of Labbe is inferior (not superior) anastomotic vein, which crosses and anastomoses at its two ends with the Middle Cerebral Vein and the transverse sinus (not superior sagittal sinus). It drains its adj...
Anatomy
Abdomen: Miscellaneous
b515959d-4e6f-431a-8275-7e353c8c19af
Aldosterone regulates extracellular volume and potassium homeostasis by binding to its receptors present in all, EXCEPT:
Liver
Colon
Hippocampus
Distal nephron
0a
multi
Aldosterone regulates extracellular volume and potassium homeostasis by binding to renal coical collecting duct principal epithelial cell mineralocoicoid receptors. The mineralocoicoid receptor -- a member of the nuclear receptor family and also found in the hea, colon, and hippocampus -- is localized to the cytoplasm ...
Physiology
null
215491c3-cfd9-42cb-8f9e-1f3e01d2c872
Disorders of phagocytosis are all, except:
Job's syndrome
Chediak-Higashi syndrome
Myeloperoxidase deficiency
Wiskott-Aldrich syndrome
3d
multi
Ans. (d) Wiskott-Aldrich syndrome Ref. Anantlumarayan 9/e, p 172 Disorders of phagocytosis Chronic granulomatous disease Myeloperoxidase deficiency Chediak-Higashi syndrome Leukocyte G6PD deficiency Job's syndrome Tuftsin deficiency Lazy leukocyte syndrome Hyper-IgE syndrome Actin binding protein deficiency Shwachman's...
Microbiology
null
8d938cde-ccd3-4728-82b3-3a11cc797d57
Consider the following characteristics of vaginal discharge in bacterial vaginosis :
Green and thick
pH < 4.5
Increase in number of lactobacilli
Whiff test positive
3d
single
Whiff test positive
Gynaecology & Obstetrics
null
cc18a0ee-49b0-45cd-ac18-8c7d8de3768e
Which among the following is ANCA negative?
Wegener's granulomatosis
Microscopic polyangitis
Polyarteritis nodosa
Churg-Strauss syndrome
2c
single
Ans: c (PAN) Ref: Robbins, 7th ed, p. 539 & Harrison, 16th ed, p. 2002"PAN has no association with ANCA"More about PAN:* Vasculitis of medium sized/small muscular arteries sparing pulmonary circulation* Characteristic -- All stages of inflammation coexist in different vessels.Microaneurysms (< 1 cm) - but not pathognom...
Pathology
Blood Vessels
6c386cfb-5135-4ede-9132-836d44e63127
Edema occurs due to:
Increased capillary permeability
Decreased capillary permeability
Decreased interstitial fluid
Decreased blood flow
0a
single
null
Pathology
null