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3e8affd9-1f57-4f95-9904-2b453e95abad | After an operation on femur bone, chest x-ray shows widespread mottling throughout the lung field like a snowstorm, the likely cause | Air embolism | Bacterial pneumonitis | Fat embolism | Pulmonary embolism | 2c | single | null | Orthopaedics | null |
7022a295-d3b0-4209-a66e-0a41df750b89 | Causes of status epilepticus in a child- | Hypernatremia | Hyponatremia | Hyperkalemia | Hypokalemia | 1b | single | Ans. is 'b' i.e., Hyponatremia Causes of status epilepticus in children o Idiopathic o Drug intoxication o Congenital/Developmental neurological abnormalities o Hypoglycemia o Meningitis, Encephalitis o Hyponatremia o Head trauma o Pyridoxin deficiency | Pediatrics | null |
6d8e7874-11ca-4620-8d6a-3f9410c0636b | A female with genital herpes simplex is being treated in the outpatient depament. The doctor teaches her about measures that may prevent herpes recurrences and emphasizes the need for prompt treatment if complications arise. Genital herpes simplex increases the risk of: | Cancer of the ovaries | Cancer of the uterus | Cancer of the cervix | Cancer of the vagina | 2c | single | A female with genital herpes simplex is at increased risk for cervical cancer. Genital herpes simplex isn't a risk factor for cancer of the ovaries, uterus, or vagina. HPV is the primary neoplastic-initiating event in the vast majority of women with invasive cervical cancer. HPV- 16 and -18 are the types most frequentl... | Dental | Sexually Transmitted Infections |
a3e7475c-2f08-402d-a613-fa69aea7ec12 | All are chest X-Ray features suggestive of VSD in a child, EXCEPT: | Large aoic knob | Increased splaying of the carina | Cadiomegaly | Pulmonary plethora | 0a | multi | Chest X-Ray are typically normal in small VSD. In case of large VSD the findings are: 1. Cardiomegaly 2. Pulmonary plethora 3. Increased splaying of the carina with an anlge more than 90 with left main bronchi. 4. Small aoic knob 5. Increased left atrium Ref: Essentials of Pediatric Radiology, Page - 44 | Radiology | null |
dc8ed65e-7931-4687-b942-5b6210c6537b | The drug imatinib acts by inhibtion of: | Tyrosine kinase | Glutathione reductase | Thy midile synthetase | Protein kinase | 0a | single | Ans. is 'a' i.e. Tyrosine kinase Chronic myeloid leukemia is characterized by BCR-ABL translocationThe BCR-ABL translocation in chronic myeloid leukemia encodes a tyrosine kinase which is essential for cell proliferation and survivalImatinib (511-571) is a new molecularly targeted drug, which inhibits the tyrosine kina... | Pharmacology | Anti-Neoplastic Agents |
52808b6a-e679-468e-b70f-dcc18a310fd4 | Pleomorphic adenoma is usually arise from | Parotid gland | Sub mandibular gland | Minor salivary gland | Superficial lobe | 0a | multi | (Parotid gland) (546-HM) (584-Basic pathology 8th)Pleomorphic adenoma (Mixed salivary tumour) is the commonest tumour in the parotid gland and occurs less often in other major and minor salivary gland, common in females. | Pathology | G.I.T. |
38f57975-0b1c-4c43-b75a-f1887d517e3e | Drug causing gynecomastia is : | Spironolactone | Rifampicin | Penicillin | Bumetanide | 0a | single | null | Pharmacology | null |
18fecf42-0103-416d-9750-672a5515ba2b | A young female presents with a history of fever and nodular lesion over the shin. Histopathology reveals foamy histiocytes with neutrophilic infiltration. There is no evidence of Vasculitis. Most probable diagnosis is: | Sweet's Syndrome | Erythema nodosum | Erythema nodosum leprosum | Behcet's syndrome | 1b | single | Absence of vasculitis, history of fever and nodular lesions with neutrophillic infiltration may be seen in Sweet's syndrome and Erythema Nodosum. However, presence of histiocytic infiltration is rare or uncommon in Sweet's syndrome and more common in Erythema nodosum. Therefore, Erythema nodosum is the right Answer amo... | Skin | null |
a6053c89-bcc7-46b3-8f31-0b1618ef8e17 | Chandler’s Index is used for: | Filariasis | Ascariasis | Guinea worm | Ancylostoma | 3d | single | Chandler Index
It is the average number of hookworm eggs per gram of faeces for the entire community. | Unknown | null |
4ae2e062-b21e-48d0-8bf6-89f40c5c1bf3 | Most common site for leiomyoma in GIT ? | Appendix | Jejunum | Ileum | Stomach | 3d | single | Stomach is the most common site for leiomyoma in GIT.
Most common benign tumor of oesophagus is stomach. | Pathology | null |
672ddcc5-a4e8-42cd-a5b1-853eb680e541 | Tachyphylaxis is seen after use of: | Tamoxifen | Ephedrine | Morphine | Chlorpromazine | 1b | single | null | Pharmacology | null |
84f0ed49-9e34-4370-951e-9451f28c65d2 | Brunner's glands are present in | Duodenum | Jejunum | Proximal ileum | Distal ileum | 0a | single | Ans. a (Duodenum) (Ref. BDC, Vol. II, 3rd ed., 212)THE DUODENAL GLANDS OF BRUNNER (BRUNNER'S GLAND)# These lie in the SUBMUCOSA of the duodenum.# These are small, compound tubuloacinar glands.# They secrete mucus.RegionMajor characteristicsMucosal cell types at surfaceFunction of surface mucosal cellsEsophagus# Nonkera... | Anatomy | Small Intestine |
8fdfdfb1-acdc-40d3-8f70-eafc6f482ed3 | Cayenne pepper stippling due to hemosiderin is found in:- | Erythroplasia of Queyrat | Paget's disease | Plasma cell balanitis of zoon | Bowen's disease | 2c | single | Cayenne pepper stippling d/t hemosiderin seen in uncircumcised patient in Plasma cell balanitis of zoon/ zoon balanitis C/F - Erythematous, shiny lesions- Over glans penis- Asymptomatic lesion- Mild pruritus- Shows cayenne pepper strippling Cayenne pepper stippling appearance is d/t purpose develops pruritic spot d/t h... | Dental | JIPMER 2018 |
6d044ab3-6c3e-42c1-9467-583675478961 | Loss of extension of little ring finger, hypothenar atrophy is seen in injury of: | Post interosseous nerve | Radial trunk | Ulnar Nerve | Median nerve | 2c | single | Ans. c. Ulnar nerve before division into superficial and deep branches (Ref: BDC 4/vol-I/123) Nerve damaged in case of numbness of little and ring finger, atrophy of hypothenar muscles is ulnar nerve, before division into superficial and deep branches. Supplied muscles Ulnar Nerve (C7C8T1) Musician's NerveQ Median Nerv... | Anatomy | Hand |
b41d80ab-8e4c-482c-9837-bb9be343594a | Deficinecy of enzyme hexosaminidase, subunit causes - | Tay - Sach's disease | Hurler's syndrome | Fabry disease | Pompe disease | 0a | single | Tay-Sachs Disease (GM2 Gangliosidosis: Deficiency in Hexosaminidase b Subunit) Gangliosidoses are characterized by accumulation of gangliosides, principally in the brain, as a result of a deficiency of a catabolic lysosomal enzyme. Depending on the ganglioside involved, these disorders are subclassified into GM1 and GM... | Pathology | Pediatrics, environment and nutrition |
bd8e2393-f07d-493e-8a47-04a0548ccfe5 | A woman has a bilateral headache that worsens with emotional stress; she has two children, both doing badly in school; diagnosis is | Migraine | Cluster headache | Tension headache | Trigeminal neuralgia | 2c | multi | A tension-type headache (TTH) is a syndrome characterized by bilateral tight, band-like discomfo, builds slowly, fluctuates in severity, episodic or chronic (present >15 days per month).Usually occurs without accompanying features such as nausea, vomiting, photophobia, phonophobia, osmophobia, throbbing, and aggravatio... | Medicine | All India exam |
e8ddbb46-0383-4152-934d-337873f0390a | Subcapsular orchiectomy is done for cancer of ? | Testes | Prostate | Penis | Urethra | 1b | single | Ans. is 'b' i.e., Prostate | Surgery | null |
a85fb7ea-fb52-4871-9dfe-fd088d14f966 | All the following are tricyclic antidepressants except | Mianserin | Imipramine | Protriptyline | Maprotiline | 0a | multi | there are several types of antidepressants namely tri cyclic antidepressent=== amitriptilline, clomipramine, imipramine, noriptilline SSRI=================fluoxetine, paroxetine, fluvoxamine, seraline, citalopram, escitalopram SNRI=================venlafaxine, desvenlafaxine, duloxetine Mianserin is tetracyclic and aty... | Psychiatry | Mood disorders |
fe4d30f3-36ec-4689-b5dc-1e5c49f7c998 | FDA indications of inhaled NO is? | Malignant hypeension | Pulmonary hypeension in newborn | Cyanotic CHD | None of the above | 1b | multi | Ans. is 'b' i.e., Pulmonary hypeension in newborn According to Goodman Oilman "Inhaled nitric oxide has been approved by FDA for use in newborns with persistent pulmonary hypeension and has become the first line therapy for this disease. In this disease state NO inhalation has been shown to reduce, significantly, the n... | Anaesthesia | null |
5d6bfb9f-6b4c-4227-a686-27a6e5f54d90 | Epiphyseal enlargement is seen in | Rickets | Scurvy | Spondo-epiphyseal dysgenesis | Juvenile Rheumatoid Ahritis | 3d | single | D i.e. Juvenile Rheumatoid | Radiology | null |
800bd0a9-d05f-48af-9c17-ce161396c2e4 | The laboratory evidence of flare in SLE is: | Increase in titre of anti-dsDNA | Increase in titre of ANA | Increase in anti-Sm | Elevation of ESR | 0a | single | SLE FLARE: LAB RESULTS Increases in quantities of anti-dsDNA herald a flare, paicularly of nephritis or vasculitis It may be associated with declining levels of C3 or C4 complement. Antibodies to Sm is specific for SLE and assist in diagnosis; anti-Sm antibodies do not correlate with disease activity or clinical manife... | Medicine | null |
e4453f82-0320-4fc3-a8d5-0771184b6f21 | Vulvar carcinoma accounts for what percentage of genital tract malignancies? | 0.5 - 1% | 3 - 5% | 7 - 11% | 13 - 15% | 1b | single | Ans. is 'b' i.e.,3 - 5%Vulval CarcinomaIt occurs in 17/100,000 females.It accounts for 3 - 5% of the genital tract malignanciesIt usually occurs in post menopausal females with median age of 60 years.It has increased association with obesity, hypeension, diabetes and multiparity. | Gynaecology & Obstetrics | null |
761a8cc3-8cf9-4737-a55c-1391f69af678 | The most common manifestation of congenital toxoplasmosis - | Hydrocephalus | Chorioretinitis | Hepatospienomegaly | Thrombocytopenia | 1b | single | null | Pediatrics | null |
45757e59-a6c2-4c25-b233-19106a744738 | PR interval in ECG denotes | Isovolumetric contraction of ventricle | Insovolumetric relaxation of heart | Atrial contraction | None | 2c | multi | Ans. (c) Atrial contractionRef: Ganong, 25th ed/p.525PR interval#From the onset of P wave to the beginning of QRS complex#Duration - 0.12 to 0.20 sec#Denotes atrial contraction and Atrioventricular (AV) conduction time | Physiology | Heart, Circulation, and Blood |
4f50da44-cd43-4ea9-8107-c82aff7c1788 | A 60-year-old male diabetic and hypeensive patient was found unconscious in the morning. On examination pulse rate is 120/min, BP=160/100 mm Hg. What is the next step to be done for management? | Order CT scan | Check blood glucose | Give intravenous mannitol | Immediately reduce BP with antihypeensives | 1b | multi | Choice C is ruled out since no features of raised ICP are given. Choice D is ruled out since BP lowering is done in case of CNS events if the BP> 185/110 mm Hg. Moreover, CT is required for diagnosis of a CNS event. At lower BP values reducing BP would be counterproductive and can lower Brain perfusion. Now we have to ... | Medicine | Brain Hemorrhage |
34858cbf-f9a2-4930-9af1-89f53157bc8a | A 60 years old male presented to OPD with bleeding PR. On DRE, growth was felt at by the tip of index finger. On sigmoidoscopy, there was an ulcero-proliferative growth located 6 cm from anal verge. On CECT, liver and lungs were not involved. After chemoradiation, what is the next best step? | Observation an follow up | Low anterior resection | Abdominoperineal resection | Haman's procedure | 1b | multi | Ca. rectum - Length of surgical anal canal - 3 cm - Growth on DRE - (10 cm) - In rectum - Growth Located >5 cm above anal verge - LAR - Growth located at Anorectal junction or <5 cms from anal verge - APR Stage I - Surgical excision Stage II Stage III Stage IV Neo adjuvant chemoradiation + Surgical excision | Surgery | GIT |
c2b593ea-9721-4906-9f81-c2e22a7fcaae | Which of the following bone tumor arise from epiphysis? | Osteoid osteoma | Chondrosarcoma | Ewing's sarcoma | Chondroblastoma | 3d | single | Chondroblastoma is an uncommon benign neoplasm consisting of chondroid tissue mixed with more cellular tissue. In 98% cases it arise from the epiphysis. Osteoid osteoma is most commonly located in the proximal medial femoral coex just distal to the lesser trochanter. In long bones it is mostly located in the diaphysis ... | Surgery | null |
9978bf8d-9aeb-41e9-82e8-2ed07f541d77 | Resting membrane potential of neuron is | +70mv | -70mv | +90mv | -90mv | 1b | single | The magnitude of resting membrane potential from tissue to tissue ranges from - 9 to - 100.RMP of nerve Fibre is - 70mV(REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO 22) | Physiology | General physiology |
187e7c8d-4974-4221-9ceb-09a1771acbb1 | Which of the following will be the most important adjuvant therapy in a case of fungal corneal ulcer – | Atropine sulphate eye ointment | Dexamethasone eye drops | Pilocarpine eye drops | Lignocaine eye drops | 0a | single | Cycloplegics are used in any corneal disease as a symptomatic treatment.
Atropine ointment or eye drop is the DOC. | Ophthalmology | null |
049b766c-1986-43e2-9cb6-67dbf36d91d7 | Which of the following techniques is the best for differentiating recurrence of brain tumour from radiation therapy induced necrosis? | MRI | Contrast enhanced MR1 | PET scan | CT scan | 2c | single | Ans. PET scan | Radiology | null |
8fff83bf-e469-4328-8f9d-cea5e72c975c | The most common extracranial solid tumor in pediatric age group is ____: | Juvenile pilocytic astrocytoma | Chloroma | Retinoblastoma | Neuroblastoma | 3d | single | Ans. D. Neuroblastoma* Neuroblastoma - is the most common intra-abdominal malignancy and also, the most common extracranial solid tumor in children.* It is an embryonal cancer of the peripheral sympathetic nervous system.* The median age for diagnosis is 22 months and 90% of cases are diagnosed by 5 years of age.* Othe... | Pediatrics | Childhood Tumors |
68591efd-6d00-4693-9656-c00d277125d9 | Mechanism of action of donepezil is : | Centrally acting reversible anticholinesterase | Centrally acting irreversible anticholinesterase | Irreversible cholinergic action | Reversible anticholinesterase | 0a | multi | null | Pharmacology | null |
a7434b3f-ee59-4619-a070-c9da63fc2c21 | Purpura fulminans is seen in? | Protein C deficiency | Protein S deficiency | AT III deficiency | Factor 5 leiden mutation | 0a | single | Purpura fulminans is a severe form of DIC resulting from thrombosis of extensive areas of the skin. It predominantly affects young children following viral or bacterial infection, paicularly those with inherited or acquired hypercoagulability due to deficiencies of the components of the protein C pathway. | Medicine | Platelet & Coagulation disorders |
1e860791-b860-4cb7-a19d-90b7b8031150 | A 4-month-old infant has undergone surgical treatment for meningo myelo encephalocele. A CT tomogram of head was made immediately after birth (see Figure below). At birth, an operation was carried out in the posterior cranial fossa to partially replace brain cerebellar contents to an intracranial position. In investiga... | Fusion of the frontal lobes | Fusion of the temporal, parietal, and occipital lobes | Abnormal elongation of the medulla and lower cranial nerves | Partial or complete absence of the pituitary gland | 2c | multi | Abnormal elongation of the medulla and lower cranial nerves may be evident in Arnold- Chiari syndrome. Additional features include fusion of the corpora quadrigemina, leading to a "beaked" tectum; partial or complete absence of the corpus callosum; and microgyria. The corpora quadragemina are relay stations for hearing... | Surgery | Nervous System |
6f53a7b0-8a07-49bc-9edb-7b3f195f7a81 | A man presents with weakness, tachycardia, sweating, palpitations, giddiness on fasting which is prompltly relieved with food intake. What is the most probable diagnosis? | Insulinoma | Pancreatic ca | Carcinoid | Zollinger Ellison syndrome | 0a | single | Ref: Robbins Pathologic Basis of Disease, 8'k edition. & Bailey and Love's Short Practice of Surgery 25th EditionExplanation:INSULINOMAfi-cell tumors (insulinomas) are the MC of pancreatic endocrine neoplasms.They may be responsible for the elaboration of sufficient insulin to induce clinically significant hypoglycemia... | Surgery | Pathophysiology - Pancreatic Endocrine Tumors |
3d9789f0-c494-4130-9f49-e14ba6262939 | True about Thrombocytopenic pupura is? | Haemolysis is extravasular | Normal renal function test | Thrombosis in cerebral blood vessels | Immediate cure following plasmapheresis | 2c | multi | Ans. is 'c' i.e., Thrombosis in cerebral vessels Thrombotic thromhocytopenic purpura (TTP) o TTP is included among group of diseases called thrombotic microangiopathic which are characterised by widespread thrombosis in microcirculation. o The other disorder which is included in this group include hemolytic uremic synd... | Pathology | null |
bccc793d-a17d-4cab-a32a-3291bd629a7b | Which of the following is a superantigen | Cholera toxin | Diphtheria toxin | TSST | Vero-cytoxin | 2c | single | Superantigens
Certain species of infectious microorganisms produce powerful,
immunostimulatory and disease-causing toxins called superantigen, so called because of their ability' to a polyclonally active large fraction ( up to 20% ) of T cell population.
Superangens are potent acvators of T-lymphocytes.
Superange... | Microbiology | null |
8b447b4f-7d8f-46b6-a269-a818aab18b86 | Infection become localized in the form of abscess, bacteria responsible for this is: | Streptococci | Staphylococci | Actinomyces | All of the above | 1b | multi | Pyogenic organisms, predominantly Staphylococcus aureus, cause tissue necrosis and suppuration. Pus is composed of dead and dying white blood cells, predominantly neutrophils, that have succumbed to bacterial toxins. An abscess is surrounded by an acute inflammatory response composed of a fibrinous exudate, oedema and ... | Pathology | null |
2f0a6154-7376-459f-bb93-9ee6eb9d39c8 | All are the feature (s) of chancorid except: | Ulcer bleed easily | Painful | Bubo formation | Typically indurated | 3d | multi | Ans: d. Typically indurated, Chancroid or soft sore is characterized by tender non-indurated irregular ulcers on the genitaliaThe infection remains localized, spreading only to the regional lymph nodes which are enlarged & painful"Haemophilus ducreyi: After an incubation period of 4-7 days, the initial lesion--a papule... | Microbiology | null |
90c2d77b-3178-480f-882c-8df67e0e3c61 | Lateral boundary of cubital fossa is formed by - | Biceps | Pronater teres | Brachialis | Brachioradialis | 3d | single | Ans. is 'd' i.e., Brachioradialis o Lateral boundary of cubital fossa is formed by brachioradialis and medial boundary is formed by pronater teres. Cubital FossaLateral boundryBrachioradialisMedial boundryPronater teresBaseLine joining the two epicondyles of humerusApexPoint joining lateral and medial boundriesFloorBra... | Anatomy | Arm and Cubital Fossa |
27a754c6-eb0a-4ddc-8474-de5212dbe3d9 | BCG should be given: September 2005 | Immediately after bih | At the age of 1 month | At the age of 6 months | At the age of 1 year | 0a | single | Ans. A: Immediately after bih Bacillus Calmette-Guerin/BCG is a vaccine against tuberculosis that is prepared from a strain of the attenuated (weakened) live bovine tuberculosis bacillus, Mycobacterium bovis, that has lost its virulence in humans by being specially cultured in an aificial medium for years. The bacilli ... | Social & Preventive Medicine | null |
79b09401-9cad-4af3-a88b-4a2a9ba6229e | Not associated with malignancy: JIPMER 13 | Down's syndrome | Turner syndrome | Noonan syndrome | Klinefelter syndrome | 1b | single | Ans. Turner syndrome | Forensic Medicine | null |
7959efa7-3c97-4d5c-8b09-46348111c406 | N K cells activity is enahnced by - | IL-1 | TNF | IL-2 | TGP-b | 2c | single | IL-2 promote growth and differentiation of T & B cells , cytotoxicity of T & NK cells Reff: Ananthanarayan & Panikers textbook of microbiology 9th edition pg: 154 table 15.3 | Microbiology | Immunology |
d4cb51de-7d4b-4edc-9c78-6ab615b2967a | Shenton's Line is present in- | knee | Shoulder | Elow | Hip | 3d | single | *Shenton's line is an imaginary line drawn along the inferior border of the superior pubic ramus and along the infero- medial border of the neck of femur. REF:Ref: Maheshwari J.Essential Ohopaedics 6th/e p.222 | Anatomy | null |
a3cbf092-5849-4e46-98e4-4c7aa5714d4f | Chance of subsequent baby having NTD when first baby was born with NTD - | 2% | 4% | 10% | 20% | 1b | single | Ans. is 'b' i.e., 4%The recurrence risk of neural tube defect is :3 - 5 % if a couple has previously had a child with either anencephaly or spina bifida.5% if either parent was born with a NTD.10% if a couple has two affected children | Gynaecology & Obstetrics | null |
1a45798e-b827-45af-86b8-58fdc8d22700 | Most common histological variety of Uterine carcinoma is? | Squmous cell carcinoma | Columnar cell carcinoma | Adeno carcinoma | Mixed carcinoma | 2c | single | ANSWER: (C) AdenocarcinomaREF: Novaks gynaecology 14th ed.pg no 1350Uterine sarcomas are, in general, the most malignant group of uterine tumorsAbout 90% of women with endometrial carcinoma have vaginal bleeding or discharge as their only presenting symptom.The risk for endometrial cancer is 4 to 8 times greater in pos... | Gynaecology & Obstetrics | Carcinoma Endometrium |
0746a7bc-ded7-4861-a9a0-8a54282ca85b | In restraining of child everything involved except | Avoidance | Discrimination | Pedi wrap and papoose board | Aversive conditioning | 0a | multi | null | Dental | null |
3acff2e2-e05c-42e2-b0d3-59c49b6bf74d | Action of intramedullary 'K' nail is | Two-point fixation | Three-point fixation | Compression | Weight concentration | 1b | single | B i.e. Three - point fixation | Surgery | null |
8c22bc36-1a71-4fda-a3cf-347e85c752f5 | Hyperacute rejection is due to | Preformed antibodies | Cytotoxic T lymphocyte mediated injury | Endothelitis caused by donor antibodies | Circulating macrophage mediated injury | 0a | single | Hyperacute rejection occurs when preformed anti-donor antibodies are present in the circulation of the recipient. Such antibodies may be present in a recipient who has previously rejected kidney transplant, Multiparous women, Prior blood transfusionsHyperacute Rejection occurs within minutes or hours after transplantat... | Surgery | General surgery |
78671892-8186-4a19-9e29-0ee349dc34e4 | Site of bleeding in Gastro-esophageal varices: | Sho Gastric veins | Right Gastric veins | Left Gastric veins | All | 3d | multi | Ans is A (Sho Gastric veins), B (Right Gastric veins), & C (Left Gastric veins) "Varices in the distal esophagus and proximal stomach are a component of the collateral network that dives high-pressure poal venous flow through the left and right gastric veins and the sho gastric veins to the azygous system."- Sabiston 1... | Surgery | null |
5323df28-e1f1-449c-af03-95c860de8e98 | Which of the following is NOT an important/ frequent/well-known manifestation of an adverse drug reaction? | Agranulocytosis | Aplastic anaemia | Haemolysis | Leukaemia | 3d | single | null | Pharmacology | null |
70123f24-ea9f-45bb-b261-d79b38d46597 | Painless burn in hand is a characteristic feature of? | Thalamic syndrome | Syringomyelia | Cord compression | SLE | 1b | single | Ans is 'b' i.e. Syringomyelia * In Syringomyelia, there sensory deficit in upper extrimities in the form of loss of pain and temperature sensations with touch and vibration being intact. | Pathology | Central Nervous System |
f293bf95-1a65-4606-b2cd-56cbc31b2e3b | Insulin is secreted along with the following molecule in a 1:1 ratio | Pancreatic polypeptide | Glucagon | GLP- 1 | Somatostatin | 2c | single | Glucagon-like peptide 1 (GLP-1) is an appetite suppressing substance found in the brain and intestine. In the brain, GLP-1 acts as a satiety signal. In the intestine, it slows emptying of the stomach and stimulates the release of insulin from the pancreas.Pancreatic polypeptide is a 36-amino acid peptide secreted by is... | Physiology | Endocrinology |
1dec6929-4aca-4d43-8ea8-9050b3226867 | Blood loss during major surgery is best estimated by: | Visual assessment | Suction bottles | Transesophageal USG Doppler | Cardiac output by thermodilution | 1b | single | Measurement of blood loss during surgery (Gravimetric Method)
Blood loss during operation is measured by: Weighing the swabs after use and subtracting the dry weight and fluid used + volume of blood collected in suction bottles (after subtracting irrigating fluid) | Surgery | null |
33a13c98-b450-4bd7-8b74-6fde20ad4c46 | Which drug can cause psychosis: September 2004 | Ofloxacin | Amfetamine | Capreomycin | Rifampicin | 1b | single | Ans. B i.e. Amfetamine | Psychiatry | null |
1fbfc98a-f744-4f57-8a6e-45cb51c84e27 | Fast muscle fibers are? | Red | Oxidative | Tonic | Glycolytic | 3d | single | Ans. is'd'i.e., Glycolytic(Ref: Principles of medicalphysiolog p. 512)TYPES OF MUSCLE FIBERS:Two fibers types:Type I/red fibersType II/white fibers.Motor unit contains only one muscle fibers type:I.e., All motor unit fibers are either type-I or type II.Hence, named accordingly.CHARACTERISTICS OF MUSCLE FIBER TYPES:Para... | Physiology | null |
e85df0e9-7a64-4e94-8866-bd991d1c037f | Which is the first line of treatment for overactive bladder? | Antimuscarinic drug | Behavioural therapy | Cholinergic drug | Botulinum toxin type A | 1b | single | Behavioural therapy includes bladder training, pelvic floor exercise, fluid management. | Pharmacology | null |
44b196a5-e155-4fd9-ad33-bc7bb3b38a41 | Within practical limits, using less water in mixing plaster will result in a set product that | Contracts | Is stronger | Is more porous | Is less brittle | 1b | single | null | Dental | null |
ae3e0956-2070-4273-aebd-175b679406e2 | Drug for prophylaxis of malaria in chloroquine resistant P.falciparum ? | Mefloquine | Quinine | Halofantrine | Aesunate | 0a | single | Ans. is 'a' i.e., Mefloquine Chemoprophylaxis of malaria Chemoprophylaxis is recommended for travellers from non-endemic areas, and as a sho term measure for soldiers, police and labour forces serving in highly endemic areas. Chemoprophylaxis should begin a week before arrival in malarious area and continued for at lea... | Social & Preventive Medicine | null |
aa2018bc-4a47-4b17-82be-063f77abddb1 | Mala-N contains | Ethinyl estradiol 30 mcg | Norgesterol 50 mcg | Ethinyl estradiol 50 mcg | Progesterone 10 mg | 0a | single | MALA-N contains levonorgestrel 0.15 mg and ethinyl estradiol 0.03mg MALA-N is supplied free of cost through all PHC&;s, Urban family welfare centres etc. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 500 | Social & Preventive Medicine | Demography and family planning |
95f19616-1ba6-474a-9ac1-9fa96ccad686 | Retinoblastoma is bilateral in | 100 % of cases | 1 % of cases | 50 % of cases | 30 % of cases | 3d | single | Retinoblastoma: It is a malignant glioma of the retina, usually unilateral, that occurs in young children and usually is hereditary. In about 30 % of patients retinoblastoma is bilateral. The initial diagnostic finding is usually a yellow or white light reflex seen at the pupil (cat's eye reflex). | Ophthalmology | All India exam |
a9f916d7-6a0e-42b2-9167-f74b1f2d365c | Which of the following is most common fingerprint pattern | Loops | Whorl | Composite | Arches | 0a | single | The patterns of fingerprints : Loops-these reconstitute 60-70 percent patients encountered Whorl-represent 25-30 percent patients encountered Arch -represent about 5 percent of patients encountered Least commonly encountered is composite Refernce:Essentials of Forensic Medicine and toxicology PG no 2,vol 3 | Forensic Medicine | Identification |
a710ef33-0ac7-4ac7-9e24-f5a271145fad | Outer blood retinal barrier is formed by | Internal limiting mebrane | Endothelium | Retinal pigment epithelium | Ganglion cells | 2c | single | Outer blood retinal barrier is formed by retinal pigment epithelium Blood Retinal Barrier * Outer BRB: Formed by RPE * Inner BRB: Formed by endothelium of microvasculature | Ophthalmology | Retina |
a5724364-a404-4a60-9ce4-8a1dc8e5b405 | Which of the following radiographic presentation cannot be seen in a patient with intussusception? | Target sign | Corkscrew sign | Crescent sign | Normal radiograph | 1b | single | Radiographic signs of Intussusception: 1. Target sign 2. Crescent sign 3. Absent liver edge sign (also called the absence of the subhepatic angle) 4. Bowel obstruction 5. May have a normal x-ray The corkscrew sign describes the spiral appearance of the distal duodenum and proximal jejunum seen in midgut volvulus. It ha... | Surgery | G.I.T |
e242aeb4-47c8-4331-ae6f-19b02a530994 | Cervix contains | Mainly muscle fibres | Mainly collagen | Both muscle and collagen are in equal proportion | None of the above | 1b | multi | Cervix contains mainly collagen and only 10 % of muscle fibres. | Gynaecology & Obstetrics | null |
2a3148e2-464e-491d-98ab-8ca190e4e970 | Calcification around the joint is seen in: | Pseudogout | Hyperparathyroidism | Rh. ahritis | Gout | 0a | single | A i.e. Pseudogout In pseudogout (CPPD), there is intra & peri-aicular calcificationQ due to radio dense deposits are deposited in menisci & aicular hyaline cailage. | Radiology | null |
94f802f9-ef67-47e1-a750-869eafc8790b | A child develop skin tumor with blisters on exposure to sunlight. Irregular dark spots on the skin were also found. He is very likely has defect in which of the following mechanism? | Thymidine dimmers repair | Base excision repair | Mismatch repair | Double strand break repair | 0a | single | Ans. a. Thymidine dimmers repair (Ref: Harper 27/e p345-346; Lehning 5/e p1003)This patient is most likely have xeroderma pigmentosa, in which damage produced by UV-rays is caused due to formation of pyrimidine (mainly thymidine) dimmers.The damage produced by UV rays is caused due to formation of pyrimidine (mainly th... | Biochemistry | Molecular Genetics |
34768824-b627-4e02-a12a-3069c7e9c617 | The clinical use of leuprolide include all the following except | Endometriosis | Osteoporosis | Prostate cancer | Precocious pubey | 1b | multi | Refer KDT 6/e p 239 GnRH agonists as well as antagonists can cause hit flushes, loss of libido and osteoporosis as adverse effects | Pharmacology | Endocrinology |
45c68e1a-39bd-4f44-b7fd-301f60386209 | Dumping syndrome is due to: | Diarrhoea | Presence of hypeonic content in small intestine | Vagotomy | Reduced gastric capacity | 1b | multi | Answer is B (Presence of Hypeonic Contents in small intestine) DUMPING SYNDROME refers to a syndrome of abdominal and vasomator symptoms which results from dumping of food stuffs with a high osmotic load, front the stomach, into the small bowel. Loss of storage capacity of stomach and ablation, by pass or destruction o... | Medicine | null |
42713bab-2119-47f1-9298-b11923598ac7 | Meniere's disease is: | Perilymphatic hydrops | Endolymphatic hydrops | Otospongiosis | Coalescent mastoiditis | 1b | single | (b) Endolymphatic hydrops(Ref. Cummings, 6th ed., 2331)Meniere's is also known as endolymphatic hydrops.There is no condition called Perilymphatic hydrops.Otospongiosis also known as otosclerosis is fixation of foot plate of stapes.Coalescent mastoiditis is infection of the mastoid air cells and is a complication follo... | ENT | Otosclerosis |
98626654-2e98-438a-8a62-6a8c78867cb2 | Bictegravir was approved by FDA recently for | Cystic fibrosis | TB | Hypeension | HIV | 3d | single | Bictegravir (an Integrase Inhibitor) is a component of the fixed-dose combination product bictegravir/emtricitabine/tenofovir alafenamide (brand name: Biktarvy), which received marketing approval for the treatment of HIV infection by U.S. Food and Drug Administration in February 2018. | Pharmacology | All India exam |
f7982d79-b9e1-41ac-a378-c69f1afe897e | Sinus arrhythmia is due to- | Sinus node disease | Exaggerated response to sympathetic system | Fluctuating parasympathetic response during respiration | Decreased hea rate in inspiration | 2c | single | Answer-C. Fluctuating parasympathetic response during respirationSinus rhythm with a beat-to-beat variation in the P-P interval (the time between successive P waves), producing an irregular ventricular rate.Sinus arrhythmia is a normal physiological phenomenon, most commnonly seen in young, healthy people.The hea rate ... | Medicine | null |
989ea808-e1cf-4ec8-bd78-dba14489ea2e | Lovibond profile sign is seen in ? | Koilonychia | Platynochia | Clubbing | Onycholysis | 2c | single | Ans. is 'c' i.e., Clubbing Clinical indicators of clubbing are Lovibond profile sign and cuh's modified profile sign". Lovibond angle is the angle located at the junction between the nail plate and proximal nail fold. It is normally less than 160deg. In clubbing, the angle exceeds 180deg (Lovibond profile sign). | Skin | null |
ef614fae-b369-466f-bf78-15e084318f6c | All are true regarding Rabies virus, except? | Single Stranded RNA virus | Linear | Negative sense | Space vehicle shaped | 3d | multi | It is a bullet shaped virus with a single serotype. It is detected by immunofluoresence. The rabies virus is a neurotropic virus. These viruses areenveloped and have a single stranded RNA genome with negative-sense. All transcription and replication events take place in the cytoplasm inside a specialized "virus factory... | Microbiology | null |
b17bd4ab-a488-47e7-a654-383ef09bef3d | OsteoscLerosis of bone occurs due to | Decreased host resistance | Increase in the virulence of organisms causes infection | Increased host response | Occurs in immunocompromised patients | 2c | single | null | Pathology | null |
9f41822d-ab3b-453b-b052-17af221535dc | Not true about retinoblastoma - | Bilateral in 20-30% | Affects age group 1-5 years | More common in males | Leukocoria is earliest symptom | 2c | multi | Ans. is 'c' More common in males o Retinoblastoma is the most common intraocular tumor in children. The tumor is confined to infancy and very young children (1-2 years). There is no sex predisposition. Retinoblastoma is unilateral in 70-75% of cases and bilateral in 25-30% of cases.o Gaze Fixation starts developing in ... | Ophthalmology | Intra Ocular Tumour |
3e03b82c-ad2f-40b7-8089-28030721c153 | Which of the following artery passes between the roots of the auriculotemporal nerve? | Maxillary artery | Middle meningeal artery | Superficial temporal artery | Accessory meningeal artery | 1b | single | Middle meningeal artery passes between roots of auriculotemporal nerve. | Anatomy | null |
4ed6e899-6187-4086-b16e-87e30e01a2b2 | Ethambutol is safer in patient of: | Liver disease | Kidney disease | Gout | Both 1 and 2 | 0a | multi | All first line drugs used against M.Tuberculosis are hepatotoxic except Ethambutol. But it requires dose adjustment in renal failure. | Pharmacology | null |
b1bd64eb-8730-4c67-b90e-22e177ab50e0 | The age changes in dentin include: | Sclerotic dentin | Dead tracts | Both | None | 2c | multi | The age changes in dentin include the formation of sclerotic dentin and dead tracts. Hydroxyapatite crystals are laid down in the intertubular dentin and within dentinal tubules to block the tubules, against the entry of bacteria, etc. The dentin then becomes transparent in transmitted light, hence often called transpa... | Dental | null |
438f68a9-6e98-4d3e-b706-97146f74c8ac | Oil drop cataract is characteristic of ? | Diabetes | Chalcosis | Galactosemia | Wilson's disease | 2c | single | Ans. C) Galactosemia Oil drop cataract Commonly seen in patients with galactosemia (a recessively inherited inborn error of carbohydrate metabolism). Accumulation of dulcitol (galactose reduction product) within the lens cells leads to increased intracellular osmotic pressure and fluid influx into the lens. | Ophthalmology | null |
8350f6f8-cdb3-45ff-8468-ed8e6c5a1bdd | D–tubocurarine acts by – | Inhibiting nicotinic receptors at myoneural junction | Inhibiting nicotinic receptors at autonomic ganglion | Producing depolarizing block | By inhibiting reuptake of acetylcholine | 0a | single | All non-depolarizing blockers (D-tubocurarine) act as competitive antagonist of acetylcholine on nicotinic (Nm) receptors at myoneural junction. | Anaesthesia | null |
8e138438-da17-490e-9eaf-d46862303f7d | Hyperkalemia without ECG changes may be treated with all except : | Calcium gluconate | Salbutamol | Na bicarbonate | Insulin with dextrose | 0a | multi | Calcium antagonizes the cardiac conduction abnormalities induced by potassium. In the given question, the patient has no ECG changes; therefore calcium gluconate will not be useful. Use of calcium gluconate should be restricted to life-threatening hyperkalemia. | Pharmacology | null |
7cc28cb2-7b58-4770-b077-691b44c8492b | Growth hormone secretion is decrease by all except | Glucose | Stressful stimuli | Sleep | Somatostatin | 2c | multi | (C) Sleep > Stressful stimuli also increases GH levels.> Whereas REM sleep decreases GH secretion, but going to sleep increases it.# Stimulators of growth hormone (GH) secretion include: peptide hormones; GHRH (somatocrinin) through binding to the growth hormone-releasing hormone receptor (GHRHR) Ghrelin through bindin... | Physiology | Misc. |
dcb4e06e-4461-4dc4-846d-cc2f2eb86f85 | Nitrates are contraindicated with | Sulphonylureas | Immunomodulators | SSRI's | PDE-5 inhibitors | 3d | single | Sildenafil & Tadalafil are the PDE-5 inhibitors which are contrainidicated with Nitrates to prevent severe hypotension. | Pharmacology | null |
c25aa1bc-32fd-4bf7-93fa-c3fe65034669 | In low ovarian reserve,anti mullerian hormone level will be: | <1 | 4-Jan | >7 | >10 | 0a | single | Ans. A. <1AMH and ovarian reserveAMH of 1.0 has very poor ovarian reserveThe central concept for the measurement of blood levels of AMH to determine ovarian reserve is this: women with lower AMH levels have a lower ovarian reserve than women with high AMH levels. AMH is currently being used by feility specialists to he... | Gynaecology & Obstetrics | null |
694aecb0-4eb3-4026-aff1-322c0dec77d5 | Which are segments of upper lobe of right lung ? | Anterior, posterior, medial | lateral,medial,superior | Apical, anterior, posterior | Basal, medial, lateral | 2c | single | Right upper lobe segments-apical,posterior,anterior B D CHAURASIA'S HUMAN ANATOMY UPPER LIMB THORAX-VOLUME1 SIXTH EDITION,Page no-241 | Anatomy | Thorax |
294792e4-d7d2-4a8b-919b-95346c69d425 | Most common among the Non-Hodgkin s Lymphoma (NHL) is | Diffuse large B-cell lymphoma (DLBCL or DLBL) | Haiiy cell Leukemia | Burkitt's lymphoma | Mantle Cell lymphoma | 0a | single | (A) Diffuse large B-cell lymphoma (DLBCL or DLBL)[?]Diffuse Large B-Cell LymphomaoDiffuse large B-cell lymphoma (DLBCL) is the most common form of NHL.oEach year in the United States there are about 25,000 new cases.oThere is a slight male predominance. The median patient age is about 60 years, but DLBCL also occurs in... | Pathology | Blood |
ca357e08-beb9-4ef8-b31e-81740da2ac57 | Placental enlargement is seen in which of the following infections except? | Toxoplasma | CMV | Parvovirus | Plasmodium | 3d | multi | Ans. D.PlasmodiumMaternalMaternal diabetesRh incompatibilityAnemiaChronic intrauterine infection: TORCH (Toxoplasmosis, rubella, CMV, herpes), syphilis, VZV, Parvovirus B-19.Alpha - thalassemiaFetalHigh output hea failureUmbilical vein obstructionHydrops fetalis (all causes)Sacrococcygeal teratomaBeckwith - Wiedemann s... | Gynaecology & Obstetrics | null |
2e878337-829f-4a66-8144-5fea39438d02 | Apoptosis is characterized by all of the following EXCEPT | DNA fragmentation | Chromatin condensation | Cell shrinkage | Inflammation | 3d | multi | (D) Inflammation # Cell undergoing apoptosis shows a characteristic morphology:> Cell shrinkage and rounding are shown because of the breakdown of the proteinaceous cytoskeleton by caspases.> Cytoplasm appears dense, and the organelles appear tightly packed.> Chromatin undergoes condensation into compact patches agains... | Pathology | Misc. |
76294a31-d4e8-4b3b-8aa8-16a1168f0aeb | Internal pudendal aery is a branch of ? | Anterior division of internal iliac | Posterior division of internal iliac | Anterior division of external iliac | Posterior division of external iliac | 0a | single | Ans. is `a' i.e., Anterior division of internal iliacBranches of anterior division of internal iliac aery are : (i) Superior vesical, (ii) Middle rectal, (iii) Inferior vesical (in males), (iv) Internal pudendal, (v) Vaginal (in females), (vi) Uterine (in females), (vii) Obturator, and (viii) Inferior gluteal.Branches ... | Anatomy | null |
3a253388-26c0-4857-9858-264916653c04 | In amyloidosis, the following appearance will be seen in | X-ray crystallography | Electron microscope | Spiral electron microscope | Congo red stain | 0a | multi | X-ray crystallography and infrared spectroscopy demonstrate a characteristic cross-b-pleated sheet conformation.This confirmation is seen regardless of the clinical setting or chemical composition and is responsible for the distinctive Congo red staining and birefringence of amyloid.By electron microscopy, all types of... | Pathology | General pathology |
04d81502-541a-4e26-b3ce-36bf793a6873 | Daisy head colonies are seen with - | Staph. Aureus | Corynebacterium diphtheriae | Staph. Pyogenes | Anthrax | 1b | single | Ans. is 'b' i.e., Corynebacterium Diphtheriae | Microbiology | null |
645ee434-e40f-4962-afa8-045865c623de | True about pectoralis major muscle | Abductor & Internal rotator of shoulder | Blood supply by perforating branch of internal thoracic aery | Blood supply by thoraco acromial aery | Nerve supply by intercostal aery | 2c | multi | PECTORALIS MAJOR:-Origin: Small clavicular head- medial half of anterior aspect of clavicle.Sternocostal head- lateral half of sternum upto 6th cailage., and medial pas of 2nd to 6th costal cailages.Inseion:-U shaped inseion into lateral lip of bicipital groove.Nerve supply:-Lateral pectoral( C5-C7)Medial pectoral (C6-... | Anatomy | Upper limb |
aee54667-ff80-4a7a-a196-550c4646a259 | Characteristic feature of Systemic Juvenile Idiopathic Arthritis is | Uveitis is a feature | It occurs after 16 years of age | NSAIDs are contraindicated | RA factor is negative | 3d | single | Systemic Juvenile Idiopathic Arthritis
It begins at below 16 years of age
NSAIDs are given
Ra factor is negative
Uveitus is seen in oligoarticular JIA | Pediatrics | null |
a2ec1ac4-09e9-4b05-8020-505ab64c9d78 | Which of the following is not a cause of acute pancreatitis ? | Hypercalcemia | Thrombotic thrombocytopenic purpura | Cystic fibrosis | Magnetic resonance cholangiopancreatography (MRCP) | 3d | single | Ans. is 'd' i.e., Magnetic resonance cholangiopancreatography (MRCP) Causes of Acute Pancreatitis Common causes Gallstones (including microlithiasis) - most common Hyperiglyceridemia Endoscopic retrograde cholangiopancreatography (ERCP), especially after biliary manometry. Trauma (especially blunt abdominal trauma) Pos... | Pathology | null |
854a5440-6eff-4f6e-a900-a22be4196eba | For an arterial blood content of 20 mL oxygen per 100 mL blood and venous blood content of 15 mL oxygen per 100 mL of blood, how much oxygen is transferred from blood to tissue if the blood flow is 200 mL/min? | 5 mL/min | 10 mL/min | 15 mL/min | 20 mL/min | 1b | single | Ans. B. 10 mL/minThe amount of oxygen exchanged is equal to the product of the blood flow and the arterial venous oxygen content difference: 200mL/minx(20mL/100mL-15mL/100mL)=10mL/min. | Physiology | Heart, Circulation, and Blood |
a29dc6b1-1d35-4689-b1db-473e257807d1 | Which of the following infection affects fetal growth? | CMV | Rubella | Herpes simplex | All | 3d | multi | Ans: d (All) Ref: Dutta, 6th ed, p. 296All the above infections cause IUGR.Causes oflUGR:3. Placental* Placenta previa* Abruptio placenta* Circumvallate placenta* Infarction4. Idiopathic - 40%1. Maternal* Constitutional* Maternal nutrition* Maternal diseases - anaemia, HTN, heart disease etc.* Toxins - alcohol, drugs, ... | Gynaecology & Obstetrics | Miscellaneous (Gynae) |
17b3cdb9-2c85-441c-ad5e-f2e4073a7301 | What is true about chorda tympani? | Postganglionic sympathetic | Postganglionic parasympathetic | Preganglionic parasympathetic | Postganglionic parasympathetic | 2c | multi | Chorda tympani from facial nerve provides preganglionic secretomotor fibres ( parasympathetic fibres ) to the glands. Ref : B D Chaurasia's Human Anatomy, seventh edition , volume 3 , pg. no., 136. | Anatomy | Head and neck |
8540be06-254f-4daa-9214-ce0d1b2911cf | Whiff test is positive in: | Candidians | Chlamydial infection | Trichomonas vaginitis | HSV infection | 2c | single | Ans. is c, i.e. Trichomonas infectionRef: Williams Gynae 3rd/ed, p52* Whiff Test:Vaginal discharge +10% KOH gives a Fishy odour.This test is characteristic of BV with vaginal pH >4.5 and this stems from diminished acid production by bacteria.Similarly Trichomonas vaginals infection is also associated with anaerobic ove... | Gynaecology & Obstetrics | Sexually Transmitted Disease in the Female |
3eaa6e22-fd9c-4c98-a623-0caa41889416 | A drug that binds to and inhibits Gp IIb/IIIa glycoprotein and is responsible for platelet antiaggregatory effects is: | Clopidogrel | Enoxaparin | Fondaparinux | Tirofiban | 3d | single | Aspirin Clopidogrel Ticlopidine 3 Act on TXA2 2 Act on ADP Abciximab Tirofiban Eptifibatide Act on GpIIb/IIIa | Pharmacology | Hematology |
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