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135
d7450178-fea3-4e61-ae85-7a091965340d
Nesidioblastoma is due to hyperplasia of?
Alpha cell
Beta cell
Acinus
D cells
1b
single
Ans. is 'b' i.e., Beta cell Nesidioblastoma is due to hyperplasia of B cell of panceatic islets.
Pathology
null
4d9ce514-0813-474c-a6d2-56362d9c6085
In the treatment of undiagnosed megaloblastic anemia, vitamin B12 and folic acid should be given together because :
Vitamin B12 acts as a cofactor for dihydrofolate reductase
Folic acid alone causes improvement of anemic symptoms but neurological dysfunction continues.
Vitamin B12, deficiency may result in methylfolate trap
Folic acid is required for conversion of methylmalonyl CoA to succinyl CoA.
1b
single
Vitamin B12 is required for conversion of methionine to homocysteine and for the formation of succinyl CoA from methylmalonyl CoA. Deficiency of vitamin B12 results in megaloblastic anemia, GI manifestations and neurological abnormalities (due to demyelination). Folic acid alone will correct the symptoms of megaloblast...
Pharmacology
null
458abb54-dab4-47fc-92a6-1b60eb688554
Shape memory in NiTi is because of stress induced form
Austenite to martensite
Martensite to austenite
Ferrite to austenite
Austenite to ferrite
0a
single
null
Dental
null
d75c1716-d29c-4c93-94d6-59fdb41a1ce5
Most common cause of neonatal meningitis –
Staphylococcus
E. coli
H. influenze
Pneumococcus
1b
single
E. coli & streptococcus agalactie (group B streptococci) are the two most common cause of neonatal sepsis and meningitis
Pediatrics
null
4bf5714d-d064-4fc7-aaa1-2353848261ca
Adduction of thumb occurs at:
Inter carpal joint
MCP joint
Carpometacarpal joint
Inter phalangeal joint
2c
single
C i.e. Carpometacarpal joint 1st carpometacarpal joint (cmj) is the only cmj with seperate joint cavity so the movements are much free. Flexion- extension (in the plane of palm), adduction - abduction (at right angles to the plane of palm), opposition & circumduction, movements of thumbQ take place at 1st CM Joint.
Anatomy
null
bedc6844-c0a6-4c77-bf1a-a2a041b9f0c3
Meniere's disease is characterised by:
Conductive hearing loss and tinnitus
Vertigo, ear discharge, tinnitus and headache
Vertigo, tinnitus, hearing loss and headache
Vertigo, tinnitus and hearing loss
3d
single
Meniere's disease is due to raised endolymphatic pressure and clinically presents with vertigo, tinnitus, sensorineural hearing loss and sense of aural fullness. Vertigo can be accompanied by nausea and vomiting. Choice (a) is excluded due to conductive loss, (b) due to headache and ear discharge, and (c) due to headac...
ENT
Ear
ed8739e7-b49e-4cf7-bc0e-6b329ed7cbee
Influenza virus causes new epidemic by (3-5 yrs) -
Antigenic drift
Antigenic shift
Cyclic trends
Mosaicsm
1b
single
Antigenic variations in Influenza Antigenic shift Antigenic drift Occurs due to Genetic recombination/reassoment / Rearrangement Point mutation Nature Sudden Gradual / insidious May lead to Epidemics/ pandemics Sporadic cases Ref: Park 25th edition Pgno : 166-172
Social & Preventive Medicine
Communicable diseases
5902176a-db11-4351-9e92-d47a4439ccb6
All of the following are causes of pneumoperitoneum except -
Perforated peptic ulcer
Laproscopic Procedure
Perforated Appendix
Hirschsprung's Disease
3d
multi
Ans. is 'd' i.e., Hirschsprung's Disease o Gas under left hemidiaphragm is due to fundal gas, a normal finding. When gas is present under right hemidiaphragm also it's due to pneumoperitoneum.Causes of Pneumoperitoneum1. Perforation of GI tract# Peptic ulcer# Inflamamtion (diverticulitis, appendicitis, toxic megacolon,...
Surgery
Peritoneal Disorders - Peritonitis
e2db43c7-424f-4ced-b5a9-ddf04146e656
Hypercalcemia related to malignancy is seen in which of the following cancers?
Multiple myeloma
Lung carcinoma
Carcinoma breast
All the above
3d
multi
Answer- D. All the aboveMalignancy related-Solid tumor with metastasis/ paraneoplastic syndromeCarcinoma breast/ Lung/ Kidney etcHematological: Multiple myeloma/Lymphoma/LeukemiaAluminum intoxicationMilk Alkali syndrome
Medicine
null
6bbbf172-d18c-45d0-a8b8-7cceec89e76f
Which of the following is not used for procuring criminal aboion
Ripe fruit of papaya
Saffron
Seeds of carrot
Unripe fruit of pineapple
0a
single
Drugs having poisonous effects on body causing aboion:- Unripe fruit of papaya Saffron Seeds of carrot Unripe fruit of pineapple juice of calotropis juice of plumbago
Forensic Medicine
Impotency, Virginity, pregnancy & aboion
69a7ae52-ed34-44f4-9dae-36cfeeb51762
Chromosome associated with ADPKD
14 and 16
14 and 13
16 and 14
16 and 14
2c
single
ADPKD Cytogenetic defect Chromosome 16 (85%): ADPKD-1 & Chromosome 4 (15%): ADPKD-2 ARPKD Cytogenetic defect Chromosome 6 Ref: HARSH MOHAN TEXTBOOK OF PATHOLOGY 6th ed. pg no: 659
Pathology
Urinary tract
752ef035-386a-4803-af5a-af7a5dc9357d
Best treatment of 3 weeks old, fracture shaft femur with nonunion is -
Bone graft with internal fixation
External fixation
Internal fixation only
Prosthesis
0a
single
null
Orthopaedics
null
c7da2a2c-7246-4829-b9fe-2eebace385b5
Down’s cephalometric analysis of a patient reveals a high mandibular plane angle. Which of the following landmarks are used for the construction of the mandibular plane in this analysis?
Go-Me
Go-Gn
Tangent to the lower most border of the mandible
Me-antegonial notch
0a
single
Tweed and Ricketts- straight line tangent to the lower most border of the mandible. Downs- line joining Gonion to menton. Steiner- line joining Gonion to gnathion. Bimler’s line- line joining menton to antegonial notch. Ref: Radiographic cephalometry:Jacobson A
Dental
null
be55a293-5c65-47c1-aa9f-4464e19fc88c
Which is not true of malaria Eradication programmea) Started in 1953b) Modified plan started in 1970c) Incidence was 2 million cases in 1958d) Incidence decreased to 50,000 in 1961
ab
a
ad
bc
0a
multi
National anti-malaria Programme The Programme began initially as National Malaria control Programme in 1953. Because of the spectacular success achieved in the control of malaria, the control programme, was converted into an eradication programe in 1958 with the object of eradicating malaria once and for all from the...
Social & Preventive Medicine
null
1605273f-c03c-4cca-8f11-1b7adb6c0da3
Which is a immunological marker of type I diabetes?
Anti-endothelial antibody
GAD
Anti-saccharomyces antibody
None of the above
1b
multi
Ans. B. GADImmunologic markers in type 1 DM:a. Islet cell autoantibodies (ICAs)b. Antibody to insulin (IAA)c. Glutamic acid decarboxylase, (GAD)d. Tyrosine phosphatase (IA-2 & IA- 2B)e. Beta cell specific zing transporter (ZnT - 8)
Medicine
Miscellaneous
7a3e858b-da32-43eb-835f-f15bead42175
Katayama fever is seen in
Schistosoma Mansoni
Schistosoma japonicum
S. haematobium
S. mekongi
0a
single
S. mansoni more likely to cause Katayama fever than Japonicum.
Microbiology
null
643fe851-9433-4240-9612-c3af9411b71e
A year 6 old child with IQ of 50. Which of the following can the child do -
Identify colours
Read a sentence
Ride a bicycle
Copy a triangle
0a
single
Ans. is 'a' i.e. Identify colours IQ is defined by as the mental age divided by the chronological age multiplied by 100. So a child 6 years of age with an IQ of 50%, means that his mental age is that of a 3 year old child. Thus we have to look for the developmental milestones of a 3 year old child. o At 3 years of age,...
Pediatrics
null
61a13162-16b4-4521-b597-9b53ae63198a
Histogram is used to describe-
Quantitative data of a group of patients
Qualitative data of a group of patients
Data collected on nominal scale
Data collected on ordinal scale
0a
single
<p> Histogram is used to describe quantitative data of a group of patients. Histogram is graphical presentation for. &;Continuous quantitative data&;. Reference: Simple Biostatistics by Indeayan & Indrayan,1st edition,pg no:104 and Methods in Biostatistics by Mahajan,6 th edition,pg no.20, K . Park,23rd edition, pg no....
Social & Preventive Medicine
Biostatistics
0601d64a-a8b5-4f4b-9661-96473d2e3491
True about calcium in kidney is
Most reabsorption occurs in DCT
Major regulating factor is parathormone
Parathormone decreases calcium absorption
Increased plasma phosphate decreases calcium resorption
1b
multi
Parathormone secreted by parathyroid glands regulates the blood calcium level. Ref: guyton and hall textbook of medical physiology 12 edition page number: 495,496,497
Physiology
Renal physiology
139da2fe-c084-4dc1-8411-917ba7cdd4a0
All are causing hypothyroidism except:
PAS
Captopril
Lithium
Amiodarone
1b
multi
null
Pharmacology
null
4335c286-5b22-4903-965f-ae8d00461e4b
All are cluster B personality disorders except?
Antisocial
Narcissistic
Avoidant
Borderline
2c
multi
Ans. is 'c' i.e., Avoidant Personality disorders1. Clustor A (Odd. and Eccentric): Paranoid, Schizoid, Schizotypal.2. Clustor B (Dramatic, Emotional and Erratic) : Antisocial (Dissocial), Flistrionic, Narcissistic, Borderline.3. Clustor C (Anxious and fearful): Anxious (avoidant), Dependent, obsessive - compulsive (ana...
Psychiatry
Personality Disorders
a5cf35e9-25b1-44fb-8061-6bd6542be144
Chancre redux is a clinical feature of
Early relapsing syphilis
Late syphilis
Chancroid
Recurrent herpes simplex infection
0a
single
Chancre- primary lesion in syphilis (hard chancre)Chancre redux is the relapse of the chancre lesions in the early stage of syphilisSecondary syphilis-Cutaneous lesionsRoseolarsyphilidePapularsyphilidePsoriasiform lesion CondylomataMalignant syphilidePalm & sole lesion ( Coppery red lesion )Mucosal lesions Mucous patch...
Pathology
All India exam
9b7faeb7-2787-4280-9ac1-744d9f9872c7
All of the following are features of prematurity in a neonate, except –
No creases on sole
Abundant lanugo
Thick ear cartilage
Empty scrotum
2c
multi
The ears in a premature neonate are soft and flat with ear cartilage being deficient and plant (and not thick) Features of prematurity in a Neonate : Baby is small in size usually less than 47 cm long. Head is relatively large, sutures are widely separated and fontanelle are large The face is small and buccal pad of f...
Pediatrics
null
09950045-18b9-4112-97c1-3783c52160f6
Features of systemic sclerosis include all of the following, Except:
Calcinosis
Sclerodactyly
Hyperpigmentation (Melanin deposition)
More common in young patients
3d
multi
Answer is D (More common in young patients): Systemic sclerosis is primarily a disease of adults and the mean age of presentation is around 50 years. Systemic sclerosis is not a disease of young individuals The mean age of presentation of systemic sclerosis is 50 years -- Current Diagnosis & Treatment in Rheumatology 2...
Medicine
null
7fcc3279-2cbb-4b54-bb55-af59d8b7f426
The most recent direct filling gold which produces the hardest surface on condensation is
Mat gold
Encapsulated powered gold
Mat gold alloyed with calcium and wrapped in gold foil
Platinized gold
2c
multi
Mat gold made of electrolytic precipitate from gold, which is alloyed with a trace amount of calcium, can yield a further increase in hardness by dispersion strengthening without affecting the handling properties.
Dental
null
7a42e433-7d17-48db-ba2f-20d482eb2fac
A child presented in the casualty with fever, unconscious & papilloedema. What next to the done –
Intubation
Oxygenation
CT scan
All of these
3d
multi
null
Pediatrics
null
1cdc8583-73ea-4c09-b994-5f9270a2153f
True about severe barbiturate poisoning except -
Hypothermia
Hypertension
Coma
Non-reactive pupil
1b
multi
There is fall in BP (hypotension).
Forensic Medicine
null
d402662c-d8a6-4754-83e7-f21d3cb92a5d
Most common neoplasm of appendix is
Pseudomyxoma peritonei
Adenocarcinoma
Carcinoid
Lymphoma
2c
single
Carcinoid tumours arise in argentaffin tissue (Kulchitsky cells of the crypts of Lieberkuhn) and are most common in the vermiform appendix.The tumour can occur in any pa of the appendix, but it is frequently found in the distal third.Ref: Bailey & Love&;s Sho Practice of Surgery
Surgery
G.I.T
cdad3b2a-5ecd-4fc1-8ddc-904ff742b987
Contraindication of Coitus interruptus is:
Erectile dysfunction
Perimenopausal age
Premature ejaculation
Illiterate male paner
2c
single
Withdrawal method or coitus interruptus means the discharge of semen outside the female genitalia at the end of intercourse. Premature ejaculation is the only contraindication. The advantages of the withdrawal method are that it (a) involves no expense, (b) needs no medical supervision, (c) requires no prior preparatio...
Gynaecology & Obstetrics
Contraceptives
60d19f8b-1618-4954-ab7f-1b41041f52e0
Inversion and eversion occurs at which joint
Subtalar and midtarsal
Calcaneo navicular
Midtarsal
Calcaneocuboid only
0a
single
A. i.e. Subtalar & mid tarsal joint
Anatomy
null
c9b5b13a-7631-4442-9e06-08d747523399
Hypermability of joint and hyperelasticity is seen in -
Marfan syndrome
Ehlers danlos syndrome
Fragile X-syndrome
Angelman syndrome
1b
single
Ans. is `b' i.e., Ehlers Danlos syndromeEhlers Danlos syndrome (EDS)o EDS comprises a clinically and genetically heterogenous group of disorders that result from some defect in the synthesis or structure of collegen and characterized by hyperelasticity of skin and hypermobile joints.Several types of EDS have been descr...
Pathology
null
3198e931-1948-4692-9939-dca95f052d97
Burnt rope smell is due to poisoning of ?
Cannabis
Chloral hydrate
Bhang
Charas
0a
single
Ans. is 'a' i.e., Cannabis Odors associated with poisoning Garlik like : Phosphorus, arsenic, zinc phosphide, aluminium phosphide (celphos), arsine gas, tellurium, parathion, malathion, arsenic. Rotten eggs : Hydrogen sulphide, mercaptans, disulphiram. Fishy or musty : Zinc phosphide. o Bitter almonds : Cyanide, HCN. A...
Forensic Medicine
null
690af9ee-b416-478e-8631-41269c5f5168
Which organ does not utilise ketone bodies:
Liver
Brain
Skeletal muscles
Cardiac muscles
0a
single
A i.e. Liver
Biochemistry
null
136372f9-8a5c-45a6-81cb-5b03ceddcde0
The following drug is effective in treatment of ptyriasis versicolor -
Ketoconazole
Metronidazole
Griseofulvin
Chloroquine
0a
single
Ans. is 'a' i.e., Ketoconazole Pityriasis versicolor (Tinea versicolor!o Tinea versicolor is a misnomer as it is not caused by dermatophyte; Pityriasis versicolor is more appropriate term. It is caused by a nondermatophyte fungus called Pityrosporum ovale (Malasezia furfur). It usually affects young adults.Clinical fea...
Skin
Papulosquamous Disorders
d2aa3e65-6b12-45e9-93f6-8e4b6235bdc7
Vision 2020 "The right to sight" includes all except
Trachoma
Epidemic conjunctivitis
Cataract
Onchocerciasis
1b
multi
Epidemic conjunctivitis Vision 2020 : The Right to Sight, is a global initiative launched by WHO in Geneva in 1999 in coalition with Task force of International NGOs' Globally, WHO has identified 5 major blinding eye conditions, for immediate attention : i) Cataract ii) Childhood blindness iii) Trachoma iv) Refractive ...
Social & Preventive Medicine
null
2440ad1d-e846-4644-bbe3-5b4fc1c07d56
All of the following statements are true about congenital rubella except-
It is diagnosed when the infant has IgM antibodies at bih
It is diagnosed when Ig G antibodies persist for more than 6 months
M.C. congenital defects are deafness, cardiac malformation and cataract
Infection after 16 weeks of gestation result in major congenital defects
3d
multi
. <p>congenital rubella syndrome:- Refers to infants born with defects secondary to intrauterine infection or who manifest symptoms or signs of intrauterine infection sometime after bih. Congenital infection is considered to have occurred if the infant has IgM antibodies sholy after bih.( as IgM antibodies do not cross...
Social & Preventive Medicine
Communicable diseases
935cddd3-fa9e-4773-a8d2-acffbe59fb40
Black malarial pigment is seen in: September 2009
P.vivax
P.falciparum
P.nialariae
P.ovlae
1b
single
Ans. B: P.falciparum In well-stained preparations the nuclei of the parasites are always stained red and the cytoplasm blue. The presence of malaria pigment is very characteristic of the older stages of Plasmodium sp. P. falciparum often contains a single black dot. P. vivax often contains countless fine golden yellow/...
Microbiology
null
dd186c10-e165-4a1d-99bc-dcd0dd82ce74
The given karyotype is seen in which of the following syndrome?
Angelman syndrome
Fragile x syndrome
Turner syndrome
Cri du chat syndrome
3d
single
Cri du chat syndrome is caused by a deletion of the end of the sho (p) arm of chromosome 5. (5P- syndrome)Symptoms include characteristic cat-like cry of affected children, epicanthus, severe intellectual disability, low set ears.
Pathology
General pathology
ca4d9cae-829a-4754-bc29-849fc5cf037f
A 40-year-old male with h/o progressive dysphagia for liquid has dilated esophagus on barium meal. Most likely cause is
Achalasia cardia
Cancer at cardia
Ca esophagus
Carcinoma gastric fundus
0a
single
Achalasia cardia * All of the above mentioned condition except Achalasia cardia occur around 60 years of age. Features for differentiation between achalasia cardia and carcinoma esophagus: Achalasiacardia Carcinomaesophagus a. Around30-40 yearsofage a. Presentationafter60yearsofage b. No dysphagiafor solids b. Dysphagi...
Surgery
null
406f665c-7bd8-400e-ab4b-e6d2c594677e
Secondary glaucoma in early stage of herpes zoster ophthalmlcus occurs due to
Trabeculitis
Hypersecretion of aqueous humour
Haemorrhagic hypopyon
lridocyclitis
0a
single
HERPES ZOSTER OPHTHALMICUS Ocular lesions: Ocular complications usually appear at the subsidence of skin eruptions and may present as a combination of two or more of the following lesions: 1. Conjunctivitis: It is one of the most common complication of herpes zoster. It may occur as mucopurulent conjunctivitis with pet...
Ophthalmology
Cornea and sclera
35eb64d6-b677-448e-91e6-0c8fc5f38245
First class judicial magistrate can give punishment upto
1 year
3 years
7 years
10 years
1b
single
Ans. is 'b' i.e., 3 years Powers of Magistrate's (Sec. 29 CrPC)ClassImprisonmentFineChief judicial magistrateUpto 7 yearsAny amount1st class magistrateUpto 3 years5000 Rs.2nd class magistrateUpto 1 years1000 Rs.
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
5b34f81a-448c-4f49-8e47-c1485e4bca1f
Which statement is false about allosteric regulation?
It is usually the mode of regulation for the last step in reaction pathways
Cellular response is faster with allosteric control than by controlling enzyme concentration in the cell
The regulation usually is impoant to the conservation of energy and materials in cells
Allosteric modulators bind non-covalently at sites other than the active site and induce conformational changes in the enzyme
0a
multi
Allosteric regulation is usually the mode of regulation for the first step in reaction pathways. Allosteric modulators can be activators or inhibitors.They bind non-covalently at allosteric/regulatory site. By binding at allosteric site, they induce changes in the active site, where substrate binds and they modulate th...
Biochemistry
Enzyme regulation
73d55fe4-5a19-4b07-8f05-9f667bbad96f
Most common part of spine affected by Rheumatoid arthritis is?
Lumbar spine
Thoracic spine
Cervical spine
Sacrum
2c
single
Ans. (c) Cervical spineRef.'.MR Imaging of the Spine and Spinal Cord by DetlevUhlenbrock p-375, Orthopedic surgery essentials- Spine by Christopher M. Bono, Steven R. Garfin p-188
Orthopaedics
Rheumatoid Arthritis
f506c73c-a879-4631-aaf9-6520806974ef
In treatment of osteosarcoma, all of the following are used EXCEPT:
High dose methotrexate
Cyclophosphamide
Vincristine
Doxorubicin
2c
multi
Methotrexate (Mtx): It is one of the oldest and highly efficacious antineoplastic drugs; inhibits dihydrofolate reductase (DHFRase)-blocking the conversion of dihydrofolic acid (DHFA) to tetrahydrofolic acid (THFA) which is an essential coenzyme required for one carbon transfer reactions in de novo purine synthesis and...
Pharmacology
Chemotherapy
91afa9b6-2c8a-4492-b2fb-1d677929c0d2
Lowering of the following parameter indicates acute malnutrition:
Weight for age
Weight for height
Height for age
BMI
1b
single
Low weight for height: This is also known as nutritional wasting or emaciation which is an indicator of acute malnutrition. It is associated with an increased risk of moality and morbidity. A child who is less than 70% of the expected weight-for-height is classed as severely wasted. Ref: Park's Textbook of Preventive a...
Pediatrics
null
59332a64-0ef2-409e-b7e1-bc6295509b74
Visible range of electromagnetic spectrum of human eye
370 - 740 nm
740- 1140 nm
200 - 370 nm
200 - 370 nm
0a
single
Electromagnetic radiation of wavelengths approx. 400nm to 700nm, elicits a retinal response in human eye.
Physiology
null
b806c08d-02ae-45d6-a4a8-a2b8d4396fe2
A 20-year-old man presents with dysuria, urgency, and urethral discharge. Physical examination shows suppurative urethritis, with redness and swelling at the urethral meatus. Which of the following is the most likely etiology of urethritis in this patient?
Borrelia recurrentis
Chlamydia trachomatis
Haemophilus ducreyi
Neisseria gonorrhoeae
3d
single
Urethritis is the most common manifestation of sexually transmitted diseases in men, in whom it typically presents with urethral discharge. Both gonococcal and nongonococcal urethritis have an acute onset and are related to recent sexual intercourse. The infection manifests with urethral discharge, typically purulent a...
Pathology
Male Genital Tract
b085b90f-c2bb-4097-92d9-5e7b16109741
Cholesterol present in LDL
Represents primarily cholesterol that is being removed from peripheral cells
Binds to a receptor and diffuses across the cell membrane
On accumulation in the cell inhibits replenishment of LDL receptors
When enters a cell, suppresses activity of acyl-CoA; cholesterol acytransferase ACAT
2c
single
On accumulation in the cell inhibits replenishment of LDL receptors If LDL cholesterol is increased inside the cell, it down regulates LDL receptors so that further uptake is inhibited. HDL cholesterol is the cholesterol that is removed from peripheral tissues; LDL cholesterol represents the cholesterol which is to be...
Biochemistry
null
3027ec04-d7c7-4dd4-bbb0-4510348e2aea
Which of the following drug does not act on neuromuscular junction?
Succinylcholine
Dantrolene
Vecuronium
Mivacurium
1b
single
Ans. (B) Dantrolene(Ref: Katzung 13th/e p467-468)Dantrolene is a directly acting muscle relaxant. It does not act at neuromuscular junction Neuromuscular blockersDepolarisingNon-depolarisingSChTubocurarineAtracuriumCis-atracuriumMivacuriumPancuroniumVecuroniumPipecuronium
Pharmacology
Anaesthesia
534b13db-974e-4b83-a926-f1e6b2359928
Pernicious anemia associated with -
Gastric pathology
Renal pathology
Esophageal pathology
Oral pathology
0a
single
Ans. is 'a' i.e., Gastric Pathology Anemias of Vitamin B12 Deficiency: Pernicious Anemiao Pernicious anemia is a specific form of megaloblastic anemia caused bv an autoimmune gastritis that impairs the production of intrinsic factor, which is required for vitamin B12 uptake from the g ut.o Histologically, there is a ch...
Pathology
Iron Deficiency and Megaloblastic Anemia
b8acf03f-00d6-4724-aaab-27f03cca5d3c
Feature of shock lung is?
Diffuse alveolar damage
Usual interstitial pneumonitis
Organizing pneumonia
Bronchilolitis
0a
single
Lungs due to dual blood supply are generally not affected by hypovolaemic shock but in septic shock, the morphologic changes in lungs are quite prominent termed as 'shock lung'.Grossly, the lungs are heavy and wet. Microscopically, changes in ARDS are seen. The changes include congestion, interstitial & alveolar edema,...
Medicine
Respiratory system
bcbed6b8-b61f-4f77-be75-1baad68c67f5
Preferred imaging modality for choanal atresia is-
X ray
CT SCAN
MRI
PET SCAN
1b
single
Ans. is 'b' i.e., CT SCAN CT SCAN in choanal atresiao CT SCAN in coronal and saggital projections provides a thorough evaluation of choanal atresia and adjescent structures.o The axial views supply fundamental information including site of obstruction, composition of atretic plate and unilateral or bilateral involvemen...
ENT
Congenital Anomalies of Nose and PNS
86316afb-7b14-41bf-895d-733352a96e8d
Which has lowest incubation period
Mumps
Influenza
Measles
Chicken pox
1b
single
Ans. (b) InfluenzaRef: K. Park 23rd ed. /153DISEASECAUSATIVE ORGANISMINCUBATION PERIODMUMPSRNA Myxo Virus14 to 21 daysINFLUENZAOrthomyxo Virus18 to 72 hoursMEASLES (RUBEOLA)RNA Para myxo Virus10 to 14 daysCHICKEN POXHuman Herpes Virus 314 to 16 days
Social & Preventive Medicine
Influenza
d5b316b7-1f9b-44c4-96e9-caf8081350fe
Dimorphic fungus:
Candida
Histoplasma
Rhizopus
Mucor
1b
single
Ans. b. Histoplasma
Microbiology
null
f8e8a40b-5f29-40f9-a7b1-b6e7cdeb1574
Irreversible injury is due to
Decrease in ATP
Defective membrane function
Myelin figures
Cellular swelling
1b
single
Irreversible Injury: Defect in membrane function in general, and plasma membrane in particular, is the most important event in irreversible cell injury in ischaemia. Oxygen deprivation causes shift of calcium from mitochondria and endoplasmic reticulum into the cytosol. Increased level of calcium in the cytosol activat...
Pathology
null
2f895602-6f58-41c1-bc23-328fc55431a7
Diffusion hypoxia is seen with which drug:
Nitrous oxide
Ketamine
Theophylline
Halothane
0a
single
Ans. A. Nitrous oxideDiffusion hypoxia is side effect seen with nitrous oxide. It is seen when suddenly N2 O is stopped while recovering from anaesthesia. It can be prevented by supplying 100 percent O2 to the patient.
Pharmacology
Anaesthesia
29043d0b-e9f0-4908-b521-d9fb686b10e8
Best management of open fracture is:
Debridement
External fixation
Internal fixation
Tourniquet
0a
single
Ans: A (Debridement) Ref: Campbell's Operative Orthopaedics, 11th editionExplanation:Management of Open FracturesThree components of open fracture management are:o Aggressive wound debridement.o Definitive fracture stabilization with internal or external fixation; and o Delayed wound closure.Of these wound debridement ...
Orthopaedics
Management In Orthopedics
d76eef9d-f13b-4171-b71e-8b11a5752c84
Which of the following cells Contain organelles needed for the secretion of a proteinaceous product
Pyramidal cells of the pancreatic acini
Chief cells of the stomach
Serous-Secreting cells of the parotid gland
Fibroblast
0a
single
Pancreatic acini - The secretory elements of the exocrine pancreas are long and tubular (but they are usually described as acini as they appear rounded or oval in sections). Their lumen is small. Secretory Cells - The cells lining the alveoli appear triangular in section, and have spherical nuclei located basally. In s...
Anatomy
General anatomy
39fbfd57-438a-4da6-a37b-d4e9c6699716
What is the narrowest pa of the respiratory tract in children?
Glottis
Subglottic area
Trachea
Carina
1b
single
The narrowest pa of the adult airway is the vocal cords In children, the narrowest pa is the cricoid cailage located in the subglottic area of the larynx. Ref: Internet
Surgery
Head and neck
8e36c89a-ae3a-4b3c-862b-cdea6d58c3a9
Soil may act as a reservoir for all except-
Tetanus
Anthrax
Brucellosis
Coccidioidomycosis
2c
multi
The reservoir of infection of brucellosis: Main reservoirs of human infection are cattle, sheep, goats, swine, buffaloes, horse and dogs Cross infection can occur between animal species  The animals may remain infected for life.
Social & Preventive Medicine
null
e61e85c2-4093-4cc0-bae8-178da7ab1396
Which inhalational agent is best uterine relaxant?
Halo thane
Isoflurane
Sevofiurane
Desflurane
0a
single
ANSWER: (A) HalothaneREF: Synopsis of Anaesthesia p.168Best uterine relaxant is halothane followed by ether
Anaesthesia
Obstetric Anesthesia
d7364b35-cd96-4795-a35f-1438bb1e56c0
High or low fistula in ano are divided by which of the following
Anorectal ring
Anal canal
External anal spincter
Dentate line
0a
single
Anorectal ring is formed by internal anal spincter, external anal spincter and puborectalis muscle.
Surgery
null
939cc43e-68d3-4cc0-a450-146b92b9f257
The following statements concerning the abdominal part of the sympathetic trunk are not true except:
It enters the abdomen behind the lateral arcuate ligament
The trunk passes in 6 segmentally arranged ganglia
All the ganglia receive white rami communicantes
Gray rami communicantes are given off to the lumbar spinal nerves
3d
multi
The abdominal portion of the sympathetic trunk is situated in front of the vertebral column, along the medial margin of the Psoas major. It consists usually of four lumbar ganglia, connected together by interganglionic cords. It is continuous above with the thoracic portion beneath the medial lumbocostal arch, and belo...
Unknown
null
8724d418-0226-4f08-a6e2-472acc9fde19
A 75-year-old man is found by his internist to have an asymptomatic carotid bruit. The best initial diagnostic examination would be
Transcranial Doppler studies
Doppler ultrasonography (duplex)
Spiral CT angiography
Arch aortogram with selective carotid artery injections
1b
single
Doppler ultrasonography (duplex) has become the best initial test for screening patients with carotid disease. It has become a highly accurate test, often obviating the need for carotid arteriography prior to carotid endarterectomy. Carotid arteriography remains the "gold standard" when quantifying the degree of caroti...
Surgery
Arterial Disorders
405b7c79-b6ac-4407-977c-e5595bba56c4
A 46-year-old man presents with diffuse chest pain at rest and recent history of cough, fever and rhinor - rhea lasting for 3 days.
Acute pericarditis
Constrictive pericarditis
Takotsubo-cardiomyopathy
Cor pulmonale
0a
single
Ans. (a) Acute pericarditis.The tracing reveals sinus rhythm at approximately 75 beats/ min. The PR interval is prolonged to 200 milliseconds consistent with borderline first-degree AV block. The QRS axis and intervals are normal.ST elevations with concave upward morphology are seen in I and aVL, II and aVF, and V2 thr...
Medicine
Electrocardiography
f0a888cd-816b-4fa3-bdd6-87c2e839129f
Minimum alveolar concentration (MAC) of an anesthetic agent means it produces lack of reflex response to skin incision in____ of subjects.
25%
50%
75%
100%
1b
single
Ans. b (50%). (Ref. Shorttext book, Anaesthesia, 2nd ed., 54-55)Anesthetic potency of volatile anesthetics is measured by MAC. MAC represents the alveolar concentration of an anesthetic (at one atmosphere) that prevents movement in 50 percent of the subjects in response to pain.MINIMUM ALVEOLAR CONCENTRATION (MAC) - MA...
Anaesthesia
Fundamental Concepts
2499af53-81c9-4589-b624-3c2b9961693d
Zinc dose in 8 months infants
10 mg/kg x 10 days
20 mg/kg x 10 days
10 mg/kg x 14 days
20 mg/kg x 14 days
3d
single
Ans. is 'd' i.e., 20 mg/kg x 14 days
Pediatrics
null
664cb622-1721-4127-9d1f-11fc03f8afb4
A patient with Ca endometrium has > 50% myometrial invasion and vaginal metastasis. Pelvic and retroperitoneal lymph nodes are not involved. Peritoneal seedings are +ve. The stage is:
IIIa
IIIb
IIIc1
IIIc2
1b
single
FIGO Surgical Staging of Carcinoma of the Corpus Uteri: Stage I Stage Ia - Tumor limited to endometrium Stage Ib - Invasion to less than one-half the myometrium Stage Ic - Invasion to more than one-half the myometrium Stage II Stage IIa - Endocervical glandular involvement only Stage IIb - Cervical stromal invasion Sta...
Gynaecology & Obstetrics
null
e6c9d28c-5e93-4b8f-b5d2-60203976ef5b
True statement about phase 2 clinical trials is:
Large number of healthy volunteers are studied
Used to determine maximum tolerated dose
Used to determine efficacy
Used to determine toxicity
2c
multi
null
Pharmacology
null
490b6a35-f5b6-42fc-9f2a-f4784b2cda1a
Underwater autopsy of the hea is done in cases of: DNB 09
Myocardial infarction
Pulmonary embolism
Air embolism
Pneumothorax
2c
single
Ans. Air embolism
Forensic Medicine
null
d564e744-5604-4dad-af50-92879a977416
What is the effect of doubling the diameter of a cantilever spring?
Strength increases by 4 times, Springiness increases by 8 times
Strength decreases by 4 times, Springiness decreases by 8 times
Strength decreases by 8 times, Springiness increases by 16 times
Strength increases by 8 times, Springiness decreases by 16 times
3d
single
null
Dental
null
203f7cd2-2c38-4fe2-85eb-d8683f81673a
Which of the following has highest potential to cause metabolic syndrome?
Clozapine
Risperidone
Quetiapine
Aripiprazole
0a
single
Metabolic complication like weight gain, hyperlipidemia and precipitation of diabetes is a major limitation. Other given drugs donot cause metabolic syndrome. Ref KD TRIPATI 8TH ED.
Pharmacology
Central Nervous system
f2dbbf8d-5472-4ba1-ab50-7b05dbfe132b
The maximum dosage of local anesthetic agent like lidocaine must be reduced when used in combination with a CNS and/respiratory depressant because, it may result in:
Seizures
Coma
Death
All of the above
3d
multi
null
Surgery
null
14f81df2-fce4-4563-a99e-6ef7244dce10
Duchnne's muscular dystrophy -
X-linked dominant
X - linked recessive
Autosomal dominant
Autosomal recessive
1b
single
Ans. is 'b' i.e., X-linked recessive o Duchnne & Becker's muscular dystrophy are X-linked recessive.
Pediatrics
null
10722c5d-4bce-486c-af0f-36abf6b7b96f
Vector for Zika virus disease is:
Anopheles stephensi
Phelebotomus
Aedes Aegypti
Culex
2c
multi
Zika virus is a mosquito- borne flavivirus which is transmitted through the bite of infected Aedes Aegypti. Transmission from an infected pregnant mother to her baby during pregnancy or around the time of bih is also a possibility. Zika Virus Zika virus is a mosquito-borne Flavivirus Caused by Zika virus which belongs ...
Social & Preventive Medicine
NEET Jan 2020
8839fa58-63ef-4dba-8c27-1c4417d327e6
Commonest cause of non engagement at term, in primi is:
CPD
Hydramnios
Brow presentation
Breech
0a
single
In primi's the most common cause of non engagement at term is deflexed head or occipitoposterior position followed by cephalopelvic dispropoion. Ref: Datta Obs 9e pg 330.
Anatomy
General obstetrics
99ba7da7-e3c0-41c4-af51-ce019e0347d6
Aberrant thyroid tissue may be found in all except:
Lingual thyroid
Thyroglossal ectopic thyroid
Struma ovarii
None
3d
multi
Usually there are 3 places where aberrant thyroid tissues may be formed: i) Lingual thyroid. ii) Thyroglossal ectopic thyroid. iii) Struma Ovarii Struma Ovarii is an ovarian teratoma in which thyroid tissue may be present. It is malignant.
Surgery
null
a9e7551f-ef33-4f03-95b5-dd734229baed
Side effects of zidovudine-
Headache
Myalgia
Granulocytopenia
Rashes
2c
single
null
Medicine
null
fbcc366e-424d-435f-89e3-28f44d5aba13
Hemiballismus is due to lesion in?
Ipsilateral Caudate nucleus
Contralateral sub-thalamic lesion
Contralateral Putamen
Ipsilateral sub-thalamic lesion
1b
multi
Ans. (b) Contralateral subthalamic lesionRef: Harrison 19th ed. / 2623LesionManifestation* Caudate nucleusContralateral chorea* Globus pallidusContralateral atheotosis* Sub-thalamic nucleusContralateral hemiballismus* CerebellumIpsilateral intentional tremors* Internal capsuleContra-lateral hemiplegia with hemi- anesth...
Medicine
C.N.S.
a8f0881e-d9f2-4bc6-b062-ff212972a974
Which one of the following is used in Cardiovascular imaging?
Second generation CT
Third generation CT
Spiral CT
Multidetector CT
3d
single
Multidetector CT: It has cone shaped beam of X-ray Multiple slices of detectors and useful in Cardiovascular imaging. Multi-detector CT is paicularly suitable for imaging of the chest, hea and vessels. It is also useful for imaging of trauma patients.
Radiology
CT SCAN
f0b2de0d-0d45-488b-acad-6cd6b31d57c8
Insulin is essential for entry of glucose in which of the following tissue:
Most neurons in cerebral cortex
Renal tubular cells
Skeletal muscles
Mucosa of small intestine
2c
multi
Ans. (c) Skeletal musclesRef: Harper's Biochemistry, 30 ed. pg. 191-192th* Insulin increases the number and activity of GLUT 4 receptor. Thereby facilitating the entry of glucose in tissues having GLUT4 receptor.* Tissues with abundant GLUT4 receptor are: Skeletal muscles, Heart and Adipose tissue* Thus among the given...
Biochemistry
Carbohydrates
3db1546d-2c7e-4286-b0e6-86e353ac6b0d
Useful diagnostic studies in the evaluation of upper-extremity pain include all of the following, EXCEPT:
Cervical spine x-rayChest X-ray
Chest X-ray
Neural conduction studies of the median nerve
Adson's test
3d
multi
Pain in the upper extremity may be of musculoskeletal or neurologic origin. Compression of the nerves supplying the upper extremity can occur at various levels from the spinal cord all the way down to the fingers. Cervical spine x-ray is helpful for detecting bony abnormalities, which may cause nerve compression. Panco...
Anatomy
null
572bf171-1177-4c4b-a84a-3345ed0fd222
Sperm acquires motility in ?
Seminal vesicle
Testes
Epididymis
Ejaculatory duct
2c
single
Ans. is 'c' i.e., Epididymis Spermatozoa leaving the testis (seminiferous ubules) are not fully mobile. They continue their maturation and acquire their mobility during their passage through epididymis. From epididymis they come to vas deference, distal end of which also receives the secretions of seminal vesicle, and ...
Physiology
null
0b02f5d1-6583-4ecb-9ed2-0554d9567dab
Management of Osteoradionecrosis would be:
Hyperbaric oxygen
Removal of sequestrum
Fluoride application
All of the above
3d
multi
Treatment of osteoradionecrosis at the present time is unsatisfactory. Decortication with sequestrectomy and hyperbaric oxygen with antibiotics have been used with limited success because of poor healing after surgery. Conservative approaches with the aim to maintain the integrity of the lower border of the mandible, k...
Radiology
null
6f7305c1-d81a-4a85-ad66-b7adf46e8a38
Which of the following maternal complication during pregnancy result in giving bih to a large baby?
Anaemia
Cardiac disease
Gestational diabetes
Gestational hypeension
2c
single
Maternal development of gestational diabetes result in fetal macrosomia. The pathophysiology of fetal macrosomia is not very clear but it seems clear that fetal hyperinsulinemia is one driving force. The insulin like growth factor, as well as fibroblast growth factor, also are involved, so a hyperinsulinemic state with...
Gynaecology & Obstetrics
null
00204f64-2f4d-4256-996b-d2c2cc4f5e91
The part of nephron "least permeable to water" is
Proximal tubule
Descending Limb of loop of Henle
Ascending limb of loop of Henle
Collecting tubule
2c
single
null
Physiology
null
66dbf8ca-d444-4fb2-bf4f-29a93381d6d5
Mallory's hyaline is seen in ?
Hepatitis C infection
Amoebic liver abscess
Indian childhood cirrhosis
Autoimmune hepatitis
2c
multi
Ans is 'c' i.e., Indian childhood cirrhosis
Pathology
null
4b2ab761-ab75-4156-86b8-ad7edff752bc
Farmers lung is caused by -
Micromonospore faenia
Aspergillosis
Histoplasma capsulatam
All of the above
0a
multi
Ans. is 'a' i.e., Micromonospore faenia Spores of some thermophilic actinomycetes such as faenia and Saccharomonsporia species may induce allergic alveolitis leading to COPD,farmer's lung.
Microbiology
null
41732901-93eb-4ce5-ba9b-c266dd86052e
Mr. Ramesh a business man has taken multiple bank loans from a nationalized bank and unable to make payments. He has been brought for psychiatric evaluation as recently he has been denying any memory of taking loans from the bank. Interestingly, all other memory functioning is pretty intact. This is suggestive of:
Dissociative amnesia
Dissociative fugue
Dissociative identity disorder
Dissociative autonomic dysfunction
0a
multi
Dissociative Amnesia: Commonest clinical type of dissociative disorder. Occurs mostly in adolescent and young adults. Severe psychological trauma, the patient temporarily and unconsciously shuts down the memory of the traumatic event Circumscribed loss of traumatic memory is seen in these individuals The other memories...
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
bf095cef-71d8-457d-820d-9b834258e1c0
A 55-year-old man is admitted to the hospital for an iliofemoral bypass. The operation is performed successfully and the blood flow between the iliac and femoral arteries is restored. During rehabilitation which of the following arteries should be palpated to monitor good circulation of the lower limb?
Anterior tibial
Deep fibular (peroneal)
Deep plantar
Dorsalis pedis
3d
single
The dorsalis pedis is the continuation of the anterior tibial artery into the foot, as it passes the distal end of the tibia and the ankle joint. The pulse of the dorsalis pedis can be felt between the tendon of the extensor hallucis longus and the tendon of the extensor digitorum longus to the second toe. A strong pul...
Anatomy
Lower Extremity
0f26a800-1058-47c2-8694-f495949e101c
The most common malignant neoplasm of infancy is:
Malignant teratoma
Neuroblastoma
Wilms' tumor
Hepatoblastoma
1b
single
Neuroblastoma accounts for 7-10% of pediatric malignancies and is the most common solid neoplasm outside the CNS. Fifty percent of neuroblastomas are diagnosed before age 2 years and 90% before age 5 years. Ref: Kligman, Behrman, Jenson, Stanton (2008), Chapter 498, "Neuroblastoma", In the book, "Nelson's Textbook of P...
Pediatrics
null
6924ca3c-2407-4c1e-bff4-9de5230a1d2a
Chorionic villous sampling done before 10 weeks may result in:
Fetal loss
Fetomaternal hemorrhage
Oromandibular limb defects
Sufficient material not obtained
2c
single
Ans. is c, i.e. Oromandibular limb defectsRef. Williams Obs. 21/e, p 990; 22/e, p 330, 23/e, p 300"Chorionic villous sampling is usually performed at 10-13 weeks and is associated with several complications but studies suggests that limb reduction and oromandibular limb hypo genesis is more common, if CVS is done befor...
Gynaecology & Obstetrics
Diagnosis in Obstetrics
59910ee9-c246-4df5-86bb-872966f42d45
Which one of the following is not associated with a high reticulocyte count ?
Acute bleed
Haemolytic anaemia
Megaloblastic anaemia
Response to treatment in nutrition deficiency anaemia
2c
single
null
Medicine
null
12d6c610-9132-43b1-8f58-d5b9cf4ea3b5
Most immunogenic Typhoid antigen
O antigen
H antigen
Vi antigen
Somatic antigen
1b
single
null
Microbiology
null
a59f3a04-43fd-49b1-aa8b-5b95c654a4f4
Erenumab was approved by FDA in 2018 for
Phenylketonuria
Migraine
Hypeension
Glycogen storage disorders
1b
single
Erenumab belongs to a new class of drugs known as selective calcitonin gene-related peptide (CGRP) antagonists, which are used for the treatment of acute migraine attacks.
Pharmacology
All India exam
86435dfb-d5b1-45fc-8e69-d466365d7134
Site of maximum bicarbonate absorption-
Proximal convoluted tubule
Distal convoluted tubule
Cortical collecting duct
Medullary collecting duct
0a
single
Ans. is 'a' i.e., Proximal convoluted tubule o About 80-90 of filtered HCO3- is absorbed in PCT.o Absorption of HCO3- is indirect, which is due to secretion H+, i.e., secretion of H+ is coupled with absorption of HCO3o Filtered HCO3- reacts with H+ to form H2CO3 which then is dissociated into H2O and CO2.o CO2 diffuses...
Physiology
Renal Tubular Reabsorption and Secretion
43add3e6-7b59-49b9-bb3e-e0a1acdde142
Mediastinal lymph node calcification is seen in which one of the following ?a) Metastatic neoplasmb) Lymphomac) Sarcoidosisd) Bronchiectasis
a
c
ac
bc
3d
single
null
Radiology
null
5be04934-e75c-4b10-9dc0-fa583efb77ed
True statement about PPV is:
It increases with prevalence
It decreases with prevalence
No relation with prevalence
Increases incidence
0a
multi
Ans. (a) It increases with prevalenceRef: K. Park 23rd ed. /140-141# POSITIVE PREDICTIVE VALUE* Ability of screening test to identify correctly all those who have disease out of all those who test positive on a screening test.* It depends upon sensitivity, specificity and prevalence of a disease in a population* PPV of...
Social & Preventive Medicine
Screening
8e52e363-2ec1-44dc-a2e4-3e5108b3b653
Cephalic index is used for determination of?
Sex
Race
Height
Stature
1b
single
Ans. (b) RaceRef: Parikh 6th ed. / 2.26, http://en.wikipedia.org/ wiki/Cephalic_index
Forensic Medicine
Identification - Medicolegal aspects
07f825a3-1f7c-4bc2-a476-e2751656a2f1
Severe painful sensorimotor and autonomic neuropathy along with alopecia may suggest poisoning with:
Thallium
Arsenic
Lead
Copper
0a
multi
Severe painful sensorimotor and autonomic neuropathy along with alopecia--thallium Severe painful sensorimotor neuropathy / GI disturbance and Mee's lines--arsenic Wrist or finger extensor weakness / anemia and basophilic stippling of red blood cells--lead Ref: Harrison, Edition-18, Page-3450.
Medicine
null