CodCodingCode/medcialQA-reasoning-V2.1 · Datasets at Hugging Face

instruction stringclasses 8 values	input stringlengths 6 2.69k	output stringlengths 1 34.2k	source stringclasses 3 values
Answer the following medical question with the correct option:	Hepatitis B can be transmitted through all of the following, except A) Semen B) Blood C) Breast milk D) Fecal-oral (stool)	D) Fecal-oral (stool)	medical-qa-combined-split2
Answer the following medical question with the correct option:	A 38 year old gentleman repos of decreased hearing in the right ear for the last two years. On testing with a 512 Hz tuning fork the Rinne's test without masking is negative on the right ear and positive on the left ear. With the Weber's test the tone is perceived as louder in the left ear. This patient MOST likely has: A) Right conductive hearing loss B) Right sensorineural hearing loss C) Left sensorineural hearing loss D) Left conductive hearing loss	B) Right sensorineural hearing loss	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Lymes disease all are true except aEUR' ---- <<Choices:>> A) Borellia bourgdorferi replicates locally and invades locally B) Infection progresses inspite of good humoral immunity C) Polymorphonuclear lymphocytosis in CSF suggest meningial involvement D) IgA intrathecally confirms meningitis ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which anaesthetic gas has high propensity to accumulate in cavities? A) Halothane B) Nitrous oxide C) Ether D) Sevoflurane	B) Nitrous oxide	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Although tetracycline is a broad-spectrum antibiotic but resistance to the drug developed by the following mechanism: ---- <<Choices:>> A) By inactivating enzymes. B) An efflux pump mechanism. C) Alteration of the binding site. D) Absence of a metabolic pathway. ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> All of the following features about Idiopathic Thrombocytopenia are true, Except: ---- <<Choices:>> A) Acute ITP is often proceded by Viral infections B) Chronic ITP is common in females C) Spontaneous remission is common in Chronic ITP D) Acute ITP is more common in children ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following is not a commoner cause of intestinal perforation: March 2007 A) Gastric ulcer B) Gastrointestinal cancer C) Typhoid D) Crohn's disease	D) Crohn's disease	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Features seen in a patient with chronic vomiting are all EXCEPT: March 2013 ---- <<Choices:>> A) Hyponatremia B) Hypochloremia C) Metabolic acidosis D) Hypokalemia ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Therapeutic index is a measure of? ---- <<Choices:>> A) Efficacy B) Adverse effects C) Safety D) Potency ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> In a child presenting with obstructive Jaundice, all are seen except – ---- <<Choices:>> A) Gamma glutamyl transpeptidase B) Alkaline phosphatase C) Glutamate dehydrogenase D) 5' Nucleotidase ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	The function of vitamin K largely depends on which mineral - A) Selenium B) Calcium C) Iron D) Magnesium	B) Calcium	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A simple bacterial test for mutagenic carcinogens is: ---- <<Choices:>> A) Ames test B) Redox test C) Bacteriophage D) Gene splicing ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Dial thermometer works on the principle of:- ---- <<Choices:>> A) Thermocouple B) Convection C) Electromagnetic waves D) Conduction ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 24-year-old man is rushed to the emergency room after he was involved in a motor vehicle accident. , He says that he is having difficulty breathing and has right-sided chest pain, which he describes as 8/10, sharp in character, and worse with deep inspiration. His vitals are: blood pressure 90/65 mm Hg, respiratory rate 30/min, pulse 120/min, temperature 37.2°C (99.0°F). On physical examination, patient is alert and oriented but in severe distress. There are multiple bruises over the anterior chest wall. There is also significant jugular venous distention and the presence of subcutaneous emphysema at the base of the neck. There is an absence of breath sounds on the right and hyperresonance to percussion. A bedside chest radiograph shows evidence of a collapsed right lung with a depressed right hemidiaphragm and tracheal deviation to the left. Which of the following findings is the strongest indicator of cardiogenic shock in this patient? ---- <<Choices:>> A) Jugular veins distention B) Subcutaneous emphysema C) Hyperresonance to percussion D) Tracheal shift to the left ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A patient of supracondylar humerus fracture is unable to flex interphalangeal joint of the thumb. Which nerve is most likely injured? ---- <<Choices:>> A) Median nerve B) Superficial branch of ulnar nerve C) AIN D) Pin ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Rough, poorly polished areas of pontics may cause A) Halitosis B) Discomfort C) Chronic inflammation of the ridge tissue D) All of the above	D) All of the above	medical-qa-combined-split2
Answer the following medical question with the correct option:	Neo-adjuvant chemotherapy used in esophageal carcinoma A) Doxorubicin B) Cisplatin C) 5-fluorouracil D) Mitomycin C	B) Cisplatin	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Acanthosis nigricans is caused by wihch drug- ---- <<Choices:>> A) Amphotericin-B B) Ketoconazole C) Nicotinic acid D) Nalidixic acid ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Androgen insensitivity syndrome, true statement is : A) Phenotype may be completely female B) Predominantly ovarian component in gonads C) Always in female D) Testes formed abnormally and receptors are normal	A) Phenotype may be completely female	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Poor prognosis in first trimester USG is ? ---- <<Choices:>> A) No fetal pole at 5 weeks B) No cardiac activity at 5 weeks C) No gestational sac at 4 weeks D) No cardiac activity at 8 weeks of gestation ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following nerve does not have root valve C5, C6,C7 A) Lateral pectoral nerve B) Musculocutaneous nerve C) Lateral root of median nerve D) Ulnar nerve	D) Ulnar nerve	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Which gland is enclosed by pretracheal fascia? ---- <<Choices:>> A) Parotid gland B) Thyroid gland C) Submandibular gland D) Sublingual gland ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Which of the following substrates can't contribute to net gluconeogenesis in mammalian liver? ---- <<Choices:>> A) Alanine B) Glutamate C) Palmitate D) Pyruvate ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which type of abnormality in sexual development has best prognosis? A) Congenital adrenal hyperplasia B) Mixed gonadal dysgenesis C) Androgen insensitivity syndrome D) True hermaphroditism	A) Congenital adrenal hyperplasia	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following comes under definition of rape, even if consent is given - A) Sex with wife ages 17 years B) Sex with a wife aged 16 years C) Sex with a women aged 15 years D) Sex with a women aged 18 years	C) Sex with a women aged 15 years	medical-qa-combined-split2
Answer the following medical question with one of the provided options:	Q:A 27-year-old man is brought to the emergency department by his girlfriend. The patient is a seasonal farm worker and was found laying down and minimally responsive under a tree. The patient was immediately brought to the emergency department. The patient has a past medical history of IV drug use, marijuana use, and alcohol use. His current medications include ibuprofen. His temperature is 98.2°F (36.8°C), blood pressure is 100/55 mmHg, pulse is 60/min, respirations are 15/min, and oxygen saturation is 98% on room air. On physical exam, the patient's extremities are twitching, and his clothes are soaked in urine and partially removed. The patient is also drooling and coughs regularly. Which of the following is the best next step in management?? {'A': 'Atropine', 'B': 'Electroencephalography', 'C': 'Lorazepam', 'D': 'Supportive therapy and monitoring', 'E': 'Urine toxicology'},	A: Atropine	medical-qa-combined-split2
Answer the following medical question with the correct option:	A patient presented with sudden onset on thunderclap headache & dilated pupils. Finding are consistent with: A) Meningitis B) Brain stem encephalitis C) Acute ischemia of midbrain D) Acute aneurismal hemorrhage	D) Acute aneurismal hemorrhage	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 50 year old female patient complains of difficulty in swallowing. Patient gives h/o multiple diagnostic CT-scans of the head and neck region. The incidence of which of the following salivary gland tumor will be more likely in this patient? ---- <<Choices:>> A) Pleomorphic adenocarcinoma B) Mucoepidermoid carcinoma C) Adenoid cystic carcinoma D) Acinic cell carcinoma ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Which of the following is a cause of sudden blindness in a quiet eye with normal media and fundus? ---- <<Choices:>> A) Retrobulbar neuritis B) Vitreous hemorrhage C) Optic neuritis D) Iridocyclitis ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> For radical treatment of malaria, primaquine is given in dosage of - ---- <<Choices:>> A) 15 mg per day for 3 days B) 10 mg per day for 7 days C) 15 mg per day for 5 days D) 5 mg per day for 10 days ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	A 6-month old child presents with po wine stain, mental retardation, and recurrent focal seizures. All are true about the condition except? A) Optic nerve cupping B) Tram track appearance on CT scan on skull C) vagal nerve stimulation to control recurrent seizures D) Strawberry Hemangioma	D) Strawberry Hemangioma	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following method is the best predictor for ovulation in a female infertility patient during a menstrual cycle A) Basal body temperature B) Hormonal Study C) Endometrial biopsy D) Fern study	B) Hormonal Study	medical-qa-combined-split2
Answer the following medical question with the correct option:	Amount of thyroid tissue left after subtotal thyroidectomy is A) 4gm on one side B) 4gm on each side C) 6gm on one side D) 6gm on each side	B) 4gm on each side	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 25 years old female comes to your clinic for evaluation of infertility. A hysterosalpingogram reveals Asherman's syndrome. What symptoms will the patient have? ---- <<Choices:>> A) Menorrhagia B) Oligomenorrhea C) Polymenorrhea D) Hypomenorrhea ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	An eight-months-old child had history of unusual crying, altered sensorium & convulsions following previous vaccination after BCG, DPT & OPV (first dose) & Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation? A) Measles B) DPT C) Hepatitis B D) DT	B) DPT	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 27-year-old man presents to a physician for evaluation of 3 months of increased vertigo. He says that occasionally he will experience several seconds of intense vertigo that makes him lose his balance. He came in for evaluation because this symptom is affecting his ability to drive to work. He has also been occasionally experiencing tinnitus. Physical exam reveals rotatory nystagmus that is delayed in onset and stops with visual fixation. The nerve that is most likely causing these symptoms exits the skull at which of the following locations? ---- <<Choices:>> A) Cribriform plate B) Foramen ovale C) Foramen rotundum D) Internal auditory meatus ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	Glycine is present in all except? A) Creatine B) Purine C) Glutamine D) Glutathione	C) Glutamine	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Bilateral ovarian cancer with; capsule breached: ascites positive for malignant cells. Stage is : ---- <<Choices:>> A) I B) II C) III D) IV ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Treatment of acute femoral embolus is- ---- <<Choices:>> A) Warfarin B) Heparin C) Immediate embolectomy D) Embolectomy after 5 days bed rest ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Isotope for thyroid scaning – a) I129b) I131c) Technetium99d) Selenium ---- <<Choices:>> A) bc B) c C) ac D) ad ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct option:	Indicators of impending uterine rupture during labour include all of the following except. A) Fetal distress B) Hematuria C) Fresh bleeding per vaginum D) Passage of meconium	D) Passage of meconium	medical-qa-combined-split2
Answer the following medical question with the correct option:	Common carotid artery divides at the level of A) Hyoid bone B) Cricoid cartilage C) Superior border of thyroid cartilage D) Inferior border of thyroid cartilage	C) Superior border of thyroid cartilage	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Beta lactam antibiotics are all except : ---- <<Choices:>> A) Amoxicillin B) Aztreonam C) Ceftriaxone D) Vancomycin ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	Sex differentiation from hair can be made by A) Length colour and texture B) Coico medullary ratio C) Epithelial cells of hair follicle D) Scale type	C) Epithelial cells of hair follicle	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Deep branch of ulnar nerve supplies ---- <<Choices:>> A) Adductor pollicis B) Flexor digitorum superficialis C) 1st Lumbrical D) 2nd Lumbrical ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 61-year-old woman presents to her physician with a persistent cough. She has been unable to control her cough and also is finding it increasingly difficult to breathe. The cough has been persistent for about 2 months now, but 2 weeks ago she started noticing streaks of blood in the sputum regularly after coughing. Over the course of 4 months, she has also observed an unusual loss of 10 kg (22 lb) in her weight. She has an unchanged appetite and remains fairly active, which makes her suspicious as to the cause of her weight loss. Another troublesome concern for her is that on a couple occasions over the past few weeks, she has observed herself drenched in sweat when she wakes up in the morning. Other than having a 35 pack-year smoking history, her medical history is insignificant. She is sent for a chest X-ray which shows a central nodule of about 13 mm located in the hilar region. Which of the following would be the next best step in the management of this patient? ---- <<Choices:>> A) Chemotherapy B) Mediastinoscopy C) Radiotherapy D) Repeat surveillance after 6 months ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct option:	Erythematous ringworm like lesions parallel to the ribs, with hanging cuain sign and Christmas trees pattern is suggestive of: A) Psoriasis B) Pityriasis Rosea C) Pityriasis rubra pilaris D) Lichen planus	B) Pityriasis Rosea	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Highest biological value of protein is seen in – ---- <<Choices:>> A) Eggs B) Fish C) Soyabean D) Gram ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Milk borne diseases are- ---- <<Choices:>> A) Salmonellosis B) E. coli C) Streptococcus D) All ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> On barium swallow which of the following will cause posterior impression - ---- <<Choices:>> A) Left atrium B) Aortic knuckle C) Pulmonary sling D) Aberrant right subclavian artery ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Barrets esophagus is commonly associated with one of the following: ---- <<Choices:>> A) Adenocarcinoma B) Squamous cell carcinoma C) Sarcoma D) Gastrointenstinal stromal tumor ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Most common mode of treatment for laryngomalacia is: ---- <<Choices:>> A) Reassurance B) Medical C) Surgery D) Wait and watch ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct option:	Urothelium lines all except A) Ureters B) Minor calyx C) Urinary bladder D) Collecting duct	D) Collecting duct	medical-qa-combined-split2
Answer the following medical question with the correct option:	A neonate with multiple congenital anomalies has severe pulmonary hypoplasia of one lung. This is MOST likely secondary to which of the following congenital problem? A) Diaphragmatic defect B) Endocardial cushion defect C) Esophageal atresia D) Gastroschisis	A) Diaphragmatic defect	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Gene therapy is successful for the treatment of - ---- <<Choices:>> A) Adenosine deaminase deficiency B) Krabbe's disease C) Hodgkin's lymphoma D) b thalassemia ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct option:	28 year old G3 P2 at 16 weeks gestation reports extreme fatigue and her hemoglobin concentration is 7.5g / dL MCV is markedly elevated and measures 12.4 fL. Her peripheral blood smear is shown below. What is most likely etiolgy A) Iron deficiency B) Vitamin B6 deficiency C) Folic acid deficiency D) Vitamin B12 deficiency	C) Folic acid deficiency	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Period of adolescent growth in boys is: ---- <<Choices:>> A) 3 years B) 3.5 years C) 4 years D) 5 years ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> An 8 year old female patient complains of pain and bleeding in upper front teeth region and gives a history of fall while playing 30 minutes ago. Patient found the avulsed tooth on the ground. Intra-oral examination reveals bleeding and avulsion of maxillary right central incisor. Which of the following is not an appropriate option in the management of this patient? ---- <<Choices:>> A) If the tooth is dirty, wash it briefly (10 seconds) under cold running water B) Find the tooth and pick it up by the root C) Encourage the patient/parent to replant the tooth D) If repositioning is not possible, place the tooth in a suitable storage medium ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Digoxin is contraindicated in - ---- <<Choices:>> A) Supraventricular tachycardia B) Atrial fibrillation C) Congestive hea failure D) Hyperophic obstructive cardioinyopathy ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following is not a component of countercurrent mechanism? A) Thick ascending limb of henle B) Collecting duct C) Descending limb of henle D) Vasa recta	B) Collecting duct	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Hamman's sign is most characteristic of ---- <<Choices:>> A) Subcutaneous emphysema B) Pneumothorax C) Pneumopericardium D) Pneumomediastinum ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A 60-year-old man presents with complaint of inability to swallow and hoarseness of his voice for the last two hours. His wife tells you about multiple episodes of vomiting and dizziness her husband experienced while moving about the house.His vitals are stable. On clinical examination, you find that he has an ataxic gait towards the left along with miosis and ptosis on the same side. A detailed CNS examination reveals decreased pain, temperature sensations on the right side of his body coupled with a right-sided detion of his uvula. Which of the following aeries has most likely been occluded? ---- <<Choices:>> A) Anterior Inferior Cerebellar Aery B) Posterior Cerebral Aery C) Posterior Inferior Cerebellar Aery D) Lenticulostriate Aery ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Vinyl chloride has been implicated in - ---- <<Choices:>> A) Angiosarcoma of liver B) Angiofibroma of nose C) Hepatomas D) Bladder cancer ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> To which of the following family of chemical mediators of inflammation, the Lipoxins belong: ---- <<Choices:>> A) Kinin system B) Cytokines C) Chemokines D) Arachidonic acid metabolites ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Which is the most prominent spinous process? ---- <<Choices:>> A) T B) C7 C) C6 D) L5 ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Target interventions of National AIDS Control Organisation include all, except? ---- <<Choices:>> A) Detection & treatment for sexually transmitted infections B) Abscess prevention & management in injecting drug users C) Condom promotion & distribution D) Provision of lubricants to Injecting drug users ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct option:	An OPV vial shows this symbol on it. What does it indicate? A) The vaccine has reached its expiry date B) The vaccine has not been stored properly C) The vaccine vial is empty D) Use the vaccine if expiry date not reached	D) Use the vaccine if expiry date not reached	medical-qa-combined-split2
Answer the following medical question with the correct option:	Preload of heart reduced by: A) CCB B) Minoxidil C) Hydralazine D) Nitroglycerine	D) Nitroglycerine	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Duration of treatment in multibacillary leprosy according to WHO is - ---- <<Choices:>> A) 6 months B) 1 year C) 2 years D) 5 years ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct option:	Vibrio parahemolyticus is seen in which of the following if undercooked? A) Crab B) v C) Prawn D) Fish	B) v	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Not seen in Narcolepsy: ---- <<Choices:>> A) Sleep paralysis B) Sleep attack C) Catalepsy D) Cataplexy ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> After first meiotic division, the primary oocyte remains arrested in ---- <<Choices:>> A) Diplotene stage B) Pachytene stage C) Metaphase D) Telophase ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct option:	A 20 years old female presented to emergency with high grade swinging fever, abdominal tenderness and flank mass. On CT there was collection around kidney. Antibiotics were staed but patient condition didn't improve after 48 hours. What is the next best treatment option? A) Percutaneous drainage under CT guidance B) Open surgical drainage C) Nephrectomy D) Observation & follow up	A) Percutaneous drainage under CT guidance	medical-qa-combined-split2
Answer the following medical question with the correct option:	All of the following statements about the vagus nerve are true EXCEPT A) Supplies hea and lung B) Carries postganglionic parasympathetic fibers C) Innervates right two third of transverse colon D) Stimulates peristalsis and relaxes sphincters	B) Carries postganglionic parasympathetic fibers	medical-qa-combined-split2
Answer the following medical question with the correct option:	A 3.3 kg, 36-week baby girl was born prematurely after labor caused by ruptured membranes. The prenatal ultrasound revealed a polyhydramnios at 26 weeks. Fetal echocardiogram was normal and amniocentesis was without genetic aberrance. On examination there was a normal anus, an nasogastric tube (NGT) drained bile stained fluid. The baby passed some mucus from below but no typical dark meconium. A chest and abdominal x-ray showed a "double bubble sign". What is the most likely diagnosis? A) Acute pancreatitis B) Neonatal Hirschsprung's disease C) Duodenal atresia D) Malrotation of midgut	C) Duodenal atresia	medical-qa-combined-split2
Answer the following medical question with the correct option:	What is the treatment of Rhinitis Medicamentos- A) Withdrawal of nasal drops with short course of steroids B) Antibiotics C) Polypectomy D) Increasing the dose of the nasal drops	A) Withdrawal of nasal drops with short course of steroids	medical-qa-combined-split2
Answer the following medical question with the correct option:	Lesion not seen in Lepromatous leprosy is:- A) Macule B) Papule C) Nodule D) Vesicle	D) Vesicle	medical-qa-combined-split2
Answer the following medical question with the correct option:	A patient develops honey colored pustules on the skin. The diagnosis is? A) Impetigo B) Staphylococcal scalded skin syndrome C) Carbuncle D) Sycosis barbae	A) Impetigo	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Phthsis bulbi means - ---- <<Choices:>> A) Developmental hypoplasia of optic cup B) Final end stage of chronic scleritis C) Final end stage of chronic uveitis D) All of the above ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Causative organism of Boggy swelling of hair: ---- <<Choices:>> A) Trichophyton mentagrophytes B) E. flocosum C) M. canis D) T. concentricum ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Hypersensitivity vasculitisis seen most commonly in ---- <<Choices:>> A) Post capillary venules B) Arterioles C) Veins D) Capillaries ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> In which of the following is the protein, transducin found? ---- <<Choices:>> A) Glomerulus B) Retina C) Skeletal muscle D) Adrenal medulla ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with one of the provided options:	Q:A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She said she initially had dull, generalized stomach pain about 6 hours prior, but now the pain is located in the upper abdomen and is more severe. There is no personal or family history of any serious illnesses. She is sexually active with her husband. She does not smoke or drink alcohol. Medications include folic acid and a multivitamin. Her temperature is 38.5°C (101.3°F), pulse is 100/min, and blood pressure is 130/80 mm Hg. Physical examination shows right upper quadrant tenderness. The remainder of the examination shows no abnormalities. Laboratory studies show a leukocyte count of 12,000/mm3. Urinalysis shows mild pyuria. Which of the following is the most appropriate definitive treatment in the management of this patient?? {'A': 'Appendectomy', 'B': 'Cefoxitin and azithromycin', 'C': 'Biliary drainage', 'D': 'Intramuscular ceftriaxone followed by cephalexin', 'E': 'Laparoscopic removal of ovarian cysts'},	A: Appendectomy	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Conservative management is contraindicated in a case of placenta previa under the following situations, except: ---- <<Choices:>> A) Evidence of fetal distress B) Fetal malformations C) Mother in a hemodynamically stable condition D) Women in labor ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Drug of choice for resistant Schizophrenia A) Olanzapine B) Haloperidol C) Clozapine D) ECT	C) Clozapine	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Filigree burn occur in: FMGE 09; NJI 10; JIPMER 11 ---- <<Choices:>> A) Lightning B) Electrocution C) Vitriolage D) Infanticide ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Catabolism of long chain fatty acids occurs in? ---- <<Choices:>> A) Peroxisome B) Mitochondria C) Golgi bodies D) Endolysosome ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> True regarding aminoacyl t-RNA synthetase is A/E ---- <<Choices:>> A) lsoaccepting t RNA B) Implement genetic code C) Attachment of amino group to 5' end D) Editing function ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Leucocytosis is seen in all except: A) Brucellosis B) Acute MI C) Typhoid D) Diphtheria	C) Typhoid	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Obnoxious smell and hallucination is seen in? ---- <<Choices:>> A) Temporal lobe lesion B) Frontal lobe lesion C) Parietal lobe lesion D) Occipital lobe lesion ---- <<Answer:>>	A	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> WHO definition of normal sperm count: ---- <<Choices:>> A) 10 million/ml B) 20 million/ml C) 40 million/ml D) 50 million/ml ---- <<Answer:>>	B	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> A patient present with diabetic macular edema with glaucoma. Which of the following drug should be avoided for this patient? ---- <<Choices:>> A) Alpha agonist B) Acetazolamide C) Beta blockers D) Prostaglandin analogues ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Pulp of involved teeth is vital in the following ---- <<Choices:>> A) Apical cyst B) Granuloma C) Apical periodontitis D) Phoenix abscess ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which type of visual defects are caused by a tumour of the pituitary gland pressing upon the optic chiasma? A) Homonymous hemianopia B) Heteronymous hemianopia C) Bitemporal hemianopia D) Binasal hemianopia	C) Bitemporal hemianopia	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> True about tRNA ? ---- <<Choices:>> A) 80% of total RNA B) Contains 50-60 nucleotides C) CCA sequence is transcribed D) Longest RNA ---- <<Answer:>>	C	medical-qa-combined-split2
Answer the following medical question with the correct option:	Which of the following is not seen in Corpus Cancer syndrome - A) Diabetes mellitus B) Hypertension C) Obesity D) Multiparity	D) Multiparity	medical-qa-combined-split2
Answer the following medical question with the correct option:	Causative organism of which STD has safety pin appearance: A) LGV B) Chancroid C) Syphilis D) Herpes genitalis	C) Syphilis	medical-qa-combined-split2
Answer the following medical question with the correct option:	A 7-year-old boy presents with bilateral swelling around his eyes. His parents state that the child's eyes have become "puffy" over the past several weeks, and his urine has become cocoa-colored. Physical examination reveals bilateral periorbital edema, but peripheral edema is not found. The boy is afebrile and his blood pressure is slightly elevated. A urinary dipstick reveals mild proteinuria, while microscopic examination of the boy's urine reveals hematuria with red blood cell casts. Laboratory tests reveal increased ASO titers and decreased serum C3 levels, but C2 and C4 levels are normal. A throat swab for streptococci is negative. A microscopic section from the kidney reveals increased numbers of cells within the glomeruli. An electron microscopic section of the kidney reveals large electron-dense deposits in the glomeruli that are located between the basement membrane and the podocytes. The foot processes of the podocytes are otherwise unremarkable. Which one of the following renal diseases most likely produced the abnormalities in this young boy? A) Acute post-streptococcal glomerulonephritis B) Focal segmental glomerulonephritis C) Membranous glomerulonephritis D) Minimal change disease	A) Acute post-streptococcal glomerulonephritis	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Causes of raised J.V.P. with hypotension are all except - ---- <<Choices:>> A) Cardiac tamponade B) Right ventricular M.I. C) Hea failure D) 2nd Degree A.V. block ---- <<Answer:>>	D	medical-qa-combined-split2
Answer the following medical question with the correct letter choice:	<<Question:>> Health education charts serially flashed to the group as the talk is being given is called as ---- <<Choices:>> A) Flannel graph B) Flash cards C) Flip charts D) Exhibition charts ---- <<Answer:>>	C	medical-qa-combined-split2

Answer the following medical question with the correct option:

Hepatitis B can be transmitted through all of the following, except A) Semen B) Blood C) Breast milk D) Fecal-oral (stool)

D) Fecal-oral (stool)

medical-qa-combined-split2

Answer the following medical question with the correct option:

A 38 year old gentleman repos of decreased hearing in the right ear for the last two years. On testing with a 512 Hz tuning fork the Rinne's test without masking is negative on the right ear and positive on the left ear. With the Weber's test the tone is perceived as louder in the left ear. This patient MOST likely has: A) Right conductive hearing loss B) Right sensorineural hearing loss C) Left sensorineural hearing loss D) Left conductive hearing loss

B) Right sensorineural hearing loss

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Lymes disease all are true except aEUR' ---- <<Choices:>> A) Borellia bourgdorferi replicates locally and invades locally B) Infection progresses inspite of good humoral immunity C) Polymorphonuclear lymphocytosis in CSF suggest meningial involvement D) IgA intrathecally confirms meningitis ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which anaesthetic gas has high propensity to accumulate in cavities? A) Halothane B) Nitrous oxide C) Ether D) Sevoflurane

B) Nitrous oxide

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Although tetracycline is a broad-spectrum antibiotic but resistance to the drug developed by the following mechanism: ---- <<Choices:>> A) By inactivating enzymes. B) An efflux pump mechanism. C) Alteration of the binding site. D) Absence of a metabolic pathway. ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> All of the following features about Idiopathic Thrombocytopenia are true, Except: ---- <<Choices:>> A) Acute ITP is often proceded by Viral infections B) Chronic ITP is common in females C) Spontaneous remission is common in Chronic ITP D) Acute ITP is more common in children ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following is not a commoner cause of intestinal perforation: March 2007 A) Gastric ulcer B) Gastrointestinal cancer C) Typhoid D) Crohn's disease

D) Crohn's disease

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Features seen in a patient with chronic vomiting are all EXCEPT: March 2013 ---- <<Choices:>> A) Hyponatremia B) Hypochloremia C) Metabolic acidosis D) Hypokalemia ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Therapeutic index is a measure of? ---- <<Choices:>> A) Efficacy B) Adverse effects C) Safety D) Potency ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> In a child presenting with obstructive Jaundice, all are seen except – ---- <<Choices:>> A) Gamma glutamyl transpeptidase B) Alkaline phosphatase C) Glutamate dehydrogenase D) 5' Nucleotidase ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

The function of vitamin K largely depends on which mineral - A) Selenium B) Calcium C) Iron D) Magnesium

B) Calcium

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A simple bacterial test for mutagenic carcinogens is: ---- <<Choices:>> A) Ames test B) Redox test C) Bacteriophage D) Gene splicing ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Dial thermometer works on the principle of:- ---- <<Choices:>> A) Thermocouple B) Convection C) Electromagnetic waves D) Conduction ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 24-year-old man is rushed to the emergency room after he was involved in a motor vehicle accident. , He says that he is having difficulty breathing and has right-sided chest pain, which he describes as 8/10, sharp in character, and worse with deep inspiration. His vitals are: blood pressure 90/65 mm Hg, respiratory rate 30/min, pulse 120/min, temperature 37.2°C (99.0°F). On physical examination, patient is alert and oriented but in severe distress. There are multiple bruises over the anterior chest wall. There is also significant jugular venous distention and the presence of subcutaneous emphysema at the base of the neck. There is an absence of breath sounds on the right and hyperresonance to percussion. A bedside chest radiograph shows evidence of a collapsed right lung with a depressed right hemidiaphragm and tracheal deviation to the left. Which of the following findings is the strongest indicator of cardiogenic shock in this patient? ---- <<Choices:>> A) Jugular veins distention B) Subcutaneous emphysema C) Hyperresonance to percussion D) Tracheal shift to the left ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A patient of supracondylar humerus fracture is unable to flex interphalangeal joint of the thumb. Which nerve is most likely injured? ---- <<Choices:>> A) Median nerve B) Superficial branch of ulnar nerve C) AIN D) Pin ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Rough, poorly polished areas of pontics may cause A) Halitosis B) Discomfort C) Chronic inflammation of the ridge tissue D) All of the above

D) All of the above

medical-qa-combined-split2

Answer the following medical question with the correct option:

Neo-adjuvant chemotherapy used in esophageal carcinoma A) Doxorubicin B) Cisplatin C) 5-fluorouracil D) Mitomycin C

B) Cisplatin

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Acanthosis nigricans is caused by wihch drug- ---- <<Choices:>> A) Amphotericin-B B) Ketoconazole C) Nicotinic acid D) Nalidixic acid ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Androgen insensitivity syndrome, true statement is : A) Phenotype may be completely female B) Predominantly ovarian component in gonads C) Always in female D) Testes formed abnormally and receptors are normal

A) Phenotype may be completely female

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Poor prognosis in first trimester USG is ? ---- <<Choices:>> A) No fetal pole at 5 weeks B) No cardiac activity at 5 weeks C) No gestational sac at 4 weeks D) No cardiac activity at 8 weeks of gestation ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following nerve does not have root valve C5, C6,C7 A) Lateral pectoral nerve B) Musculocutaneous nerve C) Lateral root of median nerve D) Ulnar nerve

D) Ulnar nerve

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Which gland is enclosed by pretracheal fascia? ---- <<Choices:>> A) Parotid gland B) Thyroid gland C) Submandibular gland D) Sublingual gland ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Which of the following substrates can't contribute to net gluconeogenesis in mammalian liver? ---- <<Choices:>> A) Alanine B) Glutamate C) Palmitate D) Pyruvate ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which type of abnormality in sexual development has best prognosis? A) Congenital adrenal hyperplasia B) Mixed gonadal dysgenesis C) Androgen insensitivity syndrome D) True hermaphroditism

A) Congenital adrenal hyperplasia

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following comes under definition of rape, even if consent is given - A) Sex with wife ages 17 years B) Sex with a wife aged 16 years C) Sex with a women aged 15 years D) Sex with a women aged 18 years

C) Sex with a women aged 15 years

medical-qa-combined-split2

Answer the following medical question with one of the provided options:

Q:A 27-year-old man is brought to the emergency department by his girlfriend. The patient is a seasonal farm worker and was found laying down and minimally responsive under a tree. The patient was immediately brought to the emergency department. The patient has a past medical history of IV drug use, marijuana use, and alcohol use. His current medications include ibuprofen. His temperature is 98.2°F (36.8°C), blood pressure is 100/55 mmHg, pulse is 60/min, respirations are 15/min, and oxygen saturation is 98% on room air. On physical exam, the patient's extremities are twitching, and his clothes are soaked in urine and partially removed. The patient is also drooling and coughs regularly. Which of the following is the best next step in management?? {'A': 'Atropine', 'B': 'Electroencephalography', 'C': 'Lorazepam', 'D': 'Supportive therapy and monitoring', 'E': 'Urine toxicology'},

A: Atropine

medical-qa-combined-split2

Answer the following medical question with the correct option:

A patient presented with sudden onset on thunderclap headache & dilated pupils. Finding are consistent with: A) Meningitis B) Brain stem encephalitis C) Acute ischemia of midbrain D) Acute aneurismal hemorrhage

D) Acute aneurismal hemorrhage

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 50 year old female patient complains of difficulty in swallowing. Patient gives h/o multiple diagnostic CT-scans of the head and neck region. The incidence of which of the following salivary gland tumor will be more likely in this patient? ---- <<Choices:>> A) Pleomorphic adenocarcinoma B) Mucoepidermoid carcinoma C) Adenoid cystic carcinoma D) Acinic cell carcinoma ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Which of the following is a cause of sudden blindness in a quiet eye with normal media and fundus? ---- <<Choices:>> A) Retrobulbar neuritis B) Vitreous hemorrhage C) Optic neuritis D) Iridocyclitis ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> For radical treatment of malaria, primaquine is given in dosage of - ---- <<Choices:>> A) 15 mg per day for 3 days B) 10 mg per day for 7 days C) 15 mg per day for 5 days D) 5 mg per day for 10 days ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

A 6-month old child presents with po wine stain, mental retardation, and recurrent focal seizures. All are true about the condition except? A) Optic nerve cupping B) Tram track appearance on CT scan on skull C) vagal nerve stimulation to control recurrent seizures D) Strawberry Hemangioma

D) Strawberry Hemangioma

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following method is the best predictor for ovulation in a female infertility patient during a menstrual cycle A) Basal body temperature B) Hormonal Study C) Endometrial biopsy D) Fern study

B) Hormonal Study

medical-qa-combined-split2

Answer the following medical question with the correct option:

Amount of thyroid tissue left after subtotal thyroidectomy is A) 4gm on one side B) 4gm on each side C) 6gm on one side D) 6gm on each side

B) 4gm on each side

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 25 years old female comes to your clinic for evaluation of infertility. A hysterosalpingogram reveals Asherman's syndrome. What symptoms will the patient have? ---- <<Choices:>> A) Menorrhagia B) Oligomenorrhea C) Polymenorrhea D) Hypomenorrhea ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

An eight-months-old child had history of unusual crying, altered sensorium & convulsions following previous vaccination after BCG, DPT & OPV (first dose) & Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation? A) Measles B) DPT C) Hepatitis B D) DT

B) DPT

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 27-year-old man presents to a physician for evaluation of 3 months of increased vertigo. He says that occasionally he will experience several seconds of intense vertigo that makes him lose his balance. He came in for evaluation because this symptom is affecting his ability to drive to work. He has also been occasionally experiencing tinnitus. Physical exam reveals rotatory nystagmus that is delayed in onset and stops with visual fixation. The nerve that is most likely causing these symptoms exits the skull at which of the following locations? ---- <<Choices:>> A) Cribriform plate B) Foramen ovale C) Foramen rotundum D) Internal auditory meatus ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

Glycine is present in all except? A) Creatine B) Purine C) Glutamine D) Glutathione

C) Glutamine

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Bilateral ovarian cancer with; capsule breached: ascites positive for malignant cells. Stage is : ---- <<Choices:>> A) I B) II C) III D) IV ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Treatment of acute femoral embolus is- ---- <<Choices:>> A) Warfarin B) Heparin C) Immediate embolectomy D) Embolectomy after 5 days bed rest ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Isotope for thyroid scaning – a) I129b) I131c) Technetium99d) Selenium ---- <<Choices:>> A) bc B) c C) ac D) ad ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct option:

Indicators of impending uterine rupture during labour include all of the following except. A) Fetal distress B) Hematuria C) Fresh bleeding per vaginum D) Passage of meconium

D) Passage of meconium

medical-qa-combined-split2

Answer the following medical question with the correct option:

Common carotid artery divides at the level of A) Hyoid bone B) Cricoid cartilage C) Superior border of thyroid cartilage D) Inferior border of thyroid cartilage

C) Superior border of thyroid cartilage

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Beta lactam antibiotics are all except : ---- <<Choices:>> A) Amoxicillin B) Aztreonam C) Ceftriaxone D) Vancomycin ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

Sex differentiation from hair can be made by A) Length colour and texture B) Coico medullary ratio C) Epithelial cells of hair follicle D) Scale type

C) Epithelial cells of hair follicle

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Deep branch of ulnar nerve supplies ---- <<Choices:>> A) Adductor pollicis B) Flexor digitorum superficialis C) 1st Lumbrical D) 2nd Lumbrical ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 61-year-old woman presents to her physician with a persistent cough. She has been unable to control her cough and also is finding it increasingly difficult to breathe. The cough has been persistent for about 2 months now, but 2 weeks ago she started noticing streaks of blood in the sputum regularly after coughing. Over the course of 4 months, she has also observed an unusual loss of 10 kg (22 lb) in her weight. She has an unchanged appetite and remains fairly active, which makes her suspicious as to the cause of her weight loss. Another troublesome concern for her is that on a couple occasions over the past few weeks, she has observed herself drenched in sweat when she wakes up in the morning. Other than having a 35 pack-year smoking history, her medical history is insignificant. She is sent for a chest X-ray which shows a central nodule of about 13 mm located in the hilar region. Which of the following would be the next best step in the management of this patient? ---- <<Choices:>> A) Chemotherapy B) Mediastinoscopy C) Radiotherapy D) Repeat surveillance after 6 months ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct option:

Erythematous ringworm like lesions parallel to the ribs, with hanging cuain sign and Christmas trees pattern is suggestive of: A) Psoriasis B) Pityriasis Rosea C) Pityriasis rubra pilaris D) Lichen planus

B) Pityriasis Rosea

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Highest biological value of protein is seen in – ---- <<Choices:>> A) Eggs B) Fish C) Soyabean D) Gram ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Milk borne diseases are- ---- <<Choices:>> A) Salmonellosis B) E. coli C) Streptococcus D) All ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> On barium swallow which of the following will cause posterior impression - ---- <<Choices:>> A) Left atrium B) Aortic knuckle C) Pulmonary sling D) Aberrant right subclavian artery ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Barrets esophagus is commonly associated with one of the following: ---- <<Choices:>> A) Adenocarcinoma B) Squamous cell carcinoma C) Sarcoma D) Gastrointenstinal stromal tumor ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Most common mode of treatment for laryngomalacia is: ---- <<Choices:>> A) Reassurance B) Medical C) Surgery D) Wait and watch ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct option:

Urothelium lines all except A) Ureters B) Minor calyx C) Urinary bladder D) Collecting duct

D) Collecting duct

medical-qa-combined-split2

Answer the following medical question with the correct option:

A neonate with multiple congenital anomalies has severe pulmonary hypoplasia of one lung. This is MOST likely secondary to which of the following congenital problem? A) Diaphragmatic defect B) Endocardial cushion defect C) Esophageal atresia D) Gastroschisis

A) Diaphragmatic defect

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Gene therapy is successful for the treatment of - ---- <<Choices:>> A) Adenosine deaminase deficiency B) Krabbe's disease C) Hodgkin's lymphoma D) b thalassemia ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct option:

28 year old G3 P2 at 16 weeks gestation reports extreme fatigue and her hemoglobin concentration is 7.5g / dL MCV is markedly elevated and measures 12.4 fL. Her peripheral blood smear is shown below. What is most likely etiolgy A) Iron deficiency B) Vitamin B6 deficiency C) Folic acid deficiency D) Vitamin B12 deficiency

C) Folic acid deficiency

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Period of adolescent growth in boys is: ---- <<Choices:>> A) 3 years B) 3.5 years C) 4 years D) 5 years ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> An 8 year old female patient complains of pain and bleeding in upper front teeth region and gives a history of fall while playing 30 minutes ago. Patient found the avulsed tooth on the ground. Intra-oral examination reveals bleeding and avulsion of maxillary right central incisor. Which of the following is not an appropriate option in the management of this patient? ---- <<Choices:>> A) If the tooth is dirty, wash it briefly (10 seconds) under cold running water B) Find the tooth and pick it up by the root C) Encourage the patient/parent to replant the tooth D) If repositioning is not possible, place the tooth in a suitable storage medium ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Digoxin is contraindicated in - ---- <<Choices:>> A) Supraventricular tachycardia B) Atrial fibrillation C) Congestive hea failure D) Hyperophic obstructive cardioinyopathy ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following is not a component of countercurrent mechanism? A) Thick ascending limb of henle B) Collecting duct C) Descending limb of henle D) Vasa recta

B) Collecting duct

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Hamman's sign is most characteristic of ---- <<Choices:>> A) Subcutaneous emphysema B) Pneumothorax C) Pneumopericardium D) Pneumomediastinum ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A 60-year-old man presents with complaint of inability to swallow and hoarseness of his voice for the last two hours. His wife tells you about multiple episodes of vomiting and dizziness her husband experienced while moving about the house.His vitals are stable. On clinical examination, you find that he has an ataxic gait towards the left along with miosis and ptosis on the same side. A detailed CNS examination reveals decreased pain, temperature sensations on the right side of his body coupled with a right-sided detion of his uvula. Which of the following aeries has most likely been occluded? ---- <<Choices:>> A) Anterior Inferior Cerebellar Aery B) Posterior Cerebral Aery C) Posterior Inferior Cerebellar Aery D) Lenticulostriate Aery ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Vinyl chloride has been implicated in - ---- <<Choices:>> A) Angiosarcoma of liver B) Angiofibroma of nose C) Hepatomas D) Bladder cancer ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> To which of the following family of chemical mediators of inflammation, the Lipoxins belong: ---- <<Choices:>> A) Kinin system B) Cytokines C) Chemokines D) Arachidonic acid metabolites ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Which is the most prominent spinous process? ---- <<Choices:>> A) T B) C7 C) C6 D) L5 ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Target interventions of National AIDS Control Organisation include all, except? ---- <<Choices:>> A) Detection & treatment for sexually transmitted infections B) Abscess prevention & management in injecting drug users C) Condom promotion & distribution D) Provision of lubricants to Injecting drug users ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct option:

An OPV vial shows this symbol on it. What does it indicate? A) The vaccine has reached its expiry date B) The vaccine has not been stored properly C) The vaccine vial is empty D) Use the vaccine if expiry date not reached

D) Use the vaccine if expiry date not reached

medical-qa-combined-split2

Answer the following medical question with the correct option:

Preload of heart reduced by: A) CCB B) Minoxidil C) Hydralazine D) Nitroglycerine

D) Nitroglycerine

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Duration of treatment in multibacillary leprosy according to WHO is - ---- <<Choices:>> A) 6 months B) 1 year C) 2 years D) 5 years ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct option:

Vibrio parahemolyticus is seen in which of the following if undercooked? A) Crab B) v C) Prawn D) Fish

B) v

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Not seen in Narcolepsy: ---- <<Choices:>> A) Sleep paralysis B) Sleep attack C) Catalepsy D) Cataplexy ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> After first meiotic division, the primary oocyte remains arrested in ---- <<Choices:>> A) Diplotene stage B) Pachytene stage C) Metaphase D) Telophase ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct option:

A 20 years old female presented to emergency with high grade swinging fever, abdominal tenderness and flank mass. On CT there was collection around kidney. Antibiotics were staed but patient condition didn't improve after 48 hours. What is the next best treatment option? A) Percutaneous drainage under CT guidance B) Open surgical drainage C) Nephrectomy D) Observation & follow up

A) Percutaneous drainage under CT guidance

medical-qa-combined-split2

Answer the following medical question with the correct option:

All of the following statements about the vagus nerve are true EXCEPT A) Supplies hea and lung B) Carries postganglionic parasympathetic fibers C) Innervates right two third of transverse colon D) Stimulates peristalsis and relaxes sphincters

B) Carries postganglionic parasympathetic fibers

medical-qa-combined-split2

Answer the following medical question with the correct option:

A 3.3 kg, 36-week baby girl was born prematurely after labor caused by ruptured membranes. The prenatal ultrasound revealed a polyhydramnios at 26 weeks. Fetal echocardiogram was normal and amniocentesis was without genetic aberrance. On examination there was a normal anus, an nasogastric tube (NGT) drained bile stained fluid. The baby passed some mucus from below but no typical dark meconium. A chest and abdominal x-ray showed a "double bubble sign". What is the most likely diagnosis? A) Acute pancreatitis B) Neonatal Hirschsprung's disease C) Duodenal atresia D) Malrotation of midgut

C) Duodenal atresia

medical-qa-combined-split2

Answer the following medical question with the correct option:

What is the treatment of Rhinitis Medicamentos- A) Withdrawal of nasal drops with short course of steroids B) Antibiotics C) Polypectomy D) Increasing the dose of the nasal drops

A) Withdrawal of nasal drops with short course of steroids

medical-qa-combined-split2

Answer the following medical question with the correct option:

Lesion not seen in Lepromatous leprosy is:- A) Macule B) Papule C) Nodule D) Vesicle

D) Vesicle

medical-qa-combined-split2

Answer the following medical question with the correct option:

A patient develops honey colored pustules on the skin. The diagnosis is? A) Impetigo B) Staphylococcal scalded skin syndrome C) Carbuncle D) Sycosis barbae

A) Impetigo

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Phthsis bulbi means - ---- <<Choices:>> A) Developmental hypoplasia of optic cup B) Final end stage of chronic scleritis C) Final end stage of chronic uveitis D) All of the above ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Causative organism of Boggy swelling of hair: ---- <<Choices:>> A) Trichophyton mentagrophytes B) E. flocosum C) M. canis D) T. concentricum ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Hypersensitivity vasculitisis seen most commonly in ---- <<Choices:>> A) Post capillary venules B) Arterioles C) Veins D) Capillaries ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> In which of the following is the protein, transducin found? ---- <<Choices:>> A) Glomerulus B) Retina C) Skeletal muscle D) Adrenal medulla ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with one of the provided options:

Q:A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She said she initially had dull, generalized stomach pain about 6 hours prior, but now the pain is located in the upper abdomen and is more severe. There is no personal or family history of any serious illnesses. She is sexually active with her husband. She does not smoke or drink alcohol. Medications include folic acid and a multivitamin. Her temperature is 38.5°C (101.3°F), pulse is 100/min, and blood pressure is 130/80 mm Hg. Physical examination shows right upper quadrant tenderness. The remainder of the examination shows no abnormalities. Laboratory studies show a leukocyte count of 12,000/mm3. Urinalysis shows mild pyuria. Which of the following is the most appropriate definitive treatment in the management of this patient?? {'A': 'Appendectomy', 'B': 'Cefoxitin and azithromycin', 'C': 'Biliary drainage', 'D': 'Intramuscular ceftriaxone followed by cephalexin', 'E': 'Laparoscopic removal of ovarian cysts'},

A: Appendectomy

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Conservative management is contraindicated in a case of placenta previa under the following situations, except: ---- <<Choices:>> A) Evidence of fetal distress B) Fetal malformations C) Mother in a hemodynamically stable condition D) Women in labor ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Drug of choice for resistant Schizophrenia A) Olanzapine B) Haloperidol C) Clozapine D) ECT

C) Clozapine

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Filigree burn occur in: FMGE 09; NJI 10; JIPMER 11 ---- <<Choices:>> A) Lightning B) Electrocution C) Vitriolage D) Infanticide ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Catabolism of long chain fatty acids occurs in? ---- <<Choices:>> A) Peroxisome B) Mitochondria C) Golgi bodies D) Endolysosome ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> True regarding aminoacyl t-RNA synthetase is A/E ---- <<Choices:>> A) lsoaccepting t RNA B) Implement genetic code C) Attachment of amino group to 5' end D) Editing function ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Leucocytosis is seen in all except: A) Brucellosis B) Acute MI C) Typhoid D) Diphtheria

C) Typhoid

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Obnoxious smell and hallucination is seen in? ---- <<Choices:>> A) Temporal lobe lesion B) Frontal lobe lesion C) Parietal lobe lesion D) Occipital lobe lesion ---- <<Answer:>>

A

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> WHO definition of normal sperm count: ---- <<Choices:>> A) 10 million/ml B) 20 million/ml C) 40 million/ml D) 50 million/ml ---- <<Answer:>>

B

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> A patient present with diabetic macular edema with glaucoma. Which of the following drug should be avoided for this patient? ---- <<Choices:>> A) Alpha agonist B) Acetazolamide C) Beta blockers D) Prostaglandin analogues ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Pulp of involved teeth is vital in the following ---- <<Choices:>> A) Apical cyst B) Granuloma C) Apical periodontitis D) Phoenix abscess ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which type of visual defects are caused by a tumour of the pituitary gland pressing upon the optic chiasma? A) Homonymous hemianopia B) Heteronymous hemianopia C) Bitemporal hemianopia D) Binasal hemianopia

C) Bitemporal hemianopia

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> True about tRNA ? ---- <<Choices:>> A) 80% of total RNA B) Contains 50-60 nucleotides C) CCA sequence is transcribed D) Longest RNA ---- <<Answer:>>

C

medical-qa-combined-split2

Answer the following medical question with the correct option:

Which of the following is not seen in Corpus Cancer syndrome - A) Diabetes mellitus B) Hypertension C) Obesity D) Multiparity

D) Multiparity

medical-qa-combined-split2

Answer the following medical question with the correct option:

Causative organism of which STD has safety pin appearance: A) LGV B) Chancroid C) Syphilis D) Herpes genitalis

C) Syphilis

medical-qa-combined-split2

Answer the following medical question with the correct option:

A 7-year-old boy presents with bilateral swelling around his eyes. His parents state that the child's eyes have become "puffy" over the past several weeks, and his urine has become cocoa-colored. Physical examination reveals bilateral periorbital edema, but peripheral edema is not found. The boy is afebrile and his blood pressure is slightly elevated. A urinary dipstick reveals mild proteinuria, while microscopic examination of the boy's urine reveals hematuria with red blood cell casts. Laboratory tests reveal increased ASO titers and decreased serum C3 levels, but C2 and C4 levels are normal. A throat swab for streptococci is negative. A microscopic section from the kidney reveals increased numbers of cells within the glomeruli. An electron microscopic section of the kidney reveals large electron-dense deposits in the glomeruli that are located between the basement membrane and the podocytes. The foot processes of the podocytes are otherwise unremarkable. Which one of the following renal diseases most likely produced the abnormalities in this young boy? A) Acute post-streptococcal glomerulonephritis B) Focal segmental glomerulonephritis C) Membranous glomerulonephritis D) Minimal change disease

A) Acute post-streptococcal glomerulonephritis

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Causes of raised J.V.P. with hypotension are all except - ---- <<Choices:>> A) Cardiac tamponade B) Right ventricular M.I. C) Hea failure D) 2nd Degree A.V. block ---- <<Answer:>>

D

medical-qa-combined-split2

Answer the following medical question with the correct letter choice:

<<Question:>> Health education charts serially flashed to the group as the talk is being given is called as ---- <<Choices:>> A) Flannel graph B) Flash cards C) Flip charts D) Exhibition charts ---- <<Answer:>>

C

medical-qa-combined-split2