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medmcqa_evaluation

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About Bacteroids. True are all except
A: Susceptible to many antibiotics B: Present mainly in mixed infections C: Most common species is B fragilis D: Bile resistant anerobes
0
All of the following are the complications in the new born of a diabetic mother except –
A: Hyperbilirubinemia B: Hyperglycemia C: Hypocalcemia D: Hypomagnesemia
1
Vasopressor of choice in pregnancy is:
A: Ephedrine B: Phenylephrine C: Methoxamine D: Mephentermine
0
Which of the following malignancy is not caused by Human Papilloma Virus (HPV) infection?
A: Carcinoma base of tongue B: Cervical carcinoma C: Tonsillar carcinoma D: Nasopharyngeal carcinoma
3
Stimulated saliva as compared to unstimulated saliva has more
A: Bicarbonate B: Cl C: Na D: H
0
All of the following are regarding osteoporosis except.
A: Calcitonin decreases pain B: Bisphophonates are work horse for treatment C: T-score <1.5 in osteoporosis D: PTH is used in severe osteoporosis
2
Periapical bone resorption occurs due to:
A: IL-1 alpha B: TNF alpha C: Both D: None
2
A non-painful, slowly enlarging benign neoplasm appears as a submucosaL lu nip and exhibits pseudoepitheliomatous hyperplasia in the overlying epithelium, is most probably:
A: Fibroma B: Rhabdomyoma C: Granular cell tumour D: Papilloma
2
Lateral traction test is done in unnatural sexual offences in:
A: Habitual active agent B: Pedophilia active agent C: Bestiality active agent D: Habitual passive agent
3
Valvular lesion most often resulting from myocardial infarction is:
A: Aortic stenosis B: Mitral stenosis C: Mitral regurgitation D: Pulmonary stenosis
2
Balanced resuscitation in trauma management is:-
A: Giving colloids and crystalloids ratio of 1:1 B: Maintaining pH by ensuring acid base are balanced C: Maintaining permissible hypotension to avoid bleeding D: Maintaining airway breathing and circulation simultaneously
2
A patient comes to ED with fever and headache. On examination he has neck stiffness. CSF analysis was done:- Parameter Finding Normal range Glucose (mg/dl) 55 50-80 Protein (g/L) 0.50 0.18-0.45 ICT (cmH2O) 35 5-20 WBC 25 (predominantly lymphocytes) <5 Most likely diagnosis is-
A: TB B: N. Gonorrhea C: Cryptococcus D: Coxsackie
3
Estimate the dental age from the radiograph:
A: 5 years B: 10 years C: 15 years D: 25 years
2
A girl suffering from browning of teeth, wearing of enamel but not cavitatory. OPG shows obliteration of pulp with narrowing of canal & deposition of secondary dentin, she gave the history that out of her 4 brothers, 2 are suffering from the same disease. She is suffering from
A: Amelogenesis imperfecta B: Dentinogenesis imperfecta C: Fluorosis D: Odontodysplasia
1
When broad-spectrum antibiotics are administered with coumarin anticoagulants, the anticoagulant action may be:
A: Reduced because of enhanced hepatic drug metabolism B: Reduced because of increased protein-binding C: Increased because of reduction of vitamin 'K' sources D: Increased because of decreased renal excretion of the anticoagulant
2
In hemorrhage lost plasma is replaced by:
A: Bone marrow B: Kidney C: Spleen D: Muscle
1
In a reaction substrate is available in a concentration that is l000times the Km value of the enzyme. After 9 minutes of reaction, l7o substrate is conveed to product (12 microgram/ml). If the concentration of the enzyme is changed to 1/3 and concentration of substrate is doubled. What is the time taken to conve the substrate into the same amount of product, i.e. I 2microgram/ml?
A: 9 minutes B: 4.5 minutes C: 27 minutes D: 13.5 minutes
2
Which is the most conspicuous sign in breast cancer?
A: Nipple retraction B: Peau d'orange C: Puckering D: Cancer en-cuirasse
1
Most common sequelae due to periventricular leukomalacia –
A: Spastic diplegia B: Spastic quadriplegia C: Mental retardation D: Seizures
0
What should be the position of child during asthmatic attack:
A: Supine B: Semi erect C: Erect D: Trendelenburg
1
A patient on amphotericin B develops hypokalemia of 2.3 meq/l. K+ supplementation required?
A: 40 mEq over 24 hours B: 60 mEq over 24 hours C: 80 mEq over 24 hours D: 120-160 mEq over 24 hours
3
If a patient has gingival recession, how far should the gutta percha be trimmed back before sealing the coronat area?
A: 1 mm below the level of the recession B: 1 mm below the ACJ C: 1 mm below the canal opening D: 1 mm below the roof of pulpal chamber
0
A 50-year-old male has fever for the past l-week with abdominal ilistention and loss of appetite. It is not responding to antibiotics and antimatarials. widal test is negative but RK39 dipstick test is positive.Which of the following drugs can be used in the above patient?
A: Bedaquiline B: Linezolid C: Fluconazole D: Liposomal AmPhotericin B
3
Which of the following orthodontic wire has least modulus of elasticity?
A: NiTi B: Beta titanium C: Stainless steel D: Co-Cr-Ni
0
Which of the following is common to all types of shock?
A: Vasoconstriction B: Hypotension C: Sepsis D: Bradycardia
1
A 28 years old female presented with the history of recurrent aboions, pain in calves for 4 years. Patient is suffering from congenital deficiency of:
A: Protein C B: Thrombin C: Plasmin D: Factor XIII
0
Sodium nitroprusside is metabolized to form an active metabolite. This active metabolite of sodium nitroprusside act activation of:-
A: Phospholipase A B: Phospholipase C C: Guanylate cyclase D: Protein kinase C
2
Baroreceptor is which type of feedback?
A: Negative feedback B: Positive feedback C: Both negative and positive D: Feed forward control
0
A patient in an ICCU is on CVP line. His blood culture shows growth of Gram +ve cocci which are catalase positive and coagulase negative. The most likely etiological agent is:
A: Staph. aureus B: Staph. epidermidis C: Streptococcus pyogenes D: Enterococcus faecalis
1
A 55 years old male patient presents with 4 cm x 5 cm lump in right neck. FNAC assessment revealed it to be a squamous cell carcinoma. Clinical assessment of the oral cavity, pharynx, hypopharynx and larynx did not yield any tumor. Whole body PET scan did not show any increased uptake except for the neck mass. A diagnosis of unknown primary was made. According to AJCC system of classification, the TNM status of the tumor would be:
A: T1N2M0 B: TON2aMO C: T1N2aMO D: TxN2aMx
3
A patient has an infectious process associated with maxillary right Lateral incisor that tooth is deeply carious and non-restorable. His temperature is 102°F. The patient has not been able to chew for the past 24 hours. The right side of the face is swollen. The patient cannot open his right eye, on palpation the area is soft, painful to touch and tissue rebound when palpated; treatment for the patient should be
A: Aspiration B: Antibiotics of Heat only C: Incision and Drainage D: Antibiotics, heat and fluid
0
True statements regarding Direct Ophthalmoscopy are all except:
A: Image is viual and erect B: 2 disk diameter field of vision C: Magnification is 5 times D: Self-illuminated device
2
All of the following puy NiUiugiLai changes are seen in pregnancy except:
A: Increased stroke volume B: Increased cardiac output C: Increased intravascular volume D: Increased peripheral resistance
3
About acid etching of dentin all are true, except:
A: It removes smear layer B: It expose collagen C: It opens dentinal tubules D: It increase surface tension
3
Pterion is:
A: Is a point of articulation of four skull bones B: It is a point where 'bregma' and 'lamba' meet C: It is region of the postero-lateral fontanelle merge D: Lies deep to the zygomatic arch
0
Which of the following instruments are more efficient?
A: Stainless steel B: Carbon steel C: Both have equal efficacy D: None
1
Transmission of HIV from mother to child is prevented by all the following except:
A: Oral zidovudine to mother at 3rd trimester along with oral zidovudine to infant for 6 weeks B: Vitamin A prophylaxis to mother C: Vaginal delivery D: Stopping breast feed
2
Persons with the greatest risk of oral cancer
A: Have a poor oro-dental hygiene, nutritional deficiencies and are chronic alcoholics B: Are middle aged, have a poor oro-dental hygiene and regularly use tobacco C: Are old, Chronic alcoholics and regularly use tobacco D: Are young, have poor oro-dental hygiene and are heavy smokers
2
A 10 year old presented to ohopaedic OPD with a Curved Back, AP and Lateral Radiographs are obtained, what is the most likely cause of such deformity?
A: Congenital B: Neurofibromatosis C: Idiopathic D: Neuromuscular
0
Essential fatty acid present in breast milk which is required for normal growth of child is:
A: Lenoleic acid B: Palmitic acid C: Docosahexanoic acid D: EPA
2
In which of the following ways is CLED medium better than MacConkey agar?
A: It prevents proteus swarming B: Inhibits growth of other commensals C: It allows Staphylococcus and Candida to grow D: It differentiates lactose fermenters from non-fermenters
2
The haemoglobin levels of pregnant females in a community was found to have a mean of 10.6 g/d1, and a standard detion of 2 g/dL. What is the minimum haemoglobin level below which 5% of the pregnant females will have their haemoglobin levels?
A: 7.32 B: 8.64 C: 6.68 D: 8.96
2
Fibrous histiocytoma involves most commonly:
A: Eyelid B: Epibular C: Intraocular D: Orbit
3
Treatment of acute herpetic gingivostomatitis include :
A: Corticosteroids to reduce inflammation B: Penicillin C: Local antibiotic application D: None of the above
3
Primary cartilaginous joint is called as:
A: Symphyses. B: Synchondrosis. C: Syndesmosis. D: Synarthroses.
1
Biopsy from an eight-year-old child with leg swelling showed smallround blue tumor cells consistent with diagnosis of Ewing's sarcoma. What will be the best method to detect translocation t(ll;22) in this malignancy?
A: Conventional karyotyping B: Next generation sequencing C: FISH D: PCR
2
A 7 years old child comes with fever and tibial swelling exhibits on X- ray exhibits periosteal reaction. Laboratory results show raised ESR and TLC. What is the next step in diagnosis of the patient?
A: MRI B: Pus culture C: Bone biopsy D: Blood culture
0
Which of the following organisms is NOT implicated in the etiology of Periodontal disease
A: Bacteroides B: Wolinella C: Neisseria D: Eikenella
2
Which of the following is not true about the salivary gland output in Sjogren's syndrome?
A: Increase in sodium concentration B: Increase in phosphate concentration C: Decreased output of salivary glands <0.5 ml/min D: Increase in IgA concentration
1
While measuring blood pressure of a cardiac tamponade patient, what advice will you give him:
A: Hold breath B: Breathe normally C: I.ong and deep breathing D: Sho and shallow breaths
1
Hutchinson's triad includes?
A: Interstitial keratitis, malformed molars, conductive deafness B: Interstitial keratitis, malformed molars, sensorineural deafness C: Conductive deafness, malformed incisors, interstitial keratitis D: Interstitial keratitis, malformed molars, conductive deafness
1
Check point for ZMC fracture reduction is:
A: Intraorbital margin B: Fronto-zygomatic suture region C: Zygomatico-maxillary buttress region D: Symmetry of arch
0
Stoppage of which of the following drugs can result in anxiety and insomnia causing discontinuation syndrome?
A: Venlafaxine B: ImiPramine C: Valproate D: OlanzaPine
0
Migration of odontoblasts into dentinal tubules occurs during __________ :
A: Cavity preparation B: Dehydration C: Water irrigation D: None of the above
0
A patient complains of sensitivity in a Mandibular premolar. A well condensed class V amalgam restoration was placed in that tooth 5 months ago, with no discomfort for the first 4 months. Since then it has become increasingly sensitive. The problem probably relates to:
A: Marginal leakage B: Fractured restoration C: Irreversible pulpal damage D: Tooth brush abrasion
2
The function of reciprocal clasp arm is:
A: a) To balance the denture B: b) To act as a direct retainer C: c) To counteract the movement of denture which is caused during engagement of retentive arm D: d) None of the above
2
Which score is used for wound infection
A: Glasgow coma scale B: Southampton score C: Apgar score D: SIRS score
1
Hypertonic solution is used in all except
A: Prolonged bowel surgery B: Cardiac type IV shock C: Brain injury D: Burn
1
Vulcanization refers to the setting of:
A: Reversible hydrocolloid B: Mercaptan impression material C: Zinc phosphate cement D: Zinc oxide-eugenol
1
Diabetes insipidus, bone lesions and exophthalmos is seen in
A: Sickle cell anemia B: Niemen pick disease C: Littere Siewe Disease D: Hand-Schuller-Christian disease
3
What are the appropriate instructions to be given while prescribing bisphosphonates to a patient:
A: To be given empty stomach with a glass of water B: Taken along with food C: Stop if features of gastritis develop D: Stop if bone pains occur.
0
Which tooth is known as enigma to endodontist
A: Mandibular canine B: Maxillary 1st premolar C: Mandibular 2nd premolar D: Mandibular 1st premolar
3
Which of the following are most sensitive to X-ray?
A: Tooth buds and salivary glands B: Nerve and muscle tissue C: Hair and nails D: Cartilage
0
A type of immediately occurring reaction in which antigens combine with antibodies already attached to the surface of mast cells and basophils is called:
A: Type I hypersensitivity B: Type II hypersensitivity C: Type III hypersensitivity D: Type IV hypersensitivity
0
Toxic shock syndrome is due to the following virulence factor:
A: M protein B: Pyrogenic exotoxin C: Streptolysin 0 D: Carbohydrate cell wall
1
Which surface of tooth has most of plaque?
A: Gingival third of tooth surface B: Incisal one third of tooth surface C: Middle third of tooth surface D: Uniform on all surfaces
0
Epidural venous plexus is located in
A: Basal ganglia adjacent to pons B: At the junction of middle and posterior cranial fossa C: In vertebral canal below duramater D: In vertebral canal above duramater
3
A young marathon runner is paicipating in a marathon competition. After running for 100 m, he develops at the anteromedial aspect of tibia which was mild to sta with, but increased on fuher running. X ray was normal. The doctor ordered a bonescan. What is the likely diagnosis?
A: Lisfranc fracture B: Jones fracture C: Shin splint D: Nutcracker fracture
2
In which tooth all the 8 types of Vertucci seen
A: 1st maxillary premolar B: 2nd maxillary premolar C: 1st mandibular premolar D: 2nd mandibular premolar
1
A man presents it n rashes on face and also complains of decreased mental function. He is also having few macular lesions on his skin. On CT scan, intracranial calcification was seen. His wife is normal. His 10-year old daughter is also normal but his 6-year old son is also having similar skin lesions. What would be the most likely diagnosis?
A: Neurofibrornatosis-1 B: Neurofibromatosis-2 C: Xeroderma pigmentosum D: Autosomal dominant inheritance
3
What causes malignant hyperpyrexia?
A: Thiopentone B: Cisatracurium C: Propofol D: Suxamethonium
3
Force generated by 90° rotation of finger spring in pendulum appliance with distalisation:
A: 75 gms B: 125 gms C: 150 gms D: 200 gms
3
All of the following are true about bacteriocin except:
A: It has no role in adherence of plaque to the tooth surface B: It can be used in therapy of dental caries C: It is a protein D: It enhances the growth of other bacteria
3
White rough pedunculated lesion on palate is most likely:
A: Pleomorphic adenoma B: Papilloma C: Nevus D: Fibroma
1
Advantage of wide palatal bar over narrow bar is:
A: Less discomfort B: Less bulk C: More tough D: More tissue coverage (area of basal seat)
1
Which of these is pierced during posterior superior alveolar nerve Block?
A: Medial Pterygoid B: Lateral Pterygoid C: Buccinator D: Masseter
2
Which of the following is used in the induction of anesthesia:-
A: Bupivacaine B: Dexmediatomidine C: Lorazepam D: Neostigimine
2
A suitable fixative for a routine biopsy specimen is
A: 10% formalin B: 40% formalin C: 20% formalin D: 10% alcohol
0
Pre eclampsia with torsades de pointes, stable vitals. The next best management will be-
A: DC shock B: MgSo4 C: IV Calcium D: None
1
SCC present on lateral margin of tongue of staging T2N0, options of treatment is
A: SOHND (supraomohyoid neck dissections) B: Remove Lymph node I-II along with C: Remove Lymph node I-V along with D: Remove Lymph node I-IV along with
3
All of the following are branches of external carotid aery except?
A: Superior thyroid aery B: Transverse cervical aery C: Ascending pharyngeal aery D: Superficial temporal aery
1
A patient gives a history of chuna falling into his eyes. All of the following would be a pa of his immediate management except:
A: Irritation of both eyes with copious amounts of normal saline B: Frequent sodium citrate drops C: Thorough slit-lamp examination on presentation D: Removal of chuna paicles by double eversion of upper eyelids
2
A 8-years-old patient comes to you with malocclusion what will be your line of treatment:
A: Wait and watch till canine erupts B: Extraction a and orthodontic treatment C: Serial extraction D: Immediate intervention with removal appliance
0
Which of the following zone is characterized by macrophages and osteoclasts?
A: Zone of infection B: Zone of contamination C: Zone of irritation D: Zone of stimulation
2
Not a feature of infective endocarditis:
A: Myocardial abscess. B: Vegetation along cusps. C: Thrombus in left atria. D: Perforation of cusp.
2
Basically TMJ is a:
A: Ball and socket joint B: Hinge and axis joint C: Synovial joint D: Diarthrodal joint
3
A pregnant lady with persistent late, variable deceleration with cervical dilatation of 6 cm shifted to OT for surgery. Which of the following is not done in Mmn:
A: Supine position B: O2 inhalation C: I.V. fluid D: Subcutaneous terbutaline
0
Principle secretory cells found in the single layer outlining the pulp (Ourtermost zone of pulp)
A: Fibroblasts B: Odontoblast C: Ameloblast D: Undifferentiated cells
1
A dentist planning to remove an impacted tooth will need which of the following radiographs:
A: A periapical film will be all that is required B: A bite-wing film will be of little or no use C: A lateral view will be all that is required D: An anteroposterior view is all that is required
1
Chloroquine related eye disease risk is
A: HIV protease B: HIV reverse transcriptase C: HIV integrase D: HIV entry into the cell
1
Cervical resorption after bleaching is prevented by:
A: 80% alcohol drying immediately after bleaching B: Alpha tocopherol applied immediately after bleaching C: Sodium perborate + sodium hypochlorite D: Sodium perborate + calcium hydroxide
3
Which of the following is done for screening of Down's syndrome in first trimester?
A: Beta HCG and PAPP-A B: Unconjugated estradiol and PAPPA C: AFP and Inhibin A D: AFP and Beta HCG
0
Muscles of mastication are supplied by:
A: Second part of maxillary artery B: Third part of maxillary artery C: First part of maxillary artery D: Facial artery
0
Thumb sucking is normal during:
A: The first year of life. B: First 2 years of life. C: First 3 years of life. D: First 4 years of life.
1
The most recent oral direct thrombin inhibitor (DTI) for acute stroke prevention is:
A: Ximelagatran B: Idraparinux C: Dabigatran D: Wasfarean
2
According to Weerheijm et al, prevalence of MIH (Molar-Incisor hypomineralisation) :
A: 1.2% to 25.6% B: 2.4% to 40.2% C: 6.2% to 48.8% D: 9.7% to 62.1%
3
The nerve supply for motor action of buccinator:
A: Facial nerve B: Mandibular nerve C: Maxillary nerve D: Auriculo temporal nerve
0
Most common single cause of pyrexia of unknown origin
A: Mycobacterium tuberculosis B: Salmonella paratyphi C: Brucella D: Salmonella typhi
0
Tongue movement has its primary effect on
A: Palatoglossus arch B: Facial musculature C: Lips D: Cheeks
0
Edge angle is the angle between:
A: Rake face and radial line. B: Rake face and clearance face. C: Clearance face and tooth structure. D: Radial line and clearance face
1