question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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|---|---|---|---|---|---|---|
Which of the following type of aneurysm is associated with adult polycystic kidney disease? | [
"Berry aneurysms in Circle of Willis",
"Saccular aneurysms of aoa",
"Fusiform aneurysms of aoa",
"Luetic aneurysms"
] | A | Patients with ADPKD have a 2-4 fold increased risk subarachnoid or cerebral hemorrhage from ruptured berry aneurysm in the circle of Willis. Saccular aneurysms of the anterior cerebral circulation may be detected in up to 10% of asymptomatic patients on magnetic resonance angiography (MRA) screening. Patients at risk f... | train | med_mcqa | null |
A lady with IUCD becomes pregnant with tail of IUCD being seen, next course of action is : | [
"MTP",
"Remove the IUCD",
"Continue the pregnancy",
"Remove IUCD and terminate pregnancy"
] | B | Ans. is b i.e. Remove the IUCD A woman with an IUCD in place, with amenorrhea should have a pregnancy test and pelvic examination. If an intrauterine pregnancy is diagnosed and IUCD strings are visible : IUCD should be removed as soon as possible in order to prevent later septic aboion, premature rupture of membranes a... | train | med_mcqa | null |
A 6-month-old boy was admitted with failure to thrive. Laboratory tests showed hypoglycemia and high glutamine and uracil levels in urine. Gastric tube feeding was not tolerated. The child became comatose and then parenteral dextrose was given. The child recovered from coma within 24 hrs. Which of the following enzyme ... | [
"Argininosuccinate synthase",
"Carbamoyl phosphate synthase I",
"Argininosuccinate lyase",
"Ornithine transcarbamoylase"
] | D | From the given clinical and laboratory data, the diagnosis is hyperammonemia type 2, which is due to the deficiency of the enzyme ornithine transcarbamoylase. There is an accumulation of carbamoyl phosphate, which then enters into pyrimidine synthesis producing orotic acid and uracil and leading to orotic aciduria and ... | train | med_mcqa | null |
Which of the following blood group is not likely to be present in a child, whose father has a blood group B and Mother has AB? | [
"O",
"A",
"B",
"AB"
] | A | Two types of antigens are present on RBC, they are A and B. If both A and B antigens are present blood group is AB, if only A antigen is present blood group is A, if only B antigen is present blood group is B , if both antigens are absent blood group is O. Genotype of blood groups : IAIB Blood group AB IAIA or IA i Blo... | train | med_mcqa | null |
Which one of the following is not true of folic acid | [
"It prevents megaloblastic anaemia",
"Its deficiency is detected by Schilling test",
"Its administration should be started in early pregnancy",
"Its deficiency causes neural tube defect in foetus"
] | B | null | train | med_mcqa | null |
Minimal change disease is/are caused by - | [
"Rifampicin",
"IFN-α",
"Gold",
"All of the above"
] | D | null | train | med_mcqa | null |
Gross National Product - capital we consume | [
"Net National product",
"Gross Domestic product",
"Gross National income",
"Net Domestic product"
] | A | null | train | med_mcqa | null |
Virus implicated in Burkitt's lymphoma is ? | [
"EB virus",
"Arbo virus",
"Picorna virus",
"Coxsackie virus"
] | A | Ans. is 'a' i.e., EB virus | train | med_mcqa | null |
The following is true about prevalence and incidence: | [
"Both are rates",
"Prevalence is a rate but incidence is not",
"Incidence is a rate but prevalence is not",
"Both are not rates"
] | C | Incidence rate is defined as 'the number of NEW cases occurring in a defined population during a specific period of time.' Disease prevalence refers specifically to all current cases(old and new) existing at a given point in time or over a period of time in a given population. Although referred to as a rate, prevalence... | train | med_mcqa | null |
True about obesity | [
"Seen mostly in females",
"Prevalence decrease upto 40 years of age",
"No genetic predisposition",
"Smoking is a risk factor"
] | D | Ans. is 'd' i.e., Smoking is a risk factor Cessation of smoking Weight gain is very common when people stop smoking. This is thought to be mediated at least in pa by nicotine withdrawal, which is associated with increased food intake and reduced energy expenditure. Weight gain of 1 to 2 kg in the first two weeks is oft... | train | med_mcqa | null |
Pupil in acute iritis is: | [
"Normal",
"Dilated",
"Constricted",
"Veically oval"
] | C | In acute iritis (inflammation of iris) iris is irritated and pupil constricts due to stimulus of irritation Veically oval, mid-dilated, non reacting pupil is seen in acute angle closure glaucoma. | train | med_mcqa | null |
Fallots tetralogy manifestation is a) Left axis deviation b) Left ventricular hypertrophy c) Ventricular Septal Defect d) Blalock taussig shunt is between pulmonary artery
& subclavian artery e) Morphine is contraindicated in cyanotic spells | [
"abc",
"bd",
"cd",
"cde"
] | C | null | train | med_mcqa | null |
Greater cutting efficiency of a bur is seen when the rake angle is: | [
"Positive",
"Negative",
"Zero",
"Any of the above"
] | A | null | train | med_mcqa | null |
Parietal cells in the stomach secrete a protein crucial for the absorption of vitamin B12 by the ileum. What is this protein? | [
"Intrinsic factor",
"Gastrin",
"Somatostatin",
"Cholecystokinin (CCK)"
] | A | Ans. A. Intrinsic factorIntrinsic factor is critical for the absorption of vitamin B12 by the ileum. None of the other substances is secreted by parietal cells. Gastrin, somatostatin, and CCK are secreted by specialized GI endocrine cells, whereas chylomicrons are produced by enterocytes | train | med_mcqa | null |
Loss of tooth surface because of chemomechanical action is known as | [
"Abrasion",
"Erosion",
"Abfraction",
"Attrition"
] | B | null | train | med_mcqa | null |
Dengue fever in first week is BEST diagnosed using which of the following investigation? | [
"IgM ELISA",
"IgG ELISA",
"Thrombocytopenia",
"Virus culture"
] | A | During the first week of dengue, performing IgM ELISA has a sensitivity of 90% and is used for diagnosing it. Other lab findings includes leukopenia and a mild drop in platelets. Dengue fever is transmitted by mosquito bite. Patients presents with fever, chills, severe retro-orbital pain, severe muscle and joint pain, ... | train | med_mcqa | null |
All are true regarding endometriosis, except : | [
"Hormone dependent condition",
"Can involve lung. pleura",
"Contains clear fluid",
"Ovary is the most common site"
] | C | Ans. is c i.e. Contains clear fluid As already explained in previous question, endometriosis is occurence of functioning endometrial tissue (glands + stroma) outside the uterine cavity. Whatever the inital genesis of endometriosis its fuher development depends mainly on estrogen (Option "a) It can occur anywhere in bod... | train | med_mcqa | null |
A patient (pigeon handler) presents with interstitial pneumonitis accompanied by headache, backache, and a dry, hacking cough. A pale, macular rash is also found on the trunk (Horder's spots). Likely organism is: | [
"Histoplasma",
"Chlamydiae",
"Mycoplasma",
"Aspergillus"
] | B | Chlamydiae | train | med_mcqa | null |
Opportunistic infection is caused by | [
"Penicillium",
"Mucor",
"Aspergillus",
"All"
] | D | Ans. d (All of the above). (Ref. Anantanarayan, Microbiology, 7th ed.617)Opportunistic fungal infectionsFUNGUSCLINICAL MANIFESTATIONSMICROBIOLOGICAL FEATURESDIAGNOSTIC TESTSCandida albicansThrush in immunocompro- mised (neonates, steroids, diabetes, AIDS), vulvovaginitis (high pH, diabetes, use of antibiotics), dissemi... | train | med_mcqa | null |
Site of b-oxidation is ? | [
"Cytosol",
"Mitochondria",
"Lysosome",
"Golgi apparatus"
] | B | Ans. is 'b' i.e., Mitochondria | train | med_mcqa | null |
All of the following are seen in legionnaire's disease except: September 2009 | [
"Fever",
"Mental confusion",
"Diarrhoea",
"Unilateral pneumonitis"
] | D | Ans. D: Unilateral pneumonitis | train | med_mcqa | null |
which of thefollowing is false REGARDING BELOW COMBINATIONS A=latismus dorsi - thoraco dorsal nerve B=radial nerve - extensor compament of forearm C=axillary nerve - teres minor D=circumflex nerve - deltoid | [
"A B",
"A ,B, C",
"A ONLY",
"none of the above"
] | D | ALL ARE BRANCHES OD POSTERIOR CORD OF BRACHIAL PLEXUS ALL SUPPLY TO THEIR RESPECTIVE MUSCLES AXILLARY NERVE OR CIRCUMFLEX NERVE SUPPLY TO TEREMINOR AND DELTOID | train | med_mcqa | null |
Lamina dura is: | [
"Radiographic appearance of bundle bone",
"Alveolar bone proper",
"Cribriform plate",
"All the above"
] | A | null | train | med_mcqa | null |
Which is the longest muscle of the body: | [
"Sartorius",
"Extraocular muscle",
"External oblique",
"Popliteal muscle"
] | A | Ans. A SartoriusRef: BDC, 6th ed. vol. II pg. 53* Sartorius muscle is the longest muscle of the body.* It is also known as tailor's muscle (Sartor = tailor) | train | med_mcqa | null |
Bagassosis is occupational lung disease caused by: | [
"Carbon dioxide.",
"Sugarcane dust.",
"Cotton fibre particles.",
"Mouldy hay."
] | B | null | train | med_mcqa | null |
Most common viral disease affecting parotid glands | [
"Mumps",
"Measles",
"Rubella",
"varicella"
] | A | Mumps is characterised by non suppurative enlargement and tenderness of one or both the parotid glands Reference: Park&;s Textbook of Preventive and Social medicine; 24th edition; Page no.162 | train | med_mcqa | null |
Which of the following is most sensitive to radiation | [
"Stem cells",
"Skin",
"Lymphocyte",
"Bone"
] | A | Ans: a (Stem cells) Ref: Robbins, 7th ed, p. 437, rsi.muhealth.orgSince DNA is the most important sub cellular target of ionizing radiation, rapidly dividing cells are more radiosensitive than quiescent cellsLaw of Bergonie' and TribondeauRadiation has a more rapid (is more effective) effective against cells that are a... | train | med_mcqa | null |
A 42 year old patient comes with testicular swelling along with lymphadenopathy. Which of the following can be done except | [
"Testicular biopsy",
"Clinical examination",
"PRE",
"CECT"
] | A | Testicular biopsy is not done because it will convert into T4 disease. | train | med_mcqa | null |
In extended supraomohyoid neck dissection, lymph node dissection is done upto: | [
"2",
"3",
"4",
"5"
] | C | null | train | med_mcqa | null |
About degenerative myopia which of the following is true: | [
"Myopic degeneration can lead to retinal detachment",
"It is more common in men than women",
"Less than -6 D",
"Optic disc swelling is seen"
] | A | Ans. (a) Myopic degeneration can lead to retinal detachmentRef: Kanski 7/e, p. 637; Parson's 22/e, p. 72"Rhegmatogenous retinal detachment (RD) is much more common in high myopia, the pathogenesis including increased frequency of posterior vitreous detachment, lattice degeneration, asymptomatic atrophic holes. Macular ... | train | med_mcqa | null |
Quickening will be felt in pregnancy at | [
"Second month",
"Fifth month",
"10 weeks",
"12 weeks"
] | B | Quickening Pregnant woman will feel slight fluttering movement in her abdomen by fifth month of pregnancy. This is known as quickening, which gradually increase in intensity. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 330 | train | med_mcqa | null |
Best preventive measure against tetanus neonatorum - | [
"Active immunization of mother",
"Passive immunization of child",
"Active immunization of child",
"Passive immunization of mother"
] | A | null | train | med_mcqa | null |
A female presented with severe secretory diarrhea is diagnosed of having medullary thyroid carcinoma (MTC). Treatment of MTC is: | [
"Surgery and Radiotherapy",
"Radiotherapy and Chemotherapy",
"Surgery only",
"Radioiodine ablation"
] | C | In MTC there is a high propensity for bilateral disease in both the sporadic and familial forms and, therefore, the usual treatment is total thyroidectomy with central neck compament dissection in all patients. In unilateral sporadic disease, if the primary tumor is greater than 1 cm or central compament disease is pre... | train | med_mcqa | null |
Which of the following neoplasms is primary in the adrenal medulla: | [
"Pheochromocytoma",
"Eosinophilic adenoma",
"Arrthenoblastoma",
"None of the above"
] | A | null | train | med_mcqa | null |
A 50 year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/d1, SGPT 900 1U/L SGOT 700 IU/L and serum alkaline phosphatase was 280 IU/L. What is the most likely diagnosis ? | [
"Acute pancreatitis",
"Acute cholangitis",
"Acute viral hepatitis",
"Posterior penetration of peptic ulcer"
] | C | Answer is C (Acute viral Hepatitis) Prodromal symptoms of nausea and anorexia, presence of pain in upper abdomen together with characteristic laboratory features (elevated bilirubin, elevated SCOT and SGPT>500 with SGPT > SGOT, and elevated alkaline phosphates to < 3 times normal) suggest the diagnosis of viral hepatit... | train | med_mcqa | null |
A 7yr. old boy with abrupt onset of pain in hip with hip held in abduction. Hernogram is normal. ESR is raised. What is the next line of management: | [
"Hospitalize and observe",
"Ambulatory observation",
"Intravenous antiobiotics",
"USG guided aspiration of hip"
] | D | USG guided aspiration of hip There are two very common causes of an acute hip/groin pain, which commonly are very challenging to diagnose: septic ahritis and transient synovitis. Septic ahritis and transient synovitis are completely unrelated, although both might manifest with hip pain, restricted range of movement of ... | train | med_mcqa | null |
Which of the following is wrong regarding ophthalmic aery | [
"Present in dura along with optic nerve",
"Supplies anterior ethmoidal sinus",
"Aery to retina is end aery",
"Leaves orbit through inferior orbital fissure"
] | D | Ans. is 'd' i.e., Leaves orbit through inferior orbital fissure Ophthalmic aery does not leave the orbit. It terminates near the medial angle of eye by dividing into supratrochlear and dorsal nasal branches.It lies along with optic nerve in a common dural sheath.It supplies anterior ethmoidal sinus by its anterior ethm... | train | med_mcqa | null |
True about the following virus: A. Enveloped, Club or petal shaped projections, Positive ss RNA- Largest genome of RNA virus. B. Diseases caused by these viruses are SARS, MERS. C. Reservoir is horseshoe bats for SARS, likely spread from palm-civets cats contact with humans. D. Symptoms of MERS appear within a day foll... | [
"Only A, B, D, E, F are True",
"Only A, B, C, D are True",
"A, B, C, F are True",
"All are True"
] | C | The given image is of Corona virus. It is an Enveloped virus with Club or petal shaped projections, Positive ss RNA virus. The Wuhan coronavirus or the 2019-nCoV is a positive-sense, single-stranded RNA coronavirus first repoed in late 2019 and linked in the 2019-2020 pneumonia outbreak in Wuhan City in central China. ... | train | med_mcqa | null |
All are true about supracondylar fracture of humerus except: | [
"Posterior shift of distal fragment",
"Median nerve is most common nerve damaged",
"Injury of brachial aery may occur",
"Common in elderly"
] | D | Ans. d. Common in elderly Supracondylar Fracture of the Humerus: Complications :Immediate- injury to brachial aery & injury to nerve (median nerve-most common, radial nerve-sometime affected)Early- Volkmann's ischemiaLate complication- Malunion(cubitus varus deformity), myositis ossificans & Volkmann\\ ischemic contrac... | train | med_mcqa | null |
Reverse cold chain is for - | [
"Measles",
"Polio",
"Rubella",
"Peussis"
] | B | Reverse cold chain is used in AFP surveillance. When any case of acute flaccid paralysis is found anywhere in the world, stool samples from the affected child must be transpoed carefully to the laboratory so that they can be tested to identify whether the poliovirus was the cause.A reverse cold chain is the process of ... | train | med_mcqa | null |
Which of the following statements regarding Glasgow coma scale are true? | [
"Ranges from 3 - 15",
"Less than 7 is classified as coma",
"More than 9 excludes coma",
"All the above"
] | D | Glasgow coma scale includes aspects of eye opening, verbal and motor response. | train | med_mcqa | null |
A baby is born with a penis, a scrotum with no testes, no vagina, and XX chromosomes. This condition is referred to as hermaphroditism. What could cause this abnormality? | [
"Abnormally high levels of human chorionic gonadotropin (HCG) production by the trophoblast cells",
"The presence of a testosterone-secreting tumor in the mother's right adrenal gland",
"Abnormally high levels of LH in the maternal blood",
"Abnormally low levels of testosterone in the maternal blood"
] | B | A very high concentration of testosterone in a female embryo will induce formation of male genitalia. An adrenal tumor in the mother that synthesizes testosterone at a high, uncontrolled rate could produce the masculinizing effect | train | med_mcqa | null |
In an emphysematous patient with humus leison which is the best investigation to measure lung volumes ? | [
"Body plethysmography",
"Helium dilution",
"Trans diaphragmatic pressure",
"DLCO"
] | A | null | train | med_mcqa | null |
Deficiency of all the three components of coagulation factor VIII result in: | [
"Von wifiebrand's disease",
"Haemophilia - A",
"Parahemophilia",
"Haemophilia - B"
] | A | null | train | med_mcqa | null |
Cerebro spinal fluid | [
"Is actively secreted by choroidal plexus",
"It is a major source of brain nutrition",
"Has the same pH of arterial blood",
"Virtually glucose free"
] | A | (A) Is actively secreted by choroidal plexus > CSF fills the ventricles and subarachnoid space.> In humans, the volume of CSF is about 150 mL and the rate of CSF production is 550 mL/d.> Thus the CSF turns over about 3.7 times a day.> 50-70% of the CSF is formed in the choroid plexuses and the remainder is formed aroun... | train | med_mcqa | null |
A patient presents with a history of continuous headache for the past 8 years. Repeated examinations had failed to reveal any lesion. The patient is convinced that he has a tumor in his brain. The diagnosis is: NIMHANS 08 | [
"Hypochondriasis",
"Somatization",
"Somatoform pain disorder",
"Obsessive Compulsive Disorder"
] | A | Ans. Hypochondriasis | train | med_mcqa | null |
An increase in which of the following parameters will shift the O2 dissociation curve to the left | [
"Temperature",
"Partial pressure of CO2",
"2,3 DPG Concentration",
"Oxygen affinity of haemoglobin"
] | D | null | train | med_mcqa | null |
Amelogenesis imperfecta is due to defect in? | [
"ENAM",
"MSX-1",
"DSPP",
"PAX-9"
] | A | Amelogenesis imperfecta can have different inheritance patterns depending on the gene that is altered.
- Mutations in the ENAM gene are the most frequent known cause and are most commonly inherited in an autosomal dominant pattern. This means one copy of the altered gene in each cell is sufficient to cause the disorder... | train | med_mcqa | null |
Hyaline Cailage extends upto | [
"Trachea",
"Bronchus",
"Respiratory Bronchioles",
"Terminal Bronchioles"
] | B | Hyaline Cailage extends upto Bronchus | train | med_mcqa | null |
About Pneumocystis pneumonia the true statement is: | [
"The causative organism is a protozoan",
"Drug of choice is Trimethoprim-Sulfamethoxazole (Cotrimoxazole)",
"Most common radiological appearance is a bat wing distribution of infiltrates with pneumocysts in peripheral fields",
"Steroids have no role in the therapy of Pneumocystis pneumonia"
] | B | Pneumocystis jirovecii is a fungus responding to Cotrimoxazole. It causes opportunistic pneumonia in patients with HIV infection.
The most common radiology finding is a normal X-ray chest. However, the most typical X-ray is a bat wing distribution of infiltrates with pneumocysts in peripheral fields.
Steroids are c... | train | med_mcqa | null |
Shifting dullness is the characteristic sign of: | [
"Hydropneumothorax",
"Pneumothorax",
"Consolidation",
"Collapse"
] | A | null | train | med_mcqa | null |
A 5-year old boy presents with pain and swelling in diaphysis of tibia. He also complains of fever. On examination, his ESR was raised. Which of the following is the likely diagnosis? | [
"Ewing sarcoma",
"Chondrosarcoma",
"Osteogenic sarcoma",
"Fibrosarcoma"
] | A | Ans. a. Ewing sarcoma (Ref: Apley 9/e pe p 212-13; Turek's 6/e pe p 307; Campbell's 11/e pe p 910-913; Harrison's 19/e 119e-4, 18/e pe p820)A 5-year old boy presents with pain and swelling in diaphysis of tibia. He also complains of fever. On examination, his ESR was raised. Ewing sarcoma is the most likely diagnosis.E... | train | med_mcqa | null |
Physiological jaundice in preterm infant lasts upto: September 2011 | [
"5 days",
"7 days",
"10 days",
"14 days"
] | D | Ans. D: 14 days Physiological jaundice usually appears on 2nd and 3rd day and disappears by 7-10th day, a little later in premature neonates Jaundice in paediatrics: Unconjugated bilirubinemia: - Criggler Najar syndrome (I and II) - Physiological jaundice - Breast milk jaundice Conjugated bilirubinemia: - MC cause: Idi... | train | med_mcqa | null |
A 60 yrs old pt presenting with dysphagia of 6 wks duration with solid foods. Now can swallow only liquids. Investigations done to diagnose here ? | [
"CxR",
"Ba Swallow",
"Endoscopy",
"All"
] | D | Ans is 'a' i.e. CXR; 'b' i.e. Ba- swallow; 'c' i.e. Endoscopy A progressive dysphagia first for solid only and later for liquids also, suggests mechanical obstruction such as carcinoma or peptic stricture. Patients with peptic stricture give h/o chronic reflux disease. So this is most probably a case of carcinoma. Inve... | train | med_mcqa | null |
Amphotericin B toxicity can be reduced by ? | [
"Incorporating it in liposomal complex",
"Combining with fluconazole",
"Combining with flucytosine",
"Injecting the drug with dextrose"
] | A | null | train | med_mcqa | null |
which of the following is not the use of fluoxetine | [
"treatment of delayed ejaculation",
"treatment of premature ejaculation",
"treatment of impulse control disorder",
"treatment of paraphlia"
] | A | SSRI * IMPOANCE Most widely prescribed antidepressant * MECHANISM Specifically acts on serotonin transpoers and increases serotonin in synapse. DRUGS FLUOXETINE FLUVOXAMINE DAPOXETINE CITALOPRAM ESCITALOPRAM ESCITALOPRAM SERALINE PAROXETINE USE FLUOXETINE=============CHILDHOOD DEPRESSION FLUVOXAMINE===========OCD DAPOX... | train | med_mcqa | null |
Brain dead individulas have all of the following features EXCEPT | [
"Dolls eye movement is absent",
"Occulovestibular absent",
"Only pain is preserved",
"Corneal reflex absent"
] | C | (C) Only pain is preserved# BRAIN-DEAD individual has no clinical evidence of brain function upon physical examination. This includes no response to pain and no cranial nerve reflexes. Reflexes include pupillary response (fixed pupils), oculocephalic reflex, corneal reflex, no response to the caloric reflex test, and n... | train | med_mcqa | null |
After 28 weeks of gestation true is/are:a) Viableb) > 1000 gm c) Lecithin/Sphingomyelin ratio >2d) Type II pneumocytes presente) Phosphatidyl glycerol present | [
"abd",
"bcd",
"abc",
"ab"
] | A | null | train | med_mcqa | null |
This segment of the aerial intima of a coronary vessel is observed at autopsy in a 56-year old man who died suddenly on rising in the morning. Which of the following abnormalities is considered a major risk factor for the development of this lesion? | [
"Congenital vascular muscle weakness",
"Cystic medial necrosis",
"Hypercholesterolemia",
"Syphilis"
] | C | The figure shows an organised atheromatous plaque occluding the vascular lumen. The slit-like spaces in the middle are cholesterol clefts surrounded by fibroblasts. The clinical scenario strongly suggests that this affected vessel is a coronary aery. Cleft-like spaces indicating the presence of cholesterol crystals are... | train | med_mcqa | null |
Associated with objective tinnitus? | [
"Meiners disease",
"Acoustic neuroma",
"Ear wax",
"Glomus tumor"
] | D | Ans. is `d' i.e., Glomus tumor Tinnitus Tinnitus is ringing sound or noise in the ear. The characteristic feature is that the origin of this sound is within the patient. Two types of tinnitus have been described : ? a. Subjective I. Otologic II . Non-otologic Impacted wax Disease of CNS Fluid in the middle ear Anaemia ... | train | med_mcqa | null |
Which of the following is known as suicidal enzyme? (AIIMS November 2013, May 2013) | [
"Lipoxygenase",
"Cyclooxygenase",
"Thromboxane synthatase",
"5' nucleotidase"
] | B | Ans. b. Cyclooxygenase (Ref: Harper 27/e p204 Harrison 18/e p146Cyclooxygenase is a suicidal enzyme.Suicidal enzyme is one. which undergoes self-destruction in order to terminate its own acitivity. e.g. Cyclooxygenase.Switching off of prostaglandin activity is partly achieved by a remarkable property of cyclooxygenaseQ... | train | med_mcqa | null |
Empirical drug of choice for treatment of meningococcal meningitis is: | [
"Cefoxitin",
"Ceftriaxone",
"Cefotetan",
"Gentamicin"
] | B | Ref: Harrison 19th ed. P 767* Ceftriaxone is the empirical drug of choice for treatment of meningitis. It is frequently combined with vancomycin. | train | med_mcqa | null |
Which of the following is seen in this patient of Grave disease? | [
"Chemosis",
"Kocher sign",
"Von Graefe sign",
"Stellwag sign"
] | B | Ans. B. Kocher signFollowing Eye signs are seen in all cases of hyperthyroid.a. Wide staring appearance (Kocher Sign)b. Upper Lid retraction (Dalrymple sign),c. lid lag with down gaze (Von Graefe sign).d. Decreased blinking (Stellwag sign)(All these features are due to sympathetic over stimulation causing levator palpe... | train | med_mcqa | null |
which of the following SSRI is hea safe | [
"escitalopram",
"clomipramine",
"fluoxetine",
"amitriptilline"
] | A | SSRI * IMPOANCE Most widely prescribed antidepressant * MECHANISM Specifically acts on serotonin transpoers and increases serotonin in synapse. DRUGS FLUOXETINE FLUVOXAMINE DAPOXETINE CITALOPRAM ESCITALOPRAM ESCITALOPRAM SERALINE PAROXETINE USE FLUOXETINE=============CHILDHOOD DEPRESSION FLUVOXAMINE===========OCD DAPOX... | train | med_mcqa | null |
False about tibia-fibula is ? | [
"Nutrient aery of tibia is from posterior tibial aery",
"Nutrient aery of fibula is from peroneal aery",
"Proximal end of tibia is related to common peroneal nerve",
"Tibia is the most common site of osteomyelitis"
] | C | Common peroneal nerve is related to neck of fibula (not tibia). Nutrient aery of tibia is a branch of posterior tibial aery. Nutrient aery of fibula is a branch of peroneal aery. Tibia is the commonest site of osteomyelitis. | train | med_mcqa | null |
A 56-year-old woman presents with feeling light-headed when standing up and 3 days of passing dark black stools. She has a past history of chronic viral hepatitis B, and has developed cirrhosis.On examination, she is alert, blood pressure is 90/60 mm Hg supine and 76/60 mm Hg standing. Her abdomen is distended with sig... | [
"V and VIII",
"VIII, IX, XI, and XII",
"XIII",
"II, V, VII, IX, X, and XI"
] | D | Coagulation factors II, V, VII, IX, X, and XI would most likely be deficient. These are some of the factors that are synthesized in the liver. Factors II, VII, IX, and X are the vitamin Independent factors, which are also synthesized in the liver. | train | med_mcqa | null |
All are the Complication of CVP line except | [
"Airway injury",
"Haemothroax",
"Air embolism",
"Septicemia"
] | A | Complications of CVP are air embolism, thromboembolism; cardiac arrhythmias; Pneumothorax; hemothorax; Chylothorax; Cardiac tamponade; Sepsis; Trauma to the phrenic nerve, Carotid artery (can cause pseudoaneurysm) & brachial plexus. | train | med_mcqa | null |
Regarding pleomorphic adenoma of salivary gland true statement (s) is /are | [
"Parotid gland is most commonly involved",
"Malignant transformation does not occur",
"Also called adenolymphoma",
"More commonly found in Men than Women"
] | A | Eighty percent salivary neoplasms are in the parotids of which 80% are benign.Pleomorphic adenoma is more common in parotids(80%).It is more common in females in a ratio of 3:1.It is also called as mixed salivary tumour.Malignant transformation can occur in 3-5% in early tumours and 10% in long duration tumours.(15 or ... | train | med_mcqa | null |
Dalen fuchs nodules - | [
"Sympathetic Ophthalmitis",
"Chronic iridocyclitis",
"Neurofibromatosis",
"Trachoma"
] | A | Ans. is 'a' i.e., Sympathetic Ophthalmitis o Dalen fuch's nodules are seen in sympathetic ophthalmitis.o Daien-Fuchs' nodules are formed due to proliferation of the pigment epithelium (of the iris, ciliary body and choroid) associated with invasion by the lymphocytes and epitheloid cells. Retina shows perivascular cell... | train | med_mcqa | null |
Arnold nerve is a branch of: | [
"Vagus nerve",
"Hypoglossal nerve",
"Glossopharyngeal nerve",
"Trigeminal nerve"
] | A | Ans. (a) Vagus nerveRef: Dhingra's ENT 6th ed/4* Arnold's nerve is the auricular branch (also known as the mastoid branch) of the vagus nerve (CN X).* It originates from the superior ganglion of the vagus nerve* Arnold's nerve along with facial nerve innervates concha of auricle and the external acoustic meatus (poster... | train | med_mcqa | null |
LEIGH disease is due to the accumulation of | [
"Glycogen",
"Pyridoxine",
"Sphingomyelin",
"None of the above"
] | A | (A) Glycogen # L eigh's disease or, subacute Necrotizing Encephalopathy> Is characterized by an arrest of psychomotor development, feeding problem, seizures, extraocular palsies, and weakness with hypotonia between one and 2 years of age> The cardinal Laboratory finding is lactic Addenda> Various biochemical abnormalit... | train | med_mcqa | null |
Id, ego and super ego are part of: | [
"Piaget's theory",
"Freud's psychoanalytical theory",
"Stone and Churchill's theory",
"Erickson's theory"
] | B | Freud’s Psychodynamic Theory
According to Freud, what humans do, why they do it, what and how humans are largely determined during the first few years of life during which the person develops characteristic ways of dealing with internal (sexual) drives and conflicts. Differences in personality originate from difference... | train | med_mcqa | null |
Which of the following is false as physiological change in pregnancy? | [
"Increase cardiac output",
"Increase total protein",
"Increase residual volume",
"Increase GFR"
] | C | In Pregnancy, diaphragm pushed upwards by enlarged Uterus thus reducing Residual volume of lungs. Diaphragm is elevated by around 4cm subcostal angle increases from 68o to 104o. Transverse diameterof chest increases by 2 cm Changes in Respiratory System Parameters Non pregnant Pregnancy near term Change Respiratory rat... | train | med_mcqa | null |
Hepatocellular carcinoma is caused by all of the following except - | [
"Hepatitis B",
"Primary Biliary Cirrhosis",
"Chronic alcohol consumption",
"Exposure to industrial dyes"
] | D | Ans. is 'd' i.e., Exposure to industrial dyes Risk Factors for Hepatocellular CarcinomaCommonUnusualCirrhosis from any causePrimary biliary cirrhosisHepatitis B or C chronic infectionHemochromatosisEthanol chronic consumption1 Antitrypsin deficiencyNonalcoholic steatohepatitis (NASH)Glycogen storage diseasesAflatoxin B... | train | med_mcqa | null |
Ferruginous bodies are seen in | [
"Silicosis",
"Byssinosis",
"Asbestosis",
"Bagassosis"
] | C | Inorganic paicles may become coated with iron protein complexes and ate called Ferruginous bodies A ferruginous body is a histopathologic finding in interstitial lung disease suggestive of significant asbestos exposure (asbestosis). Asbestos exposure is associated with occupations such as shipbuilding, roofing, plumbin... | train | med_mcqa | null |
Torquing movement in orthodontics | [
"Is movement of the root without moving the crown",
"Cannot be accomplished in clinical practice",
"Is always deleterious to the tooth",
"None of the above"
] | A | null | train | med_mcqa | null |
In flexion injuries causing supracondylar fractures, the distal fragment is often displaced to | [
"Anterior",
"Posterior",
"Medial",
"Lateral"
] | A | A i.e. Anterior Most common type of elbow injury in children Fracture supracondlar humerusQ (-- 50- 70% of & adolescents all elbow injuries) Most common type of supracondylar fracture Extension typeQ (-98% of all supracondylar ) Most common type of distal fragment Posterior (dorsal/ backward) shift and tiltQ displaceme... | train | med_mcqa | null |
Russell bodies are accumulations of | [
"Cholesterol",
"Lipoprotein",
"Immunoglobulin",
"Phospholipid"
] | B | Ref Robbins 9/e p63 Russell bodies are eosinophilic, large, homogeneous immunoglobulin-containing inclusions usually found in a plasma cell undergoing excessive synthesis of immunoglobulin; the Russell body is characteristic of the distended endoplasmic reticulum. They are found in the peripheral areas of tumors. Russe... | train | med_mcqa | null |
Highest risk wilm's tumor among the following associated with | [
"WAGR syndrome",
"Denys Drash syndrome",
"Beckwith - Weidemann syndrome",
"None of the above"
] | B | Syndrome
Risk of wilm's tumor
Denys Darsh syndrome
90% (maximum)
WAGR syndrome
33% | train | med_mcqa | null |
The sugar found in RNA is | [
"Ribose",
"Deoxyribose",
"Ribulose",
"Erythrose"
] | A | Ribose is a constituent of RNA. Ribose is also seen in co-enzymes such as ATP and NAD. Deoxyribose is seen in DNA.
Reference: Vasudevan 7th ed, pg 76 | train | med_mcqa | null |
Wide pulse pressure may be seen in all except - | [
"Aoic regurgitation",
"PDA",
"Complete Hea block",
"Congestive Hea failure"
] | D | Aoic regurgitation,PDA,Complete hea block are 3 conditions which have wide pulse pressure Causes Isolated Systolic Hypeension Aoic Regurgitation Thyrotoxicosis Patent Ductus Aeriosus Aeriovenous fistula Beriberi hea Aoic Coarctation Anemia Emotional state in Congestive hea failure,pulse pressure will be low due to redu... | train | med_mcqa | null |
The antibiotic of choice of peussis is - | [
"Ampicillin",
"Gentamicin",
"Erythromycin",
"Penicillin"
] | C | Ans. is 'c' i.e., Erythromycin Treatment of peussis DOC ----> Macrolides (Erythromycin, Azithromycin, Clarithromycin) Alternative ----> Cotrimoxazole | train | med_mcqa | null |
Kwashiorkor is characterized by all EXCEPT | [
"Alertness",
"Edema",
"Flag sign",
"Hepatomegaly"
] | A | A. i.e. (Alertness) (67- Ghai 7th) (104 - 05 Ghai 6th)Differentiating features of - Marasmus and KwashiorkorMARASMUSKWASHIORKOR* Emaciation, stunting* No edema*** Wrinkled skin, loose folds of skin are prominent over glutei and inner side of thigh* Skin appears dry, scaly and inelastic and prone to infections* Hair is ... | train | med_mcqa | null |
Which of the following drug is associated with the highest cardiac moality? | [
"Rofecoxib",
"Nicorandil",
"Losaan",
"Metoprolol"
] | A | Coxibs are selective cox2 inhibitors- Basically, Coxibs are NSAIDS They won't cause gastric acidity as they won't exe their effect on cox-1 but as there is an increased chance of cardiac events like hea attack due to excess thrombosis Excess thrombosis is due to decrease in PGI2 and enhanced TXA2 Ref: KD Tripathi 8th e... | train | med_mcqa | null |
Which of the following reactions generates ATP? | [
"Glucose-3-phosphate to 1,3 BPG",
"Glucose-3-phosphate to Dihydroxyacetone phosphate",
"Phosphoenolpyruvate to Pyruvate",
"Pyruvate to Lactate"
] | C | Option C is an example for substrate level phosphorylation. Another example is 1,3 BPG to 3 phosphoglycerate. | train | med_mcqa | null |
Crew haircut appearance in X-ray skull and Gandy gamma bodies are seen in - | [
"G-6-PD deficiency",
"Hodgkin's lymphoma",
"Hereditary spherocytosis",
"Sickle cell anaemia"
] | D | null | train | med_mcqa | null |
During which phase of the cell cycle the cellular content of DNA is doubled? | [
"Mitotic phase",
"Gl phase",
"G2 phase",
"S phase"
] | D | . S phase | train | med_mcqa | null |
Copper sulphate poisoning manifests with which of the following feature? | [
"Acute hemolysis",
"High anion gap acidosis",
"Peripheral neuropathy",
"Rhabdomyolysis"
] | A | Acute copper sulphate poisoning can manifest with acute hemolysis. The pathogenesis of this effect is not known but it may be related to copper induced oxidation of intracellular glutathione, hemoglobin and NADPH as well as inhibition of Glucose 6 phosphate dehydrogenase by copper. Patients with acute copper poisoning ... | train | med_mcqa | null |
AML causing Gum hyperophy ? | [
"M1",
"M2",
"M3",
"M4"
] | D | Ans. is 'd' i.e., M4 In acute leukemias the clinical features are primarily seen because of : Replacement of normal cells of bone marrow by leukemic cells resulting in anemia, thrombocytopenia, neutropenia. Infiltration of leukemic cell in various extramedullary organs causing, hepalomegaly, splenomegaly. Gum hyperophy... | train | med_mcqa | null |
The subarachnoid space ends at: | [
"L1",
"L2",
"L5",
"S2"
] | A | D i.e. S2 | train | med_mcqa | null |
Which of the following is wrong regarding treatment with iodine?(AIIMS Nov 2013, May 2013) | [
"Inhibit release of thyroxine",
"Inhibits iodotyrosine and iodothyronine synthesis",
"Can cause iodism",
"Contraindicated in hyperthyroidism"
] | D | Ans. d. Its use is contraindicated in hyperthyroidism (Ref: KDT 7/e p254-255, 6/e p251-252; Goodman-Gillman 12/e p1152-1153)Iodine is not contraindicated in hyperthyroidism.MC therapeutic indication of 1131 (half life-8 days) is hyperthyroidism due to Grave's disease or toxic nodular goiter.Iodine is not contraindicate... | train | med_mcqa | null |
WHO STEPS is used for : | [
"Communicable diseases",
"Non-commuicable diseases",
"Immunodeficient diseases",
"Autoimmune diseases"
] | B | STEP wise approach to surveillance (STEPS): Is a simple, standardized method by WHO for surveillance Is of Two types STEP wise approach to chronic disease risk factor surveillance STEP wise approach to Stroke Surveillance Comprises of 3 steps : STEPS CORE EXPANDED STEP 1 Behavioural measurements Tobacco use Alcohol con... | train | med_mcqa | null |
Southern blot is used to visualize | [
"RNA",
"DNA",
"Protein",
"Antibody"
] | B | A Southern blot is a method used in molecular biology for detection of a specific DNA sequence in DNA samples. Southern blotting combines transfer of electrophoresis-separated DNA fragments to a filter membrane and subsequent fragment detection by probe hybridization. Ref-D.M.Vasudevan 7/e p546 | train | med_mcqa | null |
All of the following causes hyperglycemia, EXCEPT | [
"Thiazide",
"Diazoxide",
"Theophylline",
"Pentamidine"
] | C | Ans. is 'c' Theophylline Theophylline causes hypoglycemia List of drugs causing hyperglycemia. Diazoxide* Ethacrynic acid* Furosemide* Glucocorticoids* Pentamidine* Thiazides* Oral contraceptives* Niacin Growth hormone Asparaginase Note : Pentamidine causes both hypo and hyperglycemia (Mechanism: Pentamidine causes lys... | train | med_mcqa | null |
Which of the following is derived from 3rd pharyngeal arch? | [
"Cricoid cailage",
"Thyroid cailage",
"Lesser cornu of hyoid",
"Greater cornu of hyoid"
] | D | Lesser cornu of hyoid- 2nd Thyroid cailage- 4th arch Cricoid- 6th arch | train | med_mcqa | null |
A patient with rheumatoid arthritis is being treated with NSAIDs (diclofenac) for joint pain for a long time. Now the patient presents with reduced visual acuity and loss of colour vision. What is your likely diagnosis? | [
"Open angle glaucoma",
"Angle closure glaucoma",
"Optic neuritis",
"Senile cataract"
] | C | Ans: C (Optic neuritis) Ref: Kanski's Clinical Ophthalmology. Internet Sources and Parson's Opthalmology and A Textbook of Ophthalmology By Ahmed, pg 364Explanation:Diclofenac can rarely cause optic neuritis (in 0.12% patients).Colour vision is the function of optic nerve. So in any optic nerve pathology, colour vision... | train | med_mcqa | null |
Choose the appropriate lettered structure in this MRI scan showing a sagittal section through the head and neck. Which structure runs along the line of attachment of the falx cerebri to the tentorium cerebelli? | [
"A",
"B",
"C",
"D"
] | D | (d) The straight sinus runs along the line of the attachment of the falx cerebri to the tentorium cerebelli, which supports the occipital lobe of the cerebrum and covers the cerebellum. | train | med_mcqa | null |
What is the type of Antagonism when 2 different drugs act on 2 different sites on the same cell and their response is opposite to each other ? | [
"Chemical antagonism",
"Physiological antagonism",
"Competitive antagonism",
"Reversible antagonism"
] | B | Physiological antagonism - 2 different chemicals acting on different sites of the same cell and resulting in opposite response in its pharmacological effect is termed as Physiological antagonism. e.g Histamine acting on H1 receptors causes Bronchoconstriction while Adrenaline acting on Beta 2 receptors causes Bronchodi... | train | med_mcqa | null |
Vidian neurectomy done in: | [
"Allergic rhinitis",
"Vasomotor rhinitis",
"Atrophic rhinitis",
"Drug-induced rhinitis"
] | B | ANSWER: (B) Vasomotor rhinitisREF: P L Dhingra 4th edition page 160, 1810%2806%2900013-3/abstractVidian neurectomy was first described for the treatment of intractable vasomotor rhinitisin the 1960s but fell into disrepute because of the recurrence of symptoms and significant complications. With subsequent improvements... | train | med_mcqa | null |
Androgen receptor antagonists include: | [
"Cyproterone",
"Spironolactone",
"Flutamide",
"All of these"
] | D | null | train | med_mcqa | null |
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