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The Corynebacterium species which are lipophilic-
[ "C. jeikeium and C. urealyticum", "C. ulcerans and C. diphtheriae", "C. hofmanni and C. diphtheriae", "C. xerosis and C. ulcerans" ]
A
C. jeikeium-causes bacteremia with high moality rates in immunodeficient. C. urealyticum-causes UTI. Both are lipophilic.
train
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Most common type of finger impression is:
[ "Arch", "Whorl", "Loop", "Composite" ]
C
Loop
train
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All of the folowing are known causes of recurrent atoion except:
[ "TORCH infections", "SLE", "Rhincompatibility", "Syphilis" ]
A
Causes Chromosomal abnormalities Uterine factors Cervical insufficiency Immunological causes Inherited thrombophilias Endocrine causes Infections Systemic disorder (refer pgno:148 sheila 2 nd edition)
train
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All are anti-androgens except
[ "Finasteride", "Flutamide", "Cyproterone acetate", "Dihydrotestosteron" ]
D
Testosterone which is a natural androgen is conveed to more active dihydrotestosterone by the enzyme steroid 5alpha-reductase. All others are anti-androgens. Flutamide, nilutamide, bicalutamide are androgen receptor antagonists (Ref.Essential s of medical pharmacology TD Tripathi 7th edition page no.296)
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A 2 year old is brought to pediatrics OPD with complains recurrent abdominal pain and similar episodes have been repoed in recent past as well. The mother complains of the child licking bright toys and paint on walls. Blood investigation reveal low Hb and MCV.PBF is done which shows the following findings: Which of the...
[ "Constipation", "Encephalopathy", "Diarrhea", "Bright lines in metaphyseal region." ]
C
Lead poisoning is the diagnosis from the following points: Pain abdomen Anemia PBF- basophilic stippling Licking of bright toys or wall paint is s/o lead intake. Chronic lead poisoning is having following clinical features: Fatigue Depression confusion episodic abdominal pain peripheral neuropathy Gray lead lines in gu...
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All are symptoms of deep vein thrombosis except:
[ "High grade fever", "Local rise of temperature", "Pain", "Swelling" ]
A
Ans: a (High grade fever) Ref: Bailey, 24th ed, p. 971 Box-59-8Deep vein thrombosis presents with pain and swelling of the leg. There may be slight fever. High grade fever is not mentioned as a clinical feature of DVT. If the patient has already had pulmonary embolism, he may complain of chest pain, breathlessness and ...
train
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Pneumococcus can be differentiated from streptococcus by -
[ "Type of hemolysis", "Gram staining", "Growth characteristics", "Bile solubility" ]
D
null
train
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Intra aireal injection of thiopentone causes:
[ "Vasospasm", "Vasodialation", "Necrosis of vessel wall", "Hypotension" ]
A
A i.e. Vasospasm
train
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Movement is socio-economic level is
[ "Social equality", "Social mobilization", "Socio-economic upliftment", "Social mobility" ]
D
null
train
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Substitution of which amino acid in the place of glycine would result in increase in UV absorption of a protein solution
[ "Lysine", "Arginine", "Tryptophan", "Histidine" ]
C
Aromatic amino acids (Phenylalanine, Tyrosine, Trytophan) absorb UV light. Maximum absorption is by, tryptophan.
train
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In apoptosis what is not seen
[ "Cellular swelling", "Nuclear compaction", "Intact cell membrane", "Cytoplasmic eosinophilia" ]
A
null
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False about thyroglossal fistula is:
[ "It is congenital reminant thyroglossal tract, present in the midline of neck", "Presents as a discharging sinus, which often get infected", "Treatment includes excision of fistula along with thyroglossal tract upto base of tongue", "Surgical excision requires removal of middle third of hyoid bone" ]
A
Thyroglossal Fistula is an acquired condition, never congenital. It usually develops after infection or incomplete removal of thyroglossal Cyst.
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The drug of choice for obsessive-compulsive disorder is
[ "Imipramine", "Fluoxetine", "Chlorpromazine", "Benzodiazepine" ]
B
Drug Treatment in obsessive-compulsive disorder: 1. Benzodiazepines (e.g. alprazolam, clonazepam) have a limited role in controlling anxiety 2. Antidepressants: Clomipramine (75-300 mg/day), a nonspecific serotonin reuptake inhibitor (SRI), was the first drug used effectively in the treatment of OCD. Fluoxetine (20-80 ...
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Watson criteria is used for
[ "Treatment for tracheoesophageal fistula", "Diagnosis of tracheoesophageal fistula", "Diagnosis of peptic ulcer", "Prognosis of esophageal cancer" ]
A
null
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Honeycombing is seen in liver in case of -
[ "Cirrhosis", "Rupture", "Putrefaction", "Hydatid disease" ]
C
null
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Which of the following is seen with use of Systemic steroid:
[ "Glaucoma", "Cataract", "Bleaphroconjuctivitis", "None" ]
B
Ans. (b) Cataract* Side of oral/systemic steroid: Cataract* Side effect of topical steroid: Glaucoma# Mtt: GTCS (Glaucoma-topical; Cataract- Systemic)* Blepharoconjuncivitis is Side effect of Timolol
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True about giant cell aeritis include the following except
[ "Causes sudden bilateral blindness", "Common in elderly", "Females more commonly affected than males", "Males more commonly affected than females" ]
D
Temporal aeritis is also known as Giant cell aeritis (GCA) . It is a granulomatous aeritis that affects any large (including aoa) and medium-sized aeries. It is commonly associated with polymyalgia rheumatica (PMR), which presents with symmetrical, immobility-associated neck and shoulder girdle pain and stiffness. The ...
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Secondary syphilis is characterised by all except
[ "Cutaneous coppery rashes", "Moth - eaten alopecia", "Gummatous ulcers", "Ivory sequestrum" ]
C
Gummatous ulcers are seen in tertiary syphilis.
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All of the following are true for sarcoidosis except:September 2008
[ "Kveim test is the most specific test for sarcoidosis", "Caseating epithelioid granulomas", "Most commonly involves lungs", "Unknown etiology" ]
B
Ans. B: Caseating epithelioid granulomasAlthough Jonathan Hutchinson described the first case in 1869, the etiology of the disease is still unknown.The disease most commonly involves granuloma formation in the lungs. Other commonly involved organ systems include the lymph nodes (especially the intrathoracic nodes); the...
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The ring is denoting the location of ?
[ "Aoic valve", "Pulmonary valve", "Tricuspid valve", "Mitral valve" ]
C
CT scan image shows the area located between Rt Atrium and Rt Ventricle denoting the area of tricuspid valve.
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Progression of congenital scoliosis is least likely in which of the following vertebral anomalies -
[ "Fully segmented Hemivertebra", "Wedge vertebra", "Block vertebra", "Unilateral unsegmented bar with Hemivertebra" ]
C
Congenital vertebral anomalies causing scoliosis are : Hemivertebrae Wedge vertebra Unsegmented bar Block vertebra Combination : unsegmented bar with hemivertebrae Amongst these minimum chances of progression are with block vertebrae and maximum with the combination of unsegmented bar & hemivertebrae. Unsegmented b...
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Growth is generally completed
[ "First in head and last in depth of face", "First in head and last in width of face", "First in head and Last in height of face", "First in depth and Last in width of face" ]
C
null
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A patient presents with a platelet count of 700 x 109/L with abnormalities in size, shape and granularity of platelets. WBC count is 12 x 109/L, hemoglobin is 11g/d1 and Philadelphia chromosome is absent. The most likely diagnosis would be:
[ "Polycythemia vera", "Essential thrombocythemia", "Chronic myeloid leukemia", "Leukemoid reactionLymphomas & Chronic" ]
B
Answer is B (Essential thrombocythemia) : Since all Myeloproliferative disorders can be associated with Thrombocvtosis, Essential Thrombocytosis is a diagnosis of exclusion. The absence of an elevated Haemoglobin makes Polycythemia unlikely (Polycythemia is associated with increased Hb) and the absence of Philadelphia ...
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Laryngeal mask airway size 2 is recommended for –
[ "< 6.5 kg", "6.5–20 kg", "20–30 kg", "30–50 kg" ]
B
Size 2 LMA is used for infants & children weighing 10 - 20 kg.
train
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Site for EPT over anterior teeth:
[ "Incisal edges.", "Mid facial surface.", "Incisal third of facial surface.", "Any of the above." ]
C
Highest density of A delta fibers is at pulp horn.
train
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A 17-year-old boy is admitted to the hospital after a road traffic accident. Per abdomen examination is normal. After adequate resuscitation, his pulse rate is 80/min and BP is 110/70 mm Hg. Abdominal CT reveals 1 cm deep laceration in the left lobe of the liver extending from the done more than half way through the pa...
[ "Conservative treatment", "Abdominal exploration and packing of hepatic wounds", "Abdominal exploration and ligation of left hepatic aery", "Left hepatectomy" ]
A
Classification of liver injury (Moore) Grade Types Operative or CT Scan findings I Hematoma Laceration Subcapsular, <10% of surface area Capsular tear, < 1 cm in parenchymal death II Hematoma laceration Subcapsular, 10-50% of surface area Intraparenchymal, <10 cm in diameter 1-3 cm in parenchymal depth, <10 cm in lengt...
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A 79-year-old man has had abdominal pain for 4 days. An operation is performed, and a gangrenous appendix is removed. The stump is inverted. Why does acute appendicitis in elderly patients and in children have a worse prognosis?
[ "The appendix is retrocecal.", "The appendix is in the perineal position.", "The appendix is in the pelvic position.", "The omentum and peritoneal cavity appear to be less efficient in localizing the disease in these age groups." ]
D
The omentum and peritoneal cavity seem to be less efficient in localizing the disease in these age groups. Appendicitis has a particularly high-complication rate in infants and the elderly. Delay in establishing the accurate diagnosis in these two age groups also contributes to a worse prognosis.
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In the following partial sequence of mRNA, a mutation of the template DNA results in a change in codon 91 to UAA. The type of mutation is:888990GUCGACCAG 9192UAGGGC9394UAACCG
[ "Missene", "Silent", "Nonsense", "Frame shit" ]
B
Ans. B. SilentMutations are permanent changes in DNA sequence. When mutation occur at a single base, are called as point mutations. When no detectable defect is there -Silent mutation, occurs due to degeneracy of Genetic Code. When a different amino acid is incorporated into a protein-- Missense mutation. When a termin...
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Tiotropium is used for -
[ "Treating urinary retention", "Treating ileus", "Increasing salivation", "Treating Asthma" ]
D
Ans. is 'd' i.e., Treating Asthma o Ipratropium and tiotropium are anticholinergic bronchodilators.
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Gutter fracture results from -
[ "Injury with a large round object", "Bullet injuries", "Automobile accident", "Falling from a height" ]
B
Gutter fracture : When a part thickness of bone is removed (fracture involves only the outer table of skull), e.g. glancing (oblique) bullet wounds in firearm injury.
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A young lady presented with bilateral nodular lesions on shins. She was also found to have bilateral hilar lymphadenopathy on chest X-ray. Mantoux test reveals indurations of 5 mms. Skin biopsy would reveal:
[ "Non caeseating Granuloma", "Vasculitis", "Caseating Granuloma", "Malignant cells" ]
A
Ans. is 'a' Non caseating granulomas Skin lesions in this patient in Erythema nodosum.Erythema nodosum, bilateral hilar lymphadenopathy negative Mantoux test in strongly suggestive of sarcoidosis.Skin biopsy {or biopsy from hilar nodes, conjunctiva, lip, or spleen, intraabdominal nodes) would reveal non- caseating gran...
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Pre-menstrual fullness in breast in 21 years old unmarried female is-
[ "Galactocele", "Fibroadenoma", "Fibroadenosis", "Breast cancer" ]
C
null
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True statement about orphan drugs:
[ "Drugs used for orphans", "Drugs used for rare disease", "Easily available drugs", "Drugs with excessive financial benefits" ]
B
Ans. (b) Drugs used for rare disease* Drugs which are developed specifically for rare diseases are called orphan drugs.* These drugs are difficult to research, develop, and market due to lack of financial benefits.* Because of this a separate law known as 'The Orphan Drug Acf was passed in 1983.* Examples include defer...
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What will be the appropriate management of a pt with a clean wound over forearm with slight loss of tissue. He has recieved, Tetanus toxoid 12 years back -
[ "Complete course of TT", "Only one dose of TT", "Full dose of Human tetanus Ig", "No T/t needed" ]
B
null
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True regarding Felty's syndrome are all except:
[ "Splenomegaly", "Neutrophilia", "Female preponderance", "Associated with rheumatoid ahritis" ]
B
Ans. B: Neutrophilia Felty syndrome is a potentially serious condition that is associated with rheumatoid ahritis. Felty syndrome affects 1-3% of all individuals with rheumatoid ahritis, and rheumatoid ahritis occurs in about 1% of the general population. In those diagnosed with the disorder, women outnumber men 3 to 1...
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If division of feilized egg takes place in between 5-8 days. It would give rise to which kind of twin pregnancy: March 2009, March 2013 (c)
[ "Monochorionic/monoamniotic", "Monochorionic/diamniotic", "Dichorionic/ monoamniotic", "Siamese twins" ]
B
Ans. B: Monochorionic/diamniotic Approximately 70% of monozygotic twins are monochorionic /diamniotic. If splitting occurs later (ie, 9-12 d after feilization), monochorionic/ monoamniotic placentation occurs. Monochorionic/monoamniotic twins are rare; only 1% of monozygotic twins have this form of placentation. twins ...
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A cardiologist wants to study the effect of an atorvastatin drug. He notes down the initial cholesterol levels of 50 patients and then administers the drug on them. After a month&;s treatment, he measures the cholesterol level again. Which of the following is the most appropriate to test the statistical significance of...
[ "Paired t-test", "Unpaired or independent t-test", "Analysis of variance", "Chi-square test" ]
A
In the given question, a cardiologist wants to study the effect of an atorvastatin drug; he notes down the initial cholesterol levels of 50 patients and administers the drug on them and after a months treatment, he measures the cholesterol level again. Since, mean cholesterol levels are being measured in the same group...
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Which of the following statement about ascitis is true:
[ "Hemorrhagic ascitis is diagnosed when RBC count > 1,000/mm3", "SBP is diagnosed when Neutrophil count > 500/mm3", "Large volume paracentesis is indicated in SBP", "USG can detect as little as 100 ml of peritoneal fluid" ]
D
Answer is D (USG can detect as little as 100 ml of peritoneal fluid): Abdominal ultrasound may detect as little as 100 ml of ascitic fluid ultrasound is thus a useful investigation for the diagnosis of minimal ascitis -CCDT 3rd/717 Hemorrhagic Ascitis is diagnosed NI hen RBC count >10, 000 / mm3 (Not >1000/mm3) An RBC ...
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A 5-year-old child is brought to the emergency room with massive, painless bleeding from the rectum. Colonoscopy fails to demonstrate a lesion in the colon or anus. Upper endoscopy fails to demonstrate esophagitis, gastric ulcer or duodenal ulcer. A 99mTc (technetium) scan demonstrates an abnormality in the lower half ...
[ "Appendix", "Cecum", "Duodenum", "Ileum" ]
D
A Meckel's diveiculum is caused by failure of obliteration of the vitello-intestinal duct. It is classically located in the distal ileum within 30 cm of the ileocecal valve, and the structure is a true diveiculum with mucosa, submucosa, and muscularis propria. Many Meckel's diveicula contain ectopic pancreatic tissue o...
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In the metabolism of xenobiotics, all of the following reactions occur in phase one EXCEPT?
[ "Oxidation", "Reduction", "Conjugation", "Hydrolysis" ]
C
Oxidation, reduction, hydrolysis, cyclization, and decyclization are phase 1 reactions conjugation, sulfation, acetylation, methylation- phase 2 Pg.no.24 KD TRIPATHI seventh edition
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Which of the following condition is associated with meconium ileus?
[ "Fibrocystic disease of pancreas", "Liver aplasia", "Cirrhosis of liver", "Malnutrition" ]
A
Meconium ileus is a neonatal manifestation of cystic fibrosis (also known as fibrocystic disease of pancreas). In cystic fibrosis there is pancreatic enzyme deficiency and abnormal chloride secretion in the intestine that results in the production of viscous water- poor meconium. Meconium ileus results because of impac...
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For diagnosis of lunacy a person can be kept under observation at a streach for :
[ "2 Days", "7 Days", "10 Days", "30 Days" ]
C
C i.e. 10 days
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Delta gap compares?
[ "Change in Anion gap w chloride only", "Change in Anion gap w sodium and potassium", "Change in Anion gap w bicarbonate", "Change in Anion gap w to Sodium only" ]
C
Delta gap = Change in anion gap - Change in Bicarbonate >6 = Met alkalosis <-6 = Met acidosis
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How much fraction of methyl mercury is absorbed from the Gut:
[ "20%", "50%", "80%", "100%" ]
D
null
train
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Heart failure cells are
[ "Foam cells", "Lipid laden macrophages", "Hemosiderin laden macrophages", "Type 1 pneumocytes" ]
C
Ans. (c) Hemosiderin laden macrophages(Ref: Robbin's 9th/pg 115)Chronic pulmonary congestion: shows Hemosiderinladen macrophages (heart failure cells) Q
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Little area is situated in nasal cavity in -
[ "Anterior inferior", "Anterior superior", "Posterior inferior", "Posterior superior" ]
A
null
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Delusion is not seen in :
[ "Depression", "Anxiety", "Schizophrenia", "Mania" ]
B
B. i.e. Anxiety
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Retinitis pigmentosa is characterized by ?
[ "Central scotoma", "Centrocaecal scotoma", "Tubular vision", "Isopteric contraction" ]
C
Ans. is 'c' i.e., Tubular vision Impoant facts Earliest visual field defect in primary open angle glaucoma- Isopeteric contraction. Earliest clinically significant visual .field defect in primary open angle glaucoma --> Paracentral scotoma, Visual field deject in rheugmatogenous retinal detachment- Loss of peripheral f...
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Initial management of a newly diagnosed Hypertension is with:
[ "Life style modification", "ACE inhibitors", "B- blockers", "Diuretics" ]
A
Ans: a (Life style modification)Ref: Thripathi, 5th ed. Pg. 514If risk assessed is low, only non pharmacological measures and BP monitoring are recommended for 3-6 months.Pharmacological therapy is recommended for BP greater than or equal to 140/90.Blood pressure classificationSystolic mmHgDiastolic mmHgNormalPrehypert...
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In a group of 100 children, the mean weight of children is 15 kg. The standard detion is 1.5 kg. Which one of the following is true?
[ "95% of all children weight between 12 and 18 kg", "95% of all children weight between 13.5 and 16.5 kg", "99% of all children weight between 12 and 18 kg", "99% of all children weight between 13.5 and 16.5 kg" ]
A
In the given question, n = 100 children, Mean weight (u) = 15 kg, SD = 1.5 kg, 95% of value are contained in Mean + 2SD (u+ 2s), Thus 95% of all children will have weight between 15 + 2 (1.5) i.e. between 12 and 18 kg.
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Micronodular cirrhosis is seen in all except ?
[ "Chronic hepatitis B", "Alcoholic cirrhosis", "Haemochromatosis", "Chronic cirrhosis secondary to biliary stasis" ]
A
Ans. is 'a' i.e., Chronic hepatitis B o After chronic hepatitis 'B' (Post necrotic cirrhosis), macronodular cirrhosis develops.
train
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End point of D/C is ?
[ "After 2 strokes", "Presence of fresh bleeding", "Uterine cry", "All of the above" ]
C
Ans. is 'c' i.e., Uterine cryThe curette should be inseed gently to the uterine fundus and withdrawn slightly. To decrease the risk of perforation, do not force the curette.The end point of this scrubbing should be the detection of a scratching/grating sensation or sound (the "uterine cry"), which represents a sharp cu...
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Cervical was are seen with which HPV
[ "11,13", "6,11", "17,18", "5,8" ]
B
Cervical was are seen with HPV type 6,11 which are of low oncogenic potential and HPV type 16,18 which are of high oncogenic potential. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 287
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Radiofrequency ablation is done for-
[ "Ventricular tachycardia", "PSVT", "WPW syndrome", "Atrial tachychardia" ]
C
Radiofrequency catheter ablation The definitive treatment of WPW is the destruction of the abnormal electrical pathway by radiofrequency catheter ablation. This procedure is performed by cardiac electrophysiologists. Radiofrequency catheter ablation is not performed in all individuals with WPW because inherent risks ar...
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Dilatation of upper lobe veins is a reliable sign of:
[ "Cardiac decompensation", "Pulmonary ht.", "Emphysema", "Silicosis" ]
A
Ans. Cardiac decompensation
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A pregnant uterus is an example of:
[ "Metaplasia", "Dysplasia", "Atrophy", "Hypertrophy" ]
D
Ans. (d) HypertrophyRef: Robbing pathology 9th ed. /34* Hypertrophy refers to an increase in the size of cells,that results in an increase in the size of the affected organ.* The most common stimulus for hypertrophy of muscle is increased workload.* A gravid uterus is an example of hypertrophy and hyperplasia both but ...
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Swan Ganz Catheter is used to measure: September 2005
[ "Mean aerial pressure", "Cardiac output", "Blood volume", "Pulmonary capillary wedge pressure" ]
D
Ans. D: Pulmonary capillary wedge pressure Swan Gann Catheter is a long, thin cardiac catheter with a tiny balloon at the tip. It is used to determine left ventricular function by measuring pulmonary capillary wedge pressure.
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Lung disease seen in Coal and Rock mine rs?
[ "Anthracosis", "Byssinosis", "Bagassosis", "Silicosis" ]
A
-Anthracosis is occupational disease seen in coal miners. -studies indicate that there are two general phases in coal miners pneumoconiosis; simple pneumoconiosis is associated with ventilatory impairment. second phase is characterized by progressive massive fibrosis that cause severe respiratory disability and prematu...
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A 2 week old child shows difficulty feeding, somnolence, failure to thrive, and constipation. An ale pediatrician orders blood studies that demonstrate low T4 and high TSH. If appropriate therapy is not promptly instituted, which of the following complications would most likely occur?
[ "Bronchiectasis", "Gigantism", "Hepatic cirrhosis", "Mental retardation" ]
D
The disease is infantile hypothyroidism, which can produce the syndrome of cretinism if left untreated. Early manifestations include those listed in the question stem. Later manifestations of untreated disease include impaired skeletal growth, protruding abdomen, dry skin, and, most seriously, neurologic problems that ...
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Renal Pathology in SLE includes all except
[ "Focal Glomerulunephritis", "Diffuse Glomerulonehpritis", "Diffuse membrane glomerulonephritis", "Lipid nephrosis" ]
D
Refer Robbins 9/e p929
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Small intestine in intestinal obstruction is distinguished radiologically from large intestine by-
[ "Haustration", "Valvulae conniventes", "Can not be distinguished", "None" ]
B
Ans-B
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WRONG about ileum as compared with jejunum is
[ "Sho club shaped Villi", "Long vasa recta", "More lymphoid nodules", "More fat in mesentery" ]
B
Jejunum has long and sparse vasa recta as compared to ileum. Jejunum are thick walled and peritoneal windows are transparent as compared to ileum. Peyer patches are present in ileum which are absent in jejunum. Jejunum have 1 or 2 rows of aerial arcades whereas ileum have 4 to 5 aerial arcades Ileum have sho club shape...
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Which of the following statements about the clinical uses of the aminoglycosides is FALSE?
[ "Owing to their polar nature, aminoglycosides are not absorbed following oral administration", "Aminoglycosides are often used in combination with cephalosporins in the empirical treatment of life-threatening bacterial infections", "The spectrum of antimicrobial activity of aminoglycosides includes Bacteroides ...
C
Aminoglycosides: The aminoglycosides are polar in nautre and therefore are poorly absorbed from the GI tract generally less than 1% is absorbed. Their action depends upon oxygen dependent system on cell membrane of bacteria that helps to transpo the drug into the cell. So they are effective only for aerobic organisms o...
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Index of potency of general anaesthesia -
[ "Minimum alveolar concentration", "Diffusion coefficient", "Dead space concentration", "Alveolar blood concentration" ]
A
Minimum alveolar concentration is defined as the alveolar concentration of an inhaled anesthetic agent that prevents movement in 50% of patients in response to a standardized surgical stimulus. The MAC of a volatile substance is inversely propoional to its lipid solubility (oil: gas coefficient), in most cases. This is...
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Breast Ca is not associated -a) BRCA 1 & BRCA 2b) Apocrine metaplasiac) Atypical ductal hyperplasiad) Fibroadenomae) Moderate hyperplasia
[ "acde", "bd", "cde", "ace" ]
B
Apocrine tnetaplasia and fibroadenoma (without atypical features) do not increase the risk of breast cancer. Atypical epithelial hyperplasia moderately increases the risk and moderate to florid epithelial hyperplasia slightly increases the risk for breast carcinoma. Mutations in BRCA1 and BRCA2 are associated with br...
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Viruses causing hemorrhagic fever are-
[ "Lassa fever virus", "Yellow fever virus", "West Nile virus", "All" ]
A
Ans. is 'a' i.e., Lassa fever virus Clinical classification of arboviruses . On the basis of usual clinical picture described, three clinical syndromes have been described which can be caused by arboviruses Febrile group (fever and myalgia) - This is the most common group which comprises a large number of undifferentia...
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Malignant glaucoma is seen in –
[ "Malignancy", "After surgery for cataract or glaucoma", "Trauma", "Thrombosis" ]
B
Malignant glaucoma occurs following an iridectomy, filtering surgery (Trebaculectomy) or laser irodotomy. It may also occur after cataract surgery, capsulotomy or even spontaneously.
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Lisch nodules in the iris are seen in-
[ "VHK Syndrome", "Neurofibromatosis 1", "Tuberous sclerosis", "Retinoblastoma" ]
B
Ans. is 'b' i.e., Neurofibromatosis 1 * Lisch nodules are the most common type of ocular involvement in NF-1. These nodules are melanocytic hamartomas, usually clear yellow to brown, that appear as well-defined, dome-shaped elevations projecting from the surface of the iris.
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Most sensitive investigation of pancreatic carcinoma is –
[ "Angiography", "ERCP", "Ultrasound", "CT scan" ]
C
Investigation of choice for pancreatic carcinoma → CT scan (CECT) Most sensitive test for pancreatic carcinoma      → Endoscopic ultrasound.
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Which one of the following not is true regarding choriocarcinoma?
[ "Aggressive malignancy", "Raised HCG levels", "Common below 20 years of age", "Gonadal type is chemosensitive" ]
B
hCG is synthesised by placental syncytiotrophoblast such as in various non-seminomatous germ cell tumours of the testis (e.g. in choriocarcinoma, yolk sac tumour and embryonal carcinoma). However, ectopic hCG production may occur in a variety of non-testicular non-germ cell tumours as well. Ref: TEXTBOOK OF PATHOLOGY 6...
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Maximum iron is in which nut?
[ "Pista", "Cashew", "Peanut", "Walnut" ]
A
Ans. (a) PistaRef: Park 22nded p 583
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Magistrate inquest is done in?
[ "Death by suicide", "Death by accident", "Death in psychiatry hospital", "Death in suspicious circumstances" ]
C
Ans. is 'c' i.e., Death in psychiatry hospital Magistrate inquest (Sec 176. CrPC)o Magistrate's inquest is carried out by an executive magistrate, district magistrate (DM) or sub-divisional magistrate (SDM). It is done in cases ofi) Death in prison, reformatories, Brostal school.ii) Death in police custody, while under...
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Which of the following statements about coagulation factor VII is not true?
[ "Deficiency is associated with prolonged APTT", "Deficiency can be managed by Fresh Frozen plasma", "Deficiency is inherited as an Autosomal Recessive trait", "Has a shoer half life in comparison to Hageman factor (XII)" ]
A
Factor VII is a 56kd single chain, vitamin K dependent zymogen component of the extrinsic pathway of blood coagulation. So, its deficiency is associated with prolongation of PT not APTT. APTT is prolonged in case of deficiency of coagulation factors involved in intrinsic pathway. Ref: Autoantibodies By James B. Pete, P...
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Poo-caval anastomosis is seen between:
[ "In the rectum: superior rectal vein and inferior rectal vein", "At the umbilicus: poal vein and accessory hemiazyogs vein", "At the esophagus: left gastric vein and paraumbilical vein", "At the liver: poal vein & renal azygos vein" ]
A
A i.e. In the rectum - superior rectal vein & inferior rectal vein
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Cognitive Theory of depression was developed by:
[ "Ellis", "Beck", "Godfrey", "Meicheinbanon" ]
B
Cognitive therapy refers to a psychotherapeutic approach developed by Dr Aaron Beck. Cognitive therapy is one of the therapeutic approaches within the larger group of cognitive behavioural therapies. Cognitive therapy seeks to help the client overcome difficulties by identifying and changing dysfunctional thinking, beh...
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Which of the following helps in diagnosis of Laryngopharyngeal reflux
[ "Lower esophageal pH monitoring", "Lower esophageal & pharyngeal pH monitoring", "Endoscopic examination of esophagus", "X-ray pharynx" ]
B
Answer- B. Lower esophageal & pharyngeal pH monitoringIaryngopharyngeal reflux (LPR) is defined as the retrograde flow ofstomach content to the larynx and pharynx whereby this material comes in contact with the upper aerodigestive tract. In contrast, gastroesophageal reflux disease (GERD) is the flow of stomach acids b...
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Laser Endometrial ablation is done in abnormal uterine bleeding in all cases except
[ "Women not preferring surgery", "Small uterine fibroids", "Women preferring reproductive function", "Failed medical treatment" ]
C
Females who desire future pregnancy should not be offered endometrial ablation for AUB.
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Which of the following statements is true about net protein utilization -
[ "It is the ratio of total nitrogen retained by total N2 intake multiplied by 100", "If net protein utilization is high, the amount of protein required in diet is high", "It is the ration of energy from protein to total energy in diet", "It is amount of one amino acid per gram of a protein divided by the amoun...
A
- net protein utilisation: it is a product of digestibility coefficient and biological value divided by 100. - NPU= nitrogen retained by the body * 100/ nitrogen intake. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:634 <\p>
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In a patient with wide-complex tachycardia, the presence of all of the following in the ECG indicates ventricular tachycardia except
[ "Atrioventricular dissociation", "Fusion beats", "Typical right bundle branch block", "Capture beats" ]
C
Answer is C (Typical right bundle branch block) Wide complex tachycardia due to ventricular tachycardia (VT) is characterized by bizzare QRS pattern that does not mimic typical RBBB or LBBB QRS complexes The presence of wide QRS complex tachycardia with typical RBBB or LBBB suggests supraventricular tachycardia with ab...
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Which of these is not a mariner of active replicative phase of chronic hepatitis B ?
[ "HBV DNA", "HBV DNA polymerase", "AntiHBC", "AST & ALT" ]
C
Hepatitis B core antigen Hepatitis B core antigen (HBcAg) is not found in the blood, but antibody to it (anti-HBc) appears early in the illness and rapidly reaches a high titre, which subsides gradually but then persists. Anti-HBc is initially of IgM type, with IgG antibody appearing later. Anti-HBc (IgM) can sometimes...
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The neck of pancreas is related on its posterior surface to
[ "Gastroduodenal aery", "Superior mesenteric vein", "Inferior vena cava", "Bile duct" ]
B
Neck of pancreas is located between the head and the body of the pancreas. It overlies the superior mesenteric vessels which form a groove in its posterior aspect. Ref - BDC 6e vol2 pg 298-300
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Surgery for elective hemicolectomy for carcinoma colon is described as
[ "Clean", "Clean contaminated", "Diy", "Contaminated" ]
B
Surgery for elective hemicolectomy for carcinoma colon is described as Clean contaminated.
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Most common reason for failure of rest seat in RPD is
[ "Improper rest seat preparation", "Contaminated metal", "Distorted occlusal rest", "Excessive occlusal forces" ]
A
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A newborn baby has projectile vomiting sholy after each feeding. After investigations you have determined that there is obstruction of the digestive tract as a result of an annular pancreas. Annular pancreas is an abnormality in which of the following developmental processes?
[ "Rotation of the dorsal pancreatic bud around the first pa of the duodenum", "Rotation of the dorsal pancreatic bud around the second pa of the duodenum", "Rotation of the dorsal pancreatic bud around the third pa of the duodenum", "Rotation of the ventral pancreatic bud around the second pa of the duodenum" ...
D
The ventral pancreatic bud normally rotates around the duodenum to fuse with the dorsal pancreatic bud. Both pancreatic buds form from evaginations from the second pa of the duodenum, hence the rotation is around the second pa of the duodenum. The normal rotation is around the right side of the embryonic duodenum. Annu...
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Earliest detectable congenital malformation by USG is :
[ "Anencephaly", "Spina bifida", "Meningocoele", "Cystic hygroma" ]
A
Ans is a i.e. anencephaly As discussed in chapter on fetal malformation, anencephaly can be diagnosed as early as 8-10 weeks / first trimester in experienced hards. Microcephaly It is decreased head size. In these patients both brain mass and total cell number are reduced. There is dispropoion in size between the skull...
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According to RNTCP, case definition on sputum ex- amination includes
[ "1 sample positive out of three samples", "At least two samples positive out of two samples", "Any of the tw o or both samples are positive out of Iwo", "2 or 3 samples positive out of three" ]
C
(C) Any of the two or both samples are positive out of two > Two sputum smear samples are examined. If any of the two samples or both the samples are positive, the diagnosis of smear positive TB is confirmed.# Diagnosis of pulmonary TB under RNTCP: Diagnosis is made primarily based on sputum smear examination. X-rays p...
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Features of Alzheimer include all Except:
[ "More common in females", "Recent memory loss", "MMSE useful for diagnosis", "Medication offer near 100% cure" ]
D
Pharmacological treatments available for dementia are limited to symptomatic relief. To date, with the exception of interventions to reduce the risk of recurrent stroke in vascular dementia, there are no treatments available that can alter the disease course or produce substantial or long-lived improvements in symptoma...
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Athlete's foot infection is caused due to:
[ "Trichophyton", "Candida", "Papilloma virus", "E.coli" ]
A
Athlete's foot is a health hazard associated with contact with contaminated swimming pool water. It is caused by Epidermophyton or Trichophyton species. Ref: Park 21st edition page: 673.
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The most common cause of bronchiolitis is:
[ "Respiratory syncytial virus", "Adenovirus", "Herpes virus", "Influenza virus" ]
A
M/C organism causing Bronchiolitis is RSV Other organisms are :- Influenza virus Parainfluenza virus Human metapneumovirus Coronavirus Adenovius Rhinovirus Palivizumab injection is used to prevent serious lung infection in children and babies caused by respiratory syncytial virus (RSV).
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An example of lyases is
[ "Glutamine synthetase", "Fumarase", "Cholinesterase", "Amylase" ]
B
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Sugarcane induced lung disease
[ "Bagassosis", "Byssinosis", "Pneumoconiosis", "Asbestosis" ]
A
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False-negative tuberculin test is seen in all except:
[ "After 4-6 weeks of measles attack", "Immunodeficiency state", "Miliary tuberculosis", "Atypical mycobacterial infection" ]
D
• Positive: A positive tuberculin test indicates hypersensitivity to tuberculoprotein, denoting infection with the tubercle bacilli or prior immunisation with BCG. The test becomes positive 4-6 weeks after infection or immunisation. Tuberculin allergy wanes gradually and disappears after 4-5 years in the absence of sub...
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An Englishman travels to a place which isresistant to chloroquine and mefloquine. What should he take as prophylaxis ?
[ "Primaquine", "Hydrchlorquine", "Proguanil", "Aesunate" ]
C
Ans. is 'c' i.e., Proguanil
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Lady with infertility with B/L tubal block at cornua. Best method of management is :
[ "Laparoscopy & Hysteroscopy", "Hydrotubation", "IVF", "Tuboplasty" ]
A
Ans. is 'a' i.e. Laparoscopy and hysteroscopy There is no treatment of choice or best treatment for proximal tubal obstruction (PTO) without proper evaluation of the tube because although proximal tubal obstruction is a frequent finding on hysterosalpingography (HSG) approximately 213rd of PTO reveals an absence of lum...
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All of the following organs develop in the mesentery of stomach except
[ "Liver", "Spleen", "Kidney", "Pancreas" ]
C
All the organs except kidney develop in the mesentry while kidney develop behind the mesentry( retroperitoneal). Kidney develops from metanephros, through pronephros and mesonephros appear to disappear. The nephrons of the kidney arise from the metanephros. Ref: Human anatomy,BD Chaursia, 7th edition. Liver develops fr...
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Which of the following is non-competitive inhibitor of intestinal alkaline phosphatase?
[ "L-Alanine", "L-Tyrosine", "L-Tryptophan", "L-Phenylalanine" ]
D
Ans. d (L-Phenylalanine) (Ref. Biochemistry by Vasudevan, 4th ed., 57; 5th ed., 55-56)ALKALINE PHOSPHATASE# The pH optimum for the enzyme reaction is between 9 and 10.# It is activated by magnesium and manganese.# Zinc is a constituent ion of ALR# It is produced by osteoblasts of bone, and is associated with the calcif...
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Liquid chemical waste is discarded in:
[ "Yellow bag", "Red bag", "White bag", "Blue bag" ]
A
Liquid chemical waste used for disinfection purposes, cleaning and housekeeping are discarded in yellow bag. Chemical treatment is done followed by draining the liquid. Category Type of waste Yellow Human Anatomical Waste Animal Anatomical Waste Soiled Waste Expired or Discarded Medicines Chemical Waste Discarded Linen...
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Struvite stone is caused by which metal?
[ "Magnesium", "Calcium", "sodium & potassium", "both (a) & (b)" ]
A
Struvite, a crystalline substance is composed of magnesium ammonium phosphate (MgNH4PO4 * 6H2O). Struvite urinary stones have also been referred to as "infection stones" and "triple phosphate" stones. Struvite stones can be caused by alkaline urine, steroid therapy, abnormal retention of urine, a urinary tract infectio...
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Human immunodeficiency virus (HIV) affects the immune response. The primary change brought about is:
[ "A gammaglobulinemia", "Defect in cell-mediated immunity", "Defect in complement system", "Defect in natural killer cells" ]
B
HIV infects CD4 (helper) T-lymphocytes, macrophages and monocytes and leads to cell-mediated immune deficiency which predisposes to opportunistic infections and malignancies.
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In a direct laryngoscopy,which of the following can be visualized?
[ "Cricothyroid", "Lingual surface of epiglottis", "Arytenoids", "All" ]
D
Larynx: Epiglottis, aryepiglottic folds, arytenoids, cuneiform and corniculate cailage, ventricular ands, ventricles, true cords, anterior commissure, posterior commissure, subglottis and rings of trachea. Hypopharynx: Both pyriform fossae, post-cricoid region, posterior wall of laryngopharynx. Oropharynx: Base of tong...
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