question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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A baby can follow an object till 180 degrees, can hold neck, can sit without suppo .The age of the baby is? | [
"1 month",
"3 months",
"5 months",
"6 months"
] | D | Following an object upto 180 degrees- 2 months Neck holding-3 months Sits without suppo ( tripod position) -6 months. So, the age of the baby is 6 months. | train | med_mcqa | null |
Most cardiotoxic local anesthetic | [
"Procaine",
"Bupivacaine",
"Cocaine",
"Lidocaine"
] | B | Bupivacaine is the most cardiotoxic LA (Ropivacaine is a newer bupivacaine congenial with less cardiotoxicity).(Refer: stoelting's pharmacology and physiology in anaesthetic practice, 5th edition, pg no.294) | train | med_mcqa | null |
Uicaria pigmentosa is a disorder of ? | [
"Mast cells",
"Neutrophils",
"Eosinophils",
"Lymphocytes"
] | A | Mast cells REF: Rook's Er ed p. 22.31 Uicarial pigmentosa and mastocytosis are disorders of mast cells | train | med_mcqa | null |
Over the past 10 years, a 50-year-old male has had progressive difficulty hearing, paicularly on the left side. Audiometry testing reveals that he has a bone conduction type of deafness. Which of the following conditions is he most likely to have? | [
"Otosclerosis",
"Cholesteatoma",
"Schwannoma",
"Otitis media"
] | A | Otosclerosis can be familial, paicularly when it is severe. It results from fibrous ankylosis followed by bony overgrowth of the little ossicles of the middle car. A schwannoma typically involves the eighth cranial nerve and results in a nerve conduction form of deafness. Schwannomas are usually unilateral. although fa... | train | med_mcqa | null |
A 17-year-old girl with keratitis and severe pain in the eye came to the hospital and acanthamoeba keratitis was suspected. The patient gave the history of the following 4 points. Out of these which is not a risk factor for acanthamoeba keratitis – | [
"Extended wear contact lens",
"Exposure to dirty water",
"Corneal trauma",
"Squamous blepharitis"
] | D | Corneal infection with acanthamoeba result from direct corneal contact with any material or water contaminated with the organism. The risk factors are : (i) Contact lens use, (ii) Trauma, (iii) Opportunistic infections. | train | med_mcqa | null |
Nerve carrying motor component of light reflex- | [
"1st nerve",
"2nd nerve",
"3rd nerve",
"4th nerve"
] | C | Efferent pathway consists of parasympathetic fibres which arise from the Edinger -Westphal nucleus in the midbrain and travel along the third cranial nerve .i.e, occulomotor nerve. Refer comprehensive ophthalmology (6th edition )A K Khurana, page no 315 | train | med_mcqa | null |
About Neuropeptide Y all are true except | [
"It is mediated through melanocorticotropin hormone",
"Decreases thermogenesis",
"Its level decreases during starvation",
"Contains 36 aminoacid residues"
] | C | Neuropeptide Y has 36 amino acid residues. It stimulates appetite, reduces thermogenesis by decreasing the energy expenditure and also decreases the activity of MSH.
During starvation, it is secreted at increased levels. | train | med_mcqa | null |
Post head injury, the patient had conductive deafness and on examination, tympanic membrane was normal and mobile. Likely diagnosis is: | [
"Distoion of ossicular chain",
"Hemotympanum",
"EAC sclerosis",
"Otosclerosis"
] | A | Fracture temporal bone (more commonly longitudinal) extending to external canal: tympanic membrane is frequently torn and inner ear is spared.Blood or CSF in external and middle ear.Damage to ossicle (most frequent being incudo-stapedial joint) resulting in more severe and permanent conductive deafness.Aseptic necrosis... | train | med_mcqa | null |
Which is the most common micro-organism known to cause tropical pyomisitis ? | [
"Streptococcus viridans",
"Staphylococcus albus",
"Klebsiella pneumoniae",
"Staphylococcus aureus"
] | D | Ans. is 'd' i.e., Staphylococcus aureus | train | med_mcqa | null |
A 6-year-old boy presented to ENT OPD with recurrent UI, mouth breathing and impaired hearing. The boy was diagnosed as having adenoid hyperophy for which adenoidectomy was done and grommet inseed; 1 week after surgery the boy was again brought to the OPD with toicollis. Which of the following are true | [
"Adenoidectomy should not have been done in the patient as adenoids would have spontaneously regressed",
"Toicollis is not a complication after adenoid surgery and it is a sheer coincidence",
"The condition is most common in children with Down's syndrome",
"Atlantoaxial subluxation is the cause for his toicol... | D | ADENOIDECTOMY COMPLICATIONS:- Grisel syndrome:- Patient complains of neck pain and develops toicollis. Mostly it is due to spasm of paraspinal muscles, but can be due to atlantoaxial dislocation requiring cervical collar and even traction. Ref:- Dhingra; pg num:- 432 | train | med_mcqa | null |
the staining technique seen above is used to stain ? | [
"bone",
"collagen",
"skin tissue",
"cailage"
] | B | MASSON&;S &;TRICHROME STAIN PRINCIPLE: Smaller dye molecule will penetrate and stain a tissue element but when ever the larger molecule can penetrate the same element the smaller molecule is replaced by it # THE THREE DYES (trichrome) Aniline Blue (stains collagen and mucus to blue or blue green) Beibrich Scarlet (stai... | train | med_mcqa | null |
The permanent maxillary first molar of a 8 yr old child is to be extracted because of caries. The case can be maintained to prevent malocclusion is by | [
"Placing a space maintainer",
"Surgically reposition the 2nd molar",
"Let second molar erupt and drift mesially to close the space",
"Extract first molar on the other side to prevent midline shifting"
] | C | null | train | med_mcqa | null |
Perineural spread is seen in: | [
"Mucoepidermoid carcinoma",
"Keratoacanthoma",
"Adenoid cystic carcinoma",
"All of the above"
] | D | Perineural spread is seen in
Mucoepidermoid carcinoma
Keratoacanthoma
Adenoid cystic carcinoma
Keratoacanthoma on occasion may invade perineural spaces, but this does not adversely affect the biologic behavior of the lesion; neither can it be used as a distinguishing characteristic between keratoacanthoma and epiderm... | train | med_mcqa | null |
Characteristics of BENIGN tumour of lung in X-ray is | [
"Size > 5 cms diameter",
"Cavitation",
"Peripheral location",
"Concentric dense calcification"
] | D | Central, concentric, laminar, popcorn or homogeneous (diffuse) calcification is seen in benign lesions. | train | med_mcqa | null |
Amoebic liver abscess can be diagnosed by demonstrating - | [
"Cysts in the sterile pus",
"Trophozoites in the pus",
"Cysts in the intestine",
"Trophozoites in the feces"
] | B | Trophozoites may be demonstrated in the liver biopsy from cases of amoebic hepatitis. Diagnostic liver aspiration can be performed if liver aspiration can be performed if liver abscess is present.Trophozoite can be demonstrated in the aspirate by wet preparation.Aspirations from the center of liver abscess may not show... | train | med_mcqa | null |
How does metalloproteins prevent the development of jaundice? | [
"Decreasing RBC lysis",
"Inhibiting heme oxygenase",
"Increasing Y and Z receptors",
"Increasing glucoronyl transferase activity"
] | B | Metalloproteins like Tin (Sn) and zinc (Zn) porphyrins and mesoporphyrins are under investigation for clinical use. These compounds inhibit the activity of heme oxygenase and thus decrease the formation of bilirubin, therby preventing the development of jaundice. Ref: Essential of PediatricsBy O P Ghai, 6th Edition, Pa... | train | med_mcqa | null |
Which of the following nerves are affected after Spinal anaesthetic block? | [
"Motor and sensory nerve only",
"Sensory and autonomic nerve only",
"Sensory nerves only",
"Sensory, autonomic, and motor nerves"
] | D | Ans. d (Sensory, autonomic and motor nerves) (Ref: Synopsis of Anaesthesia by Lee, 12th edition; p. 690).As a general rule of thumb, the greater the diameter of the nerve fibre, the greater the concentration of LA required to produce conduction blockade. Small unmyelinated fibres are more vunerable to blockade than lar... | train | med_mcqa | null |
Which of the following is not a potassium sparing diuretic? | [
"Amiloride",
"Indapamide",
"Spironolactone",
"Triamterene"
] | B | POTASSIUM SPARING DIURETICS P: Potassium sparing diuretics A: Amiloride S: Spironolactone T: Triamterene E: Epleronone | train | med_mcqa | null |
who gave the theory of madonna putuna complx | [
"lorenz",
"freud",
"erikson",
"bleuler"
] | B | CONTRIBUTIONS OF FREUD o Father of psychoanalysis He founded a type of psychotherapy called psychoanalysis. It is nothing but analyzing the psych(MIND) o Interpretation of dreams According to Freud dreams are royal road to unconscious In dreams several conflicts that are present in the unconscious comes to the consciou... | train | med_mcqa | null |
Fluoride helps in ? | [
"Vision",
"Dentition",
"Myelination",
"Joint stability"
] | B | Ans. is 'b' i.e., Dentition | train | med_mcqa | null |
Blood group associated with Gastric cancer is | [
"O",
"A",
"B",
"AB"
] | B | (B) A # Blood group A is associated with an increased risk for stomach cancer and poorer survival and O group people are associated with increased risk of gastric ulcer.> This observation may be related to differences in the mucous secretion, leading to altered mucosal protection from carcinogens.> A germ line mutation... | train | med_mcqa | null |
Sabin Feldman exclusion test is used for diagnosis of: | [
"Syphilis",
"Leptospirosis",
"Toxoplasmosis",
"Multiple myeloma"
] | C | Ans. c (Toxoplasmosis). (Ref. Harrison's medicine 16th ed. 1243)TOXOPLASMOSIS# Sabin-Feldman dye test is for trophozoites of Toxoplasma gondii.# IgG antibodies are primarily measured by the Sabin-Feldman Dye Test (DT).# The DT is a sensitive and specific neutralization test in which live organisms are lysed in the pres... | train | med_mcqa | null |
Features of ectopia vesicae are following except | [
"Epispadias",
"Bifid clitoris",
"Undescended testis",
"X linked dominant"
] | D | Ectopia vesicae - bladder exstrophy + epispadias + undescended testis in males
and bifid clitoris in females. | train | med_mcqa | null |
The drug that inhibits uterine contractility and cause pulmonary edema is - | [
"Ritodrine",
"Nifedipine",
"Indomethacin",
"Atosiban"
] | A | Pulmonary edema has been repoed with Magnesium sulphate as well as with calcium channel blockers like nifedipine. But the maximum incidence of this is found in use of sympathomimetics. Beta Agonist (such as ritodrine) infusion can cause serious and even fatal maternal side effects. The cause of pulmonary edema is multi... | train | med_mcqa | null |
All of the following are the feature of masked depression except | [
"Body aches and pains",
"Gastrointestinal symptoms",
"Functional impairment",
"Depressed mood"
] | D | Ans. (d) Depressed moodAhuja 5th/81,109-110* Masked depression means hidden depression which practically means that the patient is having a depression which manifests in somatic symptoms like vague body aches, bowel complaints and inability to carry out normal activities. However, the mood is not depressed. | train | med_mcqa | null |
Nabothian follicles occur in : | [
"Erosion of cervix",
"Ca endometrium",
"Ca cervix",
"Ca vagina"
] | A | Ans. is a i.e. Erosion of cervix As a result of healing of an erosion, the mouth of cervical gland is blocked. The blocked gland becomes distended with secretion and forms small cysts which can be seen with naked eye and so called Nabothian cyst. The presence of cysts fahest from the external os indicates the extent of... | train | med_mcqa | null |
A 42 year old man, hypeensive, is having symptoms of increased intraocular pressure. Which of the following agent is NOT used in this patient? | [
"Dipivefrin",
"Beta blockers",
"Alpha agonist",
"Trabeculoplasty"
] | C | Alpha agonist cannot he used in hypeensive patients because alpha receptors cause vascular smooth muscle contraction which leads to fuher increase in blood pressure. Systemic side effects of sympathomimetic drugs include, Hypeension Tachycardia Headache Palpitation Tremors Nervousness Anxiety Ref: Comprehensive Ophthal... | train | med_mcqa | null |
Moribund patient, triage color - | [
"Red",
"Black",
"Yellow",
"Green"
] | B | - triage consists of rapidly classifying the injured on the basis of severity of their injuries and the likelihood of their survival with prompt medical intervention. - black colour triage is for moribund or dead patients. Reference: Park's textbook of preventive and social medicine, 23rd edition, pg no: 796 <\p> | train | med_mcqa | null |
Which of the following is a metabolite of carisoprodol? | [
"Doxylamine",
"Meprobromate",
"Dimethadione",
"Amphetamine"
] | B | Ans. (B) Meprobamate(Ref: Goodman and Gilman 11th/e p422)Meprobamate was used as a CNS depressant drug but is rarely indicated now due to its addictive properties. It is a metabolite of carisoprodol, which is used as a centrally acting skeletal muscle relaxant. | train | med_mcqa | null |
In a case of acute hemahrosis in hemophilia, treatment with factor VIII along with fresh frozen plasma is given for duration: | [
"3 days",
"7 days",
"1 days",
"Till joint effusion subsides"
] | D | Treatment of Hemahrosis (in Hemophilia): 50-60 IU/kg factor VIII concentrate on day 1; Then 20-30 IU/kg on days 2, 3, 5 until joint function is normal or back to baseline. Consider additional treatment every other day for 7-10 days. | train | med_mcqa | null |
Aspirin causes mucosal injury by: | [
"Ion trapping",
"Ionization in stomach",
"Biotransformation",
"Increase in H+ secretion"
] | A | Ans: a (Ion trapping) Ref: Tripathi, 6th ed,p. 188Aspirin remains unionized and diffusible in the acid gastric juice, but it ionizes on entering the mucosal cell and also becomes indiffusible. This "ion trapping" in the gastric mucosal cell enhances gastric toxicity. Furthur, aspirin particle coming in contact with gas... | train | med_mcqa | null |
CD 19 positive, CD22 positive, CD103 positive monoclonal B-cells with bright kappa positivity were found to comprise 60% of the peripheral blood lymphoid cells on flow cytometric analysis in a 55 year old man with massive splenomegaly and a total leucocyte count 3.3 x 109/L. Which one of the following is the most likel... | [
"Splenic lymphoma with villous lymphocytes",
"Mantle cell lymphoma",
"B-cell prolymphocytic leukemia",
"Hairy cell leukemia"
] | D | Hairy cell leukaemia: Constitutes about 2% of all leukaemia. Male:female: :5:1,middle aged white males predominant , median age :55; Immunophenotype: typically express pan-Bcell markers CD19&CD20, surface Ig(usually IgG) & ceain relatively distinctive markers , such as CD11c,CD25 ,CD103 and annexin A1. Ref:Robbins path... | train | med_mcqa | null |
Which of the following is not ureidopenicillin? | [
"Piperacillin",
"Mezlocillin",
"Azlocillin",
"Flucloxacillin"
] | D | null | train | med_mcqa | null |
Which of the following NSAID does not having antiinflammatory activity? | [
"Ketorolac",
"Diclofenac",
"Mefenamic acid",
"Acetaminophen"
] | D | All NSAIDs, including selective COX-2 inhibitors, are antipyretic, analgesic, and anti-inflammatory, with the exception of acetaminophen, which is antipyretic and analgesic but is largely devoid of anti-inflammatory activity. Ref: Grosser T., Smyth E. (2011). Chapter 34. Anti-inflammatory, Antipyretic, and Analgesic Ag... | train | med_mcqa | null |
True about telomerase or telomere is/area) They are present at the ends of eukaryotic chromosomeb) Increased telomerase activity favours cancer cellsc) DNA dependent RNA polymerased) DNA polymerase | [
"ac",
"ab",
"ad",
"bc"
] | B | Telomers are short repeated sequence of DNA at the end of chromosomes.
In normal somatic cells, telomers get shortened in each replicated cycle, and after telomers are shortened by a critical length, cell stops dividing and enters into senescence (Go phase).
However, Germ cells, cancer cells and stem cells have an enzy... | train | med_mcqa | null |
Sub-arachnoid space ends at | [
"S2 level",
"L5 level",
"S1 level",
"L3 level"
] | A | (A) S2 level> Subarachnoid space surrounds the brain & spinal cord, and ends below at the lower border of the second sacral vertebra. | train | med_mcqa | null |
The bacterium that is most commonly used in genetic engineering is | [
"Escherichia",
"Klebsiella",
"Proteus",
"Serratia"
] | A | GENETIC ENGINEERINGEngineering is the application of science to social needs. Recombinant plasmids may be introduced into a bacterial host, frequently E coli, by forced transformation. Alternatively, electroporation is a procedure that introduces DNA into bacteria using an electrical gradient.Ref: Jawetz, Melnick, & Ad... | train | med_mcqa | null |
Which of the following about sensory fibers is not true - | [
"Ia - Alpha",
"II - A beta",
"III - A gamma",
"IV - C"
] | C | Ans. is 'c' i.e., III - A gammaRelationship of numerical classification of sensory nerve (Lloyd & Hunt classificationwith Erlanger & Gasser Classification)Fiber type(Erlanger & Gasser)Number(Lloyd & Hunt)OriginAaIaMuscle spindle (annulospiral ending)AaIbGolgi tendon organAbIIMuscle spindle (flower-spray ending), touch,... | train | med_mcqa | null |
What is the most probable cause of this condition? | [
"Chronic lymphedema",
"Chronic aerial blockage",
"Chronic venous blockage",
"Chronic venous insufficiency"
] | A | In the given image :- Buffalo hump, squaring of toes :- chronic lymphedema Unlike other types of oedema,lymphedema characteristically involves the foot.The contour of the ankle is lost through infilling of the submalleolar depressions,a "buffalo hump" forms on the dorsum of the foot,the toes appear"square" because of c... | train | med_mcqa | null |
The following laxative lowers blood ammonia level in hepatic encephalopathy | [
"Bisacodyl",
"Lactulose",
"Magnesium sulfate",
"Liquid paraffin"
] | B | Lactulose:- It is a semisynthetic disaccharide of fructose and lactose which is neither digested nor absorbed in the small intestine--retains water. Fuher, it is broken down in the colon by bacteria to osmotically more active products. In a dose of 10 g BD taken with plenty of water, it produces soft formed stools in 1... | train | med_mcqa | null |
'Lacunar cells' are peculiarly seen in which variety of Hodgkin's lymphoma? | [
"Nodular Sclerosis",
"Mixed cellularity",
"Lymphocyte Predominant",
"Lymphocyte Depleted"
] | A | Ans. A. Nodular Sclerosis. (Ref Robbings Pathology 8th/pg. page 456)SUBTYPES OF HODGKIN'SFEATURESNodular sclerosis (65-75%)- Common in females ; Excellent prognosis- Most common worldwide- Lacunar cells common- Diagnostic RS cells- Fibrous collagen- Bands dividing cellular areas into nodules- RS cells CD15+, CD30+Mixed... | train | med_mcqa | null |
A young boy presented with high fever shows clinical features suggestive of Legionnaires' Disease. Treatment of choice is: | [
"Amoxicillin",
"Azithromycin",
"Penicillin",
"Streptomycin"
] | B | The macrolides (especially azithromycin) and the respiratory quinolones are now the antibiotics of choice and are effective as monotherapy. Compared with erythromycin, the newer macrolides have superior in vitro activity, display greater intracellular activity, reach higher concentrations in respiratory secretions and ... | train | med_mcqa | null |
In obstruction of second part of axillay artery, the anostomosis between the following artery will maintain the blood supply of upper limb: | [
"Deep branch of transverse cervical artery & subscapular artery",
"Anterior & posterior circumflex humeral",
"Posterior circumflex humeral & circumflex scapular artery",
"Suprascapular & anterior circumflex humeral artery"
] | A | Ans. is 'a' i.e. Deep branch of transverse cervical artery & subscapular artery Axillary artery is the continuation of the subclavian artery. It is crossed by pectoralis minor muscle which divides it into three parts.A rich anastomosis exists around the scapula between branches of subclavian artery (first part) & the a... | train | med_mcqa | null |
Triple Marker test includes : | [
"hCG, AFP, and unconjugated estriol",
"hCG, AFP, and unconjugated estradiol",
"hCG, PAPP-A, unconjugated estriol",
"Inhibin A, hCG & PAPP-A"
] | A | Ans. is 'a' i.e., hCG, AFP, and unconjugated estriol Triple Marker Test* This is a screening test done between 16 and 18 weeks of gestation, mainly to identify a mother who is at a high risk of having a fetus with trisomy 21. It involves estimation of 3 hormones: HCG, AFP, and unconjugated estriol (UE3).InterpretationT... | train | med_mcqa | null |
Daily sperm production is? | [
"3 million per day",
"12 million per day",
"30 million per day",
"120 million per"
] | D | 120 million per day REF: Guyton 11th edition page 999 The two testes of the human adult form up to 120 million sperm each day" Note: The entire period of spermatogenesis, from spermatogonia to spermatozoa, takes about 74 days. Although sperm can live for many weeks in the suppressed state in the genital ducts of the te... | train | med_mcqa | null |
Which of the following factor regulates CSF pressure? | [
"Rate of CSF formation",
"Rate of CSF absorption",
"Cerebral blood flow",
"Blood pressure"
] | B | Rate of CSF formation normally remains constant and is independent of CSF pressure. CSF absorption by arachnoid villi is propoionate to CSF pressure. Ref: Barrett K.E., Barman S.M., Boitano S., Brooks H.L. (2012). Chapter 33. Circulation through Special Regions. In K.E. Barrett, S.M. Barman, S. Boitano, H.L. Brooks (Ed... | train | med_mcqa | null |
Small axons are concerned with all, except | [
"Pain",
"Temperature",
"Autonomic function",
"Proprioception"
] | D | null | train | med_mcqa | null |
Post moem stiffening is called: March 2005 | [
"Putrefaction",
"Rigor mois",
"Livor mois",
"Mummification"
] | B | Ans. B: Rigor mois Putrefaction: It is the final stage following death in which destruction of the soft tissues of the body is mainly caused by the action of bacterial enzymes. Rigor mois/death stiffening/cadaveric rigidity: is a state of muscle stiffening sometimes with slight shoening of the fibres. Post-moem hyposta... | train | med_mcqa | null |
Osteitis fibrosa cystica is seen with ? | [
"Primary hyperparathyroidism",
"Secondary hyperparathyroidism",
"Teiary hyperparathyroidism",
"Pseudohypoparathypoidism"
] | A | Ans. is 'a' i.e., Primary hyperparathyroidism The initial osseous lesions associated with primary hyperparathyroidism show merely a decrease in bone density. The full blown osseous manifestations have been referred to as osteitis fibrosa cystica (OFC) or Recklinghausen's disease. Primary hyperparathvroidism (Osteitis f... | train | med_mcqa | null |
In a patient of acute inferior wall MI : best modality of rx is - | [
"IV fluids",
"Digoxin",
"Diuretics",
"Vasodilators"
] | A | null | train | med_mcqa | null |
All of the following comes under priority of Stroke control programme EXCEPT: March 2013 (g) | [
"Control of smoking",
"Control of hypeension",
"Control of diabetes",
"Control of alcoholism"
] | D | Ans. D i.e. Control of alcoholism The aim of stroke control programme is to apply at community level effective measures for the prevention of stroke. | train | med_mcqa | null |
The Hb-O2 dissociation curve is shifted to left by | [
"Metabolic acidosis",
"Increased temperature",
"Increased PCO2",
"Decreased 2, 3 DPG"
] | D | 2,3-BPG is very plentiful in red cells. It is formed from 3phosphoglyceraldehyde, which is a product of glycolysis the Embden-Meyerhof pathway (Figure 36-4). It is a highly charged anion that binds to the bchains of deoxyhemoglobin. One mole of deoxyhemoglobin binds 1 mol of 2,3-BPG. In effectHbO2 + 2,3-BPG =Hb - 2,3-B... | train | med_mcqa | null |
In the case of dogbite the biting animal should be observed for atleast - | [
"5 days",
"10 days",
"15 days",
"3 weeks"
] | B | Post exposure prophylaxis may be discontinued if the suspected animal is proved by appropriate laboratory examination to be free of rabies or in the case of domestic dogs , cats or ferrats , the animals remain healthy throughout a 10 day observation period staing from the date of bite Reference; Park&;s Textbook of pre... | train | med_mcqa | null |
Morphine can be given by all the following routes except: | [
"Intravenous",
"Intramuscular",
"Subcutaneous",
"Sublingual"
] | D | null | train | med_mcqa | null |
White infarcts occurs in one of the following organs | [
"Ovary",
"Lung",
"Intestine",
"Heart"
] | D | null | train | med_mcqa | null |
If the blood flow through a blood vessel is 2 ml/min, how much will it become if its radius is doubled | [
"Will remain the same",
"4 ml/min",
"8 ml/min",
"16 ml/min"
] | D | According to poiseuille equation Flow rate is directly propoional to radius to the power of 4 Ref: guyton and hall textbook of medical physiology 12 edition page number:220,221,222 | train | med_mcqa | null |
A diabetic patient in hypoglycemia does not regain consciousness despite blood glucose restoration to normal. Which one of the following is the not likely condition or explanation? | [
"Cerebral edema",
"Alcohol intoxication",
"Post-ictal state",
"Cerebral haemorrhage"
] | B | null | train | med_mcqa | null |
Definitive sign of phase I of anaesthesia is | [
"fixation of eyeball",
"Pupilary dilatation",
"Blurring of vision",
"Intercostal paralysis"
] | A | Guedel's classification is a means of assessing of depth of general anesthesia introduced by Ahur Ernest Guedel for Ether in1937. Stage I (stage of analgesia or disorientation) Stage II (stage of excitement or delirium) Stage III (stage of surgical anesthesia) plane I to IV Stage IV: from stoppage of respiration till d... | train | med_mcqa | null |
The range of environmental temperature at which the basal metabolic rate (BMR) of the baby is at a minimum, oxygen consumption is at least and baby maintains its normal body temperature is called? | [
"Thermoneutral environment",
"Normothermic environment",
"Basal environment",
"Anabolic environment"
] | A | The range of environmental temperature at which BMR of the baby is at a minimum, oxygen consumption is at least and baby maintains its normal body temperature is called 'Thermoneutral environment'. | train | med_mcqa | null |
Prognosis of schizophrenia depends on - | [
"Atypical symptoms",
"False belief",
"Emotional flattening",
"None"
] | C | Ans. is 'c' i.e., Emotional flattening o Flat or blunted affect (emotional flattening) has poor prognosis.PROGNOSTIC FACTORS FOR SCHIZOPHRENIAGood Prognostic FactorsPoor Prognostic Factors1. Acute or abrupt onset1. Insidious onset2. Onset > 35 years of age (late onset)2. Onset < 20 years of age (early onset)3. Presence... | train | med_mcqa | null |
If a histologic slide of the tooth and the content of its canal space could be obtained, the most likely finding in the region of radioluceny would be? | [
"Normal pulp",
"Clastic activity",
"Necrotic pulp",
"Marked decrease in cellularity"
] | B | null | train | med_mcqa | null |
Wickhams stria seen in- | [
"lichen niditus",
"Lichenoid eruption",
"Lichen striates",
"Lichen Planus"
] | D | LICHEN PLANUS:- Inflammatory T cell mediated auto immune disorder affecting skin, hair,nails and mucous membranes.Four Ps- purple , polygonal and pruritic papule.Classic lesion- small polygonal shaped, and red/ violet, flat topped papule. Surface is slightly shiny/ transparent,and a network of fine,white lines called '... | train | med_mcqa | null |
Optimum orthodontic force should not exceed the: | [
"Arterial blood pressure",
"Venous blood pressure",
"Capillary blood pressure",
"Masticatory pressure"
] | C | null | train | med_mcqa | null |
A 35 years old with 36-week pregnancy comes with history of 5 convulsions at home. Her BP is 170/100. Diagnosis made by doctor is eclampsia. Next Management is? | [
"Only Labetalol",
"Only MgSO4",
"MgSO4 + Labetalol",
"Clonidine"
] | C | Eclampsia management: DOC: Magnesium sulphate IM +IV (Pritchard regimen) IV only (Zuspan regime) Pritchard regimen I.M. & I.V. regime This is the most preferred and the 'method of choice' Loading dose-Sta with a loading dose of 14g in which 4g given as intravenous and 10g given as intramuscular Maintenance dose - Maint... | train | med_mcqa | null |
Features of Peutz-Jeghers syndrome are all except? | [
"Autosomal dominant",
"Mucocutaneous pigmentation",
"Hamaomatous polyp",
"High risk of malignacy"
] | D | Ans. is 'd' i.e., High risk of malignacyo Malignancy is rare in harmaomatous polyps of Peutz-Jeghers syndrome.Other three options are correct (see previous explanation). | train | med_mcqa | null |
Onus of proof in civil negligence case lies against doctor lies on | [
"Doctor",
"Magistrate",
"Police",
"Patient"
] | D | ref : narayana reddy | train | med_mcqa | null |
"Michaelis Gutmann" Bodies are seen in: | [
"Malakoplakia",
"Nail Patella syndrome",
"Leukoplakia",
"Pyelonephritis"
] | A | Ans. (a) Malakoplakia | train | med_mcqa | null |
A 72-year-old man is newly diagnosed with bullous pemphigoid. Which of the following is the most appropriate next step in the management? | [
"plasmapheresis",
"low-dose prednisone (10-20 mg/day)",
"high-dose prednisone (50-100 mg/day)",
"azathioprine (150 mg/day)"
] | C | Severe cases require systemic steroids, often with the addition of azathioprine. Dapsone is useful in mild cases, and occasionally in very mild cases (or for local recurrences) topical glucocorticoid therapy will suffice. | train | med_mcqa | null |
Hospital dressing is best disposed off by - | [
"Incineration",
"Dumping",
"Autoclaving",
"Burying"
] | A | Incineration: This is an excellent method for safely destroying material such as contaminated cloth, animal carcasses, and pathological materials. Plastic such as PVC and polyethylene can be dealt with similarly but polystyrene materials emit clouds of dense black smoke and hence should be autoclaved in appropriate con... | train | med_mcqa | null |
Colon cut off sign is seen in | [
"Acute pancreatitis",
"Chronic pancreatitis",
"Pancreatic carcinoma",
"Ulcerative colitis"
] | A | Colon cut off sign - Distension of the colon upto the transverse colon with a paucity of gas distal to splenic flexure - seen in Acute pancreatitis. | train | med_mcqa | null |
The H3 receptor agonist exhibits all of the following actions EXCEPT | [
"Inhibition of H1receptor induced wakefulness",
"Increase in H1 mediated gastrin secretion",
"Inhibition of H1 mediated bronchoconstriction",
"Negative chronotropic effect on atria"
] | B | H3 receptors act as pre-synaptic receptors and decrease the release of histamine and other neurotransmitters. These antagonize H1 mediated wakefulness and bronchoconstriction. These also decrease gastrin release and produce negative chronotropic effect. Inverse agonist of H3 receptor (tiprolisant) is approved for Narco... | train | med_mcqa | null |
Neuroparalytic keratitis is due to which cranial nerve: | [
"3rd nerve",
"5th nerve",
"6th nerve",
"7th nerve"
] | B | Ans. 5th nerve | train | med_mcqa | null |
Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease - | [
"minotransaminase",
"Alkaline phosphatase",
"Bilirubin",
"Albumin"
] | D | null | train | med_mcqa | null |
Kocher Langenbeck approach for emergency acetabular fixation is done in all Except: | [
"Open fracture",
"Progressive sciatic nerve injury",
"Recurrent dislocation inspite of closed reduction and traction",
"Morel-Lavallee lesion"
] | D | D. i.e. Morel Lavalle lesion | train | med_mcqa | null |
A patient with discharge per vagina was evaluated and on endocervical biopsy Chlamydia was found. Treatment to be given in this case is : | [
"Azithromycin and contact tracing",
"Mtronidazole only",
"Doxycycline and metronidazole",
"Azithromycin"
] | A | Ans. is a i.e. Azithromycin and contact tracing Management : Azithromycin + contact tracing is the treatment of choice. In pregnancy drug of choice is erythromycin and second drug of choice is amoxicillin. Paner should also be treated in chlamydial infection. | train | med_mcqa | null |
In a child with suspected diagnosis of epiglottitis, indicate your first line of treatment: | [
"Order an X-ray of soft tissue lateral view neck to establish the diagnosis",
"Take throat swab and blood culture and start intravenous fluids",
"Perform a laryngoscopy",
"Secure an airway by intubation"
] | D | In epiglottitis, the epiglottis and aryepiglottic folds are swollen obstructing the airway. Any attempt to disturb the child such as taking throat swab, blood culture, starting I/V lines may precipitate respiratory obstruction.Treatment is directed to airway establishment. Child is taken to operation room, anaesthetise... | train | med_mcqa | null |
The shelf life of blood with CDPA - | [
"2 weeks",
"3 weeks d",
"5 weeks",
"8 weeks"
] | C | citrate-phosphate-dextrose with adenine (CPDA-1) preservative was developed. The addition of adenine improved the synthesis of adenosine triphosphate (ATP) in the stored blood, which prolonged the storage of blood/red cells at 2-4 degC to 35 days. Ref: Medscape | train | med_mcqa | null |
Membrane proteins are synthesized in - | [
"Free ribosome",
"Bound ribosome",
"Nucleolus",
"Mitochondria"
] | B | Ans. is 'b' i.e.. Bound ribosomeRibosomeso Ribosomes are the actual sites of protein synthesis^. The ribosomes are small granules of RNAs. Ribosomes are usually occur in clusters called polyribosomes attached to one mRNA molecule, an arrangement that increases the rate of polypeptide synthesis. There are two types of p... | train | med_mcqa | null |
Gall bladder adenocarcinoma is only involving lamina propria. What is the preferred treatment | [
"Simple cholecystectomy",
"Radical cholecystectomy",
"Chemotherapy alone",
"Radiotherapy"
] | A | Only invading lamina propria is T1a stage -simple cholecystectomy. | train | med_mcqa | null |
Antihypertensive not used in the management of PIH is: | [
"Hydralazine",
"Propranolol",
"Labetolol",
"Alpha methyldopa"
] | B | Ref. KDT. Page. 145
Anti-hypertensives to be avoided during pregnancy
Diuretics: Tend to reduce blood volume— accentuate uteroplacental perfusion deficit (of toxaemia)—increase risk of foetal wastage, placental infarcts, miscarriage, stillbirth.
ACE inhibitors, AT antagonists: Risk of foetal damage, growth retardatio... | train | med_mcqa | null |
Patient on oral lithium therapy. How many ours prior to surgery we stop lithium- | [
"24 hrs",
"48 hrs",
"72 hrs",
"96 hrs"
] | A | Patient on oral lithium therapy needs to stop taking the medication 24-48 hrs prior to surgery. Lithium may potentiate neuromuscular blocker thus it is stopped prior to surgery. | train | med_mcqa | null |
Pungent volatile anesthetic agents are: | [
"Halthane",
"Isoflurane",
"Sevoflurane",
"Desflurane"
] | B | B i.e. Isoflurane | train | med_mcqa | null |
Sample registration is done | [
"Every 3 months",
"Every 6 months",
"Every 9 months",
"Every 12 months"
] | B | Sample registration system (SRS) SRS is taken once every 6 months It is a dual record data collection system of India Therefore, it is the most accurate data collection system of India | train | med_mcqa | null |
Which of the following is considered an adequate water supply/head/day – | [
"50–150 L",
"150–200 L",
"200–250 L",
"100–150 L"
] | B | null | train | med_mcqa | null |
Ellis curve is seen in - | [
"Pheumothorax",
"Pleural effusion",
"Pheumonia",
"Asthma"
] | B | Ans. is 'b' i.e., Pleural effusion o On chest X-rays, pleural effusion presents as homogenous opacity.o Typically this opacity has a fairly well defined concave upper edge, is higher laterally than medially and obscures the diaphragmatic shadow.Other physical findings in pleural effusion -Inspectiono Diminished movemen... | train | med_mcqa | null |
All of the following are derivatives of tryptophan EXCEPT: | [
"Melatonin",
"Serotonin",
"Niacin",
"Creatinine"
] | D | Ans. (d) Creatinine* Tryptophan is one of the essential aromatic amino acid* Metabolic fate of tryptophan: Metabolized by enzyme Tryptophan oxygenase (pyrrolase)* Derivatives of tryptophan:# Niacin (Nicotinic acid)# Serotonin# Melatonin* Note: Creatinine is synthesized from 3 amino acids namely: Glycine, Arginine. Meth... | train | med_mcqa | null |
Which part of maxillary artery is closely involved in Le Fort 1,2 and 3 injuries? | [
"Mandibular part",
"Pterygoid part",
"Pterygoid palatine part",
"Terminal part"
] | C | null | train | med_mcqa | null |
Metabolic abnormality seen in congenital hyperophic pyloric stenosis is | [
"Hypochloremic hypokalemic metabolic alkalosis",
"Hyperchlonemic hypokalemic metabolic alkalosis",
"Hypochloremic hypokalemic metabolic acidosis",
"Hyperchoremic hypokalemic metabolic acidosis"
] | A | To control alkalosis, kidney secretes excess bicarbonate. Due to hyponatremia, body conserves sodium and so bicarbonate is secreted along with the hydrogen in. Urine becomes acidic and called as paradoxical aciduria Reference: SRB edition: 5th page no:830 | train | med_mcqa | null |
Which of the following statement is TRUE about REM sleep? | [
"Dreams",
"Low muscle tone",
"Slow waves on EEG",
"Decrease in BP"
] | A | Normal sleep involves two states: REM sleep and non-REM sleep. REM sleep is often associated with dreaming. Non-REM sleep is a period of decreased physiologic and psychological activity and is fuher divided into stages 1, 2, 3, and 4 on the basis of visually scored EEG patterns.REM sleep is characterized by high-freque... | train | med_mcqa | null |
The gene that regulates normal morphogenesis during development is : | [
"FMR-1 gene",
"Homeobox gene.",
"P-16",
"FTEN."
] | B | Ans. is 'b' i.e. Homeobox gene Homeobox geneis associated with normal morphogenesis.Their expression results in the production of localized cellular condensation of primitive mesenchyme in the sites of future bones.They play an important role in patterning of limbs, vertebrae and craniofacial structures.Mutations in Ho... | train | med_mcqa | null |
Increased AFP level is seen in: | [
"Down's syndrome",
"Molar pregnancy",
"wrong gestational age",
"Edward's syndrome"
] | C | Increased AFP wrong gestational age open neural tube defects multiple pregnancy Rh isoimmunisation IUFD Anterior abdominal wall defects renal anomalies D.C.DUTTA'S TEXTBOOK OF OBSTETRICS,Pg no:106,7th edition | train | med_mcqa | null |
Which of the following is not a cause of spontaneous CSF leak? | [
"Raised ICP",
"Pseudotumor cerebri",
"Empty sella syndrome",
"Encephalocele"
] | A | Pseudotumor cerebri, Empty sella syndrome and Encephalocele are causes of spontaneous CSF leak leading to intracranial hypotension. Hence raised ICP is contradictory in spontaneous CSF leak. Ref: Progress in Clinical Neurosciences, Volume 24 By Deepu Banerji , Pages 219-224; Chronic Daily Headache for Clinicians By Pet... | train | med_mcqa | null |
What is false about Meckel's diverticulitis? | [
"Present in 3% of the population",
"Presents with periumbilical pain",
"Remnant of proximal part of vitellointestinal duct",
"Lies on the anti-mesenteric border"
] | A | Ans. a. Present in 3% of the population (Ref: Sabiston 19/e p1268-1270; Schwartz 9/e p1002-1004, 1435; Bailey 26/e p1169-1170, 25/e p1158-1159; Shackelford 7/e p695-698)Meckel's diverticulum is present in 2% of the population and not 3%."A Meckel's diverticulum is a persistent remnant of the vitellointestinal duct and ... | train | med_mcqa | null |
Patients at increased risk for gastric carcinoma include all the following EXCEPT | [
"Those who have undergone gastric resection for duodenal ulcer",
"Those with pernicious anemia",
"Those who have andergone gastric bypass for morbid obesity",
"Those with blood group A"
] | C | Patients with pernicious anemia who have atrophic gastritis are at increased risk. Patients with blood group A are also at risk, although this observation has never been explained. Carcinoma may develop in the gastric remnant many years after gastric resection for duodenal ulcer, probably on the basis of bile-induced g... | train | med_mcqa | null |
Traveller&;s diarrhoea is caused by | [
"Shigella",
"E. Coli",
"E. histolytica",
"Giardiasis"
] | B | Enterotoxigenic E. Coli causes traveller&;s diarrhoea. Persons travelling from developed countries visiting endemic areas often suffer from ETEC diarrhoea. Ref: Ananthanarayan and Paniker&;s Textbook of Microbiology, 9th edition; pg no: 279 | train | med_mcqa | null |
Munsen sign is seen in: March 2013 (h) | [
"Corneal dystrophy",
"Perforated corneal ulcer",
"Keratoconus",
"Marfan syndrome"
] | C | Ans. C i.e. Keratoconus Keratoconus Protrusion of central pa of cornea with thinning, Corneal nerves are visible, Associated features: - Munsen's sign, - Fleischer sign | train | med_mcqa | null |
All of the following are features of mumps, except – | [
"Caused by paramyxovirus",
"Aseptic meningitis is a complication in children",
"Orchitis is a complication in adults",
"Incubation period is less than 2 weeks"
] | D | null | train | med_mcqa | null |
Developmental enamel defects are most commonly seen in | [
"Primary incisors",
"Primary 2nd molar",
"Permanent incisors",
"Permanent 1st molar"
] | C | null | train | med_mcqa | null |
What is true of fetal hematopoiesis in the course of pregnancy? | [
"Rise in MCV",
"Rise in reticulocyte count",
"Rise in Hemoglobin content",
"Decrease in blood volume"
] | C | Fetal hematopoiesis: yolk sac - fetal liver - fetal bone marrow. The first fetal erythrocytes are nucleated and macrocytic. MCV is 180 fL and normally decreases to 105 to 115 fL. As the fetus grows, the blood volume in fetoplacental circulation increases. The fetalhemoglobin concentration increases from 12 gm/dL in mid... | train | med_mcqa | null |
Lymphatics of tip of the tongue drain into | [
"Submadibular Lymph Nodes",
"Jugulodigastric Lymph Nodes",
"Submental Lymph Nodes",
"Jugulo - Omohyoid Lymph Nodes"
] | C | null | train | med_mcqa | null |
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