question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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Progesterone peaks on what day of menstrual cycle? | [
"7th day",
"14th day",
"21th days",
"28th day"
] | C | Ans. is 'c' i.e., 21st day o The uterine cycle or menstrual cycle is a repeating series of changes in the structure of the endometrium. The uterine cycle average 28 days in length, but it can range from 21 to 35 days in healthy women of reproductive starts. We can divide the Endometrial cycle into three phases :i) Mens... | train | med_mcqa | null |
white plaque in eye due to vitamin A deficiency: | [
"Pink spot",
"White spot",
"Bitot spot",
"Herald spot"
] | C | null | train | med_mcqa | null |
Potable water is defined as :- | [
"Zero coliforms per 100 ml",
"One coliform per 100 ml",
"10 coliforms per 100 ml",
"100 coliforms per 100 ml"
] | A | - Drinking water, also known as potable water, is water that is safe to drink or to use for food preparation. - 'Potable water' is defined as: zero coliforms in any amount of drinking water. - Bacteriological indicators of water quality in India: Coliforms -Overall best indicator. Fecal streptococci - Indicate recent c... | train | med_mcqa | null |
In a family, the father has widely spaced eyes, increased facial hair and deafness. One of the three children has deafness with similar facial features. The mother is normal. Which one of the following is most likely pattern of inheritance in this case? | [
"Autosomal dominant",
"Autosomal recessive",
"X-linked dominant",
"X-linked recessive"
] | A | A i.e. Autosomal dominant (most likely) Waardenburg's Syndrome (WS) is a rare autosomal dominant syndrome characterized by pigmentary disturbances (skin, hair, iris), sensorineural hearing loss, and other developmental anomalies such as dystopia canthorum (widely spaced eyes) and blepharophimosis. The syndrome that clo... | train | med_mcqa | null |
A 15-year-old boy is bitten by an Ixodes tick while camping with his parents and presents 1 week later with fatigue, fever, headache, and a reddish rash over his trunk and extremities. Positive IgM antibody (1 :200) to Borrelia burgdorferi is associated with which of the following? | [
"Acute Lyme disease",
"Fifth disease",
"Possible hepatitis B infection",
"Possible subacute sclerosing panencephalitis (SSPE)"
] | A | Borrelia burgdorferi, the causative agent of Lyme disease, elicits an acute antibody response. IgM appears within days to a few weeks following tick bite, and IgG appears a few weeks later. IgG persists; IgM does not. Cross-reactions occur with other treponemes. | train | med_mcqa | null |
What is not true about pulled elbow | [
"Occurs due to sudden axial pull on extended elbow",
"Forearm is held in pronation and extension",
"Most commonly occurs between 2-5 yrs of age",
"Treatment is quick pronation and Flexion of elbow"
] | D | Refer Maheshwari 6th /e p 105 Treatment is quick supination (not pronation) and flexion | train | med_mcqa | null |
Anti-Myeloperoxidase P-ANCA is positive in which of the following ? | [
"Ulcerative colitis",
"Autoimmune hepatitis",
"SLE",
"Wegener's granulomatosis"
] | D | ANTINEUTROPHIL CYTOPLASMIC ANTIBODIES (ANCA) ANCA are antibodies directed against ceain proteins in the cytoplasmic granules of neutrophils and monocytes. There are two major categories of ANCA based on different targets for the antibodies. The terminology of cytoplasmic ANCA (cANCA) refers to the diffuse, granular cyt... | train | med_mcqa | null |
The encircled number in the given instrument formula represents 10-(80)-6-12 | [
"Width of the blade",
"Length of the blade",
"Angulation of the blade to the long axis",
"Angulation of the cutting edge of blade to the long axis"
] | D | null | train | med_mcqa | null |
All are components of bile, except - | [
"Bile salts",
"Bile pigment",
"Stercobilinogen",
"Bilirubin"
] | C | Ans. is 'c' i.e., Sterc obi ImogenBile Juice (Bile)o Small amount of bile is continously synthesize in the liver. It is transferred to the gall bladder through the cystic duct, because during the interdigestive period, tone of the sphincter of oddi is so high that the bile cannot enter the duodenum.o About 500 ml of bi... | train | med_mcqa | null |
Mechanism of action of an oral contraceptive containing a combination of oestrogen-progestin is the following except- | [
"Inhibition of ovulation",
"A change in the cervical mucus",
"Inhibition of motility of the uterine tubes",
"All"
] | C | Ans. is 'c' i.e., Inhibition of motility of the uterine tubes Mechanism of action of OCPs 1. Inihibition of gonadotropin release from pitutary by reinforcement of normal feedback inhibition No prevulatory LH surge No ovulation This is the most impoant mechanism. Thickning of cervical mucus secretion (due to progesteron... | train | med_mcqa | null |
A 63 year old male presented with sudden onset of weakness of the face and tongue and dysahria suggestive of a lesion involving coiculonuclear tract. MRI revealed ischaemic stroke of a ceain pa of the internal capsule. Which of the following pas of the internal capsule was most likley affected? | [
"Anterior limb",
"Genu",
"Posterior limb",
"Both genu and posterior limb"
] | B | The coiconulcear fibers pass through the genu of the internal capsule. The coiconuclear tract (previously called coicobulbar tract) innervated the muscles of the face and tongue the facial and hypoglossal nerves. Pas of internal capsule Motor fibers/ Descending fibers Sensory fibers/ Ascending tracts Anterior limb Fron... | train | med_mcqa | null |
Cholemicnephrosis seen in ? | [
"Addison's disease",
"Hemochromatosis",
"Hemochromatosis",
"Obstructive jaundice"
] | D | Ans. is 'd' i.e., Obstructive jaundiceCholemicNephrosis 'Jaundice related Neuhropathyl Cholemicnephrosis is used to describe the renal failure in patients with obstructive jaundice, paicularly after renal transplantation.Diagnosis is made on light microscopy by presence of typical bilirubin casts.Altered hemodynamics a... | train | med_mcqa | null |
Km changes and Vmax remains the same. What is the type of enzyme inhibition? | [
"Competitive inhibition",
"Non-competitive inhibition",
"Uncompetitive inhibition",
"Suicide inhibition"
] | A | Ans. A. Competitive inhibitionCompetitive inhibition --Km increases and Vmax remains the same.Noncompetitive inhibition --Km remains the same and Vmax decreasesUncompetitive inhibition -- Both Km and Vmax decreases. | train | med_mcqa | null |
Worst prognosis of associated with which of the following lung cancer? | [
"Small cell carcinoma",
"Adenocarcinoma",
"Squamous cell carcinoma",
"Oat cell carcinoma"
] | A | Ans. is 'a' i.e. Small cell carcinoma * Small cell carcinomas are the most aggressive of lung tumors, metastasize widely and are virtually incurable by surgical means. | train | med_mcqa | null |
Maintenance fluid for a child weighing 10 kg – | [
"1500 ml/day",
"1000ml/day",
"750ml/day",
"500ml/day"
] | B | Up to 10 kg, the requirement is 100 ml/kg/day.
So, Maintenance fluid for a 10 kg child is 1000 ml/kg/day. | train | med_mcqa | null |
Virus that affect lymphoid tissue - | [
"Adenovirus",
"Herpes virus",
"CMV",
"HIV"
] | D | HIV virus also called lymphadenopathy associated virus REF:ANANTHANARAYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO. 570 | train | med_mcqa | null |
Father has a blood group B ; Mother has AB ; Children are not likely to have the following blood group: | [
"O",
"A",
"B",
"AB"
] | A | Answer is A (Blood group O) : There is just no way that children might have blood group 0. The answer is obvious so please excuse me on in explanation to this one. | train | med_mcqa | null |
False about Factitious thyrotoxicosis? | [
"Seen in nurses",
"Features of thyrotoxicosis",
"Radionuclide uptake is high",
"All are true"
] | C | In factitious illnesses, the patient consciously and voluntarily produces physical symptoms of illness. Diagnosis of Graves' disease is straightforward in a patient with biochemically confirmed thyrotoxicosis, diffuse goiter on palpation, ophthalmopathy, and often a personal or family history of autoimmune disorders. F... | train | med_mcqa | null |
The BEST indication of a difficult intubation in morbid obesity: | [
"Mallampatti Score",
"Neck circumference",
"Limited neck movement",
"Body weight"
] | B | Factors looked at included: "height, weight, neck circumference, width of mouth opening, sternomental distance, thyromental distance and Mallampati score" * "Logistic regression identified neck circumference as the best single predictor of problematic intubation.In patients with a large neck, the view during direct lar... | train | med_mcqa | null |
Donovan bodies are: | [
"Leukocytes that contain the organism, Calymmatobacterium granulomatis",
"EosinophiLs that contain the organism, Calymmatobacterium granulomatis",
"Monocytes that contain the organism, Haemophilus influenza",
"Monocytes that contain the organism, Calymmatobacterium granulomatis"
] | D | Monocytes that contain the organism, Calymmatobacterium granulomatis | train | med_mcqa | null |
Most common ovarian tumor | [
"Serous cystadenoma",
"Choriocarcinoma",
"Teratoma",
"Fibroma"
] | A | Ans. (a) Serous cystadenoma(Ref: Robbins 9th/pg 1023)*Most ovarian tumors are surface epithelial (65-70%)*Serous cystadenoma is the most common surface epithelial tumor | train | med_mcqa | null |
Which of the following is the MOST impoant factor in the prevention of the endophthalmitis due to cataract surgery? | [
"Preoperative preparation with povidone iodine",
"One week antibiotic therapy prior to surgery",
"Trimming of eyelashes",
"Use of intravitreal antibiotics"
] | A | Clinical studies have proven that use of 5% povidone iodine cream to clean conjunctiva and eyelids before cataract surgery has significant benefits in reducing the rate of endophthalmitis. Therefore it should be applied to eyes before surgery to reduce the incidence of endophthalmitis. Studies have shown some efficacy ... | train | med_mcqa | null |
Sexually active male comes with complaints of recurrent ulcers over the glans which heals with hyperpigmentation, probable diagnosis is – | [
"Aphathous ulcer",
"Fixed drug eruption",
"Herpes genitalis",
"Chlamydial infection"
] | B | Information provided in this question are not complete with any of the given options.
Anyways, we have to choose one answer.
Informations in this question are :-
Sexually active male
Ulcers on genitalia
Recurrent lesion
Healing with hyperpigmentation
After reading sexually active male in the question, first thing u... | train | med_mcqa | null |
Bronchospasm is not caused by | [
"Regurgitation",
"Aspiration",
"Intubation",
"Halothane"
] | D | D i.e. Halothane | train | med_mcqa | null |
Collection of information from the representative units in the sample is known as: | [
"Census",
"Sampling",
"Counting",
"All of the above"
] | B | Census is the collection of information from all individuals in a population.
Sampling is the process or technique of selecting a sample of appropriate characteristics and adequate size.
Advantages of sampling
It reduces the cost of the investigation, the time required and the number of personnel involved.
It allows a... | train | med_mcqa | null |
Innervation of lower one third of vaginal is ? | [
"Pudendal nerve",
"Pelvic splanchnic nerve",
"Lumbar splanchnic nerve",
"Hypogastric nerve"
] | A | The lower one-third of the vagina is pain sensitive and is supplied by the pudendal nerve through the inferior rectal and posterior labial branches of the perineal nerve. The upper two-thirds of the vagina are pain insensitive and are supplied by sympathetic L7, L2 and parasympathetic segments 52 to 54. Nerves are deri... | train | med_mcqa | null |
Fluctuating recurring variable sensorineural deafness is seen in: | [
"Serous otitis media",
"Hemotympanum",
"Perilymphatic fistula",
"Cholesteatoma"
] | C | (c) Perilymphatic fistula(Ref. Scott Brown, 8th ed., Vol 2; 1085)Serous otitis media can lead to Fluctuating conductive deafness.In hemotympanum and Cholesteatoma the hearing loss is mainly conductive and not fluctuating. | train | med_mcqa | null |
Acalculus cholecystitis caused by:a) DMb) TPNc) Leptospirosisd) Estrogen therapy | [
"abc",
"bc",
"acd",
"bcd"
] | A | null | train | med_mcqa | null |
Engagement of foetal head is with reference to : | [
"Biparietal diameter",
"Bitemporal diameter",
"Occipito frontal diameter",
"Suboccipito frontal diameter"
] | A | Biparietal diameter | train | med_mcqa | null |
All of the following are true about vagina except | [
"Direction of vagina is parallel to plane of brim of true pelvis.",
"Posterior wall is 11.5 cm and anterior wall is 9 cm long",
"Vaginal mucosa is lined by keratinized squamous epithelium",
"No glands open into vagina"
] | C | Vaginal mucosa is lined by non-keratinized squamous epithelium. | train | med_mcqa | null |
The risk of fetal varicella syndrome is maximum when the mother is infected between ________ | [
"6 to 10 weeks",
"8 to 12 weeks",
"13 to 20 weeks",
"20 to 28 weeks"
] | C | The highest risk of fetal varicella syndrome is when the mother develops varicella between 13 to 20 weeks. It occurs in 2% of fetuses of mothers infected at this time. Congenital infections, paicularly after 20 weeks, are uncommon. However, if the fetus or neonate is exposed to active infection judt before or during de... | train | med_mcqa | null |
Which of the following structures is fixed first during reimplantation of an amputated digit: | [
"Bone",
"Aery",
"Vein",
"Nerve"
] | A | Bone is the first structure to be fixed during reimplantation of an amputated digit. Ref: Trauma, by Charles M. Cou Brown, Margaret M, Page 483. | train | med_mcqa | null |
In gastric outlet obstruction in a peptic ulcer patient, the site of obstruction is most likely to be - | [
"Antrum",
"Duodenum",
"Pylorus",
"Pyloric canal"
] | B | "The term 'pyloric stenosis' is a misnomer. The stenosis is seldom at the pylorus. Commonly, when the condition is due to underlying peptic ulcer disease, the stenosis is found in the first pa of the duodenum, the most common site for a peptic ulcer." Also, know There are 2 common causes of gastric outlet obstruction p... | train | med_mcqa | null |
Huhle cell carcinoma is a subtype of: | [
"Papillary carcinoma",
"Follicular carcinoma",
"Medullary thyroid carcinoma",
"None of the above"
] | B | Huhle cell carcinomas account for approximately 3% of all thyroid malignancies and, under the World Health Organization classification, are considered to be a subtype of follicular thyroid cancer. Ref: Schwaz's principle of surgery 9th edition, chapter 38. | train | med_mcqa | null |
Maternal mortality rate the denominator is: | [
"1000 live births '",
"100 live births",
"1000 total births",
"100 total births"
] | A | Explanation:
The denominator 1000 live births is the best choice. Strictly speaking Maternal mortality ratio:
Number of maternal deaths during a given time period per 100,000 live births during same time period.
In many countries reporting and recording of live birth is more complete than that of total births. Hence li... | train | med_mcqa | null |
In familial Mediterranean fever, the gene encoding the following protein undergoes mutation: | [
"Pyrin",
"Perforin",
"Atrial natriuretic factor",
"Immunoglobulin light chain"
] | A | The familial Mediterranean fever gene encodes a 781-amino acid, 95 kDa protein, denoted pyrin (or marenostrin) that is expressed in granulocytes, eosinophils, monocytes, dendritic cells, and synol and peritoneal fibroblasts. Must know: ANP (Atrial Natriuretic peptide) is a 28-amino-acid peptide synthesized and released... | train | med_mcqa | null |
Mechanism of action of propylthiouracilin hypehyroidism is: | [
"Inhibition of organification of iodine",
"Inhibition of oxidation of iodine",
"Inhibition of coupling of two DIT residues",
"All of the above"
] | D | (Ref: KDT 6/e p248) Propylthiouracil, carbimazole and methimazole act by inhibiting the enzyme, thyroid peroxidase. It catalyses: Oxidation of iodine Organification Coupling | train | med_mcqa | null |
All are malignant tumors except - | [
"Chloroma",
"Fibromatosis",
"Askins tumor",
"Liposarcoma"
] | B | Fibromatosis are a group of fibroblastic proliferations having tendency to infiltrate. They are locally aggressive but do not metastasize. Basic Pathology, Robbins. Page no.: 793 | train | med_mcqa | null |
IL-2 activates Th 1 /CD 4 through | [
"NK cells",
"Th cells",
"T memory cells",
"All the above"
] | D | (D) All the above | train | med_mcqa | null |
A pt. developed resp. distress and hypoxemia after central venous catheterization through int. jugular vein, reason for this is - | [
"Pneumothorax",
"Hypovolemia",
"Septicemia",
"Cardiac tamponade"
] | A | Ans is 'a' ie. Pneumothorax Sabiston writes ? "Central venous cannulation is indicated for monitoring of central venous pressure, chronic intravenous therapy such as hyperalimentation, inseion of transvenous electrodes, and obtaining venous access in pts. with difficult peripheral venous access. The internal jugular an... | train | med_mcqa | null |
Microscopically epimyoepithelial islands are typically seen in | [
"Sjogren's syndrome",
"Mucoepidermoid carcinoma",
"Epithelial-myoepithelial carcinoma",
"Myoepithelioma"
] | A | null | train | med_mcqa | null |
Which of the following produces bile stained eggs? | [
"Ancylostoma duodenale",
"Ascaris",
"Enterobius vermicularis",
"Necator americans"
] | B | Ans. is 'b' i.e., Ascaris Eggs of HelminthsNon-bile stainedBile stainedAnkylostoma duodenaleHymenolepsis nonaEnterobius vermicularisNector AmericansMnemonic: "A HEN"Trichuris trichuraAscaris lumbricoidesTaenia saginataTaenia soliumMnemonic : "TATT" | train | med_mcqa | null |
One of the following is not repoed to be a clinical manifestation of Zinc deficiency in childre- | [
"Dwarfism and hypogonadism",
"Liver and spleen enlargement",
"Impaired cell-mediated immunity",
"Macrocytic anemia"
] | D | Zinc deficiency resits in growth failure,sexual infantilism loss of taste,delayed wound healing,liver diseases,pernicious anaemia,thalassemia and myocardial infarctionREF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-577. | train | med_mcqa | null |
Which of the following opioid analgesic acts primarily through K opioid receptors? | [
"Pentazocine",
"Methadone",
"Buprenorphine",
"Pethidine"
] | A | (Ref: KDT 6/e p464, 465) Pentazocine can cause dysphoric reactions (hallucinations) by stimulating the K receptors. | train | med_mcqa | null |
Drug of choice for infection by Gardnerella vaginatis is | [
"Ampicillin",
"Metronidazole",
"Vancomycin",
"Cephalosporin"
] | B | Ans is 'b' ie Metronidazole (Ref. Harrisons, 16/e, p 767 (15/e, p 843))Gardnerella vaginalis causes Bacterial vaginosis*.Bacterial vaginosis can be differentiated from other vaginitis and diagnosed by Amsel criteria :White homogenous vaginal discharge*Vaginal discharges pH > 4.5*Liberation of distinct fishy odour* on m... | train | med_mcqa | null |
8 year old boy has itchy rash all over the body, all family members are affected. What is the drug of choice- | [
"Ivermectin",
"Topic permethrin",
"Prednisolone",
"Antibiotics"
] | B | Ans. is 'b' i.e., Topic permethrin This boy is having scabies. Topical permethrin is the DOC for scabies Treatment of scabies Scabicide Method of use Topical Permethrin (5%) - Drug of choice Single aplication of 12 hour. Gamma benzen hexachloride BHC 1% Single application for a hour Benzyl-Bezoate (25%) Three applicati... | train | med_mcqa | null |
Drug of choice for prophylaxis of mania is: | [
"Lithium",
"Haloperidol",
"Clozapine",
"Carbamazepine"
] | A | null | train | med_mcqa | null |
Which branch of subclan aery contributes to scapular anastomosis | [
"Veebral aery",
"Internal thoracic aery",
"Thyrocervical trunk",
"Dorsal scapular aery"
] | C | Anastomosis around scapula occurs in 3 fossae, subscapular, supraspinous and infraspinatus. It is formed by : Suprascapular aery, a branch of the thyrocervical trunk Deep branch of the transverse cervical aery, another branch of thyrocervical trunk. Circumflex scapular aery, a branch of the subscapular aery which arise... | train | med_mcqa | null |
Consider the following statements - Venacaval opening of the diaphragm situated at the level of T8 transmit | [
"Oesophagus",
"Vagus nerve",
"Branches of the right phrenic nerve",
"Thoracic duct"
] | C | vena cava opening transmits the inferior vena cava, branches of right phrenic nerve, lymphatics of liverB D CHAURASIA&;S HUMAN ANATOMY LOWER LIMB ABDOMEN AND PELVIS VOLUME -2, SIXTH EDITION Page no-333 | train | med_mcqa | null |
Neurofibromatosis type 2 is associated with: | [
"B/L acoustic neuroma",
"Cafe-au-lait spots",
"Chromosome 22",
"All"
] | D | B/L acoustic neuromas are a hallmark of Neurofibromatosis 2 Neurofibromatosis Type 2 is an autosomal dominant highly penetrant condition Gene for NF-2 is located on chromosome 22q. Patients with NF2 present in second and third decade of life, rarely after the age of 60. M/C symptom/Presenting symptom = Hearing loss Ski... | train | med_mcqa | null |
A 45 year old male patient presented in the casualty with two hours history of sudden onset of severe headache associated with nausea and vomiting on clinical examination the patient had necks stiffness and right sided ptosis. Rest of the neurological examination was normal. What is the clinical diagnosis : | [
"Hypeensive brain haemorrhage",
"Migraine",
"Aneurysmal subarachnoid haemorrhage",
"Aeriovenous malformation haemorrhage"
] | C | Answer is C (Aneurysmal subarachnoid hemorrhage): The patient is presenting with classical features of a subarachnoid haemorrhage from rupture saccular (Berry) aneurysms. 'Sucklen headache in the absence offocal neurological deficit is the hallmark (?1 aneurysmal rupture'. (--) Neck ytilinesy & vounitin ore common asso... | train | med_mcqa | null |
Which of the following vaccines has maximum efficacy after a single dose – | [
"Tetanus toxoid",
"DPT",
"Measles",
"Typhoid"
] | C | null | train | med_mcqa | null |
Homer's syndrome is associated with: March 2010, March 2013 | [
"Bronchiectasis",
"Apical lung carcinoma",
"Chronic bronchitis",
"Bronchial asthma"
] | B | Ans. B: Apical lung carcinoma | train | med_mcqa | null |
A 50 year old man presents to the clinic with multiple abcesses and discharging sinus present on his left foot. X-ray of the foot shows destructive changes in the underlying bone. Which of the following is the most likely causative organism? | [
"Nocardia",
"Sporothrix schenkii",
"Histoplasmosis",
"Cryptospordiosis"
] | A | Patient in this question is most likely suffering from Actinomycotic mycetoma caused by Nocardia and Actinomadura species. Disease begins as a papule or a nodule and slowly progress into multiple abcesses and sinus tracts ramifying deep into the tissue. Trimethoprim sulfamethoxazole or dapsone are effective in the trea... | train | med_mcqa | null |
Systemic infection is caused by all fungi except - | [
"Cryptococcus",
"Histoplasma",
"Dermatophytes",
"Paracoccidioides"
] | C | Ans. is 'c' i.e., Dermatophytes Fungus infectionso Human fungus infections are broadly of two types :SuperficialDeep seated (systemic)o A third type of fungal infection is opportunistic infection, caused mainly by fungi that are normally avirulent.MucorPenicilliumAspergillus | train | med_mcqa | null |
Neutropenia after chemotherapy is treated by? | [
"Leucovorin",
"Filgrastim",
"Ondansetron",
"Darbepoetin"
] | B | Ref: Goodman & Gillman 13th ed. P 756* Filgrastim is G-CSF (Granulocyte Colony Stimulating Factor)* The principal action of filgrastim is the stimulation of CFU-G to increase neutrophil production* Forms of G-CSF are now available, including two longer- acting pegylated forms, pegfilgrastim and lipegfilgrastim.* Use:# ... | train | med_mcqa | null |
The best method to show the association between height and weight of children in a class is by- | [
"Bar cha",
"Line diagram",
"Scatter diagram",
"Histogram"
] | C | - scatter maps show the relationship between two variables - if dots cluster round a straight line, it shows evidence of relationship of a linear nature. If there is no such cluster, it is probable that there is no relationship between the variables. Reference : Park's textbook of preventive and social medicine, 23rd e... | train | med_mcqa | null |
All are ingredients of professional misconduct except | [
"Association",
"Adultery",
"Advising",
"Adveising"
] | C | Ingredients of professional misconduct Adveising Association Adultery Aboion Alcohol Addiction Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 376 | train | med_mcqa | null |
Autoimmune hemolytic anemia is seen in | [
"Sickle cell anemia",
"Chronic lymphocytic leukemia (CLL)",
"Acute myelocytic leukemia (AML)",
"Multiple myeloma"
] | B | Answer is B (Chronic lymphatic leukemia) Leukemias especially of the CLL type are associated with Autoimmune hemolytic anemia - Harrison Hemolvsis due to Antibodies: Warm-Antibody immunohemolytic anemia Cold-Antibody immunohemolytic Anemia 1. 2. 3. 4. 5. 6. Idiopathic Lymphomas: Chronic lymphocytic leukemia, non-Hodgki... | train | med_mcqa | null |
Most common parotid gland tumour is | [
"Pleomorphic adenoma",
"Monomorphic adenoma",
"Primary lymphoma",
"Adeno carcinoma"
] | A | (A) Pleomorphic adenoma # Parotid tumours> Most common is pleomorphic adenoma (80-90%)> Low-grade malignant tumours cannot be distinguished from benign neoplasms> High-grade tumours grow rapidly are usually painful and often have lymph node involvement of presentation> CT and MRI are useful> Fine-needle aspiration is b... | train | med_mcqa | null |
In a neonate with asymptomatic hypoglycemia immediate Rx should include which of the following? | [
"100 mg/kg 10% Dextrose",
"2 ml/kg 10% Dextrose",
"2 ml/kg 25% Dextrose",
"4 ml/kg 25% Dextrose"
] | B | Ans. B 2 ml/kg 10% Dextrose (Ref. OP Ghai 7th/pg. 155, Reference : ) Neonatal Hypoglycemia: # A blood glucose value of < 40 mg/dL (plasma glucose < 45 mg/dL). # Hypoglycemia in first 18-36 hrs is usually due to transient neonatal hypoglycemia and after 36 hrs metabolic and other causes are likely. # Persistent/recurren... | train | med_mcqa | null |
Henoch - Schonlein purpura may rarely cause | [
"Intussusception",
"Volvulus",
"Hernia",
"None of the above"
] | A | null | train | med_mcqa | null |
Sho acting glucocoicoid is? | [
"Fludrocoisones",
"Dexamethasone",
"Hydrocoisone",
"Aldostrone"
] | C | Ans. is 'c' i.e., Hydrocoisone o Sho acting glucocoicoids (t1/2 : 8-12 hrs.) : Coisol, hydrocoisone. o Intermediate acting glucocoicoids (t1/2 : 12-36 hrs.) : Prednisolone, methylprednisolone, triamcinolone. o Long acting glucocoicoids (t1/2 : 36-54 hrs.) : Dexamethasone betamethasone. | train | med_mcqa | null |
The population frequency for phenylketonuria is 1 in 10,000. What is the carrier frequency for the disease? | [
"Jan-50",
"1/100",
"1/500",
"1/1000"
] | A | a. 1/50(Ref: Nelson's 20/e p 598)It is based on Hardy Weinberg principle: Simplifying it,Carrier frequency for an autosomal recessive disorder = twice the square root of disease incidenceSo 2 X square root of 1/10,000 gives 1/50 as the answer. | train | med_mcqa | null |
A young boy gets hit by ball on the left side of his head and falls unconscious. He regained consciousness and refuses first aid. After few minutes, he began acting confused. By this time, an ambulance arrives and takes him to nearest government hospital. On examination, left pupil is dilated. NCCT head is done with fo... | [
"C",
"A",
"B",
"NONE"
] | C | Subfalcine herniation Transtentorial herniation Tonsillar herniation Subfalcine (cingulate) herniation : occurs when unilateral or asymmetric cerebral hemisphere expansion displaces the cingulate gyrus under the falx. Transtentorial (uncinate, mesial temporal) herniation: occurs when the medial temporal lobe is compres... | train | med_mcqa | null |
The following statements are true regarding Clostridium perfringens except | [
"It is the commonest cause of gas gangrene",
"It is normally present in human faeces",
"The principal toxin of Clostridium perfringens is the alpha toxin",
"Gas gangrene producing strains of Clostridium Perfringes produce heat resistant spores"
] | D | Spores are usually destroyed within five minutes by boiling but those of the food poisoning strains of type A and ceain type C strains resist boiling for 1-3 hours. Autoclaving at 121 deg for 15 min is lethal. Spores are resistant to the antiseptics and disinfectants in common use. C.perfringens is the predominant agen... | train | med_mcqa | null |
A child presents with palpable abdominal mass, hypertension sweating and diarrhea, What is the most probable diagnosis? | [
"Neuroblastoma",
"Nephroblastoma",
"Polycystic Kidney disease",
"None of the above"
] | A | Neuroblastoma :
They produce Catecholamines that cause hypertension increased sweating, release of vasoactive intestinal peptide causing secretory diarrhea. | train | med_mcqa | null |
BRCA 1 gene is located on | [
"11q",
"13q",
"17q",
"19q"
] | C | BRCA1 (on chromosome 17q21) and BRCA2 (on chromosome 13q12.3) are both large genes, and hundreds of different mutations distributed throughout their coding regions have been associated with familial breast cancers.Ref: Robbins; 9th edition; Chapter 23; The Breast; Page no: 1054 | train | med_mcqa | null |
Best space maintainer is: | [
"Active space maintainer",
"Passive space maintainer",
"Band and loop",
"Pulpotomised primary tooth"
] | D | null | train | med_mcqa | null |
All of the following are risk factors for the development of urinary tract infection during pregnancy, EXCEPT: | [
"Diabetes",
"Hypeension",
"Sickle cell anemia",
"Vesicoureteral reflux"
] | B | Urinary tract infection is one of the most common medical complications occurring in pregnancy. Majority of infections is confined to the lower urinary tract and is classified as asymptomatic bacteriuria. Risk factors for bacteriuria in pregnancy includes socioeconomic status, sickle cell disease, abnormalities of urin... | train | med_mcqa | null |
Oedipus complex develops in which phase? | [
"Oral",
"Anal",
"Genital",
"Phallic"
] | D | Ans. is 'd' i.e., Phallic PhasePsychiatric disorders resulting from fixation of regression to this phase* Oral phase (Birth 1 Vx year)* Alcohol dependence or drug dependence* Severe mood disorder* Dependent personality traits and disorders* Schizophrenia* Ana! phase* Obsessive compulsive traits* Obsessive compulsive di... | train | med_mcqa | null |
Drug of choice in Neonatal ITP is - | [
"Platelet transfusion",
"Prednisolone",
"Dexamethasone",
"Gammaglobulin"
] | D | Ans. is 'd' i.e., Gammaglobulin Treatment of neonatal ITP o Prenatal administration of coicosteroids to mother. o IV immunoglobulin or sometime coicosteroids to the infant after delivery. Treatment of ITP in children IV immunoglobulin is the treatment of choice. Glucocoicoids are often used in combination. | train | med_mcqa | null |
The common causative agent in diarrhea in AIDS patients is | [
"Toplasma",
"Cryptosporidium",
"Salmonellae",
"Mycobac teria"
] | B | characteristic intestinal pathogen in AIDS is cryptosporidium REF:ANANTHANARAYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.576 | train | med_mcqa | null |
Which of the following is required in the synthesis of acetylcholine - | [
"Inositol",
"Carnitine",
"Glycine",
"Choline"
] | D | Ans. is 'd' i.e., Choline o Acetylcholine is synthesized in the cytosol of nerve terminal from acetyl-CoA and choline, in the presence of choline-O-acetyltransferase.Acetyl CoA + Cholinecholine-O-acetyltransferase---------------------Acetylcholine + CoA | train | med_mcqa | null |
Which of the following displacement is not seen in Colic's fracture? | [
"Radial tilt",
"Volar tilt",
"Dorsal displacement",
"Supination"
] | B | Ans. b. Volar tilt (Ref: Apley 9/e p773; Rockwood 6/e p910-943: Campbell's 10/e p3058-3068: Maheshwari 3/e p 95-96)Volar tilt is not seen in Colic's fracture.Displacements of Colle's Fracture:It results in dinner fork / silver fork / spoon shaped deformity (With six displacements; Mnemonic-'DILS')* Dorsal displacementQ... | train | med_mcqa | null |
All are mechanisms of IUCDs except: | [
"Chronic endometrial inflammation",
"Increase the motility of tubes",
"Inducing endometrial atrophy",
"Inhibition of ovulation in >80% of the users"
] | D | Mechanism of Action: Several mechanisms are responsible for the contraceptive effect of an IUCD. The presence of a foreign body in the uterine cavity renders the migration of spermatozoa difficult. A foreign body within the uterus provokes uterine contractility through prostaglandin release and increases the tubal peri... | train | med_mcqa | null |
The leukotriene receptor antagonist used in bronchial asthma is: | [
"Zafirleukast",
"Zileuton",
"Ketotifen",
"Omalizumab"
] | A | Among the options given only Zafirleukast is leukotriene receptor antagonist. Zileuton is a 5-Lipoxygenase inhibitor, Ketotifen is an antihistaminic (H1) and Omalizumab is a recombinant humanized monoclonal anti-IgE antibody. Ref: Bronchial Asthma: A Guide for Practical Understanding and Treatment, Springer, 2011, Page... | train | med_mcqa | null |
Tensor tympani is supplied by: | [
"Anterior pa of V nerve",
"Posterior pa of V nerve",
"IX nerve",
"VII nerve."
] | A | The tensor tympani muscle is derived from 1" arch is hence supplied by the nerve of 1" arch i.e. anterior branch of mandibular nerve. | train | med_mcqa | null |
The triad of shaken baby syndrome constitutes of? | [
"Subdural hemorrhage, retinol hemorrhage, and encephalopathy",
"Retinal hemorrhage, vitreous hemorrhage and hyphema",
"Subarachnoid hemorrhage, vitreous hemorrhage and intracranial hemorrhage",
"Subdural, subarachnoid and intracerebral hemorrhage"
] | A | Shaking a baby or young child creates abrupt acceleration-deceleration forces as the baby's head--large in propoion to the neck and body--snaps back and foh. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy. | train | med_mcqa | null |
Drug of choice for CML: | [
"Imatinib",
"Cisplatin",
"Methotrexate",
"Tamoxifen"
] | A | Ans. A. ImatinibImatinib is drug of choice of chronic myeloid leukemia. Cisplatin is given for ovarian cancer. Methotrexate is given for testicular cancer or carcinoma cervix. Tamoxifen is given for breast cancer. | train | med_mcqa | null |
Metabolic changes in burns include all except | [
"Metabolic acidosis",
"Positive nitrogen balance",
"Hypermetabolic rate",
"Electrolyte imbalance"
] | B | Burns is characterized by negative nitrogen balance. | train | med_mcqa | null |
Notochord forms which part in postnatal life - | [
"Smooth muscles",
"Anterior longitudinal ligament",
"Nucleosus pulposus",
"Eustachian tube"
] | C | Ans. is 'c' i.e., Nucleosus pulposus o After development of verteral bodies, the notochord degenerates and disappears but persists as the nucleus pulposus of intervertebral disc. | train | med_mcqa | null |
In treatment of papillary carcinoma thyroid, radioiodine destroys the neoplastic cells predominantly by | [
"X-rays",
"Beta rays",
"Gamma rays",
"Alpha particles"
] | B | RADIOACTIVE IODINE (I131) THERAPY:
I131 is an effective agent for delivering high radiation doses to the thyroid tissue
It emits mainly beta radiation (90%), which penetrates only 0.5 mm of the tissue and thus allow therapeutic effects on the thyroid without any damage to the surrounding structures, particularly the p... | train | med_mcqa | null |
All of the following structures are normally palpable upon vaginal examination Except the: | [
"Uterine tubes",
"Ovary",
"Rectouterine pouch",
"Sacral promontory"
] | D | Normally, the sacral promontory is too distant to be palpable on vaginal examination. If the sacral promontory is palpable, this indicates that the conjugate diameter of the pelvis is smaller than normal, and a normal vaginal delivery may not be possible. The ischial spines are palpable. This landmark is used for admin... | train | med_mcqa | null |
Two variables can be plotted together in - | [
"Pie cha",
"Histogram",
"Frequency polygon",
"Scatter diagram"
] | D | - scatter maps show the relationship between two variables - if dots cluster round a straight line, it shows evidence of relationship of a linear nature. If there is no such cluster, it is probable that there is no relationship between the variables. Reference : Park's textbook of preventive and social medicine, 23rd e... | train | med_mcqa | null |
All of the following drugs are useful for long-term treatment of congestive heart failure except: | [
"Digoxin",
"Ramipril",
"Dobutamine",
"Spironolactone"
] | C | Dobutamine is indicated only for the acute treatment of decompensated CHF. Cardiac glycosides (digoxin) can be used for acute treatment as well as maintenance therapy of CHF. ACE inhibitors and spironolactone are indicated only for chronic CHF. | train | med_mcqa | null |
Which of the following amino acid can be synthesised from a glycolytic intermediate in human body? | [
"Aspaate",
"Glutamate",
"Histidine",
"Serine"
] | D | Serine is a dietary non-essential amino acid since it can be synthesised from the glycolytic intermediate 3-phosphoglycerate. Oxidation of 3-phosphoglycerate by a dehydrogenase, conves it to 3-phosphohydroxypyruvate. Transamination and subsequent dephosphorylation then form serine. | train | med_mcqa | null |
A 4-year-old girl is brought to the pediatrician's office. Her father reports that she suddenly became pale and stopped running while he had been playfully chasing her and her pet Chihuahua. After 30 minutes, she was no longer pale and wanted to resume the game. She has never had a previous episode and has never been c... | [
"Paroxysmal ventricular tachycardia",
"Paroxysmal supraventricular tachycardia",
"Wolff-Parkinson-White syndrome",
"Stokes-Adams pattern"
] | C | The child described in the question has no cyanosis or murmur, no cardiac or pulmonary vascular abnormalities by chest x-ray, and no evidence of structural anomalies by echocardiogram, and therefore is unlikely to have an underlying gross anatomic defect. The ECG pattern in the figure shows the configuration of preexci... | train | med_mcqa | null |
True about tubercular otitis media are all except | [
"Spreads through Eustachian tube",
"Causes painless ear discharge",
"May cause multiple perforations",
"Usually affects both ears"
] | D | Tubercular otitis media In most of the cases, infection is secondary to pulmonary tuberculosis; infection reaches the middle ear through the eustachian tube. Perforation: Multiple perforations, 2 or 3 in number, are seen in pars tensa and form a classical sign of disease. These may coalesce into a single large perforat... | train | med_mcqa | null |
Botulin acts by: | [
"Secretion of Ach",
"1Synthesis of Ach",
"Inhibits Ach release",
"Muscle nerve block"
] | C | Inhibits Ach release | train | med_mcqa | null |
The most appropriate method for collecting urine for culture in case of vesicovaginal fistula is: | [
"Suprapubic needle aspiration",
"Midstream clean catch",
"Foley's catheterisation",
"Sterile speculum"
] | C | "Urine culture is mandatory before surgery and infection should be treated. The urine is collected by Catheterization."
In VVF
"Preoperative collection is best to be done through ureteric catheterization." So friends undoubtedly ureteric catheterization. (Don't get confused - it is not Foley's catheterization) is the ... | train | med_mcqa | null |
Metal on metal aiculation should be avoided in: | [
"Osteonecrosis",
"Young female",
"Inflammatory ahritis",
"Revision surgery"
] | B | Metal on metal aiculation should be avoided in: Young females of child bearing age, as metal ions may cross the placenta and damage the fetus. Renal insufficiency- as kidneys are responsible for eliminating metal ions from the blood. Metal hypersensitivity | train | med_mcqa | null |
Pale lemon yellow colour of urine is due to all except? | [
"urochrome",
"urobilin",
"Uroerythrin",
"Urobilinogen"
] | C | Pale lemon yellow colour of the urine is due to Urochrome Urobilin Uroerythrin UROERYTHRIN - is a red, brown color pigment, that is a derivative of urochrome. Itdoes not give yellow color to urine Ref : page no 574 Textbook of physiology Volume 17th edition AKJain | train | med_mcqa | null |
Mycosis fungoides is? - | [
"T cell lymphoma",
"B cell lymphoma",
"Mixed",
"Plasma cell tumour"
] | A | Mycosis fungoides is a slowly evolving cutaneous T cell lymphoma occuring in middle aged adult males. The condition is often preceded by eczema or dermatitis for several years. This is followed by infilteration by CD4+T cells in the epidermis and dermis as a plaque. Reference ; HARSH MOHAN TEXTBOOK OF PATHOLOGY, 7TH ED... | train | med_mcqa | null |
Virus that spreads by neural route is: | [
"Rabies virus",
"Polio virus",
"Adeno virus",
"Enterovirus"
] | A | Option 1: Rabies: The virus may enter the peripheral nervous system directly at the site of bite. In some cases, however, it may replicate in muscle tissue after entering the host. The virus infects the sensory neurons and moves rapidly by axonal transpo centripetally to the central nervous system (CNS) for replication... | train | med_mcqa | null |
Oral screens are used for all the following purposes EXCEPT: | [
"Tongue thrusting",
"Mouth breathing",
"Lip biting",
"Retraction of upper protruded teeth"
] | A | null | train | med_mcqa | null |
Raised MCV in pregnancy can be due to: | [
"Megaloblastic anemia",
"Alcohol use",
"Hypothyroidism",
"All of the above"
] | D | Ans. is d, i.e. All of the aboveRef. High Risk Pregnancy, Fernando Arias 4/e, p 236, 237The first indication of megaloblastic anemia in pregnancy is usually an elevated red cell MCV. This finding is also seen alcohol or azathioprine use, hypothyroidism and in normal pregnancy.Imp. Points:Diagnostic feature of megalobla... | train | med_mcqa | null |
All of the following are true about Alcoholic hallucinosis except | [
"Seen after 12 - 24 hours of alcohol cessation",
"Auditory hallucinations are commonly seen",
"Disturbance of consciousness is present",
"All are true"
] | C | Disturbance of consciousness like irrelevant talking is seen in Delirium tremens, not alcoholic hallucinosis. | train | med_mcqa | null |
Which of these is irritating for skin so not used as disinfectant for skin preperarions | [
"Chlorhexidine",
"Hypochlorite",
"Alcohol",
"Cyclopropane"
] | B | Sodium hypochlorite is corrosive & irritative to skin can cause chemical burns if applied to skin directly; so not used as skin disinfectant.
Sodium hypochlorite it is a powerful disinfectant used for dairy.
It is unstable and too irritating to be used as antiseptic, except for RCT in dentistry.
In high concentration, ... | train | med_mcqa | null |
The CT chest of patient shows? | [
"Ground glass pattern",
"Honeycomb pattern",
"Crazy pavement pattern",
"Normal Scan"
] | A | CT Chest with the Hazy appearance of increased attenuation with ground glass appearance and with preserved bronchial and vascular markings. This pattern suggests Interstitial Lung Disease. UsualInterstitial Pneumonitis. Honeycomb pattern is seen on HRCT. A/w Traction bronchiectasis Ground-glass opacities Crazy pavement... | train | med_mcqa | null |
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