question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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The test is done to diagnose syphilis in a newborn if the mother is syphilitic is | [
"Syphilis Capita M test",
"Detection of IgG",
"ZN staining",
"Fluorescent antigen test"
] | A | Diagnosis of congenital syphilisIt involves Dark ground Microscopy and VDRL.As IgM does not cross the placenta, its presence in neonatal serum confirms congenital syphilis and helps to differentiate it from seropositivity due to passively transferred maternal antibodies. The tests to detect IgM are-FTA-ABS (19S IgM FTA... | train | med_mcqa | null |
The intra - abdominal pressure laparoscopy should be set between : | [
"5-8 mm of Hg",
"10 - 15 mm of Hg",
"20 - 25 mm of Hg",
"30 - 35 mm of Hg"
] | B | 10 - 15 mm of Hg | train | med_mcqa | null |
Deep transverse arrest is most commonly seen in: | [
"Android pelvis",
"Gynaecoid pelvis",
"Flat pelvis",
"Anthropoid pelvis"
] | A | Android pelvis | train | med_mcqa | null |
A 10-year-old child presents with history of chronic sinusitis and multiple nasal polypi. He also suffers from recurrent chest infections and malabsorption syndrome. Which one of the following tests would be useful for diagnosis? | [
"Total IgE estimation",
"ESR",
"Level of angiotensin converting enzyme",
"Sweat chloride"
] | D | Presence of chronic sinusitis, multiple nasal polypi and malabsorption point towards cystic fibrosis and therefore sweat chloride test would be useful. | train | med_mcqa | null |
Maternal moility rate is: | [
"Maternal death/100 bihs",
"Maternal death/100 live bihs",
"Maternal death/1000 bihs",
"None"
] | D | Ans. is 'None' | train | med_mcqa | null |
Most common bladder cancer - | [
"SCC",
"Transitional cell carcinoma",
"Sarcoma",
"Lymphoma"
] | B | Ans. is 'b' i.e.. Transitional cell carcinoma Bladder Carcinomao Bladder cancer accounts for approximately 7% of cancers and 3% of cancer mortality in the United States,o About 95% of bladder tumors are of epithelial origin, the remainder being mesenchymal tumors.o Most epithelial tumors are urothelial (transitional ce... | train | med_mcqa | null |
A patient with h/o right ear discharge undergoes mastoidectomy but now he presents with vertigo and deafness. Diagnosis is: | [
"Labyrinthitis",
"Thrombophlebitis",
"Temporal lobe abscess",
"Mastoiditis"
] | A | (a) Labyrinthitis(Ref. Cummings, 6th ed., 2169)Following mastoidectomy deafness along with vertigo is suggestive of labyrinthitis. | train | med_mcqa | null |
An 8-year-old boy presents with headaches, dizziness, and malaise. He was seen for a severe sore throat 2 weeks ago. Physical examination reveals facial edema. The blood pressure is 180/110 mm Hg. A 24-hour urine collection demonstrates oliguria, and urinalysis shows hematuria. Which of the following best describes thi... | [
"Hereditary nephritis",
"Membranous glomerulonephritis",
"Minimal change nephritic syndrome",
"Postinfectious glomerulonephritis"
] | D | This case is illustrative of nephritic syndrome in the setting of poststreptococcal glomerulonephritis. Nephritic syndrome is characterized by hematuria (either microscopic or visible grossly), variable degrees of proteinuria, and decreased glomerular filtratio. It results in elevations of serum blood urea nitrogen and... | train | med_mcqa | null |
Treatment of digoxin over dose includes administration of all of the following except : | [
"Potassium",
"Lignocaine",
"Phenyton",
"Hemodialysis"
] | D | Answer is D (Hemodialysis) Hemodialysis has no role in treatment of digoxin overdose. Management of digitalis overdose includes: Withdrawl of drug e Potassiume: administer cautiously and by oral route whenever possible if hypokalemia is present. Potassium must not be employed in the presence of A-V block or hyperkalemi... | train | med_mcqa | null |
X–ray detect congenital anorectal malformation at – | [
"Immediately after birth",
"24–48 hours",
"48–72 hours",
"After 72 hours"
] | B | An X-ray film of the abdomen is obtained 12-24 hours after birth, with baby being kept in an inverted position. | train | med_mcqa | null |
5-year-old child presents with Raised, firm, flesh colored nodules. On histopathological examination, following is seen. Diagnosis? | [
"Myrmecia",
"Molluscum contagiosum",
"Herpes zoster",
"Herpes simplex"
] | B | Ans. (b) Molluscum ContagiosumMolluscum bodies are present (large cells with cytoplasmic, faintly granular eosinophilic inclusions that displace nuclei and contain viral particles) marked with arrow. | train | med_mcqa | null |
The mean value of APDI in normal occlusion is: | [
"78.4 ± 3.79",
"81.4 ± 13.79",
"89.3 ± 4.79",
"91.2 ± 3.27"
] | B | null | train | med_mcqa | null |
Notochord develops into? | [
"Annulus fibrosus",
"Dorsal root ganglia",
"Nucleus pulposus",
"Veebral body"
] | C | As the embryo enlarges,the notochord elongates considerably and lies in the midline,in the position to be later occupied by the veebral column. However ,the notochord doesn't give rise to the veebral column.most of it disappears,but pas of it persists in the region of each interveebral disc as the nucleus pulposes HUMA... | train | med_mcqa | null |
Ketamine is contraindicated in | [
"Ischemic hea disease",
"Bronchial asthma",
"Shock",
"Tetrology of Fallot"
] | A | Ketamine is agent of choice in Acute shock Bronchial asthma Induction in cyanotic hea disease. Contraindications: Raised intracranial pressure Vascular aneurysm surgery Schizophrenia Hypehyroidism Ischemic hea disease Open globe injury- as ketamine raises intraocular pressure | train | med_mcqa | null |
Fixed post mitotic cells are: | [
"Spermatocytes",
"Fibroblasts",
"Endothelial cells",
"Muscle"
] | D | null | train | med_mcqa | null |
The labiodental sounds are | [
"f,v,ph",
"s,z,c",
"f,z,s",
"f,v,z"
] | A | null | train | med_mcqa | null |
Which of the following should be the line of management in a pregnant female with controlled diabetes? | [
"Even controlled diabetes in pregnancy does not disappear on its own and needs extensive treatment even after delivery",
"Pregnant females with controlled diabetes are more likely to deliver child by normal vaginal delivery without any complication.",
"In all females with gestational diabetes, blood sugar level... | B | Ans. b (Pregnant females with controlled diabetes are more likely to deliver child by normal vaginal delivery without any complication). (Ref. Dutta, Obstertics, 6th ed., p 284)DIABETES IN PREGNANCY# Gestational diabetes usually begins in the second half of pregnancy, and goes away after the baby is bom.Effects on the ... | train | med_mcqa | null |
All the following are Derivatives of Dorsal mesogastrium except | [
"Greater Omentum",
"Falciform Ligament",
"Gastrophrenic Ligament",
"Gastrosplenic Ligament"
] | B | The derivatives of Dorsal mesogastrium are:(1) The greater or caudal pa of the dorsal mesogastrium becomes greatly elongated and forms the greater omentum.(2) The spleen develops in relation to the cranial pa of the dorsal mesogastrium and divides it into dorsal and ventral pas. The ventral pa forms the gastrosplenic l... | train | med_mcqa | null |
The 'String of beads or sausage appearance' of the renal aery is due to: | [
"Fibromuscular hyperplasia",
"Subadventitial fibroplasia",
"Medial fibroplasia with aneurysm",
"Outercoat fibroplasia with aneurysm"
] | C | In medial fibroplasia, there is a characteristic 'string of sausages' appearance produced by stenotic segments where the media is replaced by collagen, with intervening aneurysms at the site of medial weakening. Medial fibroplasia typically involves the distal two-thirds of the renal aery and may also affect segmental ... | train | med_mcqa | null |
Which of the following agent is associated with maximum histamine release? | [
"d-Tubocurarine",
"Cisatracurium",
"Pancronium",
"Rocuronium"
] | A | Ans. is 'a' i.e., d-Tubocurarine Important facts about MRs* Longest acting Neuromuscular blocker - Pancuronium (duration of action 120-180 minutes). (Goodman & Gilman 11th/e p. 222) (Note: In some books pipecuronium or Doxacurium have given as the longer activity).* Shortest and fastest acting neuromuscular blocker - S... | train | med_mcqa | null |
Edward Jenner died in - | [
"1749",
"1775",
"1823",
"1920"
] | C | Ans. is 'c' i.e., 1823 o Edward Jenner was born on 17 may 1749 and died on 26 January 1823. o Edward Jenner discovered samll pox vaccine in 1796, which was the first ever vaccine to be discovered. o Edward Jenner also coined the term 'vaccine'. | train | med_mcqa | null |
Sarcomere is present between | [
"2 successive z lines",
"2 m lines",
"Both",
"None"
] | A | Sarcomere is functional unit of the muscle It is present between 2 successive z lines Ref:Guyton and Hall textbook of medical physiology 12th edition,page number: 86,87, | train | med_mcqa | null |
A permanent staining of teeth may be produced in infants due to the administration of following in pregnancy | [
"Tetracyclines",
"Chloramphenicol",
"Erythromycin",
"Amoxycillin"
] | A | (A) Tetracyclines # Tetracyclines are contraindicated in children > 8 years of age because of mottling of the permanent teeth; doxycycline may be less likely than the other tetracyclines to cause this problem.> Worsening of renal function in patients with preexisting renal dysfunction has been reported with use of tetr... | train | med_mcqa | null |
Which of the 5HT1 agonist drug act as anxiolytic agent | [
"Diazepam",
"Zolpedem",
"Cinnarizine",
"Buspirone"
] | D | 5HT1a Receptor Agonist Buspirone - For Anxiety (Note: Bupropion is antidepressant which is used as antismoking drug) 5HT 1B/1D Receptor agonist Triptans Sumatriptan Naratriptan - Triptans are drug of choice for acute severe migraine. 5HT2 Receptor Antagonist - 5 HT2A/2C antagonist are used as anti-psychotics like: cloz... | train | med_mcqa | null |
Valproic acid causes all except: | [
"It is an enzyme inducer",
"It causes obesity",
"It causes hepatotoxicity",
"It causes neural tube defects"
] | A | null | train | med_mcqa | null |
All are used against anaerobic streptococci except | [
"Penicillin",
"Carbenicillin",
"Clindamycin",
"Vancomycin"
] | B | Penicillin, clindamycin and metronidazole are the most active drugs against anaerobes. Carbenicillin is a bactericidal antibiotic belonging to the carboxypenicillin subgroup of the penicillins.It has Gram-negative coverage which includes Pseudomonas aeruginosa but limited Gram-positive coverage. Streptococci are Gram-p... | train | med_mcqa | null |
Halstead Reitan battery involves all except: | [
"Finger oscillation",
"Constructional praxis",
"Rhytm",
"Tactual performance"
] | B | Constructional praxis is not a pa of Halstead reitan battery. Extra edge Neuropsychological Tests Used in Psychiatry Halstead-Reitan battery Brain lesion localization and effects Luria-Nebraska neuropsychological battery Cerebral dominanceTypes of brain dysfunction, such as dyslexia Bender Visual Motor Gestalt Visual a... | train | med_mcqa | null |
Cornification index or eosinophilic index in the diagnosis of atrophic vaginitis indicates: | [
"Progesterone effect",
"Estrogenic effect",
"Effect of LH",
"All of the above"
] | B | The degree of maturation of exfoliated vaginal epithelial cells, as revealed by stained vaginal smears, is an index of estrogenic activity. Among the various methods of assessing the smears, the following are most commonly used: the maturation index consists of a differential count of 3 types of squamous cells--parabas... | train | med_mcqa | null |
Type of pneumonia in P. jirovecei - | [
"Lobar pneumonia",
"Interstitial pneumonia",
"Bronchopneumonia",
"Any of the above"
] | B | Ans. is 'b' i.e., Interstitial pneumonia o Pneumocystis is an opportunistic fungal pulmonary pathogen.o Most common site of involvement is lung (pneumonia). Classical finding is bilateral diffuse infiltrates beginning in perihilar region. Upper lobe infiltrates may develop after aerosolized pentamidine therapy. There m... | train | med_mcqa | null |
Most common retained foreign body intraocularly - | [
"Airgun pellets",
"Iron",
"Glass",
"Chisel and hammer"
] | B | The foreign bodies most likely to penetrate and be retained in the eye are minute chips of iron or steel (accounting for 90% all foreign bodies in industry). | train | med_mcqa | null |
Ramkumar a 70 year old hypertensive male was admitted in the intensive care unit with transmural anterolateral myocardial infraction. His condition was stable till fifth day of admission, when he developed a pericardial friction rub and pleuritic chest pain which persisted despite narcotic and steroid therapy. On the s... | [
"Severe acute mitral regurgitation.",
"Ventricular septal rupture.",
"Right ventricular infarction.",
"External cardiac rupture."
] | D | Ans. is 'd' i.e. external cardiac rupture Typical symptome of sudden decrease in B.P. and electromechanical disassociation seen in the first week of M.I., confirms the diagnosis of External cardiac rupture.Other features which also point towards the diagnosis of external cardiac rupture are -Old age of the patientH/O h... | train | med_mcqa | null |
Antibiotic that achieves high concentration in Hard tissue, because of its molecular size is | [
"Ceftum",
"Ciprofloxacin",
"Clindamycin",
"Erythromycin"
] | C | null | train | med_mcqa | null |
Geeta is preoccupied about her ear size and repeatedly looks into the mirror. She is possibly suffering from? | [
"Obsessive compulsive disorder",
"Dysmorphophobia",
"Normal behaviour",
"Hypochondriacal delusion"
] | B | Body Dysmorphic Disorder (Dysmorphophobia or BDD) Preoccupation with an imagined or exaggerated body defect Multiple dermatologist or plastic surgeon consultations Secondary depressive state and obsessive personality disorder are common comorbid conditions If the preoccupation reaches delusional level, it is called Del... | train | med_mcqa | null |
Central dot sign is seen in- | [
"Caroli's disease",
"Primary sclerosing cholangitis",
"Polycystic liver disease",
"Liver hamartoma"
] | A | Ans. is 'a' i.e., Caroli's diseaseCentral Dot sign* Central dot sign refers to tiny dots with strong contrast enhancement of portal vein within dilated hepatic bile ducts on CT.* Central dot sign is seen in: -i) Caroli's disease (me. cause)ii) Obstructive jaundiceiii) Prebiliary cystiv) Periportal lymphedema | train | med_mcqa | null |
Mode of inheritance of ichthyosis Vulgaris is: | [
"Autosomal dominant",
"Autosomal recessive",
"X-linked",
"Codominant gene"
] | A | Ichthyosis Vulgaris: Autosomal dominant Filaggrin synthesis is defective. At bih, skin may appear normal Skin gradually becomes dry, rough and scaly, with most signs and symptoms appearing by the age of 5 The scale is white or grey, small, flaky or branny, and semi-adherent with turned-up edges Most pronounced on the e... | train | med_mcqa | null |
The daily production of CSF is | [
"550 ml",
"1000 ml",
"50 ml",
"100 ml"
] | A | (A) 550 ml# Cerebrospinal fluid (CSF)> Total volume of CSF is 150 mis.> Daily production is 550 mls/day so the CSF turns over about 3 to 4 times per day.> CSF is formed by the choroid plexus (50%) and directly from the walls of the ventricles (50%).> CSF flows through the foramens of Magendie & Luschka into the subarac... | train | med_mcqa | null |
A 32-year-old female is admitted to the emergency department with dyspnea, dysphagia, hoarseness, and severe anxiety. Her medical history reveals that she has lived on a liquid diet for some months and has lost more than 30 lb. Over the past several weeks, she has had bloody sputum during attacks of coughing. Fluorosco... | [
"Right recurrent laryngeal nerve",
"Left vagus nerve, posterior to the hilum of the lung",
"Left recurrent laryngeal nerve",
"Greater thoracic splanchnic nerve"
] | C | The left recurrent laryngeal nerve passes superiorly in the tracheoesophageal groove after looping around the aorta. The compression of this nerve and compression of the esophagus against the trachea would result in the presenting symptoms. The right recurrent laryngeal nerve loops around the right subclavian artery be... | train | med_mcqa | null |
Material of choice for sealing fresh 2mm perforation is: | [
"MTA.",
"Calcium hydroxide.",
"Iodoform",
"ZOE."
] | A | null | train | med_mcqa | null |
EXIT procedure is used in all, EXCEPT: | [
"Cystic hygroma",
"Teratoma",
"Congenital tracheal stenosis",
"Hyperophic pyloric stenosis"
] | D | The ex utero intrapaum therapy (EXIT) procedure is used in circumstances in which airway obstruction is predicted at the time of delivery due to the presence of a large neck mass, such as a cystic hygroma or teratoma, or to congenital tracheal stenosis. Ref: Schwaz's principle of surgery 9th edition, chapter 39. | train | med_mcqa | null |
Angular conjunctivitis is caused by: | [
"Moraxella",
"Virus",
"Bacteroides",
"Fungus"
] | A | A i.e. Moraxella Angular or diplobacillary conjunctivitis is caused by Moraxella lacunate or axenfeld Q (mostly) or staphylococci Q and presents with hyperemia of bulbar conjunctiva & lid margins near the angles (i.e. outer & inner canthi) with foamy mucopurulent discharge. It is treated with oxytetracycline Q or zinc ... | train | med_mcqa | null |
Plaque Jaunes seen in? | [
"Testicular injury",
"Old healed coical contusion",
"Spleenic contusion",
"Liver contusion"
] | B | Ans. is 'b' i.e., Old healed coical contusion Old or remote cerebral contusions are associated with resorption of the injured tissue, resulting in various degrees of cavitation, in addition to the presence of a golden-yellow discoloration due to residual hemosiderin. These remote cerebral contusions are often referred ... | train | med_mcqa | null |
What is the percent of total energy ratio supplied by fish protein (PE % Kcal) - | [
"20",
"40",
"60",
"80"
] | D | Ref: Park 25th edition Pgno : 666 | train | med_mcqa | null |
All are the contraindications for vaginal birth after previous caesarean except: | [
"Previous classical uterine incision",
"Previous lower segment transverse caesarean",
"Presence of inverted 'T' shaped uterine incision",
"Where facilities for emergency caesareans are not available"
] | B | Previous 2 LSCs and not a single one is a C/I for VBAC. | train | med_mcqa | null |
Not a premalignant lesion of oral cavity | [
"Erythroplakia",
"Syderophonic dysphagia",
"Ranula",
"Submucous fibrosis"
] | C | null | train | med_mcqa | null |
Triage is – | [
"Treating the most serious cases",
"Categorisation of the patients and treating them according to the available resource",
"Cautery burns",
"Treating mentally ill patients"
] | B | Triage
When the quantity and severity of injuries overwhelm the operative capacity of health facilities, a different approach to medical treatment must be adopted.
The usual principle of first come, first treated", is not followed in mass emergencies.
Triage consists of rapidly classifying the injured and the likelih... | train | med_mcqa | null |
The serum concentration of which of the following human Ig is maximum: | [
"IgG",
"IgA",
"IgM",
"IgD"
] | A | IgG | train | med_mcqa | null |
Coicosteroid of choice in Acute Adrenal Insufficiency is: | [
"Fludrocoisone",
"Hydrocoisone",
"Dexamethasone",
"Prednisolone"
] | B | Hydrocoisone | train | med_mcqa | null |
Best site for measuring skin fold thickness | [
"Subscapular region",
"Mid triceps",
"Abdominal region",
"Mid thighs"
] | B | null | train | med_mcqa | null |
Which of the following RNA has abnormal purine bases: | [
"tRNA",
"mRNA",
"rRNA",
"16S RNA"
] | A | t RNA has unusual bases such as Dihydrouracil (DHU), pseudouridine, hypoxanthine. Ref: Textbook of Biochemistry By DM Vasudevan, 3rd Edition, Pages 355-6 ; Lippincott Biochemistry, Pages 379, 344 | train | med_mcqa | null |
Lead pipe appearance is seen in | [
"Chron's disease",
"Ulcerative colitis",
"Schistosomiasis",
"Carcinoma colon"
] | B | B i.e. Ulcerative colitis | train | med_mcqa | null |
Clinical features of CRF/uraemia appear when renal function is reduced to - | [
"70%",
"50%",
"30%",
"20%"
] | C | Ans- C. Appear at stage 3 Prominent at Stage 5 | train | med_mcqa | null |
A 32-year-old woman who had not received the usual pediatric vaccinations developed fever, headache, malaise, and ear pain accompanied by swelling of the parotid glands. One week later, her fever subsided but she developed pelvic pain and tenderness. With which virus was she infected? | [
"Cytomegalovirus",
"Mumps virus",
"Rabies virus",
"Respiratory syncytial virus"
] | B | The vignette describes an adult woman with mumps virus (Rubulavirus) (b) infection, or mumps, who develops oophoritis, a complication that occurs in postpubertal females. Cytomegalovirus (a), rabies virus (c), respiratory syncytial virus (d), and rubella virus (e) do not cause this clinical picture. | train | med_mcqa | null |
Punett square is used to - | [
"Predict genotype of offspring",
"Statistical analysis",
"Test a hypothesis",
"Track family history and inheritance"
] | A | Ans. is 'a' i.e. Predict genotype of offspring Punnets Square o The Pun nett square is a diagram that is used to predict an outcome of a paicular cross or breeding experiment. o The Punnett square helps to predict possible genotypes in an offspring by aligning possible female gametes with possible male gametes in an or... | train | med_mcqa | null |
Emergency contraceptives are effective if administered within following period after unprotected intercourse: | [
"24 hours",
"48 hours",
"72 hours",
"120 hours"
] | D | Ans. is d, i.e. 120 hoursRef: Shaw 15th/ed, p237; Current Concepts in Contraception and Women Death, pl05, Leon Speroff8th/ed, p1042The standard recommendation is to start emergency contraceptive not later than 72 hours. The greatest protection is offered, if it is taken within 12 hours, as postponing the dose by 12 ho... | train | med_mcqa | null |
All of the statements regarding Wilm's tumor are true EXCEPT: | [
"Presents after 5 years of age",
"Hematuria is the presenting symptom",
"Presents as abdominal mass",
"Most commonly metastasize to lung"
] | A | WILM'S TUMOR: *Also known as nephroblastoma *Most tumors are sporadic, but familial predisposition may be autosomal dominant. It most commonly occur in children between 2 and 5 years of age. *Wilms tumor gene (WT 1 on ch 11), p53, CTNNB1 encoding beta catenin Presentation *Asymptomatic abdominal mass (m.c) *Abdominal p... | train | med_mcqa | null |
Best time to screen in Breast self examination (BSE) technique is | [
"1 week before the menstruation",
"During ovulation",
"2-3 days post-ovulation",
"1 week after the menstruation"
] | D | null | train | med_mcqa | null |
In the ECG shown below which drug is not to be given? | [
"Amiodarone",
"Adenosine",
"Diltiazem",
"Beta-blocker"
] | B | ECG shows is atrial fibrillation. Drug Use Amiodarone Amiodarone is used to prevent recurrent AF unresponsive to beta-blockers. Adenosine Adenosine can conve relatively stable atrial flutter with 2:1 conduction and a hea rate of 150 to 1:1 conduction with a hea rate of 300 and cause rapid clinical decompensation. Becau... | train | med_mcqa | null |
C-C beta chemokine includes: | [
"IL-8",
"Eotaxin",
"Lymphotactin",
"Fractalkine"
] | B | . Eotaxin | train | med_mcqa | null |
In Emergency contraception which progesterone is used | [
"Norethisterone",
"Medroxyprogesterone",
"Desogestrel",
"Levonorgestrol"
] | D | In India, levonorgestrel 0.75 mg tablet is approved for emergency contraception It is used as one tablet of 0.75 mg within 72 hours of unprotected sex and the second tablet after 12 hours of first dose Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 501 | train | med_mcqa | null |
Ingestion of arsenic causes : | [
"Hepatic carcinoma",
"Hepatic adenoma",
"Non cirrhotic poal fibrosis",
"Hepatic cirrhosis"
] | C | Answer is C (Non cirrhotic poal fibrosis) "Chronic ingestion of Arsenic has been incriminated in causation of NCPF. High Hepatic arsenic levels in patients with NCPF have been repoed" - API 7th/ 621 The precise etiology of NCPF remains an enigma. The implicated chemical agents include: Arsenic Copper Vinyl chloride Ars... | train | med_mcqa | null |
Vagal stimulation in hea decreases hea rate by | [
"Decrease in action potential spike",
"Decrease in slope of prepotential",
"Increase in repolarisation",
"Decrease in conduction"
] | B | null | train | med_mcqa | null |
Chromosomal translocation seen in CML is? | [
"2:08",
"8:14",
"9:22",
"15:17"
] | C | In more than 90% of CML cases , BCR-ABL is created by a reciprocal (9;22) (q34;q11) translocation , the so called Philadelphia chromosome is seen. Ref: Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1.page no. 617 | train | med_mcqa | null |
Microscopic feature of seminoma include all of the following except ? | [
"Gland formation",
"Lymphocytic infiltration",
"Monomorphic cells",
"Destruction of seminiferous tubules"
] | A | Ans. is 'a' i.e., Gland formationMicroscopic features of Seminomao Sheets of uniform (monomorphic) cells , i.e., seminoma cells ,Sheets are divided into poorly demarcated lobules by delicate septa of fibrous tissue.Septa is infiltrated with T- lymphocytes.Some times prominent granulomaSeminoma cell has following featur... | train | med_mcqa | null |
Raghu ram, a 32 years old biker sustained injury over his left hip joint. X-ray revealed a posterior dislocation of the right hip joint. The clinical attitude of the affected lower limb will be: | [
"External rotation, extension & abduction",
"Internal rotation, flexion & adduction",
"Internal rotation, extension & abduction",
"External rotation, flexion & abduction"
] | B | Hip Dislocation: Anterior dislocation of hip Posterior dislocation of hip(M/C type) - FABER (flexion, abduction, external rotation) - FADIR(flexion, adduction, internal rotation) - Hip (femoral head) is lower than the joint in femoral area - Hip (Femoral head) is at the level of the joint - Limb-Lengthening - Shoening | train | med_mcqa | null |
For elimination, neonatal tetanus should be (per 1000 live births) - | [
"<0.1",
"I",
"10",
"> 10"
] | A | Ans. is 'a' i.e., < 0.1 o Districts are being classified into three categories, depending on neonatal tetanus incidence rate, immunization coverage in pregnant women, and proportion of clean deliveries by trained personnel.1. Neonatal tetanus high risk : -* NT incidence rate > 1/1000 live birthsor* TT2 coverage < 70%or... | train | med_mcqa | null |
Which investigation is most diagnostic of pulmonary emboli? | [
"CTPA",
"V/P scan",
"HRCT",
"D- Dimer Assay"
] | A | Computed Tomography Pulmonary Angiography (CTPA) is the initial imaging modality of choice for stable patients with a suspected pulmonary embolism. Pulmonary angiography shows emboli directly but it is an invasive procedure CT is noninvasive, cheaper and widely available. so, it's the most diagnostic investigation of c... | train | med_mcqa | null |
Toynbee's muscle is - | [
"Stapedius",
"Tensor tympani",
"Scalenus minimus",
"Levator ani"
] | B | B i.e. Tensor tympani | train | med_mcqa | null |
Mechanism of action of 2-4 Dinitrophenol is? | [
"Inhibition of electron transfer",
"Inhibition of ATP synthase",
"Uncoupling of phosphorylation from electron transfer",
"Inhibition of ATP-ADP exchange"
] | C | ANSWER: (C) Uncoupling of phosphorylation from electron transferREF: Harper 27th ed ch: 13, Lehninger s Principles of Biochemistry 4th Ed page 707Indirect Repeat Biochemistry 2012 Session 2See Biochemistry 2013 Session 2 for details of Respiratory Poisons, Inhibitors & Uncouplers | train | med_mcqa | null |
Alpha-wave in EEG is seen in | [
"Sleep",
"REM sleep",
"Awake state",
"Mental work"
] | C | Stages of sleep and rhythm
- Beta rhythm- Alert, awake, maximum concentration.
- Alpha rhythm- Eyes closed, mind wandering, less attentiveness
- Theta rhythm- Stage 1 NREM
- Sleep spindles, K complex- Stage 2 NREM
- Delta rhythm- Deep sleep (Stage 3 & 4 NREM)
- Beta Rhythm and ... | train | med_mcqa | null |
A dead body was found to have wounds all over the body. Antemoem and postmoem wounds could be differentiated by all of the following findings, EXCEPT: | [
"Eveed margins",
"Blood clots in surrounding tissue",
"Swollen edges",
"Sharp edges"
] | D | Difference between ante-moem and post-moem wounds: Trait Ante-moem wounds Post-moem wounds Edges: Swollen, eveed, retracted, and wound gapes Edges do not gap, but are closely approximated Haemorrhage: Abundant and usually aerial Slight or more and venous Spuing: Signs of spuing of aerial blood on the body, clothing or ... | train | med_mcqa | null |
Long bone fracture fixation done with -a) Intramedullary nailb) Compression platec) External fixationd) Screwe) Tension band wiring | [
"abc",
"bc",
"acd",
"bcd"
] | A | There are so many options in fracture management and it is useless to explain them here. I am giving only brief description.
Management of fracture
The principles in fracture management are : -
1)Reduction
In displaced fractures, fracture site is reduced to proper alignment first.
Reduction may be : -
A) Closed ... | train | med_mcqa | null |
Parathyroid hormone is responsible for all actions except: | [
"Absorption of phosphorous increase",
"Vit D absorption increases",
"Mobilizes calcium from bone",
"Increase intestinal absorption of calcium"
] | A | A i.e. Absorption of phosphorus increaseParathyroid hormone increases phosphate excretion in urine due to decrease in reabsorption of phosphate in the proximal tubulesQ. | train | med_mcqa | null |
Cardiomyopathy may be seen in all except- | [
"Duchenne muscular dystrophy",
"Friedreich's ataxia",
"Type II glycogen storage",
"Alkaptonuria"
] | D | Etiological classification of cardiomyopathy:
A. Primary myocardial involvement
Idiopathic (D, R, H)
Familial (D, R, H)
Eosinophilic endomyocardial disease (R)
Endomyocardial fibrosis (R)
B) Secondary myocardial involvement | train | med_mcqa | null |
The drug imatinib acts by the inhibition of : | [
"Tyrosine kinase",
"Glutathione reductase",
"Thymidylate synthetase",
"Protein kinase"
] | A | null | train | med_mcqa | null |
All are alkylating agents, except aEUR' | [
"5-FU",
"Melphalan",
"Cyclophosphamide",
"Chlorambucil"
] | A | 5 Fluorouracil Repeat from May 10 Q no.68 | train | med_mcqa | null |
Drug used in the management of mood stabilizer used ihe management of | [
"lithium",
"carbamezepine",
"lamotrigine",
"valproate"
] | A | Lamotrigine is a mood stabilizer which works best in BIPOLAR DEPRESSION Lithium is a mood stabilizer which works best in BIPOLAR MANIA valproate is a mood stabilizer which works best in RAPID CYCLING Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 935 | train | med_mcqa | null |
The best diagnostic test for recent hepatitis B is: | [
"HBsAg",
"IgM anti-HBcAg",
"Anti-HBe",
"Anti-HBs"
] | B | Ans. (b) IgM anti-HBcAg Remember7 Best marker for diagnosing acute hepatitis B is IgM anti-HBc as it is found only in acute phase of hepatitis B (In chronic hepatitis IgG anti-HBc is found). First marker after acute hepatitis B infection is HBsAg but as it can be found in chronic infection too so, it is not reliable of... | train | med_mcqa | null |
Nef gene in HIV is for use - | [
"Enhancing the expression of genes",
"Enhancing viral replication",
"Decreasing viral replication",
"Maturation"
] | C | Nef gene: Down regulates viral replication | train | med_mcqa | null |
TRUE/FALSE regarding blood supply of facial nerve is/are? 1. Ascending Pharyngeal aery 2. Greater palatine aery 3. Middle meningeal aery 4. Labyrinthine branch of ethmoidal aery 5. Stylomastoid branch of occipital aery | [
"1,2,3 true & 4,5 false",
"1, 2 false & 3,4,5 true",
"2,4 false & 1,3,5 true",
"All true"
] | C | Blood supply of facial nerve: Aerial supply: In Canal: 1. Superficial petrosal (branch of middle meningeal aery) 2. Stylomastoid (branch of posterior auricular or occipital aery) Extracranially: 1. Stylomastoid (branch of posterior auricular or occipital aery) 2. Superficial temporal, transverse facial and tympanic (br... | train | med_mcqa | null |
Coronary blood flow regulated by | [
"Sympathetic adrenergic system",
"Sympathetic cholinergic system",
"Local muscle action and reflexes",
"Parasympathetic system"
] | C | Ans. is 'c' i.e., Local muscle action and reflexesRegulation of coronary blood flow mainly occurs by chemical regulation through autoregulation.Regulation of coronary blood flowRegulation of coronary flow occurs by two mechanisms : ?1) Chemical regulation (Autoregulation)Regulation of coronary blood flow occurs through... | train | med_mcqa | null |
Two students from a university dormitory building have contracted meningitis due to Neisseria meningitides. Which of the following students in the dormitory are most likely to benefit from chemoprophylaxis? | [
"everybody in the dormitory, with oral amoxicillin",
"close contacts only, with oral amoxicillin",
"everybody in the dormitory, with oral rifampin",
"close contacts only, with oral rifampin"
] | D | Although only close contacts need chemo-prophylaxis, it is sometimes given more widely than recommended because of community concern. Meningococcal vaccine is effective against serotype A and C, and will prevent late secondary infection in close contacts. Ciprofloxacin or ofloxacin are alternatives to rifampin. | train | med_mcqa | null |
All the following can be used to predict severe acute pancreatitis except ? | [
"Glassgow score . 3",
"APACHE II score 9",
"CT severity score .. 6",
"C - reactive protein < 100"
] | D | Ans. is 'd' i.e., C - reactive protein < 100 On account of difference in the outcome between patients with mild and severe disease, it is impoant to define that group of patients who will develop severe pancreatitis. Criterias used to determine the severity of acute pancreatitis. | train | med_mcqa | null |
The higher the Hg alloy ratio in dental amalgam: | [
"Higher the strength",
"Lower the creep value",
"More matrix material formed",
"More gamma I phase formed"
] | C | null | train | med_mcqa | null |
A pt with an Hb of 6, WBC count of 2000, has a normal Different count except for having 6% blasts; platelets are reduced to 80,000; moderate splenomegaly is present; possible diagnosis is: | [
"Leukemia",
"Aplastic anemia",
"Hemolysis",
"ITP"
] | A | Answer is A (Leukemia) The presence of Pancytopenia and 6% blasts in peripheral blood is enough to suppo the diagnosis of aleukemic leukemia. Presence of splenomegaly eliminates aplastic anemia & ITP as the possibilities and hemolysis does not explain the low WBC and platelet count in the patient. Leukemia: Although le... | train | med_mcqa | null |
Schiller- Duval bodies is seen in: | [
"Choriocarcinoma",
"Embryonal cell Ca",
"Endodermal sinus tumour",
"Immature teratoma"
] | C | Ans. (c) Endodermal sinus tumour(Ref: R 9th/pg 977)Yolk sac tumor or endodermal sinus tumor is the most common testicular tumor in infants and children <3 yrs of age. It has good prognosis | train | med_mcqa | null |
Which needle is used for pleural biopsy | [
"Vin Silvermann's",
"Abram's",
"Abraham's",
"Osgood's"
] | B | Abram's needle is used for pleural biopsy.Techniques of biopsy include CT guided needle biopsy,VATS biopsy open surgical biopsy. Abraham's needle is used for pleural tap.Osgood's needle is used for bone marrow aspiration.Vin silvermann's needle is used for liver biopsy Reference:Bailey & Love's sho practise of surgery,... | train | med_mcqa | null |
Which of the following is not an antidepressant ? | [
"Amitriptyline",
"Fluoxetine",
"Imipramine",
"Chlorpromazine"
] | D | Ans. is 'd' i.e., Chlorpromazine | train | med_mcqa | null |
Not a complication of orbital cellulitis | [
"Exposure keratopathy",
"Optic neuritis",
"Subperiosteal abscess",
"Retinal detachment"
] | D | Retinal detachment is not a complication of orbital cellulitis Orbital Cellulitis Inflammation of orbital septum Complications Exposure keratopathy Compression of optic nerve Central retinal aery occlusion Orbital Abscess Intracranial spread of infections Septicemia | train | med_mcqa | null |
A 3 year old boy is brought with normal developmental milestones but has delayed speech difficulty in communication and concentration. He is not making friends. What is the MOST probable diagnosis in this child? | [
"Autism",
"ADHD",
"Mental retardation",
"Specific learning disability"
] | A | This child is most probably suffering from autism. Autism is a neurologic disorder characterized by qualitative impairment in social interaction and communication and presence of restricted repetitive and stereotyped patterns of behavior, interests, and activities. Pervasive developmental disorder: Children with this d... | train | med_mcqa | null |
Which of the following is true about eruption of teeth? | [
"Premolar appear in primary dentition",
"Incisors is first to appear in secondary dentition",
"3rd molars is last to appear in primary dentition",
"Canines is second last to appear in primary dentition"
] | D | D i.e. Canines is second last to appear in primary dentition | train | med_mcqa | null |
Orchitis without epididymitis is seen in - | [
"Gonorrhoea",
"Tuberculosis",
"Syphilis",
"Chlamydia infection"
] | C | null | train | med_mcqa | null |
Which of the following is Non - opioid intravenous anaesthetic agent? | [
"Tramadol",
"Pethidine",
"Fentanyl",
"Ketamine"
] | D | Intravenous anaesthetic agents divided into two group- Opioids Non opioids Morphine Barbiturates Fentanyl Benzodiazepine Sufentanyl Ketamine Tramadol Etomidate and propofol The most potent opioid issufentanil | train | med_mcqa | null |
An itching wound suggests a | [
"Hypersensitivity reaction",
"Infection",
"Contraction",
"Separation"
] | A | null | train | med_mcqa | null |
Benzodiazepine without anticonvulsant propey is ? | [
"Nitrazepam",
"Diazepam",
"Clonazepam",
"Temazepam"
] | D | Ans. is 'd' i.e., Temazepam BZDs with significant anticonvulsant propey are diazepam, clonazepam, nitrazepam, lorazepam and flurazepam. | train | med_mcqa | null |
Little's area constitutes | [
"Anastamosis between branch of maxillary artery and branch of facial artery",
"Anastamosis between two branches of facial artery",
"Anastamosis between two branches of maxillary artery",
"None of above"
] | A | null | train | med_mcqa | null |
A 60 year old male had a sudden fall in toilet. His BP was 90/50 mm Hg and pulse was 100/mm. His relatives repoed that his stool was black/dark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most li... | [
"Gastric ulcer with bleeding",
"Acute myocardial infarction with cardiogenic shock",
"Acute cerebrovascular accident",
"Pulmonary embolism"
] | A | Ans. a. Gastric ulcer with bleeding In the given question, the 60-year old patient is presenting with black stool (melena) due to G.I. blood loss, history o aspirin use. So the diagnosis is most probably NSAID induced peptic ulcer disease. "GI bleeding is the most common complication observed in PUD. It occurs in -15% ... | train | med_mcqa | null |
Most immunogenic in typhoid is: March 2011 | [
"O antigen",
"H antigen",
"Vi antigen",
"M antigen"
] | B | Ans. B: H antigen The H antigen is strongly immunogenic and induces antibody formation rapidly and in high titres following infection or immunization Somatic (O) or Cell Wall Antigens They are heat stable and alcohol resistant. Surface (Envelope) Antigens Commonly observed in other genera of enteric bacteria (e.g., Esc... | train | med_mcqa | null |
Squeeze Technique is used for: | [
"Impotence",
"Premature ejaculation",
"Infeility",
"Priaprism"
] | B | B i.e. Premature ejaculation Master and Johnson's TechniqueIt is dual sex therapy i.e. patient alone is not treated but both paners are treated together.TypesSensate Focus TechniqueSqueeze or Semen's Technique- For treatment of impotenceQ- For treatment of premature ejaculationQ- The aim is to discover on body (excludi... | train | med_mcqa | null |
The most common cause of facial palsy is - | [
"Bell's palsy",
"Cuillain-Bare syndrome",
"Parotid tumour",
"Injury to the facial nerve"
] | A | null | train | med_mcqa | null |
Most common organ involved in GIST is? | [
"Ileum",
"Duodenum",
"Colon",
"Stomach"
] | D | Ans. is 'd' i.e., Stomach * GISTs are the most common mesenchymal neoplasm of gastrointestinal tract. GIST represents a distinct group of gastrointestinal tumors that originate from the interstial cells ofcajal which control gastrointestinal peristalsis.* GISTs can occur anywhere in the gastroinstestinal tract; the mos... | train | med_mcqa | null |
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