question
stringlengths
1
6.54k
choices
listlengths
4
4
answer
stringclasses
4 values
rationale
stringlengths
0
22.5k
split
stringclasses
1 value
dataset
stringclasses
6 values
subject
stringclasses
1 value
Breast milk storage in a refrigerator is upto ?
[ "4 hrs", "8 hrs", "12 hours", "24 hrs" ]
D
Ans. is 'd' i.e., 24 hrs Breast milk o Can be stored at room temperature --> For 8-10 hours o In a refrigerator --> For 24 hours o In a freezer --> -20degc for 3 months
train
med_mcqa
null
Cortisol level returns to normal after haemorrhage
[ "2 weeks", "10 days", "7 days", "3 days" ]
D
null
train
med_mcqa
null
Which of the following glial cells helps in myelination of CNS neurons?
[ "Astrocytes", "Schwann cells", "Microglial cells", "Oligodendrocytes" ]
D
null
train
med_mcqa
null
Features of parkinsons disease-a) Decreased Blinkingb) Spasticityc) On-off phenomenond) Objective ↓ muscle powere) Tremor
[ "acd", "bde", "cde", "ace" ]
D
null
train
med_mcqa
null
Multiple epidermoid cysts are seen in -
[ "Turcot's syndrome", "Gardner's syndrome", "Peutz-Jegher syndrome", "Familial polyposis coli" ]
B
Gardner syndrome, also known as Gardner's syndrome or familial colorectal polyposis,is an autosomal dominant form of polyposis characterized by the presence of multiple polyps in the colon together with tumors outside the colon. Multiple epidermoid cysts are formed. Basic Pathology, Robbins.
train
med_mcqa
null
True about Insulin:
[ "Release is enhanced by somatostatin", "Has an identical chemical structure in all the species", "Released from the pancreas only in the postprandial state", "Promotes synthesis of triglycerides" ]
D
Insulin is released from the pancreatic beta cells. Somatostatin released from the delta cells; inhibits secretion of insulin and glucagon. Secretion of insulin occurs both under fasting conditions as well as after ingestion of a meal. It inhibits lipoprotein lipase: which hydrolyzes triglycerides, hence favours trigly...
train
med_mcqa
null
Not true regarding rubella cataract:
[ "Pearly white cataract", "May harbor virus inside the lens", "Can be associated with cardiovascular anomalies", "Reversible" ]
D
Rubella cataract is not reversible. Rubella Cataract Nuclear cataract which finally leads to total opacity. A/w maternal infection contracted in 1st trimester. Virus can be cultured from lens. Ocular Complications. Nuclear cataract (pearly white). Microphthalmos. Salt and pepper retinopathy. Glaucoma. Most common ocula...
train
med_mcqa
null
A 14 year old obese child is referred from an endocrinologist for painful limping of hip.Which of the following investigation is least useful in this clinical setting?
[ "CT", "USG", "MRI", "X-ray PBH" ]
B
Ans. USG
train
med_mcqa
null
Capgras syndrome is more common in:
[ "Obsessive compulsive disorder", "Paranoid schizophrenia", "Hysteria", "Schizoid personality disorder" ]
B
null
train
med_mcqa
null
Potter's Facies is seen with -
[ "Xanthogranulomatous pyelonephritis", "Bilateral renal agenesis", "Hepatic fibrosis", "Kasbach Merritt Syndrome" ]
B
Ans. is 'b' i.e., Bilateral renal agenesis Potter syndromei) Bilateral renal agenesisii) Pulmonary hypoplasiaiii) Potter facies -widely separated eyes with epicanthic folds, low set ears, broad compressed flat nose, receding chin.Maternal USG demonstratesi) Oligohydramniosii) Nonvisulization of bladderiii) Absent kidne...
train
med_mcqa
null
A 30year old woman with family history of hearing loss from her mother's side developed hearing loss which is bilateral, slowly progressive, pure tone audiometry shows the bone conducting hearing loss with an apparent bone conduction hearing loss at 2000Hz. What is the most likely diagnosis
[ "Otosclerosis", "Acoustic neuroma", "Otitis media with effusion", "Sigmoid sinus thrombosis" ]
A
In Otosclerosis main symptom is the hearing loss which is progressive and bilateral. It is hereditary and in pure tone audiometry, Carha&;s notch is seen which is evident in the question. Ref: Diseases of EAR, NOSE and THROAT by PL Dhingra; 6th Edition; Page no.87.
train
med_mcqa
null
Emergency retentive force for the maxillary complete denture is:
[ "Posterior palatal seal.", "Base of the tongue.", "Soft palate.", "Deep palate." ]
B
Base of the tongue provides emergency retentive force.
train
med_mcqa
null
Ankle sprain is due to :
[ "Rupture of anterior talo-fibular ligament", "Rupture of posterior talo-fibular ligament", "Rupture of deltoid ligament", "Rupture of Calcaneo-fibular ligament" ]
A
A i.e. Rupture of anterior talo-fibular ligament
train
med_mcqa
null
All the following indicate reversible injury, except
[ "Vacuoles destruction", "Karyorrhexis", "Fat accumulation", "Cell wall swelling" ]
B
The two main morphological features of reversible injury are cellular swelling and fatty change. Cellular swelling is the result of the failure of energy-dependent ion pumps leading to inability to maintain fluid and ion homeostasis. Microscopic examination reveals distended and pinched off segments of ER known as hydr...
train
med_mcqa
null
Cyanosis is seen in all hypoxia except
[ "Hypoxic hypoxia", "Stagnant hypoxia", "Anemic hypoxia", "High altitude" ]
C
The four categories are:Hypoxemia (sometimes termed hypoxic hypoxia), in which the Po2 of the aerial blood is reduced.Anemic hypoxia, in which the aerial Po2 is normal but the amount of hemoglobin available to carry O2 is reduced.Ischemic or stagnant hypoxia, in which the blood flow to a tissue is so low that adequate ...
train
med_mcqa
null
All of the following catecholamines are secreted endogenously, EXCEPT:
[ "Epinephrine", "Norepinephrine", "Dopamine", "Dobutamine" ]
D
The medulla of adrenal gland is extremely vascular and consists of large chromophil cells arranged in a network. It is made of 2 cell types called pheochromocytes--epinephrine-producing (more numerous) and norepinephrine-producing cells. These cells synthesize and secrete the catecholamines - epinephrine (in greater am...
train
med_mcqa
null
Lady 45-years of age with decreased oestrogen level increased testosterone and temporal hair recession. Diagnosis is?
[ "Osteoporosis", "Rheumatoid arthritis", "P.C.O.D", "Granulosa theca cell tumour" ]
C
Testosterone is the most important androgen in both men and women. In women, testosterone is produced primarily through peripheral conversion of androstenedione (50 percent) with the remainder of production concentrated in the ovary (25 percent) and adrenal cortex (25 percent). In women, abnormally high levels of testo...
train
med_mcqa
null
Intrinsic factor of Castle is secreted by?
[ "Chief cells", "Mucous cells", "Parietal cells", "p cells" ]
C
Intrinsic factor, a mucoprotein secreted by the parietal cells, binds with vitamin B12 of dietary origin and greatly enhances absorption of the vitamin. Absorption occurs by an active process in the terminal ileum. Intrinsic factor secretion is enhanced by stimuli that evoke H+ output from parietal cells. Pernicious an...
train
med_mcqa
null
A 4 year old child presents with acute watery diarrhea and abdominal cramps. Stoolmicroscopy reveals trophozoites with falling leaf motility. The etiological agent is ?
[ "Entamoeba hisioiutics", "Giardialamblia", "Trichomonastenax", "Balantidium coli" ]
B
Ans. is 'b' i.e., Giardia lamblia o In acute giardiasis trophozoites show the typical "falling-leaf' motility1 in wet mount examination of faeces. Diagnosis of giardiasis-o The gold-standard for diagnosis of giardiasis is microscopic demonstration of trophozoite or cyst or both in faeces.o In acute giardiasis trophozoi...
train
med_mcqa
null
Average Mental IQ according to Wechsler's Scale is -
[ "70-79", "80-89", "90-190", "110-119" ]
C
Ans. is 'c' i.e., 90-109 o Wechsler Adult Intelligence Scale (WAIS) David Wechsler (1939), published the first intelligence test designed for an adult population; It was the "first IQ test based on Normal/Gaussian distribution'. o It is currently in its fouh edition (WAIS-1V). The original WAIS (Form I) was published i...
train
med_mcqa
null
Naturally occuring estrogens are:a) Estroneb) Estrad iolc) Estriold) Diethylstilbesterole) Pregnanediol
[ "ab", "bc", "abc", "bcd" ]
C
Natural estrogens are C18 steroids Main Source - Theca and granulosa cells of Graafian follicle and corpus luteum. Secondary source - Adrenal cortex Naturally occurring estrogen EstradioI – Main estrogen during reproductive years, Estrone (Produced by peripheral aromatization of androstenedione) - Main estrogen aft...
train
med_mcqa
null
Skip lesions are seen in:
[ "Ulcerative colitis", "Crohn's disease", "Typhoid", "Tuberculosis" ]
B
Ans is 'b' i.e. Crohn's disease FeaturesUlcerative colitisCrohn's ds* Rectal involvement in > 50%> 90%*Rectum spared* Distribution of lesionsContinuous*Skip lesions** Mucosal appearanceFriable, diffusely involvedCobblestone*appearance* Ileal diseaseRare (backwash ileitis)Common* Perianal abcess, fistulasRareCommon* Int...
train
med_mcqa
null
A 55 year old male patient complains of abnormal growth on right cheek. Patient has a habit of tobacco chewing since 30 years. Radiologic findings reveal 8x8cm fungating mass, invading maxilla and mandible on right side. Patient was advised palliative chemotherapy with cisplastin. All of the following changes in DNA ar...
[ "A-tracts are replaced by other base", "Collapse of the helix into the minor groove of A-tract", "Produce bent structure in DNA", "The changed structure cannot take up proteins" ]
D
In general, adenine base containing DNA tracts are rigid and straight. Bent conformation of DNA occurs when A-tracts are replaced by other bases or a collapse of the helix into the minor groove of A-tract. Bending in DNA structure has also been reported due to photochemical damage or mispairing of bases. Certain  antit...
train
med_mcqa
null
A newborn baby was diagnosed with eventration of the diaphragm. In this condition, half of the diaphragm ascends into the thorax during inspiration, while the other half contracts normally. What is the cause of this condition?
[ "Absence of a pleuropericardial fold", "Absence of musculature in one half of the diaphragm", "Failure of migration of diaphragm", "Failure of the septum transversum to develop" ]
B
An absence of musculature in one half of the diaphragm causes it to protrude into the thoracic cavity forming a pouch into which the abdominal viscera protrude. Pleuropericardial folds are responsible for separating the pericardial cavity from the pleural cavity. Typically, the diaphragm migrates to its position with t...
train
med_mcqa
null
Quickening is: March 2004
[ "Hea beat", "Uterine contractions", "Feeling of first foetal movement by mother", "None of the above" ]
C
Ans. C i.e. Feeling of first foetal movement by mother
train
med_mcqa
null
Which of the following occurs along with glucose transpo into a cell:
[ "Sodium sympo", "Sodium antepo", "Potassium transpo", "Amino acid transpo" ]
A
A i.e. Sodium sympoGlucose and Na+ share the same Co-transpoer (or sympo) - the sodium dependent glucose transpoer: (SGLT - sodium glucose co- transpoer)Q.Sodium dependent glucose transpoer (sympo)- Since the intracellular Nat concentration is low in intestinal & renal cells, Nat moves into the cells along its concentr...
train
med_mcqa
null
Lip bumper is used for:
[ "Mouth breathing", "Nail biting", "For lip biting & hyperactive rnentalis", "All of the above" ]
C
Lip Bumper Lip bumper is an appliance that makes use of the tonicity of the lip. The lip trap and excessive lip activity can be helped with a lip bumper  which prevents lip pressure on the lower incisor; their labial position gets normalised with tongue pressure. The lost arch length can also be gained with this method...
train
med_mcqa
null
Which set of hormones have nuclear receptor:
[ "Estrogen, Thyroxin & Glucagon", "Estrogen, Thyroxin & TSH", "Estrogen, TSH & Gonadotropin releasing hormone (GnRH)", "Retinoic acid, Thyroxin & Luteinizing hormone (LH)" ]
D
D i.e. Testosterone, coisol & Estogen (nearest answer)Nuclear receptors (Steroid receptors) that bind specific ligands (eg estrogen) & alter the rate at which specific genes are transcribed or translate. (Lehninger)Group I hormones eg retinoic acid, estrogen, vitamin D, glucocoicoids etc bind to nuclear receptor (Harpe...
train
med_mcqa
null
A 39-year-old man has experienced chronic fatigue and weight loss for the past 3 months. There are no remarkable findings on physical examination. Laboratory studies show hemoglobin, 10.0 g/dL; hematocrit, 30.3%; MCV, 91 mm3; platelet count, 240,000/ mm3; WBC count, 7550/ mm3; serum iron 80 mg/dL; total iron-binding ca...
[ "Anemia of chronic disease", "Aplastic anemia", "Iron deficiency anemia", "Megaloblastic anemia" ]
A
The increased ferritin concentration and reduced total iron-binding capacity are typical of anemia of chronic diseases, such as an autoimmune disease. Increased levels of cytokines such as interleukin-6 lead to increased hepatic production of hepcidin that stops ferroportin from releasing storage iron, promoting seques...
train
med_mcqa
null
All of the following drugs are Class I anti -arrhythmic drugs EXCEPT:
[ "Quinidine", "Procainamide", "Flecainide", "sotalol" ]
D
Quinidine and procainamide are class IA drugs, Flecainide is IB drug.propranolol is class II drug. beta blockers are class 2 agents except for sotatolol sotalol-class3 REF.Essentials of Pharmacology KD Tripathi 8th ed.
train
med_mcqa
null
Which of the following doesn't increase the risk of Ca breast?
[ "Nulliparity", "Multiparity", "Female sex", "Women who avoid breast feed" ]
B
Family history of Ca breast in first degree relatives is also a risk factor for Ca breast. Ref: Manipal Manual of Surgery, Page 260.
train
med_mcqa
null
A man of 50 years presents following the death of his wife, which one is an abnormal grief reaction NOT RELATED-PSYCHIATRY
[ "A brief episode of seeing the dead person", "Poor concentration", "Poor memory", "Delayed or absent grief" ]
D
.
train
med_mcqa
null
Extracellular fluid volume most commonly increases in which of the following conditions
[ "Cardiac disorders", "Hepatic disorders", "Renal diseases", "All of these" ]
D
(D) All of these# Major causes of non-inflammatory edema are:> An increase in intravascular hydrostatic pressure; A fall in colloid osmotic pressure; Impairment in the flow of lymph; Renal retenlion of salt and water> Causes of non inflammatory edema: Increased hydrostatic pressure -can be due to impaired venous return...
train
med_mcqa
null
Domestic solid waste does not contain
[ "Night soil", "Ash", "Rubbish", "Garbage" ]
A
null
train
med_mcqa
null
All are advantages of Zinc therapy for Wilson disease:
[ "It is nontoxic", "Produces positive copper balance", "Blocks intestinal absorption of copper", "Induces hepatic metallothionein synthesis" ]
B
Zinc treatment in wilson disease: It is efficient in Wilson's disease Nontoxic Produces a negative copper balance by blocking intestinal absorption of copper It induces hepatic metallothionein synthesis, which sequesters additional toxic copper Ref: Harrison, E-18, P-3190.
train
med_mcqa
null
Which of the following is a bacterial infection ?
[ "Pyoderma gangrenosum", "Impetigo herpetiformis", "Pitted keratolysis", "Mycosis fungoides" ]
C
Pitted keratolysis: Superficial infection of the skin. Caused by a species of Corynebacterium. Produces small,shallow,circular erosions which haspunched-out appearance seen over pressure bearing area of soles. Associated with hyperhidrosis (and not anhidrosis). Filamentous and coccoid microorganisms were observed in sk...
train
med_mcqa
null
Characteristic of protective epithelium is-
[ "Regeneration of membrane", "Microvilli", "Thinness", "Pinocytic vesicle" ]
A
Ans. is 'a' i.e., Regeneration of membraneo The regeneration of epithelium is one of the protective mechnaism of epithelial cells, o There are three mechanism for healing:ResolutionIt is an ideal outcome of healing and occurs in acute inflammatory responses to minor injuriesRegenerationReplacement of lost parenchymal c...
train
med_mcqa
null
A 24 year old male presents to OPD with sensitivity to cold water. On intraoral examination, 46 is carious and dentist decides to restore the teeth with amalgam restorative material with zinc phosphate base. Which of the following statements are true regarding manipulation of this cement?
[ "Spatulate each increment of powder for 15 to 20 seconds before adding another increment", "Mixing should be completed within 1.5 to 2 minutes", "Most of the area of the mixing slab should be used to dissipate heat", "All of the above" ]
D
Mixing of Zinc Phosphate Cement Mixing of this cement should be initiated by incorporating the smallest portion of powder using a thin spatula and brisk spatulation. Most of the area of the mixing slab should be used to dissipate heat. A good rule to follow is to spatulate each increment of powder for 15 to 20 seconds ...
train
med_mcqa
null
"Candle-wax spots" in the retina are present in
[ "Sarcoidosis", "Toxoplasmosis", "Syphilis", "Tuberculosis" ]
A
(A) Sarcoidosis # OCULAR MANIFESTATIONS OF SARCOIDOSIS:> Anterior segment: Conjunctival involvement has been reported in patients with ocular sarcoidosis.> Sarcoidosis granulomas are solitary, yellow "millet-seed" nodules.> Anterior uveitis occurs in 22%- 70% of patients with ocular sarcoidosis, and is usually granulom...
train
med_mcqa
null
Drug of choice for Listeria monocytogenes is
[ "Amoxycillin", "Ampicillin", "Vancomycin", "Amikacin" ]
B
Non-Spore-Forming Gram-Positive Bacilli: Corynebacterium, Propionibacterium, Listeria, Erysipelothrix, Actinomycetes, & Related Pathogens Many antimicrobial drugs inhibit listeria in vitro. Clinical cures have been obtained with Ampicillin with erythromycin, or with intravenous trimethoprim-sulfamethoxazole. Cephalospo...
train
med_mcqa
null
Which of the following is true regarding transmission of Toxoplasma?
[ "Vertical", "Ingestion of uncooked cyst", "Organ transplantation", "All of the above" ]
D
D i.e. All of the aboveRef: Paniker's Textbook of Parasitology, 6th edition, page 96-103Explanation:Toxoplasma gondii is an obligate intracellular Apicomplexan parasite.Definitive host: Cat (Felidae).Intermediate/accidental host: Other animals.3 Stages:Tachyzoites in Pseudocyst.Bradyzoites in Tissue cyst.Sporozoites in...
train
med_mcqa
null
All are true about minimal change G.N. except –
[ "Selective proteinuria", "IgG deposition in mesangium", "Common in age group 2–9 years", "Responds to steroid's" ]
B
There is no deposition of immune reactants.
train
med_mcqa
null
A patient comes to the clinic with complaints of depressed mood, he does not go out of his house much and is cut off from society. He has normal sleep and normal body weight. What is he most probably suffering from?
[ "Major depression", "Dysthymia", "Chronic fatigue syndrome", "No psychiatric illness" ]
B
Dysthymia also known as neurotic depression is a mood disorder consisting of chronic depression, with less severe but longer lasting symptoms than major depressive disorder. They will usually find little pleasure in usual activities and pastimes. Major depression significantly affects a person's family and personal rel...
train
med_mcqa
null
Increased anion gap metabolic acidosis is seen in all except:
[ "Starvation", "Salicylate poisoning", "Lactic acidosis", "Diarrhoea" ]
D
Ans. is 'd' i.e. diarrhoea Causes of High anion gap acidosisLactic acidosisToxinsEthylene glycolMethanolSalicylatesRenal failureKetoacidosisDiabetesAlcoholStarvation
train
med_mcqa
null
Darier's disease is associated with:
[ "Pernicious anaemia", "Rickets with involvement of teeth and bones", "Vitamin A deficiency and involvement of oral epithelium and skin", "Diffuse tender ulceration on the palate predominantly" ]
C
Darrier's disease shows benign dyskeratosis, which is characterized by typical dysplastic cells called "corps, rands and grains".
train
med_mcqa
null
Human Development Index is measured by all except:
[ "Under five mortality", "Life expectancy at birth", "Literacy", "Per capita income" ]
A
Ans. is 'a' ie under five mortality (Ref: Park 20/e, p 16-17 (18/e, p16)).Human development index (HDI) is measured by three dimensions.Longevity (life expectancy at birth)Knowledge (Adult literacy rate and mean years of schooling)Income (real GDP per capita in purchasing power parity in US dollars)HDI is a more compre...
train
med_mcqa
null
Slip ring technology is used in
[ "First generation CT", "Ultrasound", "MRI", "Spiral CT" ]
D
A Slip ring is an electromechanical device that allows the transmission of power and electrical signals from a stationary to a rotating structure. A slip ring can be used in any electromechanical system that requires rotation while transmitting power.
train
med_mcqa
null
IgA-nephropathy is seen in -
[ "Membranous glomerulonephritis", "Mesangioproliferative glomerulonephritis", "Focal glomerulonephritis", "Cresentic glomerulonephritis" ]
B
IgA nephropathy (IgAN) is a mesangial proliferative glomerulonephritis characterized by diffuse mesangial deposition of IgA. At one time, the term benign recurrent hematuria was also used for IgAN, but it is now known to be an impoant cause of end-stage renal disease (ESRD) . Ref Harrison20th edition pg 299
train
med_mcqa
null
Higher cortisol levels are seen in w hich of the following conditions?
[ "Depression", "Phobia", "Schizophrenia", "Parkinsonism" ]
A
(A) Depression # Higher cortisol (stress) levels in depressed individuals.> Fig shows the Hypothalamic-Pituitary-Adrenal Axis in Depression> In normal controls, dexamethasone leads to feedback inhibition of cortisol.> In depressed patients, dexamethasone seems less able to produce feedback inhibition of cortisol (a fau...
train
med_mcqa
null
Casal's paint necklace is caused by:
[ "Lichen planus", "Pellagra", "Pernicious anemia", "SLE" ]
B
B i.e. Pellagra
train
med_mcqa
null
All are features of Cushing&;s syndrome except
[ "Central obesity", "Diabetes", "Hypotension", "Hypokalaemia" ]
C
Clinical features of Cushing's syndromeWeight gain/central obesityDiabetesHirsutismHypeensionSkin changes (abdominal striae, facial plethora, ecchymosis, acne)Muscle weaknessMenstrual irregularity/impotenceDepression/maniaOsteoporosisHypokalaemiaRef: Bailey and Love 27e pg: 842
train
med_mcqa
null
Biconcave shape of RBC is useful in all aspects except:
[ "Helps in passing through capillaries", "Helps in cellular metabolism", "Increased surface area diffusion of gases", "Prevent osmotic lysis" ]
B
Ref: Pal GK. Red Blood Cells. In: Textbook of Medical Physiology. Ahuja Publishing House. 2007: 8: 63.Explanation:Advantages of biconcavity of RBCsWithstand lysis when exposed to hypotonic environmentBetter exchange of gasEasy movement through capillariesMetabolism in RBCNo nuclei, mitochondria, ribosomesTCA cycle is a...
train
med_mcqa
null
Type (s) of Inflammatory bowel disease is/are: (A)Crohn's disease (B)Ulcerave Coltis (C)Toxic Coltis (D)Amoebic coltis
[ "AB", "CD", "CE", "DA" ]
A
"'Inflammatory bowel disease (IBD) Q is an immune-mediated chronic intestinal condition. Ulcerative colitis (UC) and Crohn's disease (CD) are the two major types of IBD"- Harrison 17th/1886 Forms of Inflammatory bowel disease disease The main forms of IBD are Crohn’s disease and ulcerative colitis (UC). Accounting for ...
train
med_mcqa
null
Hypotension with muffled heart sounds and congested neck veins is seen in?
[ "Cardiac tamponade", "Pericardial effusion", "Constrictive pericarditis", "Acute congestive heart failure" ]
A
Ans. A. Cardiac TamponadeBeck's triad is a collection of three medical signs associated with acute cardiac tamponade, an emergency condition wherein fluid accumulates around the heart and impairs its ability to pump blood. The signs are:1. Low arterial blood pressure2. Distended neck veins3. Distant, muffled heart soun...
train
med_mcqa
null
Anticraving agent which acts as NMDA antagonist is
[ "Naltrexone", "Acamprosate", "Baclofen", "Topiramate" ]
B
Anticraving drugs used to treat alcohol abuse Acamprosate: NMDA blocker Naltrexone: Opioid antagonist.
train
med_mcqa
null
Gastric lavage is contraindicated in poisoning with -
[ "Sulphuric acid", "Organophosphorus compounds", "Arsenic", "Dhatura" ]
A
Gastric Lavage * Indications -- Conscious patient -- Ingestion of poison within 1 to 2 hour. * Contraindications -- Coma/convulsion/unconscious patient -- Impaired gag reflex -- Corrosive/volatile poison ingestion -- Marked hypothermia -- esophageal varices -- Significant electrolyte imbalance. * Complications -- Aspir...
train
med_mcqa
null
A patient with history of weakness of one side was brought to AIIMS emergency medicine department with altered sensorium. A CT was taken, and showed the following. What should be done next?
[ "Decompressive craniotomy", "Intravenous mannitol", "Observe and follow-up", "Aspirin" ]
B
ANS. B
train
med_mcqa
null
The highest quantities of vitamin C is found in -
[ "Orange", "Lemon", "Indian gooseberry", "Grapes" ]
C
Amma contain 600mg/100g. Orange contain 30mg,Lemon 63mg.REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 621
train
med_mcqa
null
Most common type of primary Finger print pattern is:
[ "Whorl", "Loop", "Arch", "Composite" ]
B
Ref: The Essentials of Forensic Medicine and Toxicology by KS Narayan Reddy. 29th edition. 2010. Pg 77.Explanation:Loops <67%), Whorls (25%), Arches (6-7%) and Composite (1-2% ) are the 4 major types of fingerprint patterns.Fingerprint is the best (most sensitive & most specific) method of identification.Even DNA finge...
train
med_mcqa
null
True about scoline are following except –
[ "Fasciculations", "ICT increases", "Non depolarising neuro muscular blocker", "Short acting muscle relaxant" ]
C
Sch is a depolarizing blocker.
train
med_mcqa
null
25 year old patient presented with mass in rt iliac fossa. Which after laparotomy was found to be carcinoid of 2.5 cm. in diameter. What will be next step in management -
[ "Segmental resection", "Appendicetomy", "Rt. hemicolectomy", "Do yearly 5 HIAA assay." ]
C
null
train
med_mcqa
null
Carina is situated at which level ?
[ "T3", "T4", "T6", "T9" ]
A
Ans. is '13' i.e., T4Trachea bifurcates at carina, at the level of lower border of 7'4 or T4- Ts disc space.Structure Cervico thoracic levelTracheal bifurcation T4-T5Arch of aoa Begins and ends at T4Xiphoid process T9Splenic axis Along 10th ribCarotid bifurcation, Hyoid bone C3Upper border of thyroid cailage C4 Level o...
train
med_mcqa
null
A 10 year old child presents with pallor & history of blood transfusion 2 months back. On investigation, Hb -4.5gm, total count 60000, platelet count- 2lakhs and CD 10(+) ve, CD 19 (+)ve, CD 117 (+) ve, MPO (+) ve & CD 33(-)ve. What is the most likely diagnosis?
[ "ALL", "AML", "Undifferentiated leukemia", "Mixed phenotypic acute leukemia" ]
D
Ans. is 'd' i.e., Mixed phenotypic acute leukemia o Immunological markers in this question are :- o CD 10 (+) ye, CD 19(+) ye --> B cell lineage Myeloperoxidase (MPO) ( +)ve, CD117 (+)ve Myeloid lineage o Immunological markers of two lineage are present. Therefore,it is a case of biphenotypic leukemia (mixed phenotypic...
train
med_mcqa
null
Treatment of sagittal split condylar fracture?
[ "No treatment", "ORIF", "Reduction for four weeks + physiotherapy", "Reduction for two weeks and elastic guided" ]
D
null
train
med_mcqa
null
Maximum amount of CSF is found in?
[ "Ventricular system", "Subarachnoid space", "Epdural space", "Sub-pial space" ]
B
CSF is a clear, colorless and slightly alkaline fluid which is almost cell-free.In an adult, the total volume of CSF is about 150 ml, out of which only 30 ml is in the ventricular system and the remainder is in the subarachnoid space.(Ref : Vishram Singh textbook of clinical neuroanatomy second edition pg 194)
train
med_mcqa
null
Injection sclerotherapy for varicose veins is by using
[ "Phenol", "Absolute alcohol", "70% alcohol", "All" ]
A
Ans. is a i.e. Phenol Sclerosing agents mentioned in the latest editions of Schwaz, CSDT and Bailey are:- hypeonic saline,- sodium tetradecyl sulfate, and- polidocanol2 other sclerosants are mentioned in KDT 6/e p597- Ethanolamine oleate- Phenol in almond oil or Peanut oil
train
med_mcqa
null
A washer man presents with thickness erosion & discoloration of web spaces of toes diagnosis is –
[ "Psoriasis", "Tinea Unguium", "Both", "Candidiasis" ]
D
This washer man has fungal infection (thickening & erosion) of web space. Which may be either T pedis or candidal intertrigo. But, the examinar has not mentioned about specific lesions which :- Red (erythematous) scaly lesion with central clearing and peripheral spreading → In T. pedis. Red (erythematous) plaque with...
train
med_mcqa
null
Wredin's test is to demonstrate:
[ "Live bih", "Insanity", "Putrefaction", "Assault" ]
A
TESTS FOR LIVE BORN VS DEAD BORN :- Hydrostatic test :- Specific gravity of lungs decreases after respiration and respired lungs will float in water. Fodere's test :- Weight of Lungs increases due to increase in blood flow after respiration. Plocquet's test:- Ratio of the lung wt. to body wt. almost doubled after respi...
train
med_mcqa
null
Tram-line calcification is seen in:
[ "Ependymoma", "Thrombosed cerebral vein", "Meningioma", "Sturge-Weber syndrome" ]
D
Sturge-Weber syndrome
train
med_mcqa
null
Peripheral anterior synechiaeafteran attackof acute congestive glaucoma occur earliest in the:
[ "Lower pa", "Upper pa", "Lower and inner pa", "Lower and outer pa" ]
B
Ans. Upper pa
train
med_mcqa
null
The growth of porphyromonas gingivalis is enhanced by a metabolic byproduct succinate produced by
[ "Streptococcus", "Capnocytophaga", "Actinomyces", "Veillonella" ]
B
null
train
med_mcqa
null
A 8 year old male had non blanching rashes over the shin and swelling of knee joint with haematuria +++ and protein +. Microscopic analysis of his renal biopsy specimen is most likely to show.
[ "Tubular necrosis", "Visceral podocyte fusion", "Mesangial deposits of IgA", "Basement membrane thickening" ]
C
Mesangial deposits of IgA Purpura in Henoch Schonlein purpura is due to vasculitis and not thronzbocytopenia Platelet count is either nonnal or elevated. H.S. purpura is characterized by tetrad of PurpuraQ, Ahritis', GlomerulonephritisQ and Abdominal painQ. Skin The hallmark of this disease is rash beginning as pinkish...
train
med_mcqa
null
Ossification centre appearing just before birth is-
[ "Lower end of femur", "Lower end of tibia", "Upper end humerus", "Scaphoid" ]
A
null
train
med_mcqa
null
A Female patient aged 40 years comes for routine general examination. Full mouth radiographs are taken. Oval shaped radiolucent areas are seen in the root canals of maxillary central incisors Teeth are asymptomatic and show feeble response to vitality tests. What is your line of treatment?
[ "Keep the teeth under observation of call the patient after 3 months", "Suggest root canal treatment", "Suggest OPG for confirmatory diagnosis", "Do test cavity" ]
B
null
train
med_mcqa
null
All are true about FTA-ABS in Syphilis, except -
[ "FTA - ABS becomes negative after treatment", "Present in secondary syphilis", "It is a specific test", "May be positive in Lyme's disease" ]
A
null
train
med_mcqa
null
The forward displacement of the tibia and the femur is prevented by
[ "Anterior cruciate ligament", "Posterior cruciate ligament", "Medial collateral ligament", "Lateral collateral ligament" ]
A
Structurally knee is a weak joint because the aicular surfaces are not congruent. The tibial condyles are too small and shallow to hold the large convex femoral condyles in place. The stability of the joint is maintained by a number of factors:-1.cruciate ligaments-anteroposterior stability. 2.Collateral ligaments-side...
train
med_mcqa
null
Calrexin and calreticulin are -
[ "Glycoproteins", "Chaperons", "Tumor markers", "Enzymes" ]
B
Ans. is 'b' i.e., Chaperons Calrexin and calreticulino Calreticulin & calrexin are major Ca2+ binding (storage) chaperones in the endoplasmic reticulumo These Ca2+ binding chaperones, which are involved in protein folding, posttranslational modification, Ca2+ storage and release, and lipid synthesis and metabolism.o Th...
train
med_mcqa
null
Which of the following indicates hemolysis?
[ "Target cells", "Schistocytes", "Acantocytes", "Basophilic stippling" ]
B
Schistocytosis is identified by fragmentation of erythrocytes . schistocytes are found in microangiopathic hemolytic anaemia, megaloblastic anemia , iron deficiency anaemia, in severe burns Schistocytes are fragmented red blood cells that can take on different shapes. They can be found as triangular, helmet shaped, or ...
train
med_mcqa
null
A patient came with chief complaints of cuain falling in front of eye after blunt trauma. O/e there was inferior giant retinal tear. What should be the immediate line of treatment
[ "Scleral Buckling", "Pan Retinal Photocoagulation", "Pars plana vitrectomy with endophotocoagulation", "Pneumatoretinopexy" ]
C
Remember giant retinal tear is an indication for doing pars plana vitrectomy with endophotocoagulation and putting silicon oil in the vitreous cavity for prolonged tamponade Vitrectomy - The vitreous is removed and the Sub Retinal Fluid is drained. Fibrotic bands are removed and the break is endo-photocoagulated with t...
train
med_mcqa
null
After first meiotic division, the primary oocyte remains arrested in -
[ "Diplotene stage", "Pachytene stage", "Metaphase", "Telophase" ]
A
null
train
med_mcqa
null
Octreotide is used in all except:
[ "Insulinoma", "Glucagonoma", "Glioma", "Carcinoids" ]
C
Ans. c. GliomaOctreotide is a synthetic analogue of somatostatin and its pharmacological actions are similar to somatostatin, used in insulinoma, glucagonoma and carcinoid tumors but not in glioma."Somatostatin is a hypothalamic peptide that regulates the function of several endocrine and exocrine glands.Somatostatin a...
train
med_mcqa
null
A 22 year old young man was brought in emergency room after scuffle in which he was punched over his face by a hooligan road side. The patient was conscious and blood was trickling from right ear. The bleeding was controlled at that time. Next day the Audiometry of the patient showed conductive type of hearing loss. Th...
[ "Longitudinal", "Transverse", "Oblique", "Mixed" ]
A
Longitudinal Middle cranial Fossa is involved in 60%-80% of fracture of skull base. Types of Temporal bone fracture include Longitudinal, Transverse. Mixed, Oblique and Unusual. a. Longitudinal : * The longitudinal is one where fracture line runs parallel to the Petrous ridge, that is longitudinal axis of the bone. it ...
train
med_mcqa
null
Carharts notch in audiogram is deepest frequency of -
[ "0.5 KHz", "2 KHz", "4 KHz", "8 KHz" ]
B
null
train
med_mcqa
null
Which one of the following is a cyanotic congenital hea disease?
[ "Patent ductus aeriosus", "Atrial septal defect", "Ventricular septal defect", "Tetralogy of Fallot" ]
D
Ans. is 'd' i.e., Tetralogy of Fallot
train
med_mcqa
null
All of the following take pa in the pathogenesis of CME in diabetic retinopathy except:
[ "Retinal Pigment Epithelial (RPE) dysfunction", "Oxidative stress", "VEGF", "Increased protein kinase c" ]
A
A i.e., Retinal pigment epithelial (RPE) dysfunction
train
med_mcqa
null
Most common site of tuberculosis of spine is?
[ "Thoracolumbar", "Sacral", "Cervical", "Lumbosacral" ]
A
Ans. (a) ThoracolumbarRef: Apley 387-389, Schwartz's Principles of Surgery 9th ed ch-29 M Tuli 3rded p-192
train
med_mcqa
null
Irregular concavity in the lingual surface of the incisors above the cingulum is known as:
[ "Fossa.", "Groove.", "Sulcus.", "Pit" ]
A
null
train
med_mcqa
null
Level II axillary lymph node:
[ "Lateral to pectoralis major and minor", "Behind pectoralis minor", "Medial to pectoralis minor", "Superomedial to pectoralis major" ]
B
Level II axillary lymph node is located behind pectoralis minor. Axillary LN Levels in relation with Pectoralis minor Level Relation with Pectoralis minor Axillary LNs Included I Below or lateral Anterior, posterior, lateral II Posterior (behind) Central, Interpectoral (Rotter's nodes) III Medial or above Apical
train
med_mcqa
null
A 20-year old spontaneous breathing patient undergoing incision and drainage under GA, which of the following is the breathing circuit of choice for spontaneous ventilation?
[ "Mapleson A", "Mapleson B", "Mapleson C", "Mapleson D" ]
A
Ans. a. Mapleson A (Ref: Miller s Anesthesia 8/e p692-695)Mapleson A is the breathing circuit of choice for spontaneous ventilation.'Mapleson A, also called as McGill circuit, is the circuit of choice for spontaneous ventilation, while for controlled ventilation the circuit of choice is Mapleson D.'Breathing CircuitsMa...
train
med_mcqa
null
Best diagnosed with USG at first trimester
[ "Anencephaly", "NT defects", "Meningocele", "Option not recalled" ]
A
Ans. A. Anencephaly Ref: DC Dutta's obstetric p408ExplanationIn the first half of pregnancy, the diagnosis of anencephaly is made by elevated alpha-fetoprotein in amniotic fluid and confirmed by sonography.Question not recalled properly: Imerslund-Grasbeck syndrome, its cause was asked.ExplanationCaused by low levels o...
train
med_mcqa
null
There is an outbreak of MRSA infection in a ward. What is the best way to control the infection-
[ "Vancomycin given emperically to all the patients", "Fumigation of ward frequently", "Washing hand before & after attending patient", "Wearing mask before any invasive procedure in ICU" ]
C
null
train
med_mcqa
null
64 year old male died due to RTA. On examination, his vessels showed following clots. Diagnosis?
[ "Lines of Zahn", "Chicken fat thrombus", "Red cells", "White cells" ]
B
Ans. (b) Chicken Fat Thrombus/ Postmortem ClotA. Chicken fatB. Current jelly (red cells)#Postmortem clots are not attached to vessel walls#Show separation of red cells and plasma so that the clotted plasma resembles "chicken fat" layered on top of a rubber gelatinous dark red mass of erythrocytes resembling "current je...
train
med_mcqa
null
A child presents with hepatosplenomegaly and pancytopenia. Bone marrow shows "crumbled tissue paper appearance". It is due to accumulation of:
[ "Glucocerebroside", "Sphingomyelin", "Ganglioside", "Galactocerebroside" ]
A
Ans. A. Glucocerebroside(Ref: Nelson 20/e, Chapter 86.4 Lipidoses)SphingolipidosesEnzyme deficiencySphingolipid accumulatedFarber diseaseCeramidaseCeramideFabry diseasea-GalactosidaseGlobotriaosyl CeramideGM1 gangliosidosisb-GalactosidaseGM1 GangliosideGM2 gangliosidosisTay-Sachs diseaseb-Hexosaminidases AGM2 Gangliosi...
train
med_mcqa
null
Changes in blood passing through the systemiccapillaries are all except
[ "Increase in hemotocrit", "pH decreases", "Shift of oxygen dissociation curve to the left.", "Increase in protein content" ]
C
Shift of oxygen dissociation curve to the left The 0,-hemoglobin dissociation curve shifts to the right within the capillaries in response to increase in blood CO2 and Hydrogen ions. As the blood flows through the capillaries CO2 diffuses from the tissue cells into the blood. This increases the blood PCO2 and hence blo...
train
med_mcqa
null
Anteroposterior stability of eyeball is provided by all except –
[ "Suspensory ligament of the eye ball", "Superior oblique", "Superior rectus", "Orbital fat" ]
A
Suspensory ligament provides inferior stability to eyeball.
train
med_mcqa
null
Vasoconstriction is seen with
[ "Lignocaine", "Cocaine", "Idiotocaine", "Bupivacaine" ]
B
Ans. is 'b' i.e. cocaine All local anaesthetic cause vasodilation except for cocaine which causes vasoconstriction.
train
med_mcqa
null
Radical hysterectomy is done in which one of the following :
[ "Carcinoma in situ", "Endocervix cancer stage IA", "Microinvasive carcinoma of cervix", "Carcinoma cervix stage IB" ]
D
Carcinoma cervix stage IB
train
med_mcqa
null
In humans, effective renal blood flow is ?
[ "425", "525", "625", "725" ]
C
C i.e., 625 ml
train
med_mcqa
null
The bacteria responsible for causing nursing bottle caries are
[ "Lactobacillus only", "Streptococcus & Lactobacillus", "Streptococcus, Lactobacillus & Veillonella", "Strereptococcus, Lactobacillus & Neisseria" ]
C
null
train
med_mcqa
null
A homonymous upper quadrantic field defect is typical of lesion in
[ "Parietal lobe", "Temporal lobe", "Occipital lobe", "Optic chiasma" ]
B
B i.e. Temporal lobe
train
med_mcqa
null