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Reinke's crystals are found in -
[ "Arrhenoblastoma", "Granulosa cell tumor", "Dysgerminoma", "Hilus cell tumor" ]
D
Ans. is 'd' i.e., Hilus cell tumorReinke's crystal are seen in hilus cell tumor of ovary.
train
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Minocycline is not used in the 3 mix antibiotic paste because of only one adverse effect
[ "Discolouration of crown", "Roots become brittle", "It reaches out readily", "It has least antimicrobial effect" ]
A
null
train
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A 70-year old male has been experiencing intermittent epistaxis, fatigue and pain in bones for tfholelopwasst :4 months. Laboratory investigations are as Serum Ca': 1F2 mg/dL (Normal 8*9-10-1mg/dL) aspirate in this patient will most
[ "Sheets of myeloid blast cells", "Numerous plasma cells", "A 'dry' tap", "Abundance of lymphoid blast cells" ]
B
Sheets of blasts in a case of AML (Bone marrow biopsy) H&E 400X. Introduction: Leukemia accounts for 0.15 - 0.6% of the total medical admissions in many general hospitals in India. Frequency of leukemia seen in India of Acute Myeloid leukaemia (AML) is 20 -25% and Acute Lymphoblastic leukaemia (ALL) is 15-25% Ref David...
train
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"Rail Road pattern" in Neuroimaging is seen in :-
[ "Tuberous sclerosis", "Sturge weber syndrome", "Ataxia Telengiectasia", "Neurofibromatosis" ]
B
Powine stain is in the distribution of the first branch of the trigeminal nerve is a/w ipsilateral rail road pattern (also known as tram track pattern) of intracranial calcification and glaucoma. -presentation is with contralateral hemiparesis , focal seizures and/or intellectual disability features of Sturge:- weber s...
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Most common cause of intracranial bleed is
[ "Berry aneurysm", "Hypertension", "Coagulopathy", "Diabetes mellitus" ]
B
(B) Hypertension # INTRAPARENCHYMAL HEMORRHAGE (IPH) is one extension of intracerebral hemorrhage (the other is intraventricular hemorrhage (IVH)) with bleeding within brain parenchyma.> Intraparenchymal hemorrhage accounts for approx. 8-13% of all strokes and results from a wide spectrum of disorders. It is more likel...
train
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Which of these does not cause crescentic glomerulo nephritis -
[ "Rapidly progressive glomerulonephritis", "Alpo syndrome", "Goodpasture syndrome", "Henoch schonlein purpura" ]
B
There are some systemic diseases that are characterized by the formation of crescents. Systemic diseases such as Goodpasture's syndrome, SLE, Henoch-Schlein purpura come under type1 RPGN and they are associated with crescent formation. Alpo's syndrome is an x-linked dominant disorder and the light microscopy shows segm...
train
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Epinephrine action in liver
[ "Glycolysis", "Lipolysis", "Glycogenolysis", "Gluconeogenesis" ]
C
Epinephrine markedly stimulates glycogen breakdown in muscle and, to a lesser extent, in the liver. The liver is more responsive to glucagon, a polypeptide hormone that is secreted by the a cells of the pancreas when the blood-sugar level is low Ref: guyton and hall textbook of medical physiology 12 edition page number...
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Right axis deviation is seen in all except –a) VSDb) Tricuspid atresiac) Pulmonary atresiad) ASD
[ "a", "c", "bc", "ad" ]
C
Normally, the QRS axis ranges from -30° to + 100°. An axis more negative than -30° is referred to as left axis deviation. An axis more positive than + 100° is referred to as right axis deviation. Causes of left axis deviation (LAD) Left ventricular hypertrophy Left anterior fascicular block or hemiblock. Inferior wal...
train
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Rapid change of presbyopic glasses is seen in
[ "Senile cataract", "Retinal detachment", "Intumescent cataract", "Open angle glaucoma" ]
D
PRIMARY OPEN ANGLE GLAUCOMAAs the name implies, it is a type of primary glaucoma, where there is no obvious systemic or ocular cause of the rise in the intraocular pressure. It occurs in eyes with an open angle of the anterior chamber.Primary open angle glaucoma (POAG) also known as chronic simple glaucoma of adult ons...
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A man presents with multiple painless swelling all over the body and coffee brown patches in trunk. The condition is
[ "Multiple Lipoma", "Multiple neurofibroma", "Melanoma", "Sebaceous Cyst" ]
B
Ans. (b) Multiple NeurofibromaRef: Bailey and Love 26th edition Page 581* Neurofibromatosis is a condition arising from Schwann cells.* 2 types are seen* 70% are Autosomal Dominant, 30% are sporadic.* NF 1 (Von Recklinghausen) is the MC type.* It is due to Gene mutation of Chromosome 17* Skin manifestation develop in e...
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Double edged sword is -
[ "Chlorine", "Fluorine", "Lead", "Selenium" ]
B
Fluorine is often called double edged sword. Prolonged ingestion can lead to dental and Skeletal flurosis.REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 577
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Usual sign of opioid withdrawal: PGI 13
[ "Stupor", "Constipation", "Constricted pupil", "Yawning" ]
D
Ans. Yawning
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Which one of the following is false about autosomal dominant disorders.
[ "Mutated genes can express themselves in heterozygous state", "Recurrence risk of 25% for parents with a previous affected child", "Males and females are equally affected", "Usually defects of structural proteins or receptors" ]
B
Recurrence risk is 50%.
train
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Krukenberg’s spindles are seen in?
[ "Pigmentary glaucoma", "Sympathetic opthalmitis", "Chalazion", "Retinitis pigmentosa" ]
A
“Krukenberg’s spindles are seen in pigmentary glaucoma” PIGMENTARY GLAUCOMA: Type of secondary glaucoma which develops due to blockage of trabecular meshwork by pigment particles Clinical picture is similar to that produced by POAG in a young myopic male Deposition of pigement occurs on anterior structures of the eye l...
train
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1-a hydroxylation in Vitamin-D metabolism takes place in
[ "Skin", "Liver", "Kidney", "Blood" ]
C
Vitamin D is a fat-soluble vitamin molecule found in fish liver oils, and also produced in the skin when subjected to ultraviolet rays from sunlight. The main function of the vitamin is to increase the utilization of calcium and phosphorus in bones and teeth. A mixture of several forms of vitamin D: Vitamin D3 is synth...
train
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Which of the following types of pancreatitis has the best prognosis -
[ "Alcoholic pancreatitis", "Gall stone pancreatitis", "Post operative pancreatitis", "Idiopathic pancreatitis" ]
B
The prognosis is best in patients where pancreatitis is caused by a remediable cause such as cholelithiasis. `Eradication of gall stone disease' prevents fuher attacks of pancreatitis - Ref : Oxford textbooks of surgery 2nd/e p. 1766
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Which of the following antismoking drugs can lead to suicidal ideation?
[ "Baclofen", "Rimonobant", "Varenicline", "Naltrexone" ]
C
Vareniciline is a partial agonist at α4 β2 substype of nicotine receptor used to treat tobbacco addiction. Side effects include suicidal ideation, nausea, headache & insomnia.
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Which of the following sites is not involved in a posterior cerebral aery infarct?
[ "Midbrain", "Thalamus", "Temporal lobe", "Anterior Coex" ]
D
In 75% of cases, both PCAs arise from the bifurcation of the basilar aery; in 20%, one has its origin from the ipsilateral internal carotid aery the posterior communicating aery; in 5%, both originate from the respective ipsilateral internal carotid aeries.Two clinical syndromes are commonly observed with occlusion of ...
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After an inlay preparation which of the following would be most appropriate to expose margins for an elastic impression?
[ "Surgical intervention", "Packing with cord impregnated with alum or epinephrine", "Packing with cord impregnated with Zinc chloride", "Packing with Zinc oxide eugenol" ]
B
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train
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Sinus venosus receiver blood from all except
[ "Vitelline vein", "Umbilical vein", "Common cardinal vein", "Sub cardinal vein" ]
D
Each horn of sinus venosus receives blood from following three pair of veins, vetelline veins (from yolk sac), umbitical veins (from placenta) and common caralinal veins (from body wall).
train
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Which of the following flavi virus is closely related to Russian spring summer encephalitis causing virus
[ "Dengue", "Chikungunya", "Yellow fever", "KFD" ]
D
null
train
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Conservative surgical excision would be appropriate treatment and probably curative for which of the following?
[ "Nodular fasciitis", "Fibromatosis", "Fibrosarcoma", "Rhabdomyosarcoma" ]
A
Nodular fasciitis is a rapidly developing reactive lesion that typically does not recur following excision. Fibromatosis is an aggressive nonencapsulated lesion that has significant recurrence potential. The other lesions listed are malignancies and require more than simple excision to prevent recurrence
train
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Most common organ involved in retroperitoneal fibrosis
[ "Ureter", "Aoa", "Inferior venacava", "Sympathetic nerve plexus" ]
A
The most impoant clinical aspect of retroperitoneal fibrosis is that the fibrotic process frequently entraps and constricts the ureters thereby causing obstructive uropathy. Retroperitoneal fibrosis - It is a nonspecific, nonsuppurative inflammation of fibro-adipose tissue of unknown cause that produces symptoms by the...
train
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Organic Mental Disease is indicated by
[ "Incoherence", "Delusion", "Flight of idea", "Preservation of speech" ]
B
B i.e. Delusions Presenting Features Visual or other non-auditory hallucinationsQ Complex delusionsQ Soft neurological signsQ, confusion, disorientationQ & memory impairment Neurological signs & symptoms as seizures, sensory or motor disturbance, impairment of conciousnessQ Misidentification syndromes as capgras etc. F...
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For maturity estimation, amniotic fluid cells are stained with :
[ "Nile blue sulphate", "Methylene blue", "Mucicarmine", "Sudan black" ]
A
Nile blue sulphate
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50 years old man present complaints of painful tender mass situated one third of the way between xiphisternum and umbilicus what is the likely diagnosis
[ "Omphalocoele", "Epigastric hernia", "Spigelian hernia", "Fibrosarcoma of abdominal walk" ]
B
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Keratoderma is a feature of –
[ "Pityriasis rubra pilaris", "Pemphigus", "Pityriasis rosea", "Psoriasis" ]
A
null
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Reed-Steinberg cells of Hodgkin's disease positive for CD15 & CD30 are seen in all types EXCEPT :
[ "Nodular sclerosis", "Mixed cellularity", "Lymphocyte depletion", "Lymphocyte predominance" ]
D
Ans. d (Lymphocyte predominance). (Robbin, Pathologic Basis of Diseases, 6th/611)HODGKIN'S DISEASE (HD) - subtypesSUBTYPES OF HODGKIN'SFEATURESNodular sclerosis (65-75%)# Best prognosis# Most common worldwide# Lacunar cells# Diagnostic RS cells# Fibrous collagen# Bands dividing cellular areas into nodules.# RS cells CD...
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Numerator in negative predictive value -
[ "True positive", "False positive", "True negative", "False negative" ]
C
Ans. is 'c' i.e., True negative o The results of a screening test can be arranged in following table : -Screening test resultsDiagnosisTotalDiseasedNot diseasedPositiveNegativeTrue positive (a)False negative (c)False positive (b)True negative (d)a + bc + dTotala + cb + d From this table following measure can be obtaine...
train
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Which one of the following is not a socio-pathological factor associated with mental illness?
[ "Emotional stress", "Frustration", "Endocrine diseases", "Anxiety" ]
C
Causes of mental health disorders: Organic conditions : Cerebral arteriosclerosis, neoplasma, metabolic diseases, endocrine diseases and chronic diseases (TB, leprosy, epilepsy) Heredity : Schizophrenia Socio-pathological : Worries, anxiety, emotional stress, tension, frustration, unhappy married life, broken homes, po...
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Which of the following type of amyloidosis presents with rheumatological manifestation in patients long term hemodialysis
[ "ATTR", "AI22 microglobulin", "AA aEUR\" Amyloid", "AC aEUR\" Amyloid" ]
B
. AI22 microglobulin
train
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Number of family member is a -
[ "Qualitative variable", "Discrete variable", "Continuous variable", "Categorial variable" ]
B
Discrete variable: Fixed values no intermediate values eg: no of girls, no. of children, etc. Continuous variable: can take intermediate values eg:weight, height, etc
train
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Which among the following is/are amphipathic liquid?
[ "Phospholipid", "Glycolipid", "Cholesterol", "All of the above" ]
D
null
train
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Gaze fixation takes place at which age
[ "3 months", "6 months", "1 year", "2 years" ]
B
Gaze fixation stas developing in the first month and is completed in 6 months The macula is fully developed by 4-6 months Fusional reflexes, stereopsis, and accommodation is well developed by 4-6 months Cornea attains normal adult diameter by 2 years of age Lens grows throughout life. Reference : AK Khurana Comprehensi...
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Carbmezpine is the drug of choice in
[ "Absence attacks", "Paial complex siezures", "Myoclonus", "Innantile spams" ]
B
K D Tripathy essentials of medical pharmacology 7th edition. *Carbamazepine is the most effective drug for CPS
train
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Which of the following is height independent index-
[ "Ponderal", "Brocas", "Corpulence", "Lorent'z" ]
C
<p> Corpulence index= Actual weight/Desirable weight. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:400. <\p>
train
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Butressing bone formation is the tissue response to increase occlusal forces seen in
[ "Stage I injury", "Stage II repair", "Stage III repair", "None of the above" ]
B
null
train
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The difference between iron sorbitol-citric acid and iron dextran is that the former
[ "Cannot be injected i.v.", "Is not bound to transferrin in plasma", "Is not excreted in urine", "Produces fewer side effects" ]
A
(Ref: KDT 6/e p586) Iron sorbitol citrate should not be used i.v. because it may rapidly saturate the transferrin receptors and can result in high concentrations of free iron.
train
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MHC III codes for
[ "TNF alpha", "IL 1", "HLA A", "HLAB" ]
A
Ans. (a) TNF alpha(Ref: Robbins 9th/pg 195; 8th/pg 191)MHC III: No direct role in immune system QCodes for:complement components C2, C4, properdin, factor B QTNF, HSP-70, Tyrosine hydroxylase
train
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Genu of internal capsule contains: (PGI June 2008)
[ "Optic radiation", "Corticospinal tract", "Corticorubral tract", "Cortico nuclea r tract" ]
D
Ans: D (Corticonuclear fibers) Genu is the bend b/w anterior & posterior limbsFibres in Internal CapsulePartDescending tractsAscending tractsAnterior limbFrontopontine fibresQAnterior thalamic radiationGenuCorticonuclear fibresQAnterior part of superior thalamic radiation (from VPN)Posterior limbCorticospinalTract (Pyr...
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To synthesize insulin on a large scale basis, the most suitable staing material obtained fro the beta cells of the pancreas is:
[ "Genomic DNA", "Total cellular RNA", "CDNA of insulin", "MRNA of insulin" ]
D
D i.e. mRNA of insulin Insulin is synthesized on a large scale basis from complementary DNA's (cDNA), using recombinant technology. But cDNA is not the staing material. cDNA are derived from mRNAQ.Thus mRNA is staing material for insulin synthesis on a large scale basis.Construction of cDNA from mRNA
train
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Mechanism of action of quinolones is:
[ "Inhibits DNA gyrase", "Inhibits bacterial protein synthesis", "Inhibits bacterial cell wall synthesis", "Inhibits intake of folic acid" ]
A
Mechanism of action of Fluoroquinolones The FQs inhibit the enzyme bacterial DNA gyrase (primarily active in gram negative bacteria), which nicks double-stranded DNA, introduces negative supercoils and then reseals the nicked ends. This is necessary to prevent excessive positive supercoiling of the strands when they se...
train
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'Bear-Claw' appearance on CECT abdomen is seen in:
[ "Hepatic laceration", "Pancreatic laceration", "HCC", "RCC" ]
A
HEPATIC INJURY MC organ injured in blunt abdominal trauma: Spleen> liver. Most liver injury bleeding is venous, and therefore low pressure, tamponade is readily performed. Diagnosis Unstable patient explored for the finding of free fluid on FAST examination. Stable patient - CECT abdomen. Bear claw laceration: Multiple...
train
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Following are principles in the treatment of compound fractures except
[ "Wound debridement", "Immediate wound closure", "Tendon repair", "Aggressive antibiotic therapy" ]
B
B i.e. Immediate wound closure
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A 26 year old female patient complains of discoloured teeth. Intra-oral examination reveals generalized intrinsic tetracycline stains. What is the grade of staining in this patient?
[ "Grade I", "Grade II", "Grade III", "Grade IV" ]
D
null
train
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A 3 year old girl with a history of hydrocephalus is brought to the neurologist by her parents with a severe headache and fever. The girl underwent a revision of a ventriculoperitoneal shunt 1 month ago, and the neurologist suspects that an infection has occurred. Which of the following organisms would most likely be i...
[ "Bacteroides fragilis", "Corynebacterium diphtheriae", "Escherichia coli", "Staphylococcus epidermidis" ]
D
Staphylococcal meningitis is fairly rare, occurring mostly in patients with indwelling ventriculoperitoneal shunts. Staphylococcus epidermidis, which normally colonizes the skin, is the most common organism causing this disorder; Staphylococcus aureus meningitis occasionally occurs. Bacteroides fragilis is a common cau...
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Babu, a 7½ years old child, reports with a fracture of central incisor with an open apex, there is large pulpal exposure. The treatment of choice is:
[ "Smooth the edges and protect the exposed portion with ZOE dressing", "Pulpectomy and calcium hydroxide dressing", "Pulpotomy and calcium hydroxide dressing", "Direct pulp capping and calcium hydroxide dressing" ]
C
The Cvek Pulpotomy on Immature Permanent Teeth Pulpotomy is an established technique for preserving vital pulp functions in immature teeth that have been subject to pulp-exposing trauma. Inflammation is confined to the surface 2 to 3 mm of the pulp, when it is traumatically exposed and left untreated for up to 168 hour...
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A specimen from a lung biopsy reveals occasional plexiform lesions within pulmonary aerioles. This abnormality is most characteristic of
[ "Churg-Strauss syndrome", "Adult respiratory distress syndrome", "Wegener's granulomatosis", "Pulmonary hypeension" ]
D
) Pulmonary vascular sclerosis refers to the vascular changes associated with pulmonary hypeension. Elevation of the mean pulmonary aerial pressure is the result of endothelial dysfunction and vascular changes. The vascular changes vary with the size of the vessel. The main aeries have atheromas that are similar to sys...
train
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Anticancer drugs having highest emetogenic potential -
[ "Cisplatin", "Vincristine", "Mthotrexate", "Busulfan" ]
A
Ans. is 'a' i.e., Cisplatin
train
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Type of sampling shown in Figure is
[ "Simple random sampling", "Systematic random sampling", "Stratified random sampling", "Cluster random sampling" ]
A
Ans- A Simple random sampling Ref - Review: Simple Random Sampling Do you remember how simple random sampling works? Visually, it's just numbering each individual and randomly selecting a certain number of them. Here's the image we used in the previous section: Stratified Sampling Stratified sampling is different. With...
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The costalcailages of these ribs do not reach the sternum -
[ "11th& l2th", "1st& 2nd", "6th& 7th", "8th, 9th& 10th" ]
D
Ans. is'd'i.e., 8th, 9th& 10thRibsThere are 12 pairs of ribs.All aiculate posteriorly with thoracic veebrae.The ribs are divided into two types.True ribs or veebrosternal ribs :- These are 1st to 7th ribs which aiculate directly with sternum through costal cailages.False ribs :- These are 8th to 12th ribs and do not ai...
train
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Rapid urea breath test is positive in?
[ "H pylori", "Klebsella", "Proteus", "Ureoplasma" ]
A
Ans. (a) H pyloriRef: Harrison's 17/e, table 144-1
train
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Psammoma bodies are seen in all the following except ?
[ "Malignant mesothelioma", "Somatostatinoma", "Prolactinoma", "Follicular carcinoma of thyroid" ]
D
Ans. is 'd' i.e., Follicular carcinoma of thyroidPsammoma bodies can be seen in :?Papillary carcinoma of thyroid.Renal cell carcinoma ( papillary type)Serous cystadenoma of ovaryMeningiomaMalignant mesothelioma ( Peritoneal & pleural)Somatostatinoma (Pancreas)Prolactinomam (Pituitary)Endometrial papillary serous cystad...
train
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The approximate composition of proteins in cell membrane is
[ "75%", "55%", "25%", "13%" ]
B
The cell membrane (also called the plasma membrane) envelops the cell and is a thin, pliable, elastic structure only 7.5 to 10 nanometers thick. It is composed almost entirely of proteins and lipids. The approximate composition is proteins, 55 percent; phospholipids, 25 percent; cholesterol, 13 percent; other lipids, 4...
train
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Anti TNF alpha is not used in ?
[ "RA with HIV", "RA with HCV", "RA with pulmonary fibrosis", "RA with hepatitis B" ]
A
Ans. is 'a' i.e., RA with HIV Amongst the given options, none is the contraindication for the use of anti-TNFoc therapy.
train
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Green strength with reference to plaster means
[ "Dry strength", "Compressive strength", "Strength of dental stone due to green colour", "The wet strength" ]
D
Two strength properties of gypsum are reported: Wet strength (also known as green strength),. Dry strength. The wet strength is the strength that is determined when water in excess of that required for hydration of the hemihydrate remains in the test specimen. When such excess water is removed by drying, the strength...
train
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Which is NOT a product of Pentose phos-phate pathway :
[ "Glyceraldehyde 3-PO4", "NADPH", "Sedoheptulose PO4", "CO2" ]
D
D i.e. CO2
train
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IQ - 40 level of mental retardation: NEET 13
[ "Mild", "Moderate", "Severe", "Profound" ]
B
Ans. Moderate
train
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Finding on colposcopy suggestive of malignancy:
[ "Candidiasis", "Papilloma", "Punctuation", "Condyloma" ]
C
Punctuation
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A 15 year old girl with type 1 diabetes is brought to emergency complaining of dizziness. Laboratory findings include severe hyperglycemia, ketoacidosis and blood pH of 7.15. To achieve rapid control of severe ketoacidosis, appropriate drug is:
[ "Crystalline zinc insulin", "NPH insulin", "Tolbutamide", "Ultra lente insulin" ]
A
Diabetic ketoacidosis must be managed by insulin preparations that can be given by intravenous route. Main insulin given intravenously is Regular insulin . Complication--> Hypoglycemia.
train
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Meningomyelocele with progressive hydrocephalus is commonly seen in
[ "Arnold chiari II", "Choroid plexus papilloma", "Dandy walker malformation", "Vein of Galen malformation" ]
A
Hydrocephalus + Meningomyelocele ⇒ Seen in Arnold chiari II
train
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Keratin sulfate in urine is found in
[ "Hurler's syndrome", "Hunter's syndrome", "Morquio's syndrome", "Sanfillipo's syndrome" ]
C
(C) Morquio's syndrome > Hurler syndrome, also known as Mucopolysaccharidosis type I (MPSI), Hurler's disease, also Gargoylism, is a genetic disorder that results in the buildup of glycosaminoglycans (formerly known as mucopolysaccharides) due to a deficiency of alpha-L iduronidase, an enzyme responsible for the degrad...
train
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Useful in acute diarrhoea:
[ "Zinc", "Magnesium", "Calcium", "Potassium" ]
A
The World Health Organization (WHO) and UNICEF recommend daily 20 mg zinc supplements for 10-14 days for children with acute diarrhea, and 10 mg per day for infants under six months old, to curtail the severity of the episode and prevent further occurrences in the ensuing two to three months, thereby decreasing the mor...
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In a case of vesicular mole all of following are high risk factors for the development of choriocarcinoma except:
[ "Serum hCG levels >100000 mIU/mL", "Uterus size larger than 16 week", "Features of thyrotoxicosis", "Presence of bilateral theca lutein cysts of ovary" ]
C
Ans. is c, i.e. Features of thyrotoxicosisRef. William 24/e, p 401Risk factors for malignant changeComplete mole (15-20% case)Patient's age >=40Serum hCG >=100,000mIU/mLUterine size >= large for gestational ageTheca lutein cysts: large (>6cm diameter)Slow decline in b-hCGSonographic appearance of myometrial nodules or ...
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Splaying and cupping of the metaphysis is seen in -
[ "Rickets", "Scurvy", "Paget's disease", "Lead poisoning" ]
A
Radiological findings in rickets : cupping of metaphysis splaying of metaphysis Fraying of metaphysis widening of growth plate widening of epiphysis coical thining generalised osteopenia Triradiate pelvis
train
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Location of pyriformis fossa -
[ "Nasopharynx", "Oropharynx", "Laryngeal part of pharynx", "None" ]
C
Pyriformis fossa is part of hypopharynx (laryngopharynx or laryngeal part of pharynx).
train
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Competitive enzyme inhibition will cause:
[ "Decrease of Km and increase of Vmax", "Increase of Km and increase of Vmax", "Decrease of Km and decrease of Vmax", "Increase of Km and unchanged Vmax" ]
D
null
train
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Potts fracture is an eponym used for -
[ "Bimalleolar ankle fracture", "Trimalleolar ankle fracture", "Fracture of distal end radius", "d Pathological fracture in osteomalacia" ]
A
Ans. is 'a' i.e., Bimalleolar ankle fracture * Pott's fracture: Bimalleolar ankle fracture.
train
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A 17-year-old boy with a stab wound received multiple injuries on the upper pa of the arm and required surgery. If the brachial aery were ligated at its origin, which of the following aeries would supply blood to the profunda brachii aery?
[ "Lateral thoracic", "Subscapular", "Posterior humeral circumflex", "Superior ulnar collateral" ]
C
The posterior humeral circumflex aery anastomoses with an ascending branch of the profunda brachii aery, whereas the lateral thoracic and subscapular aeries do not. The superior ulnar collateral and radial recurrent aeries arise inferior to the origin of the profunda brachii aery.
train
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Amsterdam criteria includes all except :
[ "Atleast three relatives should be affected", "All the three should be first degree relative", "Two successive generations affected", "FAP excluded" ]
B
Revised Amsterdam Criteria : The revised Amsterdam criteria are used to select at-risk patients (all criteria must apply) Criteria: Three or more relatives who are diagnosed with an HNPCC-associated cancer (Colorectal, endometrium, small bowel, ureter or renal pelvis) in which one affected person is a first degree rela...
train
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Osteogenesis imperfecta is due to a defect in -
[ "Collagen 1", "Collagen 2", "Collagen 3", "Collagen 4" ]
A
. Collagen 1
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Investigation used for CSF rhinorrhoea are all except
[ "CT cisternogram", "Skull X-ray", "beta2 transferrin", "Nasal endoscopy" ]
D
Advanced nasal endoscopic techniques can be used for CSF leak repair but not for investigation. CT cisternogram requires intrathecal injection of iohexol and a CT scan to localize the site. b 2 transferrin proteindetection by electrophoresis is asensitive and specific test for CSF.
train
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The usual concentration of blood used for blood agar medium is: September 2004
[ "10%", "20%", "40%", "80%" ]
A
Ans. A i.e. 10% Blood agar plate (BAP) Blood agar plate (BAP) contains mammalian blood (usually sheep or horse), typically at a concentration of 5-10%. BAP are enriched, differential media used to isolate fastidious organisms and detect haemolytic activity. Beta-hemolytic activity will show lysis and complete digestion...
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OKUDA staging is for?
[ "HCC", "Pancreatic cancer", "Hepatoblastoma", "RCC" ]
A
Ans. (a) HCCRef: Sabiston 19th Edition Page 1256* Classification systems used in HCC:# OKUDA staging# Barcelona Clinic Liver Clinic (BCLC) staging# CLIP staging (Cancer of Liver Italian Group Staging)
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Most abundand type of collagen in human body?
[ "Type I", "Type III", "Type IV", "Type VI" ]
A
Ans. is 'a' i.e., Type I Type I collagen accounts for about 90% of all collagens in humans."_Dinesh Puri
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"Poverty line" is defined as energy expenditure of at Least_______ or more required for daily activities per person in rural area.
[ "2100kcal", "2200 kcal", "2300 kcal", "2400 kcal" ]
D
Ans. d (2400 kcal) (Ref. Text book of PSM by Park 22nd/651).POVERTY LINE# Poverty line is defined as expenditure required for a daily calorie intake of 2100 per person in urban area and 2400 per person in rural area.# In terms of Rs. it comes to Rs. 228.9 per capita per month in rural area and Rs. 264.1 per capita per ...
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A student has just completed her hepatitis B vaccine series. On reviewing her lab studies, you except
[ "Positive test for HBsAg", "Anti -HBS alone", "Anti -HBC", "Antibody against both surface and core antigen" ]
B
.
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A patient presented with painless b/1 proptosis. What is the next investigation to diagnose it as chloroma?
[ "Blood haemoglobin", "Peripheral smear", "Platelets", "Bone marrow (reticulin)" ]
B
Ans. (b) Peripheral smearMyeloid (granulocytic) sarcoma, or myeloblastoma are extramedullary blast proliferation.These tumors are called chloromas because some appear green or turn green in dilute acid secondary to expression of MPO. The tumors are usually localized; they often involve bone, periosteum, soft tissues, l...
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A male 45 years old wants his missing teeth to be replaced. Intraoral examination reveals Kennedy class 4 edentulous maxillary arch. Impression is made with fast setting alginate. The setting time of the material is :
[ "1.5 to 3 min", "3 to 4.5 min", "3 to 4 min", "2 to 4 min" ]
A
A slight modification in the W/P ratio or the mixing time can have marked effects on two important properties of the gel, tear  strength,  and  elasticity;  thus, the setting time is best regulated by the  amount of retarder added during  the  manufacturing  process.  Usually,  the  manufacturers  make both fast-settin...
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Disease usually not seen in a country but brought from abroad is: March 2005
[ "Endemic", "Epidemic", "Zoonotic", "Exotic" ]
D
Ans. D: Exotic Exotic diseases are infectious diseases that normally do not occur in the region either because they have never been present there or because they were eradicated and then kept out by government control measures.
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True about Bacillus anthracis -a) Zoonotic diseaseb) Man to man transmission possiblec) Agent for bioterrorismd) Antibiotic has no rolee) Mc Faydean's reaction seen
[ "acd", "bde", "ace", "ade" ]
C
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A 50 years old male has hematuria and abdominal pain the cause can be all except
[ "Renal stone", "Renal cell cancer", "BPH", "Urothelial carcinoma" ]
C
(C) (BPH) (1331-33 Bailey & Love 26th)BENIGH PROSTATIC HYPERTROPHY:Primary symptom of bph arise because of difficulty in voiding urine due to obstruct ion of urethra by the prostate. They consist of hesitancy, poor urinary flow, and a sensation of incomplete emptyingNon specific symptoms -include urinary frequency urge...
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Which of the following is the only reversible cataract –
[ "Senile Cataract", "Cataract in Galactosemia", "Congenital Cataract", "None" ]
B
"Cataract associated with galactosemia is the only reversible cataract"... Atlas of Ophthalmology
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Which of the following is not an indication of radiotherapy in pleomophic adenoma of parotid:
[ "Involvement of deep lobe", "2nd histologically benign recurrence", "Microscopically positive margins", "Malignant transformation" ]
B
Radiotherapy is indicated for malignant recurrence, not for benign recurrence. Indications of Radiotherapy in Salivary Gland Tumor Low-grade neoplasm with close or positive margin Facial nerve involvement Multiple regional node metastasis High-grade histology Deep lobe involvement Perineural invasion Recurrence of mali...
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Preauricular pain, grating sensation and partial trismus are the symptoms of
[ "TMJ fibrous ankylosis", "TMJ bony ankylosis", "TMJ pain dysfurction symdnome", "Ear infection" ]
C
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Which statement best describes the middle ear?
[ "The medial wall is formed by the tympanic membrane.", "The epitympanic recess contains the incus and head of the stapes.", "The internal jugular vein is related to its roof", "It communicates with the mastoid air cells inferiorly." ]
B
The epitympanic recess is the pa of the tympanic cavity above the tympanic membrane. It contains the incus and head of the stapes, and provides a space for the growth of middle ear masses (e.g. cholesteatoma). The middle ear communicates with the mastoid air cells the mastoid antrum, which opens into the epitympanic re...
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Which of the following is not a prodrug -
[ "Enalapril", "Sulindac", "Cortisone", "Diazepam" ]
D
Ans. is 'd' i.e., Diazepam Prodrugo Few drugs are inactive as such and need conversion in the body to one or more active metaboliteso Such a drug is called a prodrug.Prodrus LevodopaOxcarbazepineMercaptopurineBenorilateEnalaprilPrednisoneFluorouracilProguanila - MethyldopaBacampicillinSulindacZidovudinChloral hydrateSu...
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A patient presents with chronic small bowel diarrhea, duodenal biopsy shows villous atrophy. Anti-endomysial antibodies and IgA TTG antibodies are positive. What is the treatment of choice?
[ "Gluten free diet", "Antibiotics", "Loperamide", "5-ASA" ]
A
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Disorders of phagocytosis are all, except:
[ "Job's syndrome", "Chediak-Higashi syndrome", "Myeloperoxidase deficiency", "Wiskott-Aldrich syndrome" ]
D
Ans. (d) Wiskott-Aldrich syndrome Ref. Anantlumarayan 9/e, p 172 Disorders of phagocytosis Chronic granulomatous disease Myeloperoxidase deficiency Chediak-Higashi syndrome Leukocyte G6PD deficiency Job's syndrome Tuftsin deficiency Lazy leukocyte syndrome Hyper-IgE syndrome Actin binding protein deficiency Shwachman's...
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Hypospadias in the baby is caused by maternal use if which of the following drug
[ "Diethyl stilbesterol", "Tolbutamide", "Clomiphene", "Clobazam" ]
C
Refer Goodman Gilman 12/e p 1846 The drugs that have been assosciated with high incidence of hypospadias include Valproic acid Phneytoin Progesterone Diethyl stilbesterol Clomiphene
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Raised serum amylase levels are used to diagnose -
[ "Autoimmune disease", "Degenerative disease", "Acute cholecystitis", "Acute pancreatitis" ]
D
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The preferred antidote for paracetamol (acetaminophen) poisoning is -
[ "Activated charcoal", "N-acetyl cysteine", "Adrenaline", "Magnesium hydroxide gel" ]
B
Ans. is 'b' i.e., N-acetyl cysteine N-acetyl cysteine is used as an antidote in paracetamol poisoning (acetominaphan).
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Hyperpigmentation is seen with which hormone?
[ "FSH", "LH", "TSH", "ACTH" ]
D
Ans. (d) ACTHRef: Harrison 19th ed. / 401e-4
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What is the leading cause of adrenal insufficiency?
[ "Autoimmune adrenalitis", "TB of adrenals", "X- linked Adreno leukodystrophy", "Hypothalamic pituitary disease" ]
D
This is a closely worded question Please note that incidence of Secondary adrenal insufficiency is MORE common than primary adrenal insufficiency. The most common cause of secondary adrenal insufficiency is hypothalamic pituitary insufficiency. Most common cause of primary adrenal insufficiency is Autoimmune Adrenaliti...
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7 day old baby presented in emergency depament with unconciousness, cyanosis and 85% oxygen saturation. The diagnosis _______
[ "Tetrology of fallot", "TGA", "TAPVC", "PDA" ]
B
In TGA there will be decreased oxygen saturation,cyanosis. Ref : Ghai essential of pediatrics, eighth edition, p.no:424
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The triad of hypeension, bradycardia and irregular respiration is seen in:
[ "Cushing's reflex", "Bezold-Zarisch reflex", "Herring-Bruer reflex", "Bainbridge's reflex" ]
A
Ans. a. Cushing's reflex
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Epidural anaesthesia is preferred over spinal anaesthesia because: September 2006
[ "Prolonged duration of effect", "Cheaper", "Less incidence of intravascular injection", "Less incidence of epidural hematoma" ]
A
Ans. A: Prolonged duration of effect Epidural anaesthesia, a form of regional anaesthesia involving injection of drugs through a catheter placed into the epidural space. The injection can cause both a loss of sensation (anaesthesia) and a loss of pain (analgesia), by blocking the transmission of signals through nerves ...
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A young lady complains of sudden onset of palpitations, extreme weakness and sweating. On examination, she was found to have B.P. 90/70 with a regular pulse rate of 180/minute. Her symptoms disappeared after vomitting but she complained of polyuria. The most likely diagnosis is
[ "Primary thyrotoxicosis", "Acute anxiety state", "Paroxysmal atrial tachycardia", "Paroxysmal atrial flutter" ]
C
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When using diamond instrument for tooth cutting without coolants, they produce:
[ "Same damaging heat as compared to carbide bur", "Less damaging heat as compared to carbide bur", "More damaging heat as compared to carbide bur", "None of the above" ]
C
Carbide burs are better for end cutting, produce lower heat and have more blade edges per diameter for cutting.
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Protrusion of mandible is due to which of the following muscle?
[ "Serratus anterior", "Pectoralis major", "Pectoralis minor", "Lateral pterygoid" ]
D
Lateral pterygoid helps in protrusion and depression on mandible.
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