question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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|---|---|---|---|---|---|---|
Bivalent meningococcal vaccine is ? | [
"A Y",
"A C",
"C y",
"A W-I35"
] | B | Ans. is 'b' i.e., A C Two type of meningococcal vaccine develop Unconjugated polysaccharide vaccine. Conjugated group C vaccine. Polysaccharide vaccines Internationally marketed meningococcal polysaccharide vaccines are o Bivalent (A and C), Trivalent (A, C and W-135) Tetravalent (A, C, Y and W-135). The vaccines are p... | train | med_mcqa | null |
Which method is used for safe disposal of Mercury? | [
"Bury under eah",
"Collect carefully & reuse",
"Combustion",
"Treatment with Chemical"
] | B | Collect carefully and reuse is the correct method for safe disposal of Mercury. | train | med_mcqa | null |
A 16 year old boy complains of pain in the right eye. After refractometry, he was prescribed a +3.5 D sphere lens. The cover test is normal. There is no heterophoria. The diagnosis is - | [
"Organic amblyopia",
"Anisometric amblyopia",
"Emmetropic amblyopia",
"Toxic amblyopia"
] | B | null | train | med_mcqa | null |
Hospital wastes should ideally be disposed by | [
"Burial",
"Composting",
"Incineration",
"Trench method"
] | C | null | train | med_mcqa | null |
Which of the following drugs is effective against pseudomonas infection? | [
"Ampicillin",
"Ceftriaxone",
"Colistin",
"Cefixime"
] | C | Polymyxin 8 and Colistin Polymyxin and colistin were obtained in the late 1940s from Bacillus polymyxa and B. colistinus respectively. They are active against gramnegative bacteria only; all except Proteus, Serratia and Neisseria are inhibited. Both have very similar range of activity, but colistin is more potent on Ps... | train | med_mcqa | null |
Which of the following is seen in the ovulatory phase: | [
"Stimulation of continuation of reduction division of oocytes",
"Inhibin A is increased",
"FSH increases steroid synthesis in granulosa cells",
"Activin causes FSH to act on granulosa cells"
] | A | Stimulation of continuation of reduction division of oocytes Ref: Speroff Clinical Gynecologic Endocrinology & Infeility, 7/e chapter 6; Guyton 11/e p1012 The ovarian cycle can be divided into three phases: the follicular phase, ovulation, and the intent phase. The ovarian cycle depends completely on the gonadotropic h... | train | med_mcqa | null |
Vasanthi 45 years, was brought to casualty with abnormal movements which included persistent detion of neck to right side one day before she was prescribed Haloperidol 5 mgs three times daily from the psychiatry OPD. She also had an altercation with her husband recently. Which of the following is the most likely cause ... | [
"Acute drug dystonia",
"Conversion reaction",
"Acute psychosis",
"Cerebrovascular accident"
] | A | Ans. is 'a' i.e., Acute drug dystonia o Persistent detion of neck (Toicollis) after one day of taking haloperidol is a feature of acture muscular dystonia (acute drug dystonia). Acute muscular dystonia o Bizarre muscle spasms mostly involving linguo-facial muscles --> grimacing, tongue thrusting, toicollis, locked jaw.... | train | med_mcqa | null |
All is exempted from oral testimony EXCEPT | [
"Dying declaration",
"Medical evidence of injury as witness",
"Chemical examination repo",
"Evidence of medical expe in lower cou"
] | B | B i.e. Medical evidence of injury as witness | train | med_mcqa | null |
A 2-year-old boy is brought to the physician by his parents, who complain that their son continually loses his balance. They also report that his speech seems more slurred. Physical examination confirms the truncal ataxia and wide-based gait. The child appears lethargic, and there is bobbing of the head while he is sit... | [
"Malignant epithelial cells with prominent tonofilaments",
"Perivascular collections of neoplastic lymphocytes",
"Small, hyperchromatic cells and rare neuroblastic rosettes",
"Vacuolated tumor cells and an abundant capillary network"
] | C | Medulloblastomas and, less commonly ependymomas and pineal parenchymal tumors, have a propensity to disseminate by way of the CSF throughout the CNS. Since medulloblastomas are close to the fourth ventricle, they may disseminate downstream into the spinal cord. The detection of neuronal and progenitor cell markers (e.g... | train | med_mcqa | null |
Which of the following antidiabetic drugs cause weight loss? | [
"Metformin",
"SFU",
"Insulin",
"Nateglinide"
] | A | Metformin a biguanide and insulin sensitizer produce weight loss so drug of choice for type 2 DM with obesity. Also used in cases of Polycystic ovarian disease. Ref: HL, KK Sharma 3rd ed pg 646 | train | med_mcqa | null |
Infant mortality rate is | [
"Death of infants per 1000 pregnent women",
"Death of infants per 1000 births",
"Death of infants per 1000 live births",
"Death of infants per 1000 population"
] | C | o IMR is defined as the number of death of child of less than 1 years of age per 1000 live births. It is a rate.
IMR | train | med_mcqa | null |
All of the following vaccinations are administered via subcutaneous route except: | [
"Japanese encephalitis",
"Hepatitis B",
"Measles",
"MR"
] | B | Ans. B. Hepatitis B vaccineHepatitis B vaccine is given via intramuscular route at birth. While at 6, 10, 14 weeks it is a component of pentavalent vaccine and that is also administered via intramuscular route. | train | med_mcqa | null |
Which of the following stages of demographic cycle has declining population: | [
"Second",
"Third",
"Fouh",
"Fifth"
] | D | Fifth stage (declining): Population begins to decline because the bih rate is lower than the death rate. Ref: Park, 22nd edition pg: 441 | train | med_mcqa | null |
The length of the feeding tube to be inserted for transpyloric feeding is measured from the tip of - | [
"Nose to the umbilicus.",
"Ear lobe to the umbilicus.",
"Nose to the knee joint.",
"Ear lobe to the knee joint."
] | B | The feeding tube length can be measured by following the normal route for tube i.e.
Nasal ala → to ear lobe → to epigastium
Since the distance between the nasal ala and ear lobe is almost equal to the distance between the epigastrium and umbilicus, the length can be measured from ear lobe to umbilicus. | train | med_mcqa | null |
Sialyl-Lewis X is linked to __________. | [
"Selectin",
"ICAM",
"CD31",
"VCAM"
] | A | The two major families of molecules involved in leukocyte adhesion and migration are the selectins and integrins
These molecules are expressed on leukocytes and endothelial cells.
Selectins mediate the initial weak interactions between leukocytes and endothelium. | train | med_mcqa | null |
DeQuervain's disease classically affects the: | [
"Flexor pollicis longus and brevis",
"Extensor carpi radialis and extensor pollicis longus",
"Abductor pollicis longus and brevis",
"Extensor pollicis brevis and abductor pollicis longus"
] | D | Ans. is 'd' ie Extensor pollicis brevis and abductor pollicis longus (Ref: Maheshwari 3/e, p257; Apley's, 8/e, p328).De Quervain's tenovaginitisIs inflammation of the common sheath of abductor pollicis longus and extensor pollicis brevis?Clinical featuresThe patient usually a woman aged 40-50 years, who complains of pa... | train | med_mcqa | null |
Most common cause dementia in an adult is | [
"Alzheimer's",
"Multi-infarct",
"Pick disease",
"Metabolic cause"
] | A | Dementia is a chronic organic mental disorder characterised by impairment of intellectual function, impairment of memory, deterioration of personality with lack of personal care Alzheimer&;s is the commonest cause of dementia seen in about 70% of all cases of dementia in USA. It is more commonly seen in women (Ref: a s... | train | med_mcqa | null |
Urinary incontinence results from all except: | [
"Neurogenic bladder",
"Vesico vaginal fistula",
"Ectopic ureter",
"Rectovesical fistula"
] | D | Rectovesical fistula doesn&;t cause urinary incontinence, as the level of fistula is above the sphincter mechanism. Causes of Incontinence: Problems of social control Uninhibited detrusor hyperreflexia and impaired social perception in dementia Storage problems Small bladder capacity owing to fibrosis (tuberculosis, ra... | train | med_mcqa | null |
Compared with cow&;s milk, mother&;s milk has more- | [
"Lactose",
"Vitamin D",
"Proteins",
"Fat"
] | A | <p> MILK:- Milk is good source of proteins , fats , sugars, vitamins and minerals. 1. Proteins: chief protein is casein. It occurs in combination with calcium as calcium caseinogenate. The other proteins are lactalbumin and lactoglobulin. Animal milk contains 3 times as much protein as human milk. Milk protein contain ... | train | med_mcqa | null |
First radiological sign of Crohn's disease in terminal ileum is: | [
"Aphthoid ulceration",
"Pseudo sacculation",
"Cobblestone pattern",
"Thickening of bowel wall"
] | A | Ans. Aphthoid ulceration | train | med_mcqa | null |
A full thickness loss of middle one third of the upper lip is best reconstruted by -a) Naso labial flapb) Cheek flapc) Abey flapd) Estlander's flap | [
"cd",
"bc",
"bd",
"ac"
] | A | null | train | med_mcqa | null |
For which of the following conditions screening for GDM is not required - | [
"Previous macrosomia",
"Previous congenital malformation",
"Previous still born",
"Previous pre-eclampsia"
] | D | Ans. is 'd' i.e., Previous preeclampsia Gestational diabetes mellitus It is defined as carbohydrate intolerance of varying severity with onset or first recognition during pregnancy. Pregnancy is a form of stress that can cause latent diabetes to manifest just as do surgical operations or acute infections.In most of the... | train | med_mcqa | null |
A 30 yrs old female present with hearing loss and following audiogram is obtained. What is her most likely diagnosis? | [
"Ototoxicity",
"Noise Induced Hearing Loss",
"Otosclerosis",
"Meniere's Disease"
] | C | Wide AB gap (conductive hearing loss) on left side with carha's Notch (dip at 2000Hz) in Bone conduction indicates Otosclerosis PTA in Otosclerosis:1. Air conduction is poor & worse for lower frequencies. * 2. Large AB gap *3. Bone conduction is normal. *4. In some cases, there is a dip in bone conduction curve. *5. It... | train | med_mcqa | null |
Which of the following drug is used in adjuvant setting in carcinoma colon? | [
"Bevacizumab",
"Cetuximab",
"Irinotecan",
"Oxaliplatin"
] | D | Carcinoma colon: Adjuvant setting - FOLFOX-IV Fol-folinic Acid (leucovorin) F-5-FU OX - Oxaliplatin Metastatic colorectal cancer:- FOLFIRI: Only given in metastatic colorectal cancer Fol-Folinic Acid F-5-FU IRI - Irinotecan- BEVACIZUMAB- CETUXIMAB- IRINOTECAN | train | med_mcqa | null |
Not a contraindication of routine Tonsillectomy - | [
"Upper respiratory tract infections",
"Bleeding disorder",
"Diphtheria carriers",
"Cleft palate"
] | C | null | train | med_mcqa | null |
Most common dose related side effect of salbutamol is: | [
"Nervousness",
"Tremor",
"Palpitation",
"Restlessness"
] | B | Tremor | train | med_mcqa | null |
For the management of intraoperative myocardial ischaemia, all of the following are advised except | [
"Heparin",
"Intravenous nitroglycerine",
"Calcium channel blocker",
"Atropine"
] | A | null | train | med_mcqa | null |
In which type of aboion the gestational age corresponds to the uterine size? | [
"Threatened",
"Inevitable",
"Complete",
"Mixed"
] | A | Ans. A.ThreatenedIn Threatened aboion the gestational age corresponds to the uterine size. | train | med_mcqa | null |
Candida is most often implicated in causation of | [
"Conjunctivitis",
"Tinea capitis",
"Dese rheumatism",
"Thrush"
] | D | Candida infection causes mucosal lesion like vaginitis and oral thrush. oral thrush found commonly in bottle-fed infants and aged and debilitated. This condition is characterised by creamy white patches appear on the tongue and buccal mucosa following removal, this leaves a red oozing surface. Tinea capitis is caused b... | train | med_mcqa | null |
What is the type of inhibition of acetylcholinesterase caused by organophosphates? | [
"Competitive and reversible",
"Noncompetitive and irreversible",
"Uncompetitive and reversible",
"Competitive and irreversible"
] | D | Ans. d. Competitive and irreversible (Ref: Goodman Gillman 12/e p242. Katzung 12/e p106: KDT 7/e p99)The type of inhibition of acetyl cholinesterase caused by organophosphates is competitive & irreversible."Organophosphates cause irreversible inhibition of Acetyl-cholinesterase while that caused by carbamates is revers... | train | med_mcqa | null |
Floating tooth sign is seen in: | [
"Dentigerous cyst",
"Periapical cyst",
"Aphthous ulcers",
"Histiocytosis x"
] | D | Floating tooth sign is seen with Histiocytosis x, because of erosion of bonyalveoli around the teeth. | train | med_mcqa | null |
Foueen weeks pregnancy with third degree prolapse. Best management will be : | [
"Sling surgery",
"Foot end elevation",
"Ring Pessary",
"No treatment"
] | C | Ans. is c i.e. Ring pessary Other indications of Ring pessary : Young women planning a pregnancy. In puerperium - to facilitate involution. Patient unfit or unwilling for surgery. Women who have undergone atleast one previous attempt at surgical intervention without relief. Diagnostic - It may be placed diagnostically ... | train | med_mcqa | null |
All are true about GIST EXCEPT? | [
"Most common mesenchymal tumor of GIT",
"C-kit (CD 117) positive",
"Originate from interstitial cells of Cajal",
"Majority seen in duodenum"
] | D | Ref: Robbins Pathology, 9th ed. pg. 775-76* Majority of gastrointestinal stromal tumors originate from stomach. The cell of origin is interstitial cell of Cajal which are present in muscularispropria.* The useful marker is c-kit (CD 117) detectable in 95% of patients.* PET scan is the imaging modality of choice* Treatm... | train | med_mcqa | null |
Which of the following is the most specific test for Rheumatoid arthritis | [
"Anti-ccp antibody",
"Anti Igm antibody",
"Anti IgA antibody",
"Anti IgG antibody"
] | A | Ans. is 'a' i.e. Anti-ccp antibody Rheumatoid factor is an autoantibody, usually IgM directed against the Fc region of IgG.Despite its name, rheumatoid factor is not specific for rheumatoid arthritis, it can also be seen in wide range of autoimmune disorders, inflammatory disease and chronic infections. *Anticitrullina... | train | med_mcqa | null |
Memory impairment is most likely to occur in - | [
"Downs Syndrome",
"Alkaptonuria",
"Attention deficit disorder",
"Conduct disorder"
] | A | null | train | med_mcqa | null |
Comment on the diagnosis shown below? | [
"Drooping water lily sign",
"Horse shoe kidney",
"Flower Vase kidney",
"Duplication of kidney"
] | A | Ans. (a) Drooping water Lily sign. | train | med_mcqa | null |
Gradenigo's syndrome involves the following cranial nerves: | [
"IV, VII",
"V, VI",
"VI, DC",
"VII, VIII"
] | B | Gradenigo's syndrome, which is characterised by the triad of suppurative otitis media, pain in the distribution of the trigeminal nerve, and abducens nerve palsy may give rise to potentially fatal complications | train | med_mcqa | null |
Which of the following is the most common cause of a mixed cystic and solid suprasellar mass seen on cranial MR scan of a 10-year-old child? | [
"Pituitary adenoma",
"Craniopharyngioma",
"Optic chiasmal glioma",
"Germinoma"
] | B | Ans. Craniopharyngioma | train | med_mcqa | null |
Under MCH programme, iron and folic acid tablets to be given daily to mother has | [
"100 mg iron + 500 mcg folic acid",
"60 mg iron + 500 mcg folic acid",
"60 mg iron + 100 mcg folic acid",
"100 mg iron + 100 mcg folic acid"
] | A | An adult tablet of IFA contains: 100 mg elemental Iron and 500 mcg Folic acid (to be given for 100 days minimum in pregnancy).
A pediatric tablet of IFA contains: 20 mg elemental Iron and 100 mcg Folic acid (to be given for 100 days minimum every year till 5 years age of child). | train | med_mcqa | null |
Epiphora in a patient with seventh nerve palsy is most likely due to: | [
"Eversion of lower punctum",
"Lateral lower lid ectropion",
"Failure of lacrimal pump system",
"All of the above"
] | C | Ans. Failure of lacrimal pump system | train | med_mcqa | null |
Greater risk of transformation into carcinoma is seen in: March 2009 | [
"Prepyloric ulcer",
"Intestinal hyperplasia",
"Intestinal metaplasia",
"Intestinal hyperophy"
] | C | Ans. C: Intestinal metaplasia Intestinal metaplasia is the transformation (metaplasia) of epithelium, usually of the stomach, to a type that bears some resemblance to the intestine. Initially, the transformed epithelium bears resemblance to the small intestine; in the later stages, the epithelium resembles the colon. I... | train | med_mcqa | null |
Blount&;s disease is associated with all of the following, EXCEPT: | [
"Genu varum",
"Genu Recurvatum",
"Internal Tibial Torsion",
"External Tibial Torsion"
] | A | Blount's disease is characterized by varus and internal tibial torsion and genu recurvatum, with varus of the proximal tibia being the primary deformity. It is not associated with external tibial torsion. xray of blounts disease with genu vara REF : Maheshwari book of ohopedics 6th Ed. | train | med_mcqa | null |
A 25 year old Female presents with endometriosis on diagnostic imaging, the ovarian cyst is found to be 5 cm. What is your treatment approach | [
"Laparoscopic drainage",
"Laparoscopic cystectomy",
"Laparoscopic adhesiolysis",
"Hormonal therapy"
] | B | null | train | med_mcqa | null |
Extrapyramidal syndrome like side effects are seen in - | [
"Haloperidol",
"Clozapine",
"Tetracycline",
"Ketoconazole"
] | A | Ans. is 'a' i.e., Haloperidol Drugs causing extrapvramidal effects o Butyrophenones (Haloperidol) o Methyldopa o OCP'S o Reserpine o Levodopa o Metoclopromide o Phenothiazines o Tricyclic Antidepressants | train | med_mcqa | null |
In a child 1 years the commonest cause of resp. Infection with wheeze is – | [
"RSV",
"Influenza viurs",
"Adenovirus",
"Para influenza"
] | A | Wheezing due to respiratory tract infection in a 1-year-old child is due to bronchiolitis. | train | med_mcqa | null |
A mother delivers a neonate with meconium staining and Apgar scores of 3 at 1 and 5 minutes of life. She had no prenatal care and the delivery was by emergency cesarean section for what the obstetricians report as "severe fetal bradycardia." Which of the following sequelae could be expected to develop in this intubated... | [
"Sustained rise in pulmonary arterial pressure",
"Hyperactive bowel sounds",
"Microcephaly with micrognathia",
"Cataracts"
] | A | The low Apgar scores, meconium staining, and ensuing respiratory distress suggest that asphyxia has occurred. During a period of asphyxia, the resulting hypoxemia, acidosis, and poor perfusion can damage a neonate's brain, heart, kidney, liver, and lungs. The resulting clinical abnormalities include cerebral edema, irr... | train | med_mcqa | null |
Which of the following drug is not used topicallyfor open angle glaucoma? | [
"Latanoprost",
"Brimonidin",
"Acetazolamide",
"Dorzolamide"
] | C | Ans. is 'c' i.e., Acetazolamide Topical antiglaucoma drugs Pilocarpine Q%) -> 4ttmes a day Beta-blockers - a iimotot (0,25-0.5%) eye drops + 1-2 times a day a Timolot gel -+ Once a dny Betaxalol (0.5%) + twice daily c Levobunolol (0.25-0.5%) -+ l-2 times a day Caeolol (l -2%) -+ l-2 time a day u Metipranolot (0. 1-0.6%... | train | med_mcqa | null |
Height in centimeters by cube root of body weight is also known as? | [
"Quetlet index",
"Broca index",
"Ponderal's Index",
"Corpulence index"
] | C | Ref: Park 25th edition Pgno : 418 | train | med_mcqa | null |
In acute congestive glaucoma, pupil is: | [
"Oval and horizontal",
"Oval and veical",
"Circular",
"Slit like"
] | B | B i.e. Oval & veical In acute congestive glaucoma pupil is veically oval, dilated & nonreacting Q and anterior chamber is very shallow Q; where as in acute anterior uveitis pupil is small, irregular & sluggishly reacting Q and anterior chamber is deep. | train | med_mcqa | null |
Eradication of polio type 2 done on | [
"12-May-14",
"20-Sep-15",
"14-Jul-16",
"22-Feb-03"
] | B | null | train | med_mcqa | null |
Second arch derivative - | [
"Malleus",
"Incus",
"Stapes",
"None"
] | C | Ans. is 'c' i.e., Stapes ArchSkeletal elementMuscle archNerve of archIMaxilla, zygomatic bone, part of temporal and vomer, sphenoid, mandible,Malleus, incusMylohyoidMastication musclesAnterior belly of digastricsTensor veli palatineTensor tympaniMandibular division of trigeminalIIStapesStyloid processStylohyoid ligamen... | train | med_mcqa | null |
A 30 yrs woman 2+0, hypertension have menorrhagia. Which is the best treatment for her - | [
"Combined pills",
"MIRENA",
"Hysterectomy",
"Transcervical resection of endometrium"
] | B | Ans. is 'b' i.e., MIRENA * The question does not give any clue regarding the etiology of menorrhagia, so most probably the women are havingD.U.B. i.e., dysfunctional uterine bleeding. When a woman present with menorrhagia, consideration must first be given to diagnosis.This requires an appropriate history and clinical ... | train | med_mcqa | null |
A middle aged female patient comes with recurrent painful blisters over oral mucosa and genital area. She gives history of similar lesion in the past. A biopsy from the lesion shows suprabasal split on histopathology and IgG deposits in immunofluorescence microscopy as shown below. What is the most likely diagnosis? | [
"Eczema",
"Pemphigus vulgaris",
"Lupus vulgaris",
"Dermatitis herpetiformis"
] | B | Clinical history like flaccid bullae, oral mucosal involvement, tendency to rupture and erode, is suggestive of pemphigus vulgaris. The Immunofluorescent examination finding in Pemphigus vulgaris are deposition of lgG3 & C3 in intercellular space giving fish net pattern. | train | med_mcqa | null |
Subclan steal syndrome results due to obstruction of | [
"1st pa of subclan aery",
"2nd pa of subclan aery",
"3rd pa of subclan aery",
"Subclan vein"
] | A | The proximal pa of left subclan is blocked on left side so no flow in veebral and to left arm. Blood from right veebral enters left veebral and flows back to supply left arm. | train | med_mcqa | null |
A man presents with fever, wt loss and cough; Mantoux reads an induration of 17 x 19 mm: Sputum cytology is negative for AFB. Most likely diagnosis is: | [
"Pulm tuberculosis",
"Fungal infection",
"Viral infection",
"Pneumonia"
] | A | Answer is A (Pulmonary tuberculosis): All features mentioned in this question are in our of pulmonary tuberculosis and the only feature that troubles is a 'negative sputum cytology'. A negative sputum cytology however does not rule out pulmonary tuberculosis. 'A negative sputum cytology does not rule out pulmonary tube... | train | med_mcqa | null |
Most common disease caused by CMV in post-bone-marrow transplant patients - | [
"Pyelonephritis",
"Meningitis",
"Pneumonia",
"Gl ulceration"
] | C | Pneumonia is the most common disease caused by CMV in post-bone-marrow transplant patients - | train | med_mcqa | null |
Which does not contribute to Enterobillary Fistula ? | [
"Duodenal ulcer",
"Gall stones",
"Gastric ulcer",
"Carcinoma gall bladder"
] | C | Ans. is 'c' i.e. Gastric ulcer | train | med_mcqa | null |
After L4- S1 the next commonest site of intervertebral disc prolapse is - | [
"C6 - C7",
"T12 - LI",
"L1- L2",
"L2 - L3"
] | A | L5 and L4 - L5 level → 80%.
C5 - C6 and C6–7 level → 19-20%. | train | med_mcqa | null |
Which of the following drug belongs to antifolate group of antimicrobials? | [
"Erythromycin",
"Doxycycline",
"Pyrimethamine",
"Gentamicin"
] | C | ANTIMICROBIALS INHIBITING METABOLISM a. FOLIC ACID SYNTHASE INHIBITORS i. SULFONAMIDES ii. DAPSONE iii. PAS b. DI HYDRO FOLATE REDUCTASE INHIBITORS i. TRIMETHOPRIM ii. PYRIMETHAMINE | train | med_mcqa | null |
Which of the following is an adverse effect of β2 agonists: | [
"Hypoglycemia",
"Hypomagnesemia",
"Hypophosphatemia",
"Hypokalemia"
] | D | β2 agonists cause a brief spell of hyperkalemia followed by hypokalemia.
These do not cause hypoglycemia. However, β2 blockers delays the recovery from hypoglycemia. | train | med_mcqa | null |
Birth weight of newborn baby doubles by ? | [
"4 months",
"5 months",
"6 months",
"7 months"
] | B | Birth weight doubles by 5 months,
triples by 1 year,
Quadruples by 2 years. | train | med_mcqa | null |
Which of the following muscle relaxant has the maximum duration of action – | [
"Atracurium",
"Vecuronium",
"Rocuronium",
"Doxacurium"
] | D | On this, there is controversy in different books :-
According to Goodman & Gilman, Pancuronium is the longest acting.
According to Lee Pipecuronium is the longest acting.
Some books have given Doxacurium as longest acting (KDT, Ajay Yadav)
You are lucky as you have got only one amongst these three. For this questio... | train | med_mcqa | null |
A 40 year old male presented to casualty with severe pain in the left upper abdomen radiating to groin. Urine routine shows 6-8 pus cells and 15-20 RBCs . CT scan was taken. What is the diagnosis? | [
"Aoic Aneurysm",
"Acute cholecystitis",
"Left ureteric calculus",
"Acute Colitis"
] | C | A non-contrast CT clearly shows a calculus in the left upper ureter.Loin to groin pain, RBC in urine suppo the diagnosis. | train | med_mcqa | null |
Ketamine produces : | [
"Emergence delirium",
"Pain on injection",
"Bronchoconstriciton",
"Depression of cardiovascular system"
] | A | null | train | med_mcqa | null |
WHO constitution was made in - | [
"1947",
"1950",
"1952",
"1956"
] | A | In 1946 the constitution was drafted by "Technical Preparatory Committee " under the chairmanship of Rene Sand and was approved in the same year by an International Health Conference of 51 nations in New york. The constitution came in to force on 7 th April 1948 which is celebrated every year as "World Health Day "(ref... | train | med_mcqa | null |
HCG level seen in : | [
"Down syndrome",
"DM",
"Multiple pregnancy",
"Ectopic pregnancy"
] | D | Ans. is d i.e. Ectopic pregnancy Caught you, I know some of you must have instantly answered "Down's Syndrome". But my dear friends read the question very carefully. It says decreased hCG levels and not decreased AFP levels. | train | med_mcqa | null |
Bone within a Bone appearance is seen in: | [
"Osteo-necrosis",
"Osteoporosis",
"Osteopetrosis",
"Osteomyelitis"
] | C | Ans. (c) OsteopetrosisRef: Harrison 19th ed. /426e-4* Bone within a bone describes the bones that appear to have another bone within them.Causes: P.O.S.T-C.G.D# Paget's disease of bone# Osteopetrosis# Sickle cell disease# Thalassemia# Caffey's disease# Gaucher's disease# Growth recovery lines (after infancy)# Hypervita... | train | med_mcqa | null |
Hypokalemia with hypertension is associated with following except | [
"Liddle's syndrome",
"Conn's syndrome",
"Bartter's syndrome",
"Cushing's syndrome"
] | C | Ans. c (Bartter's syndrome) (Ref H-18th/ table 284-2; 17th/1801; LB 25th / 811)The combination of hypokalemia and alkalosis in a normotensive, nonedematous patient can be due to Bartter's or Gitelman's syndrome, magnesium deficiency, vomiting, exogenous alkali, or diuretic ingestion. Bartter's syndrome is featured by S... | train | med_mcqa | null |
Test for ACL injury is - | [
"Lachman",
"Bryants",
"Jobes",
"Hamilton"
] | A | Ans. is `a' i.e., Lachman ACL injury ACL is the most commonly injured ligament of knee. Most common mechanism of injury is twisting (medial rotation) with valgus injury on semiflexed knee. Often with this mechanism MCL and medial meniscus are also injured. This triple injury of ACL , MCL and medial meniscus is called O... | train | med_mcqa | null |
Indication of MTP- | [
"Pregnancy due to rape",
"Contraceptive failure",
"Pregnancy endangering mother's life",
"All of the above"
] | D | Ans. is 'd' i.e., All of the above The conditions under which pregnancy can be terminated under the MTPAct There are 4 conditions that have been identified in the Act : Medical - Where continuation of the pregnancy might endanger the mother's life or cause grave injury to her physical or mental health. Eugenic - Where ... | train | med_mcqa | null |
Differentiation between staphylococcus aureus and epidermidis is done by? | [
"Novamycin",
"Catalase",
"Coagulase",
"Oxacillin resistance"
] | C | ANSWER: (C) CoagulaseREF: Jawetz Microbiology, 24th Ed Ch 14The genus Staphylococcus has at least 35 species. The three main species of clinical importance are Staphylococcus aureus, Staphylococcus epidermidis, and Staphylococcus saprophyticus.* Staphylococcus aureus is coagulase-positive, which differentiates it from ... | train | med_mcqa | null |
All of the following are the components of the white pulp of spleen, except - | [
"Periarteriolar lymphoid sheath",
"B cells",
"Antigen presenting cells",
"Vascular sinus"
] | D | Vascular sinuses are a component of the red pulp of spleen and not the white pulp. | train | med_mcqa | null |
A young man with tuberculosis presents with massive recurrent hemoptysis. For angiographic treatment which vascular structure should be evaluated first? | [
"Pulmonary aery",
"Bronchial aery",
"Pulomary vein",
"Superior vena cava"
] | B | Answer is B (Bronchial Aery): Diagnosis and treatment of symptoms of Respiratory; Vascular and Interventional Radiology by bakal (2002)/158 Hemoptysis usually arises from the bronchial aeries. Pulmonary aeries are a rare source of hemorrhage. The vascular structure that should be evaluated .first for angiographic treat... | train | med_mcqa | null |
James Lind is related to discovery of | [
"Prevention of scurvy",
"Pathogenesis of scurvy",
"Cause of scurvy",
"All of the above"
] | A | Ref:Park's Textbook of Preventive and Social Medicine 25th Ed | train | med_mcqa | null |
Thromboxane A2- | [
"Formed by platelets",
"Formed from PGG2\\/PGH2",
"Prothrombotic",
"Vasoconstrictor"
] | A | Robbins basic pathology 9th edition, page no:46 Platelets contain the enzyme thromboxane synthase producing thromboxane A2. | train | med_mcqa | null |
Cardiomyopathy is not a feature of - | [
"Duchenne's Muscular Dystrophy",
"Friedriech's ataxia",
"Pompe disease",
"Lowe's syndrome"
] | D | Ans. is 'd' i.e., Lowe's Syndrome | train | med_mcqa | null |
Intermediate host of Toxoplasma are all except - | [
"Human",
"Sheep",
"Cat",
"Pig"
] | C | Cat and felines-definite host Only the asexual forms,trophozoites and tissue cysts are found in other animals including humans and birds which act as intermediate host(refer pgno:64 baveja 3 rd edition) | train | med_mcqa | null |
An immigrant from the Far East develops malaise, fever, and rigors, followed by upper right quadrant abdominal pain, vomiting, jaundice, and itching. His urine is dark and his feces are pale. Infestation with which of the following parasites is most strongly suggested by this patient's presentation? | [
"Clonorchis sinensis",
"Enterobius vermicularis",
"Plasmodium ovale",
"Taenia solium"
] | A | The patient is suffering from suppurative (bacterial) cholangitis, which can occur as a complication of infestation by the roundworm, Ascaris lumbricoides and by the liver flukes, Clonorchis sinensis and Fasciola hepatica. Biliary tract obstruction produces jaundice and extreme itching, with dark urine and pale feces. ... | train | med_mcqa | null |
Which of the following best describes the electrical response of the rods to light? | [
"Action potential",
"Capacitive discharge",
"Depolarization",
"Hyperpolarization"
] | D | The rod receptor potential is hyperpolarizing, not depolarizing. It is a receptor potential not action potential. Hyperpolarization leads to decrease in the release of glutamate, an excitatory neurotransmitter, from the synaptic terminals of the photoreceptor. | train | med_mcqa | null |
Gluten sensitive enteropathy is most strongly associated with which of the following? | [
"HLA DQ2",
"HLA DR4",
"HLA DQ3",
"Blood group 'B'"
] | A | 95% of patients with gluten sensitive enteropathy express HLA DQ2 histocompatibility antigen on chromosome 6. In celiac sprue, the fundamental disorder is a sensitivity to gluten. When small intestinal mucosa is exposed to gluten, there is intraepithelial accumulation of cytotoxic T cells and helper T cell in the lamin... | train | med_mcqa | null |
All of the following are ECG changes seen in Digoxin toxicity except | [
"QT shortening",
"PR shortening",
"ST depression",
"T wave inversion"
] | B | Digoxin is a AV Nodal blocker and hence it leads to PR prolongation not shortening. | train | med_mcqa | null |
A 5year-old child complains of pain and swelling of the right tibia. On laboratory evaluation he has elevated ESR and leucocytosis X-ray shows a tibial lesion. Which of the following is the best investigation which can help us clinch the diagnosis: | [
"Blood C/S",
"Pus C/S",
"MRI",
"Biopsy"
] | D | Diagnostic is always Tissue Diagnosis -Tumors and infection can mimic each other (clinically and radiologically), e.g. Osteosarcoma and Ewings sarcoma are two tumors that mimic osteomyelitis. (Both have accompanying fever and increased local temperature). -Tumors and bone infections are usually metaphyseal and both nee... | train | med_mcqa | null |
Drug commonly used in the treatment of echinococcosis is: | [
"Albendazole",
"Ivermectin",
"Pyrental prermeated",
"Metronidazole"
] | A | Albendazole: It is a subsequently introduced congener of mebendazole: retains the broad-spectrum activity and excellent tolerability of its predecessor, and has the advantage of single dose administration in many case.Three day treatment has been found necessary for tapeworms including H. nana. Results in hydatid disea... | train | med_mcqa | null |
Drugs which increases nitric oxide are all except? | [
"Glycerine trinitrate",
"Hydralazine",
"Sodium nitroprusside",
"Fenoldopam"
] | D | Ans. is 'd' i.e., Fenoldopam o NO donors, which release NO are used to elicit smooth muscle relaxation. Drugs are - 1. Organic nitrates (nitroglycerine) 3. Sodium nitroprusside 5. Nebivolol 2. Organic nitrites (Isoamylnitrite) 4. Hydralazine | train | med_mcqa | null |
Oesophagitis in immuno compromised person is caused by all except is - | [
"HSV",
"HIV",
"Varicella",
"CMV"
] | B | null | train | med_mcqa | null |
A circumferential clasp arm: | [
"Originates above the height of contour",
"Originates below the height of contour",
"Traverses soft tissue",
"Approaches undercut from gingival direction"
] | A | null | train | med_mcqa | null |
On insulin administration, change expected in ECF is | [
"Hypocalcemia",
"Hyponatremia",
"Hypoglycemia",
"Hyperkalemia"
] | C | Insulin is a polypeptide hormone secreted by the islets of Langerhans and functioning in the regulation of the metabolism of carbohydrates and fats, especially the conversion of glucose to glycogen, which lowers the blood glucose level.Ref: Ganong&;s review of medical physiology;24th edition; page no-433 | train | med_mcqa | null |
The reducing equivalent for fatty acid synthesis is derived from | [
"Glycolysis",
"Kreb's cycle",
"Urea cycle",
"pentose phosphate pathway"
] | D | null | train | med_mcqa | null |
AKA (Alcoholic ketoacidosis) is best managed with? | [
"Thiamine with 10% Dextrose infusion",
"Isotonic saline infusion",
"Soda bicarbonate infusion",
"Fomepizole infusion"
] | B | * Rx of Ketoacidosis - Isotonic Saline Infusion * Wernicke's Encephalopathy- Thiamine + 10% dextrose * Methyl alcohol poisoning - Fomepizole infusion * Soda Bicarbonate infusion - pH < 7.1 * DKA, NKH Coma, AKA, SBP|| = NS | train | med_mcqa | null |
Honey comb liver is seen in - | [
"Micronodular cirrhosis",
"Dubin Johnson's syndrome",
"Actinomycosis",
"Hydatidosis"
] | C | • Most commonly, Actinomyces reaches liver through portal vein.
• Liver is gradually replaced by multiple abscesses, typical honey comb liver
Diagnosis
• Needle aspiration: Actinomyces in pus
Treatment
• Antibiotic (Penicillin) is the DOC. | train | med_mcqa | null |
Fairy 23 year old pregnant female having severe sensitivity to amoxicillin drug used to treat Gonorrhea in a single dose should be | [
"Ceftriaxone",
"Tetracycline",
"Ciprofloxacin",
"Spectinomycin"
] | D | Ref-Katzung 10/e p761,762 Ceftriaxone is contraindicated in patients having severe allergy to penicillins. Tetracvclines are not etfective against gonorrhoea. Although ciprotloxacin is etfective as a single dose treatment ot gonorrhoea but it is contraindicated in pregnancy. Spectinomycin can be given as single dose tr... | train | med_mcqa | null |
Bright red color on postmortem staining found in – | [
"CO",
"P",
"H2S",
"HCN"
] | D | The colour of postmortem hypostasis in HCN poisoning is bright red due to impaired oxygenation of tissues and formation of cyanmethhemoglobin. | train | med_mcqa | null |
Marker for granulosa cell tumor; | [
"CA 19-9",
"CA 50",
"Inhibin",
"Teratoma"
] | C | <p> - inhibin B is a peptide growth factor secreted by granulosa cells. - it is a measure of diminished ovarian reserve. - inhibin B is elevated in granulosa cell tumors. Reference : textbook of gynaecology Sheila balakrishnan, 2nd edition, pg no: 135 <\p> | train | med_mcqa | null |
Drug of choice for acute iridocyclitis is- | [
"Steroids",
"Acetazolamide",
"Atropine",
"Antibodies"
] | A | Coicosteroids are of great value in controlling the iridocyclitis in the acute phase. They usually administered topically as drops or ointment or subconjunctival injections. eg ;- betamethasone, dexamethasone and prednisolone. | train | med_mcqa | null |
Coeur en Sabot (Boot shaped heart) is typical of: | [
"Atrial septal defect",
"Total anomalous pulmonary venous connection",
"Fallot’s tetralogy",
"Ebstein’s anomaly"
] | C | Coeur en Sabot or Boot-shaped heart is typical of Tetralogy of Fallot.
Snowman sign on chest X-ray is seen in TAPVC (Total anomalous Pulmonary Venous connection).
Echocardiography is diagnostic and demonstrates that the aorta is not continuous with the anterior ventricular septum. The ECG shows right ventricular hypert... | train | med_mcqa | null |
“Smudge cells” in the peripheral smear are characteristic of: | [
"Chronic myelogenous leukemia",
"Chronic lymphocytic leukemia",
"Acute myelogenous leukemia",
"Acute lymphoblastic leukemia"
] | B | In CLL, the peripheral blood contains increased numbers of small, round lymphocytes with scant cytoplasm. These cells are fragile and are frequently disrupted in the process of making smears, producing so-called smudge cells. | train | med_mcqa | null |
A sample of human DNA is subjected to increasing temperature until major portion of the sample melts. A small portion of the DNA requires even higher temperature compared to rest of the sample. This may be having higher content of | [
"Adenine and guanine",
"Cytosine and guanine",
"Cytosine and thymine",
"Adenine and thymine"
] | B | C and G have three hydrogen bonds compared to A and T which have two hydrogen bonds. Hence C-G base pair rich, DNA has high melting temperature. | train | med_mcqa | null |
Provisional matrix is made up of- | [
"Fibrin",
"Fibronectin",
"Fibrinogen",
"All"
] | D | in secondary healing a provisional matrix containing fibrin, plasma fibronectin, and type III collagen is formed in about 2 weeks this is replaced by a matrix composed primarily of type I collagen ref robbins 9th ed page 108 | train | med_mcqa | null |
During Acute tonsillitis Pain in the ear is due to Involvement of | [
"Trigeminal nerve",
"Facial nerve",
"Glossopharyngeal nerve",
"Vagus nerve"
] | C | Ref. Diseases of Ear, Nose and Throat. Pg 258
Below is a compiled pic of referred pain to ear | train | med_mcqa | null |
The following complications during pregnancy Increase the risk of postpaum hemorrhage (PPH) except: | [
"Hypeension",
"Macrosomia",
"Twin pregnancy",
"Hydramnios"
] | A | Ans. is a i.e. Hypeension | train | med_mcqa | null |
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