question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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A 28 year old patient complains of amenorrhea after having dilatation & curettage.The most likely diagnosis is: | [
"Kallman's Syndrome",
"Turner's Syndrome",
"Asherman's Syndrome",
"Pelvic inflammatory disease"
] | C | C;Asherman's Syndrome | train | med_mcqa | null |
Which of the following is the least common cause of ambiguous genitalia in a female child- | [
"Fetal placental steroid sulfatase deficiency",
"Fetal placental aromatase deficiency",
"Congenital adrenal hyperplasia",
"WNT-4 gene mutation"
] | A | Ans is 'a' i.e., Fetal placental steroid sulfatase deficiency o Placental steroid sufatase deficiency is an X-linked disorder (affects only males) that does not lead to ambiguous genitalia in a female child. o 'Placental steroid sullatase deficiency is a rare X-linked disorder and all affected fetuses are males' Willia... | train | med_mcqa | null |
Origin of melanocytes cell causing melanoma is: | [
"Neural crest cells",
"Mesoderm",
"Ectoderm",
"Endoderm"
] | A | Ref: Thappa DM, editor. Essentials in Dermatology, 2ndedn,, Mew Delhi: Jaypee brothers medical publishers (P) Ltd 2009Explanation:MelanocytesMelanocytes provide the pigment melanin to keratinocytes in the skin epithelium.These cells are neural crest in originRecent research suggests that these cells have same origin as... | train | med_mcqa | null |
Which Vitamin is excreted in urine | [
"Vitamin A",
"Vitamin C",
"Vitamin D",
"Vitamin E"
] | B | Water soluble vitamins, Vitamin B and Vitamin C are excreted in Urine. | train | med_mcqa | null |
In case of Duchenne Muscular dystrophy, dystrophin gene mutation occurs in promoter region. What process could get affected | [
"Replication of DNA containing dystrophin gene",
"Post transcriptional modification of dystrophin gene.",
"Translation of Dystrophin protein",
"Transcription of Dystrophin gene"
] | D | Promoter regions are DNA sequences that define where transcription of a gene should begin.
If mutation occurs in promoter region transcription will get affected. | train | med_mcqa | null |
The best gas used for pneumoperitoneum laparoscopy is | [
"N2",
"O2",
"CO2",
"NO"
] | C | Carbon dioxide is the most widely used peritoneal distention medium, because it is non-flammable, colourless and has a higher blood solubility than air & the rapid absorption of CO2 in blood reduces the incidence of gas emboli. | train | med_mcqa | null |
How does cerebellum helps in coordination of movement- | [
"By learning",
"By reflex activity",
"Comparing plan and movement",
"By regulating tone"
] | C | Ans. is 'c' i.e., Comparing plan and movement o Cerebellum helps in coordination of movement by timing and comparison.o The cerebellum is believed to be a timing device that times the duration of agonist muscle activity and latency of antagonist activity, so that any movement is halted at correct pointo The cerebral co... | train | med_mcqa | null |
True about tachyphylaxis: (PGI Dec 2006) | [
"Di rect sy mpathem imetic involved",
"Mechanism clearly understood",
"Ephedrine tachyphylaxis reversed with nora- drenline",
"Indirect sympathomimetics involved"
] | D | Ans: D (Indirect sympthomimetics involved) [Ref.KDT6th / 68; Goodman Gilman's 11th /31,162,170)Tachyphylaxis (Tachy-fast; Phylaxis-Protection)# It is the rapid development of tolerance when doses of a durg repeated in quick succession result in marked reduction in response.Tachyphalaxis is usually seen with indirectly ... | train | med_mcqa | null |
Base Stacking of DNA is characterised by | [
"Electrophoresis",
"Hyperchromicity",
"Linear dichromicity",
"Hypochromicity"
] | B | null | train | med_mcqa | null |
Patient aged 30 yr presented with swelling around knee Aspirate shows giant cells and mononuclear cells Most likely diagnosis is | [
"Gaint cell tumour",
"Osteosarcoma",
"Chondroblastoma",
"Ewing's sarcoma"
] | A | Giant cells present in i Gaint cell tumor= epilphyseal tumour ii Chondroblastoma REF : MAHESWARI 9TH ED | train | med_mcqa | null |
Major protein of bone is ? | [
"Osteocalcin",
"Osteopontin",
"Collagen type- 1",
"Collagen type- 4"
] | C | Ans. is 'c' i.e., Collagen type-1 Bone is a specialized connective tissue. Bone components are :? 1) Inorganic elements (65%) 2) Organic matrix (35%) 1)Inorganic elements It is the mineral phase, principally composed of calcium and phosphate, mostly in the form of hydroxyapatite . 2)Organic maxtix Organic matrix consis... | train | med_mcqa | null |
Which of the following types of Hodgkins lymphomas is associated with a good prognosis | [
"Lymphocyte Predominance",
"Lymphocyte Depletion",
"Nodular sclerosis",
"Mixed cellularity"
] | A | Answer is A (Lymphocyte Predominance) Lymphocyte predominant type of HodgAins lymphoma is associated with the best prognosis. | train | med_mcqa | null |
Closing capacity of lung is related to | [
"Small sized bronchioles without cailage in nondependent poion of lung",
"Small sized bronchioles without cailage in dependant poion of lung",
"Medium sized bronchioles without cailage in nondependent poion of lung",
"Medium sized bronchioles without cailage in dependent poion of lung"
] | B | The closing capacity (CC) is the volume in the lungs at which its smallest airways, the respiratory bronchioles, collapse. It is defined mathematically as the sum of the closing volume and the residual volume. The alveoli lack suppoing cailage and so depend on other factors to keep them open Ref: guyton and hall textbo... | train | med_mcqa | null |
A 45-year-old female complains of lower abdominal pain and vaginal discharge. On examination, there is cervicitis along with a mucopurulent cervical discharge. The Gram smear of the discharge shows presence of abundant pus cells, but no bacteria. The best approach to isolate the possible causative agent would be: | [
"Culture on chocholate agar supplemented with hemin",
"Culture on McCoy cells",
"Culture on a bilayer human blood agar",
"Culture on Vero cell lines"
] | B | Ans. is b, i.e. Culture on McCoy cellsRef: Harrion 18th/ed, p1426Patient is complaining of abdominal pain and vaginal discharge. On examination, cervicitis and mucopurulent discharge is seen -- which indicates she is having PID. The presence of pus cells in absence of organism indicates chlamydial infection (most commo... | train | med_mcqa | null |
All anesthetic agent decrease poal vein flow. Poal flow is maximally reduced by: | [
"Ether",
"Halothane",
"Isoflurane",
"Enflurane"
] | B | B i.e. HalothaneAll volatile anesthetic agents reduce poal hepatic blood flow. This decrease is greatest with halothane and least with isofluraneQ. | train | med_mcqa | null |
Time interval betw een inoculation of infection to maximum infectivity is - | [
"Lead time",
"Median incubation period",
"Generation time",
"Serialinverval"
] | C | Ans. is 'c' he., Generation time o Generation time - Period from receipt of infection to maximal infectivity.o Serial interval - Gap between onset of primary case and secondary case. | train | med_mcqa | null |
Nerve roots involved in Erb's paralysis - | [
"C5, C6",
"C7, C8",
"C8, T1",
"C5 to T1"
] | A | Ans.is 'a'i.e.,C5,C6 o Erb's paralysis - C5C6.o Klumpke's paralysis - C8T1 | train | med_mcqa | null |
A thyroid biopsy obtained from a 29-year-old woman complains of nervousness and muscle weakness of 6 months in duration. She is intolerant of heat and sweats excessively. She has lost 9 kg (20 lb) pounds over past 6 months, despite increased caloric intake. She frequently finds her hea racing and can feel it pounding i... | [
"Atrophy and fibrosis",
"Dense lymphoid infiltrate with germinal centers",
"Follicular hyperplasia with scalloping of colloid",
"Necrotizing parenchymal granulomas"
] | C | - Clinical features given suggests the diagnosis of Graves disease - Microscopic findings: Follicular hyperophy & hyperplasia resulting in crowding. Crowding results in papillae formation with no fibrovascular core Colloid is pink & scalloped at periphery adjacent to follicular cells. - Diffuse increase in size of glan... | train | med_mcqa | null |
Most probable malignancy that develops in a case of long-standing goitre is - | [
"Follicular Ca",
"Anaplastic Ca",
"Papillary Ca",
"Medullary Ca"
] | A | "An increased incidence of cancer (usually follicular) has been repoed from endemic areas. Dominant or rapidly growing nodules in longstanding goitres should always be subjected to aspiration cytology." About Follicular Carcinoma (FTC) FTC is the second most common thyroid malignancies, more common in iodine-deficient ... | train | med_mcqa | null |
Teau D' organge appearance of the mammary skin is due to : | [
"Intra-epithelial cancer",
"Sub-epidermal cancer",
"Lymphatic permeation",
"Vascular embolisation"
] | C | Ans. is 'c' i.e. lymphatic permeation Phenomena resulting from lymphatic obstruction in advanced breast cancer 1) Peau d' orange Peau d' orange is due to cutaneous lymphatic edema, where the infiltrated skin is tethered by the sweat ducts, it cannot swell, leading to an appearance like orange skin. occasionally it may ... | train | med_mcqa | null |
Place of first liver transplant | [
"Pittsburgh",
"Boston",
"Colarado",
"Cambridge"
] | C | Firat liver transplantation was done by Starzl in 1963, in Denver, University of Colorado Ref: Sabiston 20th edition Pgno : 637 | train | med_mcqa | null |
The intercanthal distance suggestive of telecanthus is: | [
"30 mm",
"36 mm",
"28 mm",
"32 mm"
] | B | Normal intercanthal distance is 25 mm. In traumatic telecanthus the intercanthal distance is increased to 35-40 mm. | train | med_mcqa | null |
Which of the following substances, actively transpoed by the tubular cells has higher tubular transpo maximum? | [
"Plasma protein",
"Hemoglobin",
"Glucose",
"Sodium"
] | C | Highest transpo maximum (Tm)is for glucose -375mg/minute Ref : Ganong 25th ed/page 680 | train | med_mcqa | null |
False about funny current channel in hea | [
"It is a Na-K ATPase pump",
"They are responsible for diastolic depolarization",
"It is responsible for spontaneous rhythm producing tissue of hea",
"They are voltage dependent channel only"
] | A | Funny / leaky Na+ channels: - Hyperpolarization activated cyclin nucleotide gated (HCN) channels. More the hyperpolarization more the activation Equally permeable for Na+ & K+ After repolarization occur by K+ exit in pacemaker cells, next depolarization spontaneously reaches threshold, major pa in this spontaneous depo... | train | med_mcqa | null |
Xanthoma disseminatum is associated with: | [
"Downs syndrome",
"Diabetes insipidus",
"Lymphoma",
"Ca pancreas"
] | B | Ans: (b) Diabetes insipidusRef: Goodman WT, Barrett TL, Histiocytoses, In: Bolognia JL, Schaffer JV, Cerroni editors. Dermatology, 4th edition, United States: Elsevier 2018, Page 1614-1632Xanthoma DisseminatumRare, normolipemic, histiocytic proliferative disorder that affects the skin, mucous membranes and frequently, ... | train | med_mcqa | null |
Which of the following is the most appropriate treatment for panic disorder? | [
"Buspirone plus benzodiazepines",
"Benzodiazepines plus suppoive therapy",
"Sho - term benzodiazepine plus SSRI plus CBT",
"Long - term benzodiazepine plus venlafaxine"
] | C | Management plan for panic disorder Psychological treatment Self-help books, computerized cognitive behavioral therapy Cognitive behavioral therapy Pharmacotherapy Antidepressants Social interventions | train | med_mcqa | null |
Jones test is used to detect: | [
"Nasolacrimal duct block",
"Glaucoma",
"Vitreous opacities",
"Retinal detachment"
] | A | Ans: a (Nasolacrimal duct obstruction) Ref: Khorana, 4th ed,p. 368Jones dye test is done in case of suspected obstruction and is of no value in total obstruction.Jones primary test:To differentiate between watering due to partial obstruction of the lacrimal passages from that due to primary secretion of tears (epiphora... | train | med_mcqa | null |
A pregnant patient, Lata is admitted for the workup of hemolytic anemia. She is giving the history of taking an antihypertensive drug after beginning of her pregnancy. The most likely cause would be: | [
"Minoxidil",
"Clonidine",
"Methyldopa",
"Labetalol"
] | C | null | train | med_mcqa | null |
Renal stones are seen as a complication by using the following drug | [
"Tiagabine",
"Oxacarbamazepine",
"Zonisamide",
"Phenytoin"
] | C | Side effects of zonisamide are metabolic acidosis, renal stones, somnolence, dizziness, headache, irritability and anorexia. REF; KD TRIPATHI 8TH ED. | train | med_mcqa | null |
All of the following drugs are known for its radio-protective propeies, EXCEPT: | [
"Glucan",
"Etoposide",
"Amifostine",
"Sodium Selenite"
] | B | Common drugs with radioprotective effects are Amifostine (WR-2721) and Glucan. Sodium Selenite at ceain concentrations protects aginst radiation induced mutation. Ref: Complementary Oncology: Adjunctive Methods in The Treatment of Cancer By J. Beuth, Ralph W. Moss Study: Brizel et al 2003, 2007, Page 175; Advances in R... | train | med_mcqa | null |
Maximum chances of post paum Hemorrhage are seen in : | [
"Multiparity",
"Primipara",
"Abnormal lie",
"All"
] | A | Multiparity | train | med_mcqa | null |
Absence of pulmonary surfactant in premature infant leads to | [
"Pulmonary edema",
"Collapse of alveoli",
"Elastic recoil of lungs",
"All of the above"
] | D | RDS occurs when there is not enough surfactant in the lungs. ... When there is not enough surfactant, the tiny alveoli collapse with each breath. As the alveoli collapse, damaged cells collect in the airways. They fuher affect breathing. Reference: GHAI Essential pediatrics, 8th edition | train | med_mcqa | null |
All are seen in cystitis EXCEPT: | [
"Fever",
"Hematuria",
"Dysuria",
"Nocturia"
] | A | ANSWER: (A) FeverREF: Smith urology 17th ed page 206Acute cystitis refers to urinary infection of the lower urinary tract, principally the bladder.Acute cystitis more commonly affects women than men.Patients with acute cystitis present with irritative voiding symptoms such as dysuria, frequency, Nocturia and urgency,Lo... | train | med_mcqa | null |
Mesalamine is used in: | [
"Ulcerative colitis",
"Diabetes",
"Erectile dysfunction",
"Tinea corporis"
] | A | Ref: Katzung 11th p.I087Explanation:Mesalamine is an aminosalicylate used in the treatment of inflammatory bowel diseasesDrugs that contain 5-aminosalicylic acid (5-ASA) have been used successfully for decades in the treatment of inflammatory bowel diseases. 5- ASA differs from salicylic acid only by the addition of an... | train | med_mcqa | null |
The investigation of choice for extra-adrenal pheochromocytoma | [
"CT",
"MRI",
"X-ray",
"MIBG scan"
] | A | MIBG scan is useful for extra-adrenal pheochromocytoma but IOC is MRI even for extra-adrenal pheochromocytoma | train | med_mcqa | null |
A 25 year old woman complains of abdominal pain of rapid onset in the right lower quadrant. She subsequently undergoes surgery for suspected acute appendicitis. At surgery, however, a tubal pregnancy is discovered. The most frequent predisposing factor for this condition is? | [
"Endometriosis",
"A an intrauterine device",
"Leiomyomas of the uterus",
"Pelvic inflammatory disease"
] | D | The great majority of ectopic pregnancies (90%) occur in the fallopian tubes. The other sites are the ovaries, abdominal cavity, and the intrauterine segment of the fallopian tubes. Any condition that leads to anatomical abnormalities of the uterus and fallopian tubes may predispose to ectopic pregnancy. The most frequ... | train | med_mcqa | null |
The factor which promotes virulence of M. tuberculosis - | [
"Wax D",
"Cord factor",
"Muramyl dipeptide",
"Mycolic acid"
] | B | null | train | med_mcqa | null |
In which of the following psychiatric condition Floccillation is seen? | [
"Mania",
"Depression",
"Anxiety disorders",
"Delirium"
] | D | Floccillation: Aimless plucking or picking, usually at bedclothes or clothing, commonly seen in dementia and delirium. Ref: Kaplan and Sadock's Synopsis of Psychiatry By Benjamin J. Sadock, Harold I. Kaplan, Virginia A. Sadock, 2007, Page 1423. | train | med_mcqa | null |
In type I hypersensitivity, the mediators is | [
"IgE",
"IgG",
"IgM",
"IgC"
] | A | (IgE) (161-AN 7th) (202-206-CP)Types of hypersensitivity reactions and their featuresType of reactionClinical syndromeMediatorsType I: IgE1. Anaphylaxis2. Atopy P. K. reactionIgE, histamine and other pharmacological agentsType II: Cytolytic and CytotoxicAntibody-mediated damage- thrombocytopenia-agranulocytosis, hemoly... | train | med_mcqa | null |
The Hb level is healthy women has mean 13.5 g/dl and standard detion 1.5 g/dl, what is the Z score for a woman with Hb level 15.0 g/dl : | [
"9",
"10",
"2",
"1"
] | D | Z-score indicates how much an observation is bigger or smaller than mean in units of S.D. Z = (Observation - Mean)/S.D Z = (15-13.5)/1.5 = 1 Ref: Park's Textbook Of Preventive And Social Medicine By K. Park, 19th Edition, Page 702; Park's Textbook Of Preventive And Social Medicine By K. Park, 18th Edition, Page 647; Me... | train | med_mcqa | null |
Morula is how many ceiled - | [
"4",
"8",
"12",
"16"
] | D | Ans. is 'd' i.e., 16 o At about 16 cells stage the blastomeres tightly align by the process of compaction to form a compact ball of cells called morula (mulberry ).o This process of compaction leads to segregation of cells into two groups :Inner cells (inner cell mass)Outer cells (outer ceil mass)o Morula enters uterin... | train | med_mcqa | null |
A 55-year old male had retero-sternal discomfort unrelated to physical exertion. Pain gets worse after lying down there is partial relief with antacids. The most likely diagnosis is- | [
"Ischaemic heart disease",
"Carcinoma oesophagus",
"Achalasia cardia",
"Hiatus hernia"
] | D | null | train | med_mcqa | null |
All of the following are features of Obstructive jaundice except: September 2007 | [
"Normal alkaline phosphatase",
"Mildly elevated serum aminotransferases level",
"Clay colour stools",
"Pruritis"
] | A | Ans. A: Normal alkaline phosphatase Obstruction to the flow of bile in common bile duct may result from choledocholithiasis, malignancy od head of pancreas, bile ducts or ampulla of Vater. Charcot's triad of intermittent fever, pain and jaundice is characteristic of ascending cholangitis and indicates biliary obstructi... | train | med_mcqa | null |
Soap - bubble appearance is seen in: | [
"Giant cell tumour",
"Ewing's sarcoma",
"Adamantinoma",
"Osteosarcoma"
] | A | Ans: A (Giant cell tumour) Ref: Apleys System of orthopaedics and fractures, 9th edition. TumoursExplanation:Giant Cell TumourThe X-rays show a radiolucent area situated eccentrically at the end of a long bone and bounded by the subchondral bone plate.The endosteal margin may be quite obvious, but in aggressive lesions... | train | med_mcqa | null |
Maximum chances of ureteric injury are with: | [
"TAH",
"Wertheim's hysterectomy",
"Anterior colporrhaphy",
"Vaginal hysterectomy"
] | B | Ans. is b, i.e. Wertheims hysterectomyRef: COGDT 10th/ed, p779; Dutta Gynae 5th/ed, p408Since in Wertheims hysterectomy, we are removing the medial half of cardinal ligament, there are maximum chances of injuring the ureter and furthermore wertheims hysterectomy is done is case of cancers and a lot of adhesions are pre... | train | med_mcqa | null |
USG is done to visualize all except- | [
"Fluid",
"Bile",
"Blood flow",
"Bone"
] | D | Ans. is 'd' i.e., BoneStructures on USGo Regions of body distal to highly attenuating structures, such as bone or gas, appear dark on image because of shadowing As most of the sound beams are reflected by highly attenuating structures, little is available for imaging of deeper structures. It is referred to as Acoustic ... | train | med_mcqa | null |
Which of the following drugs is not used for anxiety? | [
"Propranolol",
"Alprazolam",
"Buspirone",
"Haloperidol"
] | D | null | train | med_mcqa | null |
Hansen's bacillus is cultured in - | [
"L J medium",
"Robertson's cooked meat medium",
"Foot pad of mice",
"Sabraud's agar"
] | C | Ans. is 'c' i.e., Foot pad of mice o Hansen's bacillus is M. lepraeo M. leprae is obligate intracellular organism, thus cannot be grown in cell free culture medium. Two animals are used for cultivation:-1) Armadillo (Nine banded armadillo) is highly susceptible and provides sufficient bacilli for a number of studies an... | train | med_mcqa | null |
Paracervical block relieves pain from all of the following except | [
"Pain from dilatation of the cervix",
"Uterine pain",
"Relieves pain from the lower third of vagina and episiotomy can be performed",
"Relieves pain from the upper third of vagina"
] | C | Paracervical nerve block : Given at the end of the first stage of the labor It is injected at the site of the cervix, given on both sides It can be repeated to relieve pain Fetal bradycardia is the known complication. Ref: Dutta Obs 9e pg 480. | train | med_mcqa | null |
Hassall's corpuscles are found in? | [
"Lymph nodes",
"Spleen",
"Liver",
"Thymus"
] | D | The dominant feature of medulla of thymus is its epithelial components, which are onion like structures called Hassall's Corpuscles, which have an intensely eosinophilic core of dead material, | train | med_mcqa | null |
Cause of death in diabetic ketoacidosis in children | [
"Cerebral edema",
"Hypokalemia",
"Infection",
"Acidosis"
] | A | Ans. is 'a' i.e., Cerebral edema High blood sugar will cross the blood brain barrier and simultaneously will draw water inside leading to cerebral edema. Cerebral edema accounts for 60-90% of all DKA related deaths in children. Infection is a precipitator for development of DKA. Other precipitating factor can be tissue... | train | med_mcqa | null |
Histopathology of a lung cancer shows 'Clara cells' probable diagnosis is - | [
"Squamous cell cancer",
"Bronchio alveolar cancer",
"Large cell cancer",
"Papillary carcinoma"
] | B | Bronchioloalveolar carcinoma
It is a histological type of adenocarcinoma.
It occurs in the pulmonary parenchyma in the terminal bronchioloalveolar pattern.
The tumor is almost always in the peripheral portion of the lung.
More often it occurs as multiple diffuse nodules that sometimes coalesce to produce a pneumonia-... | train | med_mcqa | null |
Number of prosthetic groups in a hemoglobin molecule - | [
"1",
"2",
"3",
"4"
] | D | Ans. is 'd' i.e., 4 o Hemoglobin is a conjugated protein which has a tetrameric structure,o It is an assembly of four globular proteins.o Each subunit is composed of a protein part, i.e. globin and a nonprotein prosthetic group, i.e. heme,o Each hemoglobin molecule is made up of 4 heme molecules and 4 polypeptide chain... | train | med_mcqa | null |
A 12 yr old child presents with fever and cervical lymphadenopathy for last 36 hours. Oral examination shows a grey membrane on the right tonsil. What is the primary treatment? | [
"Penicillin IV for 10 days",
"20000 -40000 units I/M equine derived antitoxin",
"80,000-1,20,000units I/M equine derived antitoxin",
"Erythromycin to be given for 2 weeks"
] | B | The primary treatment is 20000 -40000 units I/M equine derived antitoxin. Above mentioned clinical signs and symptoms gives a presumptive diagnosis of Diphtheria. Treatment of diphtheria: - Equine derived Antitoxin-which neutralizes the circulating diphtheria toxin. - Moderate cases with <3 days (pharyngeal or laryngea... | train | med_mcqa | null |
Deletion of chromosome 11 leads to – | [
"Wilm's",
"Neuroblastoma",
"Retinoblastoma",
"Osteosarcoma"
] | A | null | train | med_mcqa | null |
Megaloblastic anemia develop in – | [
"Sideroblastic anemia",
"Thalassaemia",
"Infants fed on goats milk",
"Vitamin C deficiency"
] | C | Folic acid deficiency causes megaloblastic anemia.
Human breast milk, pasteurized Cow's milk, and infant formulas provide adequate amount of folic acid.
Goat's milk is deficient in folic acid. | train | med_mcqa | null |
Anencephaly can be diagnosed by ultrasound at: | [
"14-18 week of gestation",
"20-24 week of gestation",
"24-37 weeks of gestation",
"10-12 week of gestation"
] | D | 10-12 week of gestation | train | med_mcqa | null |
Flupiine is | [
"Local Anesthetic",
"Analgesic",
"Anti anxiety",
"Anti hypeensive"
] | B | Flupiine is a centrally acting non-opioid analgesic. It is unique as a non-opioid, non-NSAID, Nonsteroidal analgesic. It is a centrally acting, non-opioid analgesic with N-methyl D aspaate (NMDA) receptor antagonist propey which has been shown to be effective in the management of postoperative pain. | train | med_mcqa | null |
The commonest mode of inheritance of Von Willebrand's disease : | [
"Codominant",
"Autosomal recessive",
"Autosomal dominant",
"X-linked recessive"
] | C | Answer is C (Autosomal dominant) There are 3 major forms of Von WilleBrand's disease and with one exception i.e. type III all forms are inherited as autosomal dominant trait- Harrison 16th/676 Von WilleBrand's disease is the most common hereditary coagulation disorder characterized by a quantitative or qualitative defe... | train | med_mcqa | null |
A 9-month-old girl is presented with PR bleed, vomiting, mass & colicky pain in Rt lumbar region with masked liver dullness. She is in shock like condition. Management should includes – a) Barium enema b) Saline reduction c) Give O2 d) Nasogastric tube d) IV fluid | [
"abc",
"acd",
"bcd",
"abde"
] | D | PR bleed, vomiting, mass in right lumbar region, colicky pain and masked liver dullness in a 9-month infant suggest the diagnosis of intussusception.
Patient is also having shock, so she requires treatment of shock and intussusception.
Diagnosis of intussusception
The clinical history and physical findings are usual... | train | med_mcqa | null |
Regarding vaginal candidiasis which is false: | [
"Cottage cheese like secretions are seen",
"Intense pruritus",
"Most common in non-pregnant women",
"Buds and hyphae seen in KOH preparation"
] | C | Candidiasis is caused by Candida albinism which thrives in an acidic medium with an abundant supply of carbohydrates. It is found commonly in pregnancy, and in patients on oral contraceptives, antibiotics anD. coicosteroids. It is also seen in patients with diabetes. It causes a profuse discharge and intense pruritus w... | train | med_mcqa | null |
Early exfoliation of deciduous teeth is seen in | [
"Papillon lefevre syndrome",
"Peter-Kelly syndrome",
"Pierre robin syndrome",
"None of the above"
] | A | null | train | med_mcqa | null |
Most common symptom of ectopic pregnancy: | [
"Bleeding",
"Pain",
"Abortion",
"Infection"
] | B | Ans. B. PainEctopic pregnancy is characterized by the triad of amenorrhoea, pain and BPV of which the most common symptom is pain. The diagnosis is based on clinical features and ultrasound, though laparoscopy is the gold standard. When diagnosis is in doubt serial estimation of HCG is done over 48 hrs. A rise <66% is ... | train | med_mcqa | null |
Leutic glossitis is an intra-oral manifestation caused by | [
"Mycobacterium tuberculosis",
"Actinomycosis",
"Trepenoma pallidium",
"Streptococcus"
] | C | null | train | med_mcqa | null |
Vitreous hemorrhage is caused commonly by: March 2013 (f) | [
"Retinal aery occlusion",
"Retinal vein occlusion",
"Retinitis pigmentosa",
"Retinoblastoma"
] | B | Ans. B i.e. Retinal vein occlusion | train | med_mcqa | null |
Serial extractions are indicated in patients who have: | [
"Class II molar relation",
"Excessive overbite",
"Class I molar relation",
"Class III molar relation"
] | C | null | train | med_mcqa | null |
In carcinoma base of tongue pain is referred to ear through | [
"Trochlea",
"Olfactory",
"Glossopharyngeal",
"Abducent"
] | C | Ans. is 'c' i.e., Glossopharyngeal Referred otalgiao As ear receives nerve supply from Vth (auriculotemporal branch), IXth (tympanic branch) and IXth (auricular branch) cranial nerves; and from C2 (lesser occipital) and C2 and C3 (greater auricular), pain may be referred from these remote areas.Via IXth cranial nerveDe... | train | med_mcqa | null |
Rotator cuff is formed by all, EXCEPT: | [
"Supraspinatus",
"Infraspinatus",
"Teres minor",
"Teres major"
] | D | Rotator cuff of the shoulder is a fibrous sheath formed by the flattened tendons which blend with the capsule of the shoulder joint and strengthen it. The muscle which form the cuff arise from the scapula and are inseed into the lesser or greater tubercle of the humerus. These muscle are the subscapularis, supraspinatu... | train | med_mcqa | null |
Development of national blindness control program is assisted by | [
"SIDA",
"DANIDA",
"FORD",
"CARE"
] | B | DANIDA (Danish international development agency) is providing assistance for the development of services under National Blindness Control Programme.Park 23e pg: 924 | train | med_mcqa | null |
Which of the following does not indicate Heapatitis B replication? | [
"HBcAg",
"HBeAg",
"HBV DNA",
"Viral copies"
] | A | Ans. a. HBcAg | train | med_mcqa | null |
Which is the most common second malignancy in survivors of retinoblastoma? | [
"Optic glioma",
"Osteosarcoma",
"Thyroid cancer",
"Nasopharyngeal carcinoma"
] | B | Osteosacrcomas are the most common second malignancy in survivors of retinoblastoma. Ref: Cancer in Children and Adolescents By William Larkin Carroll, Page 384; Manual of Pediatric Hematology and Oncology By Philip Lanzkowsky, 5th Edition, Page 947 | train | med_mcqa | null |
Scanty, foul-smelling, painless discharge from the ear is characteristic feature of which of the following lesion? | [
"ASOM",
"Cholesteatoma",
"Central Perforation",
"Otitis externa"
] | B | Scanty, foul-smelling, turbulent, painless discharge from the ear is the characteristic feature of cholesteatoma. Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 75 | train | med_mcqa | null |
Calculate the specificity of the screening test: Screening test results Diseased Not diseased Total Positive 400 200 600 Negative 100 600 700 Total 500 800 1300 | [
"70 per cent",
"75 per cent",
"80 per cent",
"85 per cent"
] | B | Specificity is the ability of a test to identify correctly those who do not have the disease, that is, the percentage of "true negatives" among those not diseased. In the above question, there are 600 true negatives among 800 who are not diseased. Hence, the specificity is (600/800)x100 = 75 per cent. Ref: Park's Textb... | train | med_mcqa | null |
What is the formula for lytic complex in complement system? | [
"C5a",
"C5-9",
"C3b",
"C3a"
] | B | Ans. is 'b' i.e., C5-9 * C5-9 Called membrane attack complex (MAC). It forms channel in the lipid membrane and causes cell lysis (including bacteria). | train | med_mcqa | null |
Granulomatous uveitis is seen in –a) Vogt–Koyanagi–Harada diseaseb) Fuch\'s diseasec) Behcet\'s syndromed) Sarcoidosise) Psoriasis | [
"ad",
"c",
"ac",
"ab"
] | A | Sarcoidosis and Vogt - Koyanagi - Harada's disease cause granulomatous uveitis.
Bechet's disease, Psoriasis and Fuch's heterochromic iridocyclitis cause non-granulomatous uveitis. | train | med_mcqa | null |
Isometric contraction is seen in? | [
"Extraocular muscles",
"Small muscles of hand",
"Abdominal muscles",
"Antigravity muscles"
] | D | Ans. is'd'i.e., Antigravity musclesIsotonic contraction means contraction in which there is change of length at constant tension.The tension is equal to the weight lifted during contraction of the muscle.Isometric contraction means contraction in which there is no change in length of the muscle (constant length) but th... | train | med_mcqa | null |
Type of primary healing among the following is/are: | [
"Contact healing.",
"Gap healing.",
"Both of the above.",
"None."
] | C | null | train | med_mcqa | null |
Appetite is increased by | [
"Leptin",
"GLP",
"Peptide YY",
"Ghrelin"
] | D | Ans. (d) Ghrelin(Ref: Ganong, 25th ed/p.485)Ghrelin#Ghrelin is a 28-amino acid peptide secreted primarily by oxyntic gland area of the stomach#Major Functions of ghrelin are,It increases the appetite (orexinergic)Increases gastric motilityIncreases secretion of gastric acid,Increases adipogenesisIncreases insulin secre... | train | med_mcqa | null |
Local anaesthesia causing methemoglobineinia - | [
"Procaine",
"Prilocaine",
"Etodicaine",
"Ropivacaine"
] | B | O-toludine metabolites of prilocaine accumulate after large dose of drug conve hemoglobin to methemoglobin lead to methemoglobulinemia, dose depndent(range of 10mg/kg) Treatment of methemoglobinemia is IV methylene blue Benzocaine also cause methemoglobinemia | train | med_mcqa | null |
Which of the following is true about Constitutional Delay in growth? | [
"Neonates with constitutional delay show anomalies at bih",
"IGF-1 levels are low for chronological age",
"Bone age is normal",
"IGF-1 levels are low for bone age"
] | B | Constitutional growth delay is a physiological variant of sho stature. Here children grow normally upto 6-12 months of life. Thereafter, there is deceleration such that the height and weight fall below the 3rd centile. By 3 yrs of age,normal height velocity is resumed and continues to grow below and parallel to the 3rd... | train | med_mcqa | null |
If one wants to compare in two characteristics with variable differencr, which measurement should be used? | [
"Standard detion",
"Percentile",
"Variance",
"Co-efficient variation"
] | D | . | train | med_mcqa | null |
Heat loss from the body depends mostly on: | [
"Thermoregulatory center",
"Warming of air during inspiration",
"On the environmental temperature",
"Radiation and evaporation"
] | C | C i.e. On the environmental temperature | train | med_mcqa | null |
Which of the following has highest electrophoretic mobility and least lipid content: | [
"Chylomicrons",
"HDL",
"LDL",
"VLDL"
] | B | B i.e. HDL | train | med_mcqa | null |
Which of the following condition is best treated with bright light therapy? | [
"Schizophrenia",
"Anorexia nervosa",
"Seasonal affective disorder",
"Obsessive compulsive disorder"
] | C | Bright light treatment is effective in the treatment of seasonal affective disorder. It also responds to SSRIs. Seasonal affective disorder is a depressive disorder in which patients experience depressive episodes, which begin in fall or winter and remit in spring. It is more common in higher latitudes and among younge... | train | med_mcqa | null |
Amount of iron required for fetus in pregnancy tenure is | [
"1 gm",
"0.1 gm",
"0.3 gm",
"3 gm"
] | C | Ans. c (0.3 gm). (Ref. Textbook of Obstetrics, D.C. Dutta, 6th /- Tab no. 19)The total iron requirement of pregnancy is 1,000 mg:# 500 mg increases the maternal red blood cell mass,# 300 mg is transported to the fetus and placenta, and# 200 mg compensates for blood loss at delivery.- The iron requirements of pregnancy ... | train | med_mcqa | null |
Which of the following features distinguish Necrotizing Sialometaplasia from squamous Cell carcinoma? | [
"Majority of intraoral cases present with ulceration and pain in the later stages",
"Varying degrees of lobar necrosis is seen",
"Squamous metaplasia of excretory ducts and acini are noted",
"Nests of squamous epithelium with several residual ductal lamina within them are noticed"
] | D | null | train | med_mcqa | null |
Jean Piaget put forth the theory of | [
"Psychoanalytic theory of psychosexual development",
"Social learning",
"Cognitive development",
"Cultural adaptation"
] | C | null | train | med_mcqa | null |
All the following are true of duodenal ulcer pain except: | [
"relieved by food",
"occurs 2 - 3 hours after going to bed",
"periodic pain",
"relieved by alcohol"
] | D | null | train | med_mcqa | null |
Shoulder dystocia is managed by all of the following except:- | [
"Zavanelli restitution",
"Supra pubic pressure",
"Woods cork screw method",
"Fundal pressure by an able nurse"
] | D | Shoulder dystocia is difficulty in delivery of the shoulder after the head is born. Management : Suprapubic pressure Mc Robe's maneuver Woods Cork Screw method Zavanelli restitution Gaskin maneuver Fundal pressure should not be given in shoulder dystocia as it may lead to fuher impaction of the presenting shoulder | train | med_mcqa | null |
All of the following statements are true about chaperones except that they | [
"Belong to heat shock proteins",
"Are also known as stress proteins",
"Paicipate in protein folding",
"Bind to the hydrophilic regions of an extended polypeptide"
] | D | Protein folding requires a specialized group of proteins,refered as chaperones. Chaperones are also known as "heat-shock proteins" and "stress proteins" Chaperones bind to the hydrophobic regions of an extended polypeptide and are impoant in keeping the protein unfolded,until its synthesis is completed. Reference: Harp... | train | med_mcqa | null |
Which of the following is a function of mixed oxidase enzyme? | [
"Incorporates H+",
"Incorporates 1 atoms of oxygen",
"Incorporates both atoms of oxygen",
"Incorporates nitrogen also"
] | B | It is a mixed function oxidase (mono-oxygenase). One molecule of O2 is needed in this reaction; out of which one atom is incorporated in the OH group and the other is reduced to water. This reaction also needs the electron carrier tetra- hydro-biopterin which is regenerated by the reduction of dihydro-biopterin by a re... | train | med_mcqa | null |
The carpal tunnel contains all of the following impoant structures EXCEPT | [
"Median Nerve",
"Flexor pollicis longus",
"Flexor carpi radialis",
"Flexor digitorum superficialis"
] | C | The tendon of flexor carpi radialis passes through a tunnel created by a fascial slip on the roof of flexor retinaculum.It passes neither superficial nor deep to the flexor retinaculum, it is actually embedded within the retinaculum. Median nerve, flexor pollicis longus and flexor digitorum superficialis all pass deep ... | train | med_mcqa | null |
Role of marijuana in AIDS related cachexia? | [
"Euphoric",
"Pschostimulator",
"Increases appetite",
"Decrease emetic feeling"
] | C | Ans. is 'c' i.e., Increases appetite Mari-juana or cannabis sativa contains the active principle tetrahydrocannabinol (THC), which as an appetite stimulant effect. | train | med_mcqa | null |
Boxer's fracture is - | [
"Radial styloid fracture",
"Reverse colle's fracture",
"5 th metacarpal fracture",
"1st metacarpal fracture"
] | C | Ans. is 'c' i.e., 5th metacarpal fracture EponymFractures of Upper limbMontegia fracture dislocationFracture of the proximal third of ulna with radial head dislocation.Galeazzi fracture dislocationFracture of the distal third of the radius with dislocation of the distal radio-ulnar joint.Colie's fractureFracture at cor... | train | med_mcqa | null |
Which treatment goal is not included in the control phase of caries management? | [
"Eliminate active disease",
"Eliminate cause of disease",
"Manage symptoms like swelling and pain",
"Remove conditions preventing maintenance"
] | C | Five phases of caries management
Urgent phase - management of pain, swelling, bleeding, infection before initiation of subsequent phases.
Control phase - eliminate active disease, remove conditions preventing maintenance, eliminate cause of the disease and begin preventive alternatives.
Reevaluation phase.
Definiti... | train | med_mcqa | null |
A 80-year-old male patient recently diagnosed with non-Hodgkin's lymphoma was staed on treatment with R- CHOP chemotherapy regimen. After few days, the patient comes to the clinic with complaints of tingling in his hands and feet. Neurological examination shows symmetric "stocking and glove" type distal neuropathy. If ... | [
"G1-S transition",
"S phase",
"G2-M transition",
"M phase"
] | D | R - CHOP regimen includes Rituximab Cyclophosphamide Hydroxydaunorubicin Oncovin or vincristine Prednisolone The patient is suffering from distal symmetric neuropathy in a stocking and glove like distribution which is a characteristic side effect of vincristine, a vinca alkaloid. Vinca alkaloids: Mechanism of action: I... | train | med_mcqa | null |
True about meningococcal meningitis is | [
"Vaccine can be given in pregnancy",
"Cases are the most important source of infection",
"Treatment with penicillin eradicates carrier state",
"Causative agent is a gram –ve diplococci"
] | D | null | train | med_mcqa | null |
This miliary pattern in CT scan can occur due to spread from? | [
"Lymphatics",
"Bronchial vein",
"Pulmonary aery",
"All of the above"
] | D | Miliary pulmonary disease Miliary systemic disease It occurs in primary progressive pulmonary TB when organisms in the draining lymph nodes erode into the pulmonary aeries. This distributes the infection to both lung fields. Once the infection in the lung reaches the pulmonary vein the bacteria can reach the left side ... | train | med_mcqa | null |
Flagella not true | [
"Locomotion",
"Attachment",
"Protein in nature",
"Antigenic"
] | B | Flagella
They are long unbranched sinuous filaments which are organs of locomotion . Each flagellum consist of 3 distinct part the filament the hook and the basal body.the filament is external to the cell and connected to the hook at the cell surface
Structure: The Hook-Basal bodyportion is embedded in the cell envelo... | train | med_mcqa | null |
TNF and IL1 are produced by ? | [
"Neutrophils",
"Monocytes",
"Lymphocytes",
"Activated Macrophages"
] | D | Ans. is 'd' i.e., Activated Macrophages Tumor Necrosis Factor (TNF) and Interleukin-1 (IL-1) TNF and IL-I serve critical roles in leukocyte recruitment by promoting adhesion of leukocytes to endothelium and their migration through vessels. These cytokines are produced mainly by activated macrophages and dendritic cells... | train | med_mcqa | null |
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