question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
values | rationale stringlengths 0 22.5k ⌀ | split stringclasses 1
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|---|---|---|---|---|---|---|
Ferriman - Gallwey scoring system is used to quantify | [
"Hypertrichosis",
"Galactorrhea",
"Hirsutism",
"Virilization"
] | C | F..Gallwey scoring system is used to quantify degree of Hirsutism. | train | med_mcqa | null |
For transplantation of hea in human being, which of the animal hea has been used | [
"Pig",
"Horse",
"Rabbit",
"Sheep"
] | A | Pigs (Sus scrofa domesticus) are currently thought to be the best candidates for organ donation. The risk of cross-species disease transmission is decreased because of their increased phylogenetic distance from humans. They are readily available, their organs are anatomically comparable in size, and new infectious agen... | train | med_mcqa | null |
Treatment of vernal keratoconjunctivitis includes all except – | [
"Steroids",
"Chromoglycate",
"Olopatadine",
"Antibiotics"
] | D | Treatment of vernal keratoconjunctivitis
Steroids
Mast cell stabilizers as di-sodium-chromoglycate and olopatadine & idoxamide tromethamine.
Topical antihistaminics, cyclosporine & vasoconstrictor like nephazoline. | train | med_mcqa | null |
Earliest site of bone involvement in hematogenous osteomyelitis: | [
"Metaphysis",
"Diaphysis",
"Epiphysis",
"Point of entry of the nutrient aery"
] | A | Metaphysis Repeatfrom Nov 10 | train | med_mcqa | null |
The midpalatal suture is most likely to open at which of the following ages of expansion? | [
"18 years old",
"13 years old",
"25 years old",
"55 years old"
] | B | null | train | med_mcqa | null |
Select true statement regarding Correlation | [
"In moderately positive correlation, rise in one variable leads to rise in other",
"In perfectly negative correlation, rise in one variable leads to propoionate rise in other",
"In moderately negative correlation, fall in one variable leads to propoionate fall in other",
"In perfectly positive correlation, ri... | A | Types of correlation Scatter diagram Correlation coefficient Interpretation perfectly positive correlation Both lines haves a positive slope (at 45 degree each); superimposed r=+1 Rise in one variable leads to propoionate rise in other perfectly negative correlation Both lines have a negative slope (at 45 degree each);... | train | med_mcqa | null |
A patient presents with secondaries to the adrenals. The most common site of primary is - | [
"Lung",
"Kidney",
"Breast",
"Stomach"
] | A | null | train | med_mcqa | null |
Chaperons are also called: | [
"Heat stroke protein",
"Cold stroke protein",
"Enzymes",
"All"
] | A | Chaperons are involved in protein synthesis They are called heat stroke protein because they increase during high temperature Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:10,11,12 | train | med_mcqa | null |
Which of the following is the most common malignant tumor of infancy? | [
"Neuroblastoma",
"Wilm's tumor",
"Polycystic kidney disease",
"Renal cell carcinoma"
] | A | a. Neuroblastoma(Ref: Nelson's 20/e p 2417, Ghai 8/e 616)Both Neuroblastoma & Wilms' tumor can present as a solid abdominal mass with calcifications.As the child in the given question is an infant, Neuroblastoma is the best answer. | train | med_mcqa | null |
Which of the following is the most common complication related to intubation: March 2009 | [
"Bleeding",
"Malposition",
"Sore throat",
"Abductor paralysis"
] | C | Ans. C: Sore Throat Complications after intubation: Trauma to the lips, teeth, and soft tissues of the airway. Bronchial injury Laryngospasm - Common when extubation is done when the patient is in a semiconscious state - Extubation should be done in a relatively deep anaesthesia or when the protective laryngeal reflex ... | train | med_mcqa | null |
In renal failure, metabolic acidosis is due to | [
"Increased fr production",
"Loss of HCO,",
"Decreased ammonia synthesis",
"Use of diuretics"
] | C | Ans. is 'c' i.e., Decreased ammonia synthesis The predominant reason for metabolic acidosis in C.R.E is decreased ammonia production. Metabolic acidosis is a common disturbance in advanced chronic kidney disease The majority of patients can still acidly the urine but they produce less ammonia and, therefore, cannot exc... | train | med_mcqa | null |
Which of the following fungus does not infect hair | [
"Epidermophyton",
"Microsporum",
"Trichophyton",
"None of the above"
] | A | Trichophyton infects hair, skin and nail. Microsporum infects hair and skin. Epidermophyton infects skin and nail. Reference: Textbook of Microbiology; Baveja; 4th edition | train | med_mcqa | null |
The amino acid residue having an iminoside chain is: | [
"Lysine",
"Histidine",
"Tyrosine",
"Proline"
] | D | Proline does not contain the amino acid group; but only imino group(=NH). Ref: Textbook of Biochemistry By Vasudevan, 5th Edition | train | med_mcqa | null |
Liquefaction foci of Miller is a histopathoLogical observation in | [
"Cemental caries",
"Early enamel caries",
"c)\tAdvanced enamel caries",
"d)\tAdvanced dentinal caries"
] | D | null | train | med_mcqa | null |
Which of the following is the most common congenital anatomic variant of the human pancreas? | [
"Pancreas divisum",
"Annular pancreas",
"Duplication of pancreaticoduodenal aery",
"Pancreas trivisum"
] | A | Pancreas divisum occurs when the embryologic ventral and dorsal pancreatic anlagen fail to fuse, so pancreatic drainage is mainly through the accessory papilla. It is the most common congenital anatomic variant of the human pancreas. Reference: Harrisons Principles of Internal Medicine, 18th Edition | train | med_mcqa | null |
What is the basic minimum illumination required for satisfactory vision?- | [
"10-15 foot candles",
"15-20 foot candles",
"20-25 foot candles",
"25-30 foot candles"
] | B | (PARK TB 23rd edtn pg 739) The lighting should be sufficient to enable eye to discern the details of an object as well as the surroundings without eye strain. An illumination of 15 to 20 candles is accepted as the basic minimum for satisfactory vision. | train | med_mcqa | null |
An enzyme increases the rate of a chemical reaction through which one of the following effects? | [
"Decreasing the free energy of the substrate",
"Increasing the free energy of the product",
"Decreasing the free energy of the transition state",
"Shifting the equilibrium of the reaction toward the product"
] | C | Enzymes increase the rate with which substrates are conveed to products. They work by decreasing the free energy of the transition state. That is, they provide an alternate reaction pathway with a lower free energy of activation (i.e., the amount of energy required to form a high-energy intermediate that is involved in... | train | med_mcqa | null |
Theirsch graft is: | [
"Full thickness",
"Partial thickness",
"Myocutaneous graft",
"Osesomyocutaneous graft"
] | B | Ref: Bailey & Love's Short Practice of Surgery 25th Edition Plastic And Reconstructive Surgery Chapter 29 I pg 396-7Explanation:Grafts are tissues that are transferred without their blood supply, which therefore have to revascularise once they are in a new site.They include the following:Split-thickness skin grafts (of... | train | med_mcqa | null |
Pappu 2 yrs old boy presents in the causality with 11/0 sudden onset of respiratory difficulty & strider on ausculation .i,ed breath sound & wheeze on the side. The X-Ray shows opaque hamithorex what will be diagnosis- | [
"Pnumothorax",
"Acute epiglottitis",
"Massive plural effusion",
"Foreign body aspiration"
] | D | D i.e. Foreign body aspiration | train | med_mcqa | null |
NARP is a: | [
"Lipid storage disorder",
"Glycogen storage disorder",
"Mitochondrial disorder",
"Lysosomal storage disorder"
] | C | . Mitochondrial disorder | train | med_mcqa | null |
When do you operate for prolapsed disc - | [
"Busy executive needs quick surgery",
"Only with weakness no pain",
"Severe pain interfering with activity and not relieved by rest and treatment of 8 weeks",
"Patient of P1D with difficulty in ambulation"
] | C | Ans. is 'c' i.e., Severe pain interfering with activity and not relieved by rest and treatment of 8 weekso Indications for surgery in cases of Prolapsed intervertebral disc areFailure of conservative treatment (even after 8 weeks of treatment).Progressive neurological deficit.Cauda - equina syndrome.Severe sciatic tilt... | train | med_mcqa | null |
For a case of pubero phonia,Thyroplasty used is | [
"Type 1",
"Type 2",
"Type 3",
"Type 4"
] | C | null | train | med_mcqa | null |
A 22-year-old woman presents to the emergency room with a 2-hour history of acute abdominal pain and vaginal bleeding. Her vital signs are normal. Physical examination reveals blood oozing from the vaginal opening. Laparotomy shows an enlarged right fallopian tube with hemorrhage and rupture. What is the most likely ca... | [
"Choriocarcinoma",
"Ectopic pregnancy",
"Infarcted tubal polyp",
"Intramural leiomyoma"
] | B | Over 95% of ectopic pregnancies occur in the fallopian tube. Ectopic pregnancy results when the passage of the conceptus along the fallopian tube is impeded, for example, by mucosal adhesions or abnormal tubal motility secondary to inflammatory disease or endometriosis. The trophoblast readily penetrates the mucosa and... | train | med_mcqa | null |
Evisceration is removal of which layer of eye ball? | [
"Middle and inner",
"Outer and middle",
"Outer and inner",
"All the layers of eyeball"
] | A | Evisceration means Removal of the viscera Evisceration: The contents of the eye are removed, but the outer layer of the eyeball (sclera) is left intact. Enucleation The entire eye, including the globe, is removed but the orbital contents are left in place. Exenteration The contents of the eye socket are removed, includ... | train | med_mcqa | null |
A 55-year-old woman came to the emergency depament with complaint of severe headache. She also mention that this is the worst headache of her life. What is the most appropriate initial test for diagnosis? | [
"Cerebral angiography",
"Computed tomography (CT) of the head with intravenous contrast",
"Computed tomography (CT) of the head without intravenous contrast",
"Lumbar puncture"
] | C | By the above clinical history, probable diagnosis is Subarachnoid haemorrhage. Subarachnoid haemorrhage Investigation of choice for initial diagnosis is a computed tomography (CT) of the head without intravenous (IV) contrast( NCCT). On NCCT, blood in the subarachnoid space would appear whiter compared to the surroundi... | train | med_mcqa | null |
A 4-month-old child has 10 episodes of vomiting and 2-3 episodes of loose stools and crying since the last 24 hours. Best line of management will be: | [
"Intravenous fluids",
"ORS",
"Breastfeeding only",
"Antibiotics"
] | A | Risks associated with severe dehydration that necessitate intravenous resuscitation include: age <6 mo; prematurity chronic illness high fever bloody diarrhea; persistent emesis poor urine output; sunken eyes and a depressed level of consciousness. In this case, as the child is < 6 months old and is having persistent e... | train | med_mcqa | null |
Entropy is a measure of the: | [
"Reversibility of reaction",
"Randomness in a system",
"Exothermicity",
"Free energy for an enzymatic reaction"
] | B | Entropy is degree of disorder or randomness in a system i.e. movement or vibration of molecules in a system. ADDITIONAL READING: Laws of thermodynamics are: 1) Zeroth law of thermodynamics states that if two systems are in thermal equilibrium with a third system, they are in thermal equilibrium with each other. This la... | train | med_mcqa | null |
Ablation of the "somatosensory area V of the cerebral cortex leads to: | [
"Total loss of pain sensation",
"Total loss of touch sensation",
"Loss of tactile localization but not of two point dis- crimination",
"Loss of tactile localization and two point discrimination"
] | D | (D) Loss of tactile localization and two point discrimination > Thus, perception is possible in the absence of the cortex | train | med_mcqa | null |
The mother of a 5-year-old patient is concerned about the child’s thumb-sucking habit. Six months ago, the patient had 5-mm overjet and a 3-mm anterior open bite. Today, the patient has 10% overbite and 3.5-mm overjet. The mother says that the child only sucks his thumb every night when falling to sleep. Of the followi... | [
"Refer to a speech pathologist.",
"Recommend tongue thrust therapy.",
"Recommend a thumb-sucking appliance.",
"Counsel the parent regarding thumb-sucking, and recall the patient in 3 months."
] | D | The patient’s overbite/overjet improved from the previous examination and therefore it is likely that the patient’s digit-sucking habit had decreased significantly. The mother did state that the patient only sucks his thumb while falling asleep. When digit-sucking occurs for a limited time per day, not only is tooth mo... | train | med_mcqa | null |
Pepper salt fundus is seen in: | [
"CMV retinitis",
"Toxoplasmosis",
"Rubella",
"Measles"
] | C | Ans. Rubella | train | med_mcqa | null |
Regarding outpatient hysteroscopy, all are true except | [
"Abnormal uterine bleeding is an indication",
"Normal saline as distension medium can be used",
"It is not reliable to exclude endometrial carcinoma",
"It is less accurate than saline infusion sonography (SIS)"
] | D | Description:
Hysteroscopy is the gold standard investigation for evaluation of the uterine cavity
Can be both diagnostic and therapeutic
Normal saline can be used as a distension medium but not suitable for monopolar electrosurgery. Other media: Carbon dioxide, Glycine, Mannitol
Indications: Abnormal uterine bleeding... | train | med_mcqa | null |
Tuberculosis of spine best diagnostic modality is: | [
"Clinical",
"X-ray",
"MRI",
"CT guided biopsy"
] | D | Tissue diagnosis is always preferred over any radiological diagnosis hence CT guided biopsy to obtain tissue and then fuher investigations to grow the organisms is the preferred approach. MRI is best Radiological investigation But best investigation overall for infections or tumors is always biopsy. | train | med_mcqa | null |
Scales used for assessing socio-economic status of populations are the following except - | [
"Modified udai Pareek scale",
"Modified Kuppuswamy scale",
"Likert scale",
"BG Prasad scale"
] | C | Ans. is 'c' i.e., Likert scale Socioeconomic status scales:Urban SES scales:Rural SES scales:1. Modified Kuppuswami Scale 2. Kulshreshtha Scale3. Srivastava Scale 4.Jalota Scale1. Udai Pareek Scale2. Modified B.G. Prasad Scale3. Radhukar Scale 4.Shirpurkar ScaleStudents scale:Non-Indian SES scales:l. Bhardwaj Scale1. H... | train | med_mcqa | null |
Raised JVP and not fall back of JVP is a feature of? | [
"Atrial fibrillation",
"Atrial flutter",
"Ventricular tachycardia",
"Ventricular fibrillation"
] | A | In Atrial fibrillation there is a disorganized, rapid, and irregular atrial activity with the loss of atrial contraction. This insufficient atrial contraction results in accumulation of blood in the atrium, which results in increase in JVP which does not fall back. In ventricular tachycardia, atria empty completely and... | train | med_mcqa | null |
Impoant stimuli for prolactin secretion: | [
"Insulin",
"Growth hormone",
"Dopamine",
"Estrogen"
] | D | The regulatory factors for prolactin secretion by the pituitary overlap, in pa, with those causing secretion of growth hormone, but there are impoant differences, and some stimuli increase prolactin secretion while decreasing that of growth hormone Factor Prolactin Growth hormone Sleep || || Nursing ||| - Breast stimul... | train | med_mcqa | null |
SI unit for measuring Blood Pressure is : | [
"Torr",
"mmHg",
"kPa",
"Barr"
] | C | C i.e. KPa | train | med_mcqa | null |
Which of the following structures form the superior border of Epiploic foramen ? | [
"Quadrate lobe of liver",
"Caudate process of caudate lobe of liver",
"Poa hepatis",
"First pa of the duodenum"
] | B | In human anatomy, the omental foramen (Epiploic foramen, foramen of Winslow, or uncommonly aditus) is the passage of communication or foramen, between the greater sac (general cavity of the abdomen) and the lesser sac.Borders of Epiploic foramen: It has the following boundaries:Anteriorly : free border of lesser omentu... | train | med_mcqa | null |
Regarding oncogenesis: All are true except: | [
"Topoisomerase II causes breaks in strands",
"p53 is the most common oncogene mutation causing malignancy in humans",
"At G2-M phase there is loss of inhibitors controlling cell-cycle",
"Decrease in telomerase activity causes anti-tumor effects"
] | B | null | train | med_mcqa | null |
Biosafety precaution grade III is practiced in all of the following organisms except ? | [
"Human influenza virus",
"St. louis encephalitis virus",
"Coxiella burnetti",
"Mycobacterium tuberculosis"
] | A | Human influenza virus is Biosafety grade II virus | train | med_mcqa | null |
Thyroid gland develops from | [
"Thyroglossal duct",
"Rathke's pouch",
"Notochordal process",
"Embryonal disc"
] | A | null | train | med_mcqa | null |
Which of the following plays an important role in retinol mobilization? | [
"Zinc",
"Iron",
"Manganese",
"Magnesium"
] | A | Zinc plays an important role in retinol mobilization. | train | med_mcqa | null |
Type-II lepra reaction is found in : | [
"BB(Borderline)",
"LL(Lepromatous)",
"BT (Borderline tuberculoid)",
"TT(Tuberculoid)"
] | B | During the course of leprosy,immunological mediated episodes of acute or subacute inflammation known as lepra reaction occur. It is usually diagnosed by clinical examination only. There are two types of reaction: Reversal reaction (Type 1): Delayed hypersensitivity reaction Occurs in both Paucibacillary and Multibacill... | train | med_mcqa | null |
Complication of measles are all except - | [
"Myocarditis",
"Appendicitis",
"SSPE",
"Pancreatitis"
] | D | Ans. is 'd' i.e., Panereatitis | train | med_mcqa | null |
19 year old boy had a history of fall on out stretched hand while playing. He developed slight radial side pain and tenderness. On examination pressure along the axis of thumb is painful and x rays are normal. | [
"Fracture lower end radius",
"Wrist sprain",
"Scaphoid fracture",
"Perilunate dislocation"
] | C | C i.e. Scaphoid fracture | train | med_mcqa | null |
Battle sign indicates: NIMHANS 13 | [
"Basilar fracture",
"Sutural fracture",
"Orbital fracture",
"Depressed fracture"
] | A | Ans. Basilar fracture | train | med_mcqa | null |
Treatment of choice for bipolar disorder is | [
"Fluoxetine",
"Imipramine",
"Lithium",
"Chlorpromazine"
] | C | ithium was introduced by JOHN F CADE it is used in treatment of MANIA it is a liver friendly drug it has to be used in caution with people with deranged renal parameters if the patient is on lithium, he should be warned about of intake of other meds like NSAIDS, ACE inhibitors , as it may result in toxicity if a patien... | train | med_mcqa | null |
Ciprofloxacin should not be given to an asthmatic using theophylline because: | [
"Ciprofloxacin inhibits theophylline metabolism",
"Theophylline inhibits ciprofloxacin metabolism",
"Ciprofloxacin decreases effect of theophylline",
"Theophylline induces metabolism of ciprofloxacin"
] | A | Ans. (A) Ciprofloxacin inhibits theophylline metabolism(Ref: KDT 8/e p761)Theophylline has a narrow margin of safety (low therapeutic index) Ciprofloxacin inhibits theophylline metabolism and increases its plasma level leading to toxicity. Thus, ciprofloxacin should not be given to an asthmatic using theophylline. | train | med_mcqa | null |
Retraction of scapula is by which fibre | [
"Upper fibre of trapezius",
"Middle fibre of trapezius",
"Lower fibre of trapezius",
"Upper and Lower fibre of trapezius"
] | B | Ans. B Middle fibre of trapezius* Retraction of scapula is done for middle fibres of trapezius musclesMuscles of Scapular Stabilization* Trapezius:# Retraction (M)# Elevation (S)# Depression (I)# Upward rotation (S, M)* Rhomboid--retraction* Levator scapular--elevation* Pectoralis major--protraction* Serratus anterior-... | train | med_mcqa | null |
The HIV fusion inhibitor, enfuviide, acts at the site of: | [
"Gp 120",
"Gp 41",
"P24",
"CXCR4"
] | B | ENFUVIIDE: This HIV derived synthetic peptide acts by binding to HIV-1 envelope transmembrane glycoprotein(gp 41) which is involved in fusion of viral and cellular membranes. ESSENTIALS OF MEDICAL PHARMACOLOGY K.D.TRIPATHI SEVENTH EDITION PAGE NO:811 | train | med_mcqa | null |
Tumor marker CA 15-3 is associated with ? | [
"Ovary",
"Breast",
"Prostate",
"Kidney"
] | B | Harshmohan textbook of pathology 7th edition tumor marker CA 15-3 is associated with breast cancer. ovary - CA 125 prostate- PSA.. | train | med_mcqa | null |
A 65 year female presents with impacted fracture surgical neck of humerus. Treatment of choice is: | [
"Ahroplasty",
"Arm-Chest strapping",
"Triangular sling",
"Wait and watch"
] | C | C i.e. Triangular sling | train | med_mcqa | null |
False statement regarding Complex Regional Pain Syndrome (CRPS) is? | [
"Type 1 CRPS occurs following a nerve injury",
"Type 1 CRPS is also called as Reflex Sympathetic Dystrophy",
"It occurs due to adrenergic sensitivity of afferent nociceptors",
"CRPS Type 1 resolves with symptomatic treatment"
] | A | CRPS Type 1 occurs without obvious nerve injury. When the pain and signs of sympathetic dysfunction occur after an identifiable nerve injury, it is termed CRPS Type 2. Reference: Harrison's Principles of Internal Medicine, 19th edition, page 90 | train | med_mcqa | null |
Deliberately pretending to have disability or illness in order to receive financial or other gains is called: | [
"Malingering",
"Factitious disorder",
"Conversion",
"Somatoform disorder"
] | A | Ans: A (Malingering) Ref: Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 9th editionExplanation:Voluntary Vs Involuntary SymptomsPresentation of symptoms, signs and disability are either "involuntary" as in almost all physical problems or "voluntary" as in some psychological issues.Identification and classif... | train | med_mcqa | null |
The involvement of the L5 Nerve Root can affect all of the below movements, except: | [
"Adduction of the Thigh",
"Flexion of the Knee",
"Extension of the Great Toe",
"Extension of the Knee"
] | A | The L4 nerve root is involved in the adduction of the hip, extension of the knee and dorsiflexion of the ankle. Thigh adduction is not mediated the L5 nerve root. The muscles of thigh adduction are supplied by the Obturator Nerve. Obturator nerve (L2 to L4 anterior divisions) adducts and medially rotates the thigh. Ref... | train | med_mcqa | null |
Most common complication of chicken-pox - | [
"Bacterial infection",
"Meningitis",
"Pneumonia",
"Nephritis"
] | A | Ans. is 'a' i.e., Bacterial infection Complications of chicken pox The most common infectious complication of varicella is secondary bacterial superinfection of the skin, which is usually caused by streptococcus pyogenes or Staphylococcus aureus. The most common extracutaneous site of involvement in children is CNS. Va... | train | med_mcqa | null |
Treatment of Multiple Carboxylase deficiency is | [
"Biotin",
"Pyridoxine",
"Thiamine",
"Folic acid"
] | A | Multiple carboxylase deficiencies is characterized by deficient activities of three biotin-dependent enzymes, propionyl coenzyme A carboxylase, pyruvate carboxylase, and beta-methylcrotonyl coenzyme A carboxylase. Multiple carboxylase deficiencies is a form of metabolic disorder involving failures of carboxylation enzy... | train | med_mcqa | null |
All are Cognisable offence except : | [
"Robbery",
"Murder",
"Rape",
"Attemped suicide"
] | D | D i.e. Attempted suicide | train | med_mcqa | null |
The coagulation profile in a 13-year old girl with Menorrhagia having von Willebrands disease is ? | [
"Isolated prolonged PTT with a normal PT",
"Isolated prolonged PT with a normal PTT",
"Prolongation of both PT and PTT",
"Prolongation of thrombin time"
] | A | Ans. is 'a' i.e., Isolated prolonged PTT with a normal PT Von Willebrand's factor acts as a plasma carrier of factor VIII and circulates in the blood as factor VIII-VWF complex. Its deficiency therefore impairs the intrinsic pathway of coagulation and prolongs the PTT as the intrinsic pathway of coagulation remains uni... | train | med_mcqa | null |
In ICD-11, which of the following were added? | [
"Traditional medicine",
"Gaming Disorder",
"Gender Incongruence",
"All the above"
] | D | The new International Classification of Diseases (ICD), ICD-11, was revealed by the World Health Organization (WHO) on 18th June 2018, with changes to gender incongruence, the addition of gaming disorders, and better tracking of antimicrobial resistance. This is the first revision of the codes to be completely electron... | train | med_mcqa | null |
Most common cause of Thyroiditis is - | [
"Reidl' s Thyroiditis",
"Subacute Thyroiditis",
"Hashimoto's Thyroiditis",
"Viral thyroiditis"
] | C | null | train | med_mcqa | null |
In Alloimmune thrombocytopenia antigen against which antibody is found? | [
"HPA 1a",
"HPA 1b",
"HPA 2a",
"HPA 2b"
] | A | Neonatal alloimmune thrombocytopenic purpura (NATP): - Caused by development of maternal antibodies against antigens present on fetal platelets that are shared from father & recognized as foreign by maternal immune system. - The most common cause is incompatibility for the platelet alloantigen HPA-1a. | train | med_mcqa | null |
All the following are Congenital heart diseases with Oligemic Lung fields except: | [
"Tricuspid atresia",
"Ebstein's anomaly",
"Mitral regurgitation",
"TGA"
] | D | TGA has plethoric Lung fields. | train | med_mcqa | null |
Vitamin B12 deficiency is likely to cause - | [
"Bitemporal heminanopia",
"Binasal hemianopia",
"Heteronymous hemianopia",
"Centrocecal scotoma"
] | D | Vitamin B12 (also known as cobalamin) is an essential vitamin for neurological function. Vitamin B12 deficiency optic neuropathy is a rare complication of this deficiency that results in progressive, bilateral, painless vision loss that is often associated with reduced color vision and central or cecocentral scotomas. ... | train | med_mcqa | null |
A 5 year old child presents with renal mass. Considering the most common cause in this age group, which of the following is not true? | [
"Triphasic histology",
"Risk of WAGR",
"Bilateral involvement",
"Increased urine VMA levels"
] | D | Wilms tumor in children is MC primary renal tumor of childhood. Peak incidence between 2 and 5 year MC initial clinical presentation for WT is incidental discovery of an asymptomatic abdominal mass by parents while bathing or clothing or by a physician during a routine examination. Morphology: Triphasic combination: Bl... | train | med_mcqa | null |
Opisthotonus posture is caused by wof | [
"Ricinus communis",
"Papaver somniferum",
"Coccaine",
"Strychnous nux vomica"
] | D | STRYCHNOS NUX VOMICA Strychnine ( kuchila) is a powerful alkaloid obtained from the seeds of strychnos nux vomica. The seeds contain two principal alkaloids; strychnine and brucine. Mech of Action: It competitively blocks ventral horn motor neurone postganglionic receptor sites in the spinal cord and brainstem and prev... | train | med_mcqa | null |
Disulfiram-like reaction is caused by: Kerala 11 | [
"Acamprostate",
"Metronidazole",
"Tetracycline",
"Digitalis"
] | B | Ans. Metronidazole | train | med_mcqa | null |
Split skin graft can be applied over - | [
"Muscle",
"Bone",
"Cailage",
"Eyelid"
] | A | Answer is 'a' i.e. Muscle: A rich vascular supply is essential for suppo of a split - thickness (or full thickness) graft. It does not survive when placed directly over bone, cailage or bare tendon. For critical & small areas such as an eyelid, a full thickness graft is selected, so that contraction of the grafted mate... | train | med_mcqa | null |
All are seen in Gigantism EXCEPT: | [
"Mental retardation",
"Visceromegaly",
"Large foot",
"Cardiovascular damage"
] | A | ANSWER: (A) Mental retardationREF: Harrisons 17th ed chapter 338In children and adolescents, initiation of GH hypersecretion prior to epiphyseal long bone closure is associated with development of pituitary gigantism,Soft tissue swelling results in increased heel pad thickness, increased shoe or glove size, ring tighte... | train | med_mcqa | null |
In which of the following prozone phenomenon is most evident | [
"Tularaemia",
"Legionnaires disease",
"Plague",
"Secondary syphilis"
] | D | The reagin antibody becomes detectable 7-10 days after the appearance of the primary chancre. Sensitivity in the primary chancre is 60-75%, with the titer being low, up to eight. In secondary syphilis, sensitivity is 100% and titers range from 10 to 128 or more. The prozone phenomenon may be a problem in high titer ser... | train | med_mcqa | null |
HbA, AC level in blood explains - | [
"Acute rise of sugar",
"Long terms status of blood sugar",
"Hepatorenal syndrome",
"Chronic pancreatitis"
] | B | null | train | med_mcqa | null |
All of the following may be used for premedication except | [
"Diazepam",
"Pethidine",
"Atropine",
"Pancuronium"
] | D | Diazepam (benzodiazepine) is used for relieving anxiety, inducing good sleep and producing amnesia. Opioids for producing analgesia and atropine (anticholinergics) for drying up the secretions. Pancuronium is non-depolarizing muscle relaxant used during surgery to produce muscle relaxation. REf KATZUNG 12TH ed. | train | med_mcqa | null |
Infection of ulnar bursa is diagnosed by - | [
"Kanavel's sign",
"Chowstek's sign",
"Gower's sign",
"Ludloff's sign"
] | A | The area of maximum tenderness in an ulnar bursa infection can be elicited over that pa of the bursa lying between the transverse palmar creases. This is KANAVEL&; s sign. REF:Essential ohopaedics- Maheshwari- 9th edn - pg no 209. | train | med_mcqa | null |
Indirect coombs test detect - | [
"Antibodies attached to RBC surface",
"Antigen in serum",
"Antibodies in the serum",
"Antigen attached to RBC surface"
] | C | null | train | med_mcqa | null |
The most common type of total anomalous pulmonary venous connection is - | [
"Supracardiac",
"Infracardiac",
"Mixed",
"Cardiac"
] | A | Ans. is 'a' i.e., Supracardiac Type ITAPVC with anomalous connection at the supracardiac level is the most common type accounting for about 45% of all cases. Total anomalous pulmonary venous connection o Total anomalous pulmonary venous connection (TAPVC) is characterized by abnormal drainage of pulmonary veins into th... | train | med_mcqa | null |
Pulsus paradoxus is a characteristic feature of - | [
"Constrictive pericarditis",
"Cardiac Tamponade",
"Hyperophic obstructive cardiomyopathy",
"Restrictive cardiomyopathy"
] | B | Pulsus paradoxus (PP), also paradoxic pulse or paradoxical pulse, is an abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration . The normal fall in pressure is less than 10 mm hg . When the drop is more than 10 mm Hg, it is referred to as pulsus paradoxus. Pulsus paradoxus is n... | train | med_mcqa | null |
Disscociated vertical deviation seen in | [
"Vertical on looking up",
"Horizontal on looking in",
"Vertical on looking down",
"Horizontal on looking out"
] | C | Diplopia—seeing double—is a symptom with many potential causes, both neurological and .
This group of patients may also describe palinopsia—multiple images .
However, other causes of an apparent superior oblique palsy such as .
The optokinetic system cannot be properly assessed at bedside because the OKN | train | med_mcqa | null |
A two year old child presents with persistent diarrhoea acidic stools and presence of one percent of reducing substance in the fresh stools. What is the most probable diagnosis ? | [
"Cystic fibrosis",
"Lactose intolerance",
"Rotavirus induced diarrhoea",
"Intestinal tuberculosis"
] | B | null | train | med_mcqa | null |
WHO defines BMI of the malnourished as: March 2008 | [
"Below 18 kg/m2",
"Below 18.5 kg/m2",
"Below 19 kg/m2",
"below 19.5 kg/m2"
] | B | Ans. B: Below 18.5 kg/m2 BMI is an estimate of total body fat mass and is probably the most useful scale to define obesity. Obesity has been defined as a BMI >30.0 kg/m2 in World Health Organization (WHO) classification Body mass index (BMI), calculated from measured weight and height, was classified using the World He... | train | med_mcqa | null |
In emergency tracheostomy all structures are damaged except: | [
"Isthmus of thyroid",
"Inferior thyroid aery",
"Thyroid ima",
"Inferior thyroid vein"
] | B | Emergency tracheostomy can damage midline structures such as : thyroid isthmus, thyroid ima aery and inferior thyroid vein. Whereas, inferior thyroid aery lies laterally away from midline and so escapes injury. | train | med_mcqa | null |
All of the following muscles are involved in inspiration except | [
"Scalene",
"Internal intercostal muscle",
"Diaphragm",
"Stermocleidomastoid"
] | B | Internal intercostal muscle is involved in expiration.
External intercostal muscle is involved in inspiration. | train | med_mcqa | null |
Drug of choice for medical treatment of hydatid cyst of liver is | [
"Praziquantel",
"Thiabendazole",
"Ivermectin",
"Albendazole"
] | D | Ans. d (Albendazole). (Ref. Harrison, Medicine, 18th /Table 208-1)Albendazole is a broad spectrum, single dose anti-helminthic drug.Used in treatment of:Ascariasis, hookworm, tapeworm, enterobius, strongylodoisis, trichuris infestations.# Trichinosis# Neurocysticercosis (DOC), however it should not be used in ocular cy... | train | med_mcqa | null |
Which of the following step is specific for gluconeogenesis | [
"Pyrovate to acetyl CoA",
"Oxaloacetate to citrate",
"Oxaloacetate to PEP",
"Oxaloacetate to PEP"
] | C | Ans. is 'c' i.e., Oxaloacetate to PEP | train | med_mcqa | null |
About Ectopia vesicae, following is true except ? | [
"CA bladder may occur",
"Ventral curvature of penis",
"Incontinence of urine",
"Visible uretero - vesical efflux"
] | B | Answer is 'b' i.e. Ventral curvature of penis Ectopia vesicae is associated with epispadias in which dorsal or upwards curvatuve of penis is noted. Ventral curvature is noted in hypospadias. | train | med_mcqa | null |
Klumpke's paralysis involves? | [
"C5C6",
"C6C7",
"C7T1",
"C8 T1"
] | D | ANSWER: (D) C8 T1REF: BDC 4th edition vol 1 Page 53See APPENDIX-7 for "BRACHIAL PLEXUS LESIONS -CHART 2"Repeat Anatomy December 2011 APPENDIX - 7Brachial Plexus Lesions-chart 1Nerve (Segment)Motor Deficit(s)Sensory DeficitsLong Thoracic (C 5, 6, 7)Winged Scapula- Serratus AnteriorNoneSuprascapular (C 5, 6 )Hard to star... | train | med_mcqa | null |
Sensory nerve supply of the middle ear cavity is provided by | [
"Facial",
"Glossopharyngeal",
"Trigeminal",
"Vagus"
] | B | Glossopharyngeal nerve -> Tympanic nerve/Tympanic plexus -> Middle ear
Auditory tube
Mastoid ant... | train | med_mcqa | null |
Trendelenurg test is positive in injury to - | [
"Inferior gluteal nerve",
"Superior Gluteal Nerbve",
"Lateral Popliteal nerve",
"Sciatic Nerve"
] | B | Ans. is 'b' i.e., Superior Gluteal Nerbve o Has been explained in previous sessions. | train | med_mcqa | null |
The following are complications of stricture urethra except | [
"Periurethral abscess",
"Inguinal hernia",
"Hydronephrosis",
"Papilloma of bladder"
] | D | null | train | med_mcqa | null |
Antiemetic effect of Metoclopromide is mainly due to its action as | [
"5HT3 antagonist",
"D2 antagonist",
"M3 antagonist",
"5HT4 agonist"
] | B | Antiemetic effect of Metoclopramide is because of D2 antagonism > 5HT3 antagonism.
Prokinetic effect is due to 5HT4 agonism. | train | med_mcqa | null |
Magnesium | [
"Is essential for efficient secretion and peripheral action of PTH",
"Is essential for efficient secretion and peripheral action of calcitonin",
"Is cofactor for vitamin D in bone",
"Competitively occupies calcium slots in bone"
] | A | It is uncommon and always due to excessive intake either orally (antacids), rectally (enema) or parenterally. Causes of hypermagnesemia are listed in Box 35.19. Magnesium intoxication causes depression of neuromuscular system, causing lethargy, hypotension, respiratory depression, brady- cardia and weak tendon reflexes... | train | med_mcqa | null |
Source of energy for a running race athlete for the initial 3 minutes of running | [
"Free fatty acid",
"Creatine phosphate",
"Muscle glycogen",
"Blood Glucose"
] | C | Systems for energy during strenuous exercise or running 1. First System-Phosphagen system (8-10 seconds) - Immediate source of energy for Muscles is Creatine Phosphate. - But this is of limited supply in muscles, so depleted quickly 2. Second system -Anaerobic Glycolysis or Lactate system. (for 1-3 minutes ) - This sys... | train | med_mcqa | null |
Culture of CSF easily detect - | [
"CMV",
"Echovirus",
"Coxsakie",
"HSV"
] | A | CSF is inoculated into monkey kidny cell cultur&virus growth is detected by cytopathic changes REF:<\p>MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.493 | train | med_mcqa | null |
Amount of blood in capillary pool at anytime - | [
"250 ml",
"1000ml",
"2000ml",
"2500 ml"
] | A | Ans. is 'a' i.e., 250 mlo Capillaries contain 5% of total blood volume, i.e., 250 ml out of 5000 ml of total blood.VesselPercentage of total blood volume containedAorta2Artery8Arteriale1Capillaries5Venous system54Pulmonary circulation18Heart12 | train | med_mcqa | null |
Which of the following muscle relaxants is free of cardiovascular effects over the entire clinical dose range | [
"Pancuronimum",
"Vecuronium",
"Atracurium",
"Pipecuronium"
] | B | For vecuronium associated side effects are rare, cardiac effects are very minimal.occasional branchospasm is repoed due to histamine release. | train | med_mcqa | null |
Double bubble sign in seen in - | [
"Duodenal atresia",
"Jejunal atresia",
"Pyloric stenosis",
"Hirschprung disease"
] | A | The double bubble sign is seen in infants and represents dilatation of the proximal duodenum and stomach. It is seen in both radiographs and ultrasound, and can be identified antenatally Pathology Causes include congenital obstruction duodenal web duodenal atresia duodenal stenosis annular pancreas midgut volvulus exte... | train | med_mcqa | null |
Trachoma is characterized by A/E : | [
"Epithelial Keratitis",
"The corneal lesion is pannus",
"Pits in limbus in late stage",
"Follicle formation is a late stage"
] | D | Ans. is 'd' ie Follicle formation is a late stage Entropion of upper eyelids is seen in trachoma (not ectropion) Trachoma is a specific type of contagious Kerato conjunctivitis caused by chlamydia trachomatis*. Characteristic features: Conjunctiva: follicles*, diffuse papillary hyperplasia * Follicles appear in the pal... | train | med_mcqa | null |
A 64 years old gentleman is brought with severe central chest pain radiating to the left arm for the last 30 minutes. He is profusely sweating and is in agony. Which of the following disease he is likely to be suffering from? | [
"Stable angina",
"Oesophagitis",
"Acute myocardial infarction",
"Pleurisy"
] | C | null | train | med_mcqa | null |
In patients depending entirely on parenteral fluids,there is weight loss of .... daily - | [
"50 gm",
"150 gm",
"200 gm",
"250 gm"
] | B | null | train | med_mcqa | null |
All of the following are common cause of post splenectomy infections except: September 2009 | [
"H.influenza",
"Ecoli",
"Klebsiella",
"Streptococcus"
] | C | Ans. C: Klebsiella The first description of overwhelming post-splenectomy infection was published by King and Schumaker in 1952. The disease may begin as a minor flu-like illness that rapidly escalates into a fulminant infection. It is most common in the first two years after splenectomy but may occur decades later. Sp... | train | med_mcqa | null |
Drug of choice in a patient with severe complicated falciparum malaria is | [
"Chloroquine",
"Quinine",
"Artesunate",
"Artemether"
] | C | null | train | med_mcqa | null |
Diagnostic of antemoem drowning: NEET 14 | [
"Paltaufs hemorrhage",
"Weeds and grass in clenched hands",
"Emphysema aquosum",
"Water in esophagus"
] | B | Ans. Weeds and grass in clenched hands | train | med_mcqa | null |
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