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Best agent for premenstrual syndrome management is ?
[ "Progesterone", "Anxiolytic", "SSRI", "Vitamin E" ]
C
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All of the following are features of scleroderma except -
[ "Dysphagia", "Raynaud's phenomenon", "Skin contracture", "Calcification in long bones" ]
D
Ans. is `d' i.e., Calcification in long bones Clinical manifestations of scleroderma (systemic sclerosis) Skin o The distinctive feature of scleroderma are striking cutaneous changes, notably skin thickning. o A majority of the patients have diffuse sclerotic atrophy of the skin which usually begins in the fingers and ...
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A patient from Himachal pradesh gets a thorn prick & subsequently presents with a verrucous lesion on feet which on microscopy revealed "Copper penny bodies". The diagnosis is
[ "Sporothrix", "Chromoblastomycosis", "Eumycecoma", "Verruca vulgaris" ]
B
History of thorn prick and verrucous or cauliflower like appearance and presence of copper penny bodies suggests of chromoblastomycosis.
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Prostatic calculi is made up of ?
[ "Calcium carbonate", "Calcium oxalate", "Calcium phosphate", "Triple phosphate" ]
C
Prostatic calculi are of two varieties: endogenous, which are common, and exogenous, which are comparatively rare. An exogenous prostatic calculus is a urinary (commonly ureteric) calculus that becomes arrested in the prostatic urethra. Endogenous prostatic calculi are usually composed of calcium phosphate combined wit...
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The following tetracycline has the potential to cause vestibular toxicity :
[ "Minocycline", "Demeclocycline", "Doxycycline", "Tetracycline" ]
A
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A patient with large, penetrating vegetations on his mitral and aoic valves develops severe headaches. Funduscopic examination reveals papilledema. CT scan of the brain demonstrates a ring-enhancing lesion. Which of the following organisms is the most likely cause of the patient's disorder?
[ "Herpesvirus", "Mycobacterium tuberculosis", "Staphylococcus aureus", "Streptococcus pneumoniae" ]
C
The cardiac lesions described are characteristic of acute bacterial endocarditis. The fact that the valvular vegetations are large and penetrating strongly suggests that they are due to a virulent, pyogenic pathogen. Among the answer choices, Staphylococcus aureus best fits this description, and is in fact the most com...
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False about Kishori Sakthi Yojana
[ "Money transfer", "LIterature", "Vocational training", "Health planning" ]
A
Ref:Park's Textbook of Preventive and Social Medicine 25th Ed
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Extraintestinal manifestations of Inflammatory bowel disease include all of the following, Except:
[ "Uveitis", "Sclerosing cholangitis", "Osteoahritis", "Skin nodules" ]
C
Answer is C (Osteoahritis): Osteoahritis is not an extraintestinal manifestation of inflammatory bowel disease Uveitis, Sclerosing Cholangitis, and skin nodules (Erythema nodosum) are all recognized extraintestinal manifestations of inflammatory bowel disease.
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One of the following disorders is due to maternal disomy of chromosome 15 -
[ "Prader Willi syndrome", "Angelman syndrome", "Hydatidiform mole", "Klinefelter's syndrome" ]
B
Ans. is `b' i.e., Angleman syndrome o Don't get confused by previous explanations, where I have explained the deletion of paternal chromosome 15 in Prader Willi Syndrome. o To understand this question, one should know genomic imprinting as well as uniparental disomy. Genomic imprinting o A person inherits two copies of...
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Indication of FESS:
[ "inveed papilloma", "Orbital abscess", "Nasal polyposis", "Opticnerve decompression" ]
B
All options are correct. Indications of FESS A. nasal conditions:sinusitis, polyp removal, mucocele,choanal attesoa repair, septoplasty, foreign body removal, epustaxis B. Other conditions: Nose is separated from orbit by lamina papyracea, anterior cranial fossa bu cribriform plate and pituitary by sphenoid. Hence FESS...
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On clinical examination of a patient with the Papillary - Marginal – Attachment Index, the papillary gingiva showed an excessive increase in size with spontaneous bleeding. The marginal gingiva showed a swollen collar with spontaneous bleeding and beginning of infiltration into attached gingiva. The attached gingiva sh...
[ "3", "5", "7", "9" ]
C
The number of affected Papillary, Marginal Attached units are counted and the P, M and A numerical values are totaled separately, then added together. Uses:  • It provides a comprehensive method for evaluating anti-plaque procedures such as tooth brushing and flossing, as well as chemical anti-plaque agents    INDICES ...
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A child can drawr triangle at what age -
[ "1 year", "3 years", "5 years", "7 years" ]
C
Ans. is 'c' i.e., 5 yearso At age 60 month, child can draw teiangle.o Emerging patterns of behaviour from 1 to 5 year of age15 MOMotor:Walks alone; crawls up stairsAdaptive:Makes tower of 3 cubes; makes a line with crayon: inserts raisin in bottleLanguage:Jargon; follows simple commands; may name a familiar object (e.g...
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All are risk factors of preeclampsia except
[ "Diabetes in pregnancy", "Hydatidiform mole", "Primipara", "Previous history of pre eclampsia" ]
A
Primiparous is at a higher risk than multiparous lady H.mole due to abnormal trophoblastic proliferation and uterine distension is at higher risk. Infact h.mole is associated with early onset preeclampsia. Previous h/o preeclampsia also increases risk.
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Incubation period helps in determining all except-
[ "Period of isolation", "Period of quarantine", "Identification of source of infection", "Immunization" ]
A
An infection becomes apparent only after a ceain incubation period which is defined as the time interval between invasion by an epidemiological agent and the appearance of first sign or symptoms. During the incubation period, the infectious agent undergoes multiplication in the host Incubation period is of fundamental ...
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Micro organism which uses steroids as growth factor is
[ "P.gingivalis", "P.intermedia", "S.sanguis", "S.mutans" ]
B
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Defect seen in Bartter syndrome is
[ "Distal Convoluted Tubule", "Proximal Convoluted Tubule", "Thin descending limb of loop of Henle", "Thick ascending limb of loop of Henle" ]
D
(D) Thick ascending limb of loop of Henle[?]Bartter Syndrome:-An inborn autosomal recessive defect, in the Na+-K+-2C- cotransporter in the thick ascending limb of the loop of Henle, leading to NaCl and water wasting.-Symptoms are polyuria, polydipsia, episodes of dehydration, faltering growth and constipation.-There ma...
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Which of the following poisoning is associated with the development of Buonian line?
[ "Zinc", "Lead", "Arsenic", "Mercury" ]
B
Buonian line is a stippled bluish black line due to epithelial deposition of lead sulphide granules on the gums at the junction with the teeth. It is seen in about 50 - 70% of the cases of Lead poisoning. Lead is a typical cumulative poison. Lead poisoning occurs from the toxic effects of the following principle lead s...
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The most appropriate investigation for diagnosing this condition given in xray is:
[ "Computer tomography (CT) scan", "Chest x-ray", "Upper GI endoscopy", "Barium meal" ]
D
All the above investigations have been shown to be useful in the diagnosis of a hiatus hernia. However, upper GI barium meals/swallows have been shown to be the most definitive modality in diagnosing hiatus hernias. Chest x-rays may be normal, but in some cases may show an air fluid level above the level of the left he...
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Which of the following statement is true regarding the relation of bile duct:
[ "Posteriorly related to P, pa of duodenum", "Related posteriorly to the tunnel of pancreatic head", "Anteriorly related to Pt pa of duodenum", "All" ]
C
C i.e. Anteriorly related to first pa of duodenum
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Wilms tumor commonly presents as:
[ "Haematuria", "Abdominal pain", "Abdominal mass", "Intracranial metastasis" ]
C
Ans: c (Abdominal mass) Ref: Nelson, 18th ed, p. 2141; 17th ed, p. OPGhai, 6th ed, p. 574Most of the patients with wilms tumor present as asymptamatic abdominal mass.Wilm tumour* Also called nephroblastoma* Most common cancer of kidney in children* Second most common abdominal malignancy in children (neuroblastoma is t...
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Intravenous resuscitation is required in a patient with 30% burns. Which of the following will be the best choice of fluid in the first 24 hours?
[ "Normal saline", "Dextrose 5%", "Ringer lactate", "Whole blood" ]
C
Most commonly used fluid for resuscitation in burns is ringer lactate. Some centres use human albumin solution or fresh-frozen plasma, and some centres use hypeonic saline. Intravenous resuscitation is indicated for children with a burn greater than 10% TBSA and adults with 15% TBSA. Parkland formula is the most widely...
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The major adverse effect of glucocoicoids especially in children is ?
[ "Hyperkalemia", "Hypoglycemia", "Muscular weakness", "Posterior subcapsular cataract" ]
D
Ans. is'd'i.e., Posterior subcapsular cataractlRef: KDT p. 293)Adverse effects glucocoicoids:Posterior subcapsular cataract may develop after several years of use, especially in children
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Rickets in infancy is characterised by the following except :
[ "Craniotabes", "Rachitic rosary", "Wide open fontanelles", "Bow legs" ]
D
Bow legs Mel: Ghai Paediatrics 6/e, p 128. Nelson 17/e,p 183; Apley's 8/e, p 119] Ghai states - "Long bones of legs get deformed when the child stas bearing weight. Therefore deformities of legs are unusual before the age of 1 year. Anterior bowing of legs, knock knee and coxa vera are the usual deformities." Clinical ...
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Which of the following segments of the circulatory system has the highest velocity of blood flow?
[ "Aoa", "Aeries", "Capillaries", "Venules" ]
A
The velocity of blood flow within each segment of the circulatory system is inversely propoional to the total cross-sectional area of the segment. Because the aoa has the smallest total cross-sectional area of all circulatory segments, it has the highest velocity of blood flow
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Adult loading dose of aminophylline Is:
[ "50 mg/kg", "0.5-1 mg/kg", "2-3.5 mg/kg", "5mg/kg bd wt" ]
D
Loading dose- It given as iv 250mg/10ml- or 3-5mg / kg aminophylline IV (max 500mg) maintanence dose- 500 micrograms / kg / hour ( Elderly: 300 micrograms / kg / hour) Add 500mg to 500mL or 250mg to 250mL of a compatible infusion fluid (1mg/mL). Administer using a rate controlled infusion pump. ESSENTIAL OF MEDICAL PHA...
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Mainly in which form, carbohydrates are absorbed from gut:
[ "Sucrose", "Disaccharide", "Glucose", "Polysaccharide" ]
C
Polysaccharides such as starch & glycogen yield glucose units on hydrolysis. The major carbohydrate in diet is Starch. Starch on hydrolysis yield Glucose units. Also, most of the disaccharides yield glucose units on hydrolysis. Sucrose on hydrolysis yields glucose and fructose. Hence carbohydrates are mainly absorbed f...
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Poor prognostic factor for melanoma is: March 2013
[ "Size of tumour", "Spread to lymphatics", "Shape", "Colour of tumour" ]
B
Ans. B i.e. Spread to lymphatics
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Most stable position of ankle is
[ "In plantar flexion", "In dorsiflexion", "In inversion", "In eversion" ]
B
DORSIFLEXION FOOT:- The forefoot is raised, and the angle between the front of the leg and the dorsum of the foot is diminished.The wider anterior trochlear surface of the talus fits into the lower end of narrow posterior pa of the lower end of tibia.No chance of dislocation in dorsiflexion. PLANTAR FLEXION OF FOOT:-Fo...
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All the following statements are true about pertussis except:
[ "SAR is > 90%", "There is no Subclinical or Chronic Carrier state", "Leucocytosis correlates with the severity of cough", "Doc is erythromycin" ]
C
Leucocytosis does not correlate with the severity of cough.
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Which of the following is not a features of simple tongue thrust swallowing
[ "Contraction of facial muscle", "Contraction of mandibular elevators", "Teeth apart swallow", "Anterior open bite" ]
C
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Cadaveric spasm occurs:
[ "Immediately after death", "Within 2 hours", "Within 6 hours", "Within 12 hours" ]
A
Ans: a (Immediately after death)Ref: Reddy 29th ed. R146 Also refer Q 112 Kerala 2007, Q 151 Kerala 2008Cadaveric spasm is found in muscles contracted at the time of death which becomes stiff immediately without passing into the stage of primary relaxation.Cadaveric spasmSynonyms include instantaneous rigor, cataleptic...
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Cytosolic Cytochrome C mediates
[ "Apoptosis", "Electron transpo", "Krebs cycle", "Glycolysis" ]
A
A i.e. Apoptosis Cytochrome C has two very opposite roles. Within the mitochondrial membrane it serves as electron carrier in oxidative phosphorylation. But when it leaks out into cytosol it combines with Apaf I and activates caspase-9 to mediate apoptosisQ. This dual functioning is known as moonlighting.
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Reinke's space is seen in which of the following?
[ "Vocal cords", "Subglottis", "Epiglottis", "Pharynx" ]
A
Ans. is 'a' i.e., Vocal cords * Reinke's space Is a potential subepithelial space between the glottic epithelium and the vocal ligament.Reinke's oedema (polypoid degeneration of vocal cord)* It is the edema of margins of the vocal cord so the free margin is polypoid and a large sessile polyp may occur.* Reinke's edema ...
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Paradoxical splitting of S 2 is seen in ?
[ "ASD", "Mitral stenosis", "Severe pulmonary stenosis", "Severe aoic stenosis" ]
D
As AS increases in severity, LV systole may become prolonged so that the aoic valve closure sound no longer precedes the pulmonic valve closure sound, and the two components may become synchronous, or aoic valve closure may even follow pulmonic valve closure, causing paradoxical splitting of S 2 ( Harrison&;s principle...
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Alvarado score is used for -
[ "Acute cholecystitis", "Acute appendicitis", "Acute apncreatitis", "Acute epidydimitis" ]
B
Ans. is. 'b' i.e., Acute appendicits Scoring system for Acute Appendicitis: Alvarado Score:* The diagnosis of appendicitis is based primarily on clinical history and physical examination assisted by blood counts. A number of clinical and laboratory based scoring systems have been devised to assist diagnosis.The most wi...
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Function of thyroid hormones:
[ "Inhibits beta myosin heavy chain", "Increases cholesterol", "Inhibits ovulation", "Increases diastolic blood pressure" ]
A
Ans: A (Inhibits beta myosin heavy chain) Ref: Pal GK, The Thyroid Gland, In: Textbook of Medical Physiology, 2nd ed, Ahuja Publishing House 2011: 46: 352-55Explanation:Physiological Actions of Thyroid HormoneBasal metabolism| rate of oxygen consumption| Na+ K+ ATPase activityThermogenic actionOn nervous systemProlifer...
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In cardiac shock -
[ "SBP < 90 mm of Hg", "DBP < 80 mm of Hg", "Cardiac index <3.5", "Stroke volume 70 ml" ]
A
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Which of the following is not a yeast-like fungus:
[ "Cryptococcus", "Candida", "Trichophyton", "None" ]
C
Trichophyton is a dermatophyte.
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An elderly male present with history of dysphagia, regurgitation, foul breath and cough. Bilateral lung crepitations are noted on examination. The most likely diagnosis is:
[ "Schatzki's ring", "Zenker's diverticulum", "Corkscrew esophagus", "Plummer-Vinson syndrome" ]
B
Ans. (b) Zenker's diverticulumRef: Sabiston 20th Edition, Pages 1020 -1022* Most common complication of Zenker's Diverticulum - Lung abscess due to aspiration* Most common symptom: Dysphagia (Not Halitosis)
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Which of the following is seen in osteoporosis -
[ "Low Ca, high PO4, high alkaline phosphatase", "Low Ca, low PO4, low alkaline phosphatase", "Normal Ca, normal PO4, normal alkaline phosphatase", "Low Ca, low PO4, normal alkaline phosphatase" ]
C
Serum calcium, phosphate and alkaline phosphatase are normal in osteoporosis.
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Consider the following conditions Central diabetes insipidus Uncontrolled diabetes mellitus Mannitol infusion Post 4W obstructive diuresis Which of the above result in solute diuresis?
[ "1 and 2 only", "1, 2 and 3", "2, 3 and 4", "1, 3 and 4" ]
C
Uncontrolled diabetes mellitus is a frequent cause of polyuria from a solute diuresis due to glycosuria. Key findings may include acid-base disturbances, such as non-anion gap metabolic acidosis or metabolic alkalosis, and impaired reabsorption of urinary solutes. The mannitol again draws the water with it, and diuresi...
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Orphan-Annie-eyed nuclei are seen in:
[ "Papillary carcinoma", "Follicular carcinoma", "Anaplastic carcinoma", "Medullary carcinoma" ]
A
(Papillary carcinoma): Ref: 798-LB (793-B &L 25th)* Histologically the papillary carcinoma shows papillary projections and characteristic pale, empty nuclei (Orphan-Annie - eyed nuclei)* Papillary carcinoma is the most common of the thyroid neoplasms and is usually associated with an excellent prognosis* The associatio...
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Interocclusal space is:
[ "Space between upper and lower teeth", "Space between maxilla and mandible at rest", "Space between the jaws when muscles that elevate and depress the mandible are in minimum tonic contraction", "None of the above" ]
A
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Cholera toxin binds to which receptors in intestine:
[ "Sphingosine through A subunit", "Sphingosine through B subunit", "GM1 gangliosides through A subunit", "GM1 gangliosides through B subunit" ]
D
Ans. is. 'd' i. e., GM1 gangliosides through B subunit
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Millennium development goal targets to reduce MMR in 2015 by:-
[ "0.25", "0.75", "0.5", "1" ]
B
- Target 6 of Goal-5 of MDG aims to reduce Maternal Moality ratio by 3/4th or 0.75. GOALS OF MDG: However, now 17 Sustainable Development Goals or SDGs have been introduced from 2016 - 2030.
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Complement attaches to immunoglobulin at -
[ "Aminoterminal", "Fab region", "Variable region", "Fc fragment" ]
D
Antigen is attached to Fab region Complement and ADCC(antibody dependent cellular cytotoxicity) attachment are through Fc region. The constant region of the heavy chain has many biological functions. It is responsible for activation of the complement, binding to cell surface receptors, placental transfer, and many othe...
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NOT a cause of granular contracted kidney -
[ "Diabetes mellitus", "Chronic pyelonephritis", "Benign nephrosclerosis", "Chronic glomerulonephritis" ]
A
null
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Generation time for leprosy bacillus is?
[ "8-10 days", "10-12 days", "12-15 days", "15-20 days" ]
C
<p> The generation time of the lepra bacillus has been found to be exceptionally long ,12-13 days on the average but may vary from 8-42 days. Reference:Textbook of Microbiology, Ananthanarayan & Paniker ,9th edition,page no:364. <\p>
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Styloid process is derived from ?
[ "1st arch", "2nd arch", "3rd arch", "4th arch" ]
B
Styloid process is derived from 2nd pharyngeal arch.
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Allopurinol potentiates the action of :
[ "Corticosteroids", "Probenecid", "6–Mercaptopurine", "Ampicillin" ]
C
null
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A 45-yrs-old man presents with progressive cervical lymph nodes enlargement, since 3 months; the most diagnostic investigation is -
[ "Xray soft tissue", "FNAC", "Lymph node biopsy", "None of the above" ]
C
Harrison writes that in cases of lymphadenopathy, if the patient's history and physical findings are suggestive of malignancy, then a prompt lymph node biopsy (excisional biopsy) should be done. FNAC is not of much use, as it does not provide enough tissue to reach a diagnosis. ("FNAC should be reserved for thyroid nod...
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Hounsfield unit of CSF in ventricles is generally
[ "-1000 HU", "-100 HU", "0 HU", "70 HU" ]
C
CSF/ water has HU of 0 and is taken as a reference value -1000 HU Is Air -100 HU is Fat 0 HU is CSF/Water 70 HU is acute bleed 130 HU is Contrast 200-250 HU is Calcifications above 400-1000 HU is coical bone.
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Micro organism motile at 25° C but not motile at 37° C
[ "Listeria monocytogens", "Campylobacter", "Yersinia pestis", "Streptococcus agalactiae" ]
A
null
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Origin of cancer cells in Krukenberg tumour is from: March 2013
[ "Ovarian carcinoma", "Gastric carcinoma", "Duodenal carcinoma", "Pancreatic carcinoma" ]
B
Ans. B i.e. Gastric carcinoma Krukenberg tumor It is a malignancy in the ovary that metastasized from a primary site, classically the gastrointestinal tract, although it can arise in other tissues such as the breast. Gastric adenocarcinoma, especially at the pylorus, is the most common source. Krukenberg tumors are oft...
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All of the following are features of hallucinations, except:
[ "It is independent of the will of the observer", "Sensory organs are not involved", "It is as vivid as that in a true sense perception", "It occurs in the absence of a perceptual stimulus" ]
B
B i.e. Sensory organs are not involved
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Large painful ulcers seen in which grade of mucositis:
[ "Grade 1.", "Grade 2.", "Grade 3.", "Grade 4." ]
C
4 grades Grade 1:  whitish area Asymptomatic Grade 2:  ulcers(Small) Grade 3:  large (painful) Grade 4: entire oral mucosa.
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An 18 year old boy comes to the eye casuality with history of injury with a tennis ball. On examination there is no perforation but there is hyphaema. The most likely source of the blood is -
[ "Iris vessels", "Circulus iridis major", "Circulus iridis minor", "Short posterior ciliary vessels" ]
B
When a blunt object strikes the front of the eye, the eye is quickly shortened in antero-posterior direction and, in a compensating fashion, is stretched laterally. This stretching causes breakage of iris vessels, with blood spilling into the anterior and posterior chamber. The most common source of blood is circulus i...
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Verapamil belong to which class of antiarry thmic
[ "Class I", "Class II", "Class III", "Class IV" ]
D
verapamil is the only class 4 anti arrhythmic drug Ref Harrison 20th edition pg 1342
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True statement regarding ectopic pregnancy:
[ "Serum progesterone >25 ng/ml exclude ectopic", "p-hCG levels should be >1000 mlU/ml for earliest detection by TVS", "p-hCG levels should be <1000 mlU/ml for earliest detection by TVS", "Methotrexate is not used for treatment" ]
A
If the serum beta hcg value is 1500 IU/L and an intrauterine pregnancy is not visualized in a TVS it is likely to be an ectopic .This is the level at which intrauterine gestational sac is seen and is called discriminatory zone (refer pgno:159 sheila 2 nd edition)
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What is the mode of inheritance of APKD?
[ "Autosomal dominant", "Autosomal recessive", "X-linked recessive", "Mitochondrial inheritance" ]
A
Ans is 'a' i.e., Autosomal dominant Summary of Renal cystic disease InheritancePathologic featuresClinical features of ComplicationsAdult polycystic kidney diseaseAutosomal dominantLarge multicystic kidneys, liver cysts, berry aneurysmsHematuria, flank, pain, urinary tract infection, renal stones, hypertensionChildhood...
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Which of the following is true about glycine?
[ "Glycine is an essential amino acid", "Sulphur containing at 4th position", "Has a guanidine group", "Optically inactive" ]
D
Ans: d (Optically inactive) Ref: Vasudevan, 4th, ed, p. 5th ed, p. 173Glycine is the simplest amino acid.Optically inactive.It forms every third amino acid in collagen (and most abundant amino acid in collagen).Glycine is a glucogenic amino acid formed from serine.Guanido group is present in arginine.ESSENTIAL AMINO AC...
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Which is beta antagonist ?
[ "Salbutamol", "Propranolol", "Salmeterol", "Albuterol" ]
B
null
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Which of the following is not a test for the integrity of 9th nerve?
[ "Gag reflex", "Palate symmetry", "Taste", "Tongue protrusion" ]
D
Testingof 9th Nerve: Testing the gag reflex using a wooden spatula Asking the patient to swallow or cough Evaluating for speech impediments. Test the posterior one-third of the tongue with bitter and sour substances to evaluate for impairment of taste
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Integrated management of childhood illness (IMCI) intiative was taken to prevent morbidity and moality from all of the following except -
[ "Malaria", "Malnutrition", "Otitis Media", "Neonatal tetanus" ]
D
Ans. is `d' i.e., Neonatal tetanus Integrated management of childhood iliness.tIMCD The extent of childhood morbidity and moality caused by following diseases is substantial. i) Diarrhea iii) Malaria v) Malnutrition ii) ARI (pneumonia, otitis media) iv) Measles o Most sick children present with signs and symptoms of mo...
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Cancer can be prevented by ingestion of-
[ "Beta carotene", "\"VitaminC & E\"", "Selenium", "All the above" ]
D
All the above mentioned are antioxidants . Antioxidants reduce the cell damage done by free radicals and reduce the chance of cancer activation . They prevent free radical damage to cells and improves immune function Ref Harrison 20th edition pg 98e
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Porosity of denture base is due to:
[ "Packing at dough stage", "Curing at 160°F for 9 hrs", "Inadequate pressure", "All of the above" ]
C
null
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Most common cause of parapharyngeal abscess is
[ "Removal of tonsil", "Haematogenous spread", "Penetrating trauma", "Blunt trauma" ]
A
Infection of tonsillar fossa leads to the parapharyngeal abscess as a delayed complication of tonsillectomy. Infection of parapharyngeal space can occur from teeth, ear and other spaces like parotid and retropharyngeal spaces. In spite of it being the smallest space in relation to the pharynx, it is the most commonly i...
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A patient presents with acute anterior wall infarction and hypotension. Which will be the immediate treatment modality for this patient
[ "Intra aortic ballon counter pulsation", "Anticoagulation", "Thrombolytic therapy", "Angiography and Primary angioplasty" ]
A
null
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First sign of improvement in oral iron therapy is?
[ "Reticulocytosis", "Raise of hemoglobin", "Raise in RBC count", "Increase in ESR" ]
A
ANSWER: (A) Reticulocytosis REF: Harrison's 18th ed ch: 103Monitoring iron therapy:Clinically, the effectiveness of iron therapy is best evaluated by tracking the reticulocyte response and the rise in the hemoglobin or the hematocrit.An increase in the reticulocyte count is not observed for at least 4 to 7 days after b...
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During spermatogenesis FSH is inhibited by -
[ "Inhibin", "GnRH", "Testosterone", "LH" ]
A
Ans is 'a'i.e., Inhibin Endocrine control of spermatogenesiso Hypothalamus is critical in the development of male organs and spermatogenesis, and produces GnRH continuously and, not in a pulsatile fashion as in a femaleo GnRH increases the seretion of FSH and LH from pituitary gland.o FSH is not essential for spermatog...
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Sexual gratification is obtained by inflicting injuries to sexual paner in
[ "Masochism", "Sadism", "Fetichism", "Necrophilia" ]
B
Sadisim In sadism, the sexual gratification is obtained by inflicting injuries on the sexual paner. It is most commonly seen in men. To obtain sexual gratification, the sadist may bite , whip, beat, or produce cut injuries on the sexual paner Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 312
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This drug can clear trypanosomes from blood and lymph nodes and is active in late CNS stages of African sleeping sickness. It is:
[ "Emetine", "Melarsoprol", "Nifuimox", "Suramin" ]
B
Treatment of trypanosomiasis is: African sleeping sickness * Early Haemolymphatic stage : Suramin * Late CNS Stages : Melarsoprol South American disease (Chagas disease) : Benznidazole
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An AIDs patient is presenting with watery diarrhea. What could by the causative organism.
[ "Cadida", "Vibrio cholerae", "ETEC", "Cryptosporidia" ]
D
Ans. is 'd' i.e., Cryptosporidia "Cryposporidium and Isopora are the common causes of prolonged watery diarrhea in AlDs patients". -- Clinical microbiologyImportant causes of diarrhea in AIDS patientsi) Bacteria : Salmonella, Shigella, Campylobacter, and mycobacteria avium intracellulare.ii) Fungal: Histoplasma, Coccid...
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A foueen year old body is admitted with history of fever, icterus, conjunctival suffusion and haematuria for twenty days. Which of the following serological test can be of diagnostic utility -
[ "Widal test", "Microscopic Agglutination Test", "Paul Bunnell test", "Weil felix reaction" ]
B
Ans. is 'b' i.e., Microscopic agglutination test History of fever, jaundice (icterus), bleeding diathesis (conjuctival suffusion) and renal dysfunction (hematuria) are suggestive of Weil's disease (severe Leptospirosis). A definite diagnosis of leptospirosis is based either on isolation of the organism from the patient...
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The most frequent symptom of gastric diverticulum is
[ "Epigastric pain", "Haematemesis", "Vomiting", "Pain relieved by food" ]
A
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Which of these is characteic of gout
[ "Podagra", "Anasarca", "Cheiroahropathy", "Calcinosis cutis" ]
A
Podagra is involvement of the great toe in a patient with refer Robbins page no 1216 9/e
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Kirkland knife is used for:
[ "External bevel incision", "Internal bevel incision", "Horizontal incision", "All of the above" ]
A
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T. capitis (endothrix) is caused by – a) Epidermophytonb) T.tonsuransc) T.violaceumd) Microsporume) T. rubrum
[ "a", "c", "ac", "bc" ]
D
Ectothric → M. canis, M. audouinii, T. mentagrophytes. Endothrix  → T tonsurans, T voilaceum, T. schoenleinii
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Which of the following agents can be safely used in asthma? (Repeat)
[ "Thiopentone", "Ketamine", "Etomidate", "Propofol" ]
B
Ans: B (Ketamine) Ref: Millers Anesthesia. 7th edn. & Ajay YadavExplanation:Causes Dissociative anesthesiaPhencyclidine derivativeNMDA receptor agonistAnesthetic propertiesOnset of Action: 30 - 60 secondsEarly regain of consciousness after 15-20 min due to RedistributionElimination half life: 2-3 hoursStrong analgesic ...
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World health day is on
[ "14th April", "14th March", "7th March", "7th April" ]
D
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Ratio of incidence among exposed and non exposed is known as ?
[ "Risk ratio", "Odds ratio", "Attributable risk", "SAR" ]
A
Ans. is 'a' i.e., Risk ratio Relative risk (risk ratio) Relative risk is the ratio of the incidence of the disease (or death) among exposed and the incidence among nonexposed.
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Which of the following statement about astrocytoma is false -
[ "Low grade tumors ae more common in children", "These are mostly infratentorial in children", "Pilocytic astrocytoma is most common childhood brain tumor", "There are more common in males than females" ]
D
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A child with complaints of cough. Characteristic inspiratory whoop. Sample for investigation is ?
[ "Nasopharyngeal swab", "Tracheal aspiration", "Cough plate culture", "Sputum culture" ]
A
Ans. is 'a' i.e., Nasopharyngeal swab "Culture of nasopharyngeal secretion remains the gold stadard for diagnosis of whooping cough"
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Triple H therapy for subarachnoid hemorrhage consists of all except -
[ "Hypothermia", "Hypeension", "hemodilution", "HyPervolemia" ]
A
Answer- A. HypothermiaThe three'Es used ln the treatment are : -HneensionHypemolemiaHemodilution
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Penicillin is effective against:
[ "Neisseria meningitidis", "Neisseria gonorrhoeae", "Treponema pallidum", "All of the above" ]
D
PENICILLIN-G (BENZYL PENICILLIN) Antibacterial spectrum: PnG is a narrow spectrum antibiotic; activity is limited primarily to gram-positive bacteria, few gram negative ones and anaerobes. Cocci: Streptococci (except viridans, group D or enterococci) are highly sensitive, so are many pneumococci. Staph. aureus, though ...
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The size of ovum is :
[ "0.133 mm", "0.144 mm", "0.2 mm", "None of the above" ]
A
0.133 mm
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A 21-year-old man is seen in the clinic for assessment of a nonproductive cough, shortness of breath, and chest pain which changes with breathing. He also complains of pain in the left arm. On physical examination, there is tenderness over the left shoulder, heart sounds are normal, and the lungs are clear. A CXR revea...
[ "lung biopsy", "humerus bone biopsy", "CT scan of chest", "bronchoscopy" ]
C
The next most appropriate test would be a better definition of the lung findings with a high- resolution CT scan. The other more invasive investigations may be more appropriate after the CT. Primary pulmonary Langerhans cell histiocytosis (PLCH), also called eosinophilic granuloma of the lung, pulmonary Langerhans cell...
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An infant presented with erythematous lesions on cheek, extensor aspect of limbs, mother has history of bronchial asthma, the probable diagnosis is -
[ "Air borne Contact dermatitis", "Atopic dermatitis", "Seborrheic dermatitis", "Infectious eczematoid dermatitis" ]
B
Atopic dermatitis is a chronic inflammatory skin disease primarily beginning in childhood with a variable natural course with variable rates of remission.symptoms recur or continue till adulthood. Itch is the typical symptom often leads to sleep disturbance and secondary infections. Often associated with asthma and all...
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Which layer of Retina continues as optic nerve
[ "Ganglionic cell layer", "Nerve fibre layer", "Internal limiting layer", "External limiting layer" ]
B
Nerve fibre layer continues as optic nerve.
train
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Which of the following is not the karyotype of turners syndrome?
[ "46,X, i(X) (q10)", "45 XO", "46 XX, i(Xp)", "46,X,r(X)" ]
C
Karyotypic abnormalities of Turner syndrome :u45 XO karyotype uIsochromosome of long arm resulting in loss of sho arm - 46X i(X)(q10)uDeletion of a poion of both long and sho arm of X resulting in a ring chromosome - 46X r(X)uDeletion of a poion of a sho arm of X - 46X del(Xp)uDeletion of a poion of a long arm of X - 4...
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Class I anti arrhythmic drugs belongs to all EXCEPT:
[ "Quinidine", "Procainamide", "Flecainide", "Propranolol" ]
D
(Propranolol): Ref: ANTIARRHYTHMIC DRUGS Class I. Membrane stabilizing agents (Na+ channel blockers) A Moderately decreases dv/dt of o-phase B Little decrease in dv/dt of o-phase C Marked decrease in du/dt of o-phase Quinidine, Procainamide Disopyramide, Mircizine Lignocaine, Mexiletine phenytoin Propafenone, Flecanide...
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Initial ECG change in Hyperkalemia is?
[ "Tall tented T waves", "PR prolongation", "qRS widening", "ST segment depression" ]
A
Ans.(a) Tall tented T wavesRef: Harrison 19th ed. / 310Serum potassium > 5.5 mEq/L is associated with repolarization abnormalities:* Peaked T waves (usually the earliest sign of hyperkalemia) Serum potassium >6.5 mEq/L is associated with progressive paralysis of the atria:* P wave widens and flattens* PR segment length...
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Which of the following clinical signs is not associated with acute appendicitis?
[ "Pointing sign", "Rovsing's sign", "Cullen's sign", "Obturator sign" ]
C
Ans. c (Cullen's sign) (Ref. Bailey and Love 26th/pg. 1203; box 71.4)Signs to elicit in appendicitisClinical signs of Acute Pancreatitis# Pointing sign# Cullen's sign# Rovsing's sign# Grey Turner's sign# Psoas sign# Fox sign# Obturator sign ACUTE APPENDICITIS# Acute appendicitis is relatively rare in infants, and becom...
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One of the longer acting analogue among uterine stimulants
[ "Di hydro ergotamine", "Carbetocin", "Atosiban", "Magnesium salts" ]
B
Carbetocin is a newer longer acting analogue of oxytocin . Now a days oxytocin use is reduced and this newer acting analogue is being used. Ref: katzung 12th ed, endocrinology.
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cAMP test is used for diagnosis of?
[ "Streptococcus A", "Streptococcus B", "Streptococcus D", "Streptococcus G" ]
B
ANSWER: (B) Streptococcus BREF: Jawetz Microbiology, 24th Ed, Ch. 15CHARACTERISTICS OF MEDICALLY IMPORTANT STREPTOCOCCINameGroup-SpedficSubstanceHemolysisHabitatImportantLaboratoryCriteriaCommon andImportantDiseasesStreptococcuspyogenesABetaThroat,skinLarge colonies (> 0.5 mm), PYR test positi%re, inhibited by bacitrac...
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A child with three days history of upper respiratory tract infection presents with stridor, which decreases on lying down position. What is the most probable diagnosis –
[ "Acute Epiglottitis", "Laryngotracheobronchitis", "Foreign body aspiration", "Retropharyngeal abscess" ]
B
This child has : - 3 days history of upper respiratory tract infection. Followed by stridor These features suggest the diagnosis of croup. Clinical manifestations of Croup Most patients have an upper respiratory tract infection with some combination of - Rhinorrhea                A mild cough      Pharyngitis  Low-...
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Russell's body is found in -
[ "WBC", "RBC", "Mast cell", "Plasma cell" ]
D
null
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A female patient has dysphagia, intermittent epigastric pain. On endoscopy, esophagus was dilated above and narrow at the bottom. Treatment is:
[ "PPIs", "Esophagectomy", "Dilatation", "Heller's Cardiomyotomy" ]
D
Ans is 'd' i.e. Heller's Cardiomyotomy Ref: CSDT 13/ep430 This patient is having Achalasia cardia."A laparoscopic Heller myotomy and partial fundoplication is the procedure of choice for esophageal achalasia..... A laparoscopic Heller myotomy allows excellent relief of symptoms in the majority of patients and should be...
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A funguicidal drug that can be used orally for the treatment of onychomycosis is
[ "Griseofulvin", "Amphotericin B", "Clotrimazole", "Terbinafine" ]
D
Ref-KDT 6/e 765 Fungicidal drugs are amphotericin B and terbinafine.out of these, amphotericin B cannot be given orally.thus,the and is terbinafine.
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The following drugs are avoided with warfarin
[ "Antacids", "Benzodiazepine", "Nsaid's like Ibuprofen", "Codeine, dihydrocodeine, paracetmol" ]
C
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