question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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A 50 year old handicraft lady from Pune presented with numbness and weakness of the right hand. On examination, there was atrophy of the thenar eminence and and hypoaesthesia in the area. Compression of which of the following nerve could explain the presentation? | [
"Ulnar Nerve",
"Radial Nerve",
"Axillary Nerve",
"Median Nerve"
] | D | Median nerve innervates the thenar muscles and the skin over it. The likely condition is Carpal Tunnel Syndrome. | train | med_mcqa | null |
Neovascular glaucoma can occur in all except: | [
"Diabetes mellitus",
"Hypeension",
"CRAO",
"CRVO"
] | B | Ans. Hypeension The three most common predisposing conditions for NVG are diabetic retinopathy (DR) (33%), ischemic CRVO (33%) and the ocular ischemic syndrome (13%). Other forms of retinal vascular diseases resulting in significant ischemia , intraocular neoplasms, chronic retinal detachment and severe intraocular inf... | train | med_mcqa | null |
All are true about the nasolabial cyst, except - | [
"Arises from odontoid epithelium",
"Presents submucosally in anterior nasal floor",
"Bilateral",
"Usually seen in adults"
] | A | Jaw cysts
Jaw cysts may be either :
odontogenic :- Derived from remnants of odontoid epithelium
Non-odontogenic :- Not derived fun odontoid epithelium
Pseudocyst
Nasolabial cyst
Nasolabial cyst is a rare nonodontogenic developmental cyst.
It is believed to be derived from remnants of the nasolacrimal duct.
Seen ... | train | med_mcqa | null |
Distance of the Lower Esophageal Sphincter from the upper incisors is - | [
"15cm",
"22.5cm",
"27.5cm",
"37.5cm"
] | D | There are 4 esophageal constrictions. They are at 15cms, 22.5cms, 27.5cms and 37.5 to 40 cms, from the incisors. The fourth constriction is when the esophagus pierces the diaphragm, and here the lower esophageal sphincter is there. | train | med_mcqa | null |
The type of sampling where the individual himself introduces the other subjects of surgery is called as: | [
"Systemic sampling",
"Snowball sampling",
"Introductory sampling",
"Successive sampling"
] | B | Snowball sampling is a technique for developing a research sample, where existing study subjects recruit future subjects from among their acquaintances.
It is a type of non-probability sampling.
This sampling technique is often used in hidden populations which are difficult for researchers to access; example, drug user... | train | med_mcqa | null |
Which of the following prevalence rates indicates xerophthalmia problem in the community: September 2011 | [
"Nightblindness more than 1%",
"Corneal xerosis more than 1%",
"Bitot spot's more than 1%",
"Conjunctival xerosis more than 0.5%"
] | A | Ans. A: Nightblindness more than 1% Criteria for determining the "Xerophthalmia problem" in a community includes prevalence o f night blindness of more than 1.0% Prevalence criteria for determining the xerophthalmia problem Nightblindness: More than 1% Bitot's spots: More than 0.5% Corneal xerosis/corneal ulceration/ k... | train | med_mcqa | null |
A 27-year-old woman is examined by her gynecologist. Upon rectal examination, a firm structure, directly in front of the rectum in the midline, is palpated through the anterior wall of the rectum. Which is this structure? | [
"Bladder",
"Body of uterus",
"Cervix of uterus",
"Pubic symphysis"
] | C | The cervix of the uterus is anterior to the rectum. Since the cervix is the inferior pa of the uterus that is protruding into the vagina, it should feel like a firm structure upon palpation. The bladder is the most anterior organ in the pelvis. So, the bladder would not be directly in front of the anterior wall of the ... | train | med_mcqa | null |
A neonate has recurrent attacks of abdominal pain, restless irritability and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for Mi. Likely diagnosis here is - | [
"ASD",
"VSD",
"TOF",
"Anomalous coronary aery"
] | D | Ans. is 'd' i.e., Anomalous coronary aery Anomalous origin of coronary aeries o There is anomalous origin of the left coronary aery from the pulmonary aery : In this anomaly the blood supply of the left ventricular myocardium is severely compromised. Soon after bih (Neonate) as the pulmonary aerial pressure falls, perf... | train | med_mcqa | null |
Fenestrated capillaries are found in all except :September 2009 | [
"Renal glomeruli",
"Intestinal villi",
"Pancreas",
"Muscle"
] | D | Ans. D: MuscleContinuos capillariesLocation: muscle, lung, central nervous system and skin.Composition: endothelial cells contain numerous pinocytotic vesicles, pericytes are enclosed by a basement membrane.Fenestrated CapillariesLocation: endocrine glands, sites of fluid and metabolite absorption: renal corpuscles, in... | train | med_mcqa | null |
Which is the best indicator to assess the impact of ASHA- | [
"Number of ASHA trained",
"Infant moality rate",
"% of institutional deliveries",
"Number of ASHA's attending meeting after one year"
] | B | Ans. is `b' i.e., Infant moality rate Monitoring and Evaluation of ASII.Vs work Government of India has set up following indicators for monitoring ASHA (41). 1.Process Indicators a) Number of ASHAs selected by due process b) Number of ASH As trained; and c) % of ASHAs attending review meeting after one year 2. Outcome ... | train | med_mcqa | null |
Which TLR is present on flagella of bacteria | [
"TLR -1",
"TLR - 3",
"TLR - 5",
"TLR - 7"
] | C | Toll like receptor (TLR) - 5 is present in flagellin. | train | med_mcqa | null |
Commonest site for ectopic salivary gland tumour is - | [
"Tongue",
"Cheek",
"Palate",
"Neck"
] | C | null | train | med_mcqa | null |
The rate at which the alveolar concentration of an anaesthetic approaches inspired concentration is a function of all except | [
"Alveolar ventilation",
"Water solubility of agent",
"Cardiac output",
"Saturated vapour pressure"
] | D | Saturated vapour pressure does not determine the rate of uptake of anaesthetic agent from inspired gas into the blood. | train | med_mcqa | null |
Minimum vision loss with which cataract - | [
"Blue dot cataract",
"Zonular cataract",
"Anterior polar cataract",
"Posterior polar cataract"
] | A | In blue dot cataract, opacities are situated in the peripheral pa of adolescent nucleus and deeper layer of the coex.Opacities are usually stationary and do not affect vision. Zonular cataract is the most common type of congenital cataract presenting with visual impairement. IMG REF | train | med_mcqa | null |
Heliotrope sign is seen in - | [
"Dermatomyositis",
"Scleroderma",
"Photodermatitis",
"Vitiligo"
] | A | Ans. is 'a' i.e., Dermatomyositis Cutaneous signs of dermatomyositis1. Gottron's papules lilac or violaceous papules on the knuckle, dorsa of hands.2. Gottron's sign Violaceous erythema with edema over shoulder, arms, forearms.3. Heliotrope sign Violaceous erythema with edema over eyelids, periorbital region.4. Poikilo... | train | med_mcqa | null |
Superior gluteal nerve supplies all of the following muscles except? | [
"Gluteus maximus",
"Gluteus medius",
"Gluteus minimus",
"Tensor fascia lata"
] | A | Nerve Muscles innervated Action Superior gluteal nerve Gluteus Medius Gluteus minimus Tensor fascia lata These three muscles are collectively called as trio muscles Abductors , medial rotators of hip & help in walking by counteracting gravity. Inferior gluteal nerve (L5, S1, S2) Gluteus maximus chief extensor of thigh ... | train | med_mcqa | null |
Blount's disease is - | [
"Genu valgurn",
"Genu varum",
"Genu recurvatum",
"Meniscal injury"
] | B | Blount's disease is a rare growth disorder that affect children, causing the legs to bow outwards just below the knee.
Tibia vara is caused by growth retardation of the medial and posterior part of the proximal tibial epiphysis and epiphysis due to abnormal weight - bearing stress and compression forces on varus knee. | train | med_mcqa | null |
Implantation bleeding is called : | [
"Haman's sign",
"Arias stella's sign",
"Hoffman's sign",
"Reinz's sign"
] | A | Haman's sign | train | med_mcqa | null |
Rabies free country is - | [
"USA",
"Russia",
"Australia",
"France"
] | C | <p>Rabies free zone "Rabies free area" is defined as the one in which no case of indigenously acquired rabies has occurred in man or any animal species for 2 years. In India, Union territory of lakshadweep and Andaman and Nicobar islands are free of disease. Australia,china,cyprus, iceland, Ireland, Japan , Malta,New Z... | train | med_mcqa | null |
Bowl of spaghetti appearance is seen in | [
"Ebola virions",
"Adenovirus",
"Marburg Viruses",
"Polio virus"
] | A | Some of the filamentous (negatively stained) virions were fused together, end-to-end, giving the appearance of a "bowl of spaghetti." | train | med_mcqa | null |
All have effects on oxygen-hemoglobin dissociation curve except: | [
"2,3-DPG",
"CO, pressure",
"Chloride ion",
"Acidosis"
] | C | Ans: C (Chloride..) Ref: Fetal Hb, Hypothermia, Hypocarbia & alkalosis cause left shift of the curve. Right Shift cause more O2 delivery to tissue.Hb-O2 dissociation curveLeft ShiftingRight Shifting | 2, 3- BPG | 2, 3-BPG Alkalosis Acidosis Hypothermia Hyperthermia Foetal Hb High altitude Hypocarbia Excercise Stored bl... | train | med_mcqa | null |
All except one are true regarding cavernous sinus | [
"Cavernous sinus roof is formed by meningeal layer of duramater, and floor is formed by endosteal layer of duramater.",
"It is an unpaired venous sinus.",
"3rd and 4th cranial nerve and internal carotid artery pierce roof of cavernous sinus",
"Abducens nerve passes through the cavernous sinus."
] | B | Cavernous sinus is a paired venous sinus. | train | med_mcqa | null |
In a alcoholic individual, development of tolerance that develops earliest and disappears almost as rapid as it develops, is due to: | [
"Pharmacokinetics",
"Pharmacodynamics",
"Cellular tolerance",
"Behavioural tolerance"
] | A | Ans. a (Pharmacokinetics). (Ref. Harrison's medicine 18th/ Ch. 392).Type: COMMON TYPES OF ALCOHOL INTOLERANCEFirstafter 1-2 weeks of daily drinking, metabolic, or pharmacokinetic tolerance can develop, with a 30% increase in the rate of hepatic alcohol metabolism. This alteration disappears almost as rapidly as it deve... | train | med_mcqa | null |
Albumin is exclusively synthesized by | [
"Liver",
"Kidneys",
"Spleen",
"Skeletal muscle"
] | A | Total serum protein and albumin Measure of the biosynthetic function of the liver, as the liver is the primary site of synthesis of most plasma proteins. Roughly 70% to 80% of all plasma proteins are synthesized in the liver. These include albumin, fibrinogen, transferrin, and most components of the complement and bloo... | train | med_mcqa | null |
A child died soon after bih. On examination, there was hepatosplenomegaly and oedema all over the body. Most probable diagnosis is - | [
"Beta Thalassemia",
"Alpha Thalassemia",
"Hereditary spherocytosis",
"Sickle cell anemia"
] | B | - Features given in the question suggests the diagnosis of Hydrops fetalis. - Out of all the four types of hemolytic anemias only severe form of alpha thalassemia caused d/t deletion of all 4 alpha globin chains, have such severe presentation at bih. - In all other conditions the newborn is either normal or has mild ja... | train | med_mcqa | null |
A 20 year old girl was raped around 13th day of her regular cycle. The best possible emergency conctraception to be offered would be : | [
"Centchroan tables",
"Cu-T inseion",
"Levonorgestrel tablets",
"Ethinylestradiol tablets"
] | C | Levonorgestrel tablets | train | med_mcqa | null |
Face-to-pubis delivery often occurs in : | [
"Android pelvis",
"Platypelloid pelvis",
"Anthropoid pelvis",
"Gynaecoid pelvis"
] | C | Anthropoid pelvis | train | med_mcqa | null |
Which of the following is a Prerequisite for the Chi-square test to compare - | [
"Both sample should be mutually exclusive",
"Both sample need not be mutually exclusive",
"Normal distribution",
"All of the above"
] | A | null | train | med_mcqa | null |
The breast is supplied by branches of all, EXCEPT: | [
"Axillary aery",
"Internal thoracic aery",
"Intercostal aeries",
"None of the above"
] | D | The breasts are supplied by branches of the axillary aery, the internal thoracic aery, and some intercostal aeries. | train | med_mcqa | null |
All are tests for sperm, EXCEPT | [
"Florence test",
"Luminal test",
"Barberio test",
"Acid phosphatase test"
] | B | B i.e. Luminal test | train | med_mcqa | null |
An addicted patient presenting with visual and tactile hallucinations, has black staining of tongue and teeth. The agent is: Gujarat 10 | [
"Cocaine",
"Cannabis",
"Heroin",
"Opium"
] | A | Ans. Cocaine | train | med_mcqa | null |
Best prognostic type of Hodgkins Disease | [
"Lymphocyte predominant",
"Lymphocyte depletion",
"Mixed cellularuty",
"Nodular sclerosis"
] | A | The treatment of patients with nodular lymphocyte-predominantHodgkin's lymphoma is controversial. Some clinicians or no treatmentand merely close follow-up. In the United States, most physicianswill treat localized disease with radiotherapy and disseminated diseasewith regimens used for patients with classical Hodgkin'... | train | med_mcqa | null |
False among the following | [
"Hangman fracture involves Axis",
"Clay Shoveler's fracture involves C6 vertebrae",
"Jafferson's fracture involves Atlas",
"Undertaker's fracture involves C6 - C7 disc space"
] | B | Hangman fracture => Traumatic spondylolisthesis of C2 over C3
Jafferson's fracture => Burst fracture of C1
Clay Shoveler's fracture => Avulsion of spinous process of C7 vertebrae.
Undertaker'ss fracture => Tearing of C6 -C7 disc space during handling of dead body. | train | med_mcqa | null |
A 35 year old man has a headache , sleepiness, and poor balance that have worsened over the past week. The patient is known to be HIV - seropositive. On examination, his responses are slow and he has some difficulty in sustaining attention. He has right hemiparesis with increased reflexes on the right. Routine cell cou... | [
"Perform a lumbar puncture",
"Start intravenous heparin",
"Get a head CT with contrast",
"Start antiretroviral therapy"
] | C | Always we should look for an infectious or malignant mass with a contrast enhanced CT, non - contrast head CT is less sensitive. Antiretroviral therapy is of only long term benefit not for treatment of acute problem.since embolic stroke is unlikely in this case, i.v heparin is not the immediate need before further eva... | train | med_mcqa | null |
Linear filling defect on ERCP is characteristic of - | [
"Bile duct stone",
"Pancreatic duct stone",
"Worm in biliary tree",
"Stricture"
] | C | Ans. is 'c' i.e., Worm in biliary tree Imaging in ascariasiso Plain abdominal X ray: calcified worm,o USG: moving echogenic structures or strips,o ERCP: linear filling defect. | train | med_mcqa | null |
Splenectomy is least useful in - | [
"Congenital elliptocytosis",
"Thalasemia major",
"Congenital spherocytic anaemia",
"Hereditary nonspherocytic haemolytic anaemia"
] | B | Ans. is 'b' i.e., Thalasemia major | train | med_mcqa | null |
The enzyme used for the mapping of hypersensitive sites in recombinant DNA research is? | [
"DNA ligase",
"DNA polymerase I",
"DNase I",
"Polynucleotide kinase"
] | C | Ans. C. DNase Ia. DNA ligase is used for joining of DNA molecules.b. DNA polymerase I is used for synthesis of double stranded cDNA.c. Polynucleotide kinase is used for T-32 end labeling of DNA or RNA. | train | med_mcqa | null |
All the following are true in a randomized control trial (RCT) except - | [
"Baseline characteristics of intervention and control groups should be similar",
"Investigator's bias is minimized by double blinding",
"The sample size required depends on the hypothesis",
"The drop-outs from the trial should be excluded from the analysis"
] | D | Ans. is 'd' i.e., The dropouts from the trial should be excluded from the analysis There is confusion about option c and d. But after reading following text you will not have any confusion. Option 'c' o As I have explained in previous explanation sample size depends upon underlying expected event rate in the control gr... | train | med_mcqa | null |
Which of the following is true of botulinum toxin? | [
"It is an endotoxin",
"It acts on the postsynaptic membrane of peripheral nerves to block acetylcholine receptors",
"It is a neurotoxin, which primary affects the central nervous system",
"It is a relatively weak neurotoxin"
] | B | It acts on the postsynaptic membrane of peripheral nerves to block acetylcholine receptors Botulinum toxin is the most potent bacterial toxin known. One microgram of purified toxin is able to kill 200,000 mice. The toxin is released only upon the death and autolysis of the organism, and is thus classified as an exotoxi... | train | med_mcqa | null |
Organised glomemler deposits in kidney is present in- | [
"Amyloidosis",
"Diabetes millitus",
"IgA nephropathy",
"Cry oglobulinemia"
] | C | Ans. is 'c' i.e., IgA NephropathyOrganized glomerular deposits are seen in : Mesangial proliferative GN Memranous GN Membranoproliferative GNo IgA nephropathy is a type of mesangioproliferative GN. | train | med_mcqa | null |
Pseudopolyps are features of - | [
"Crohn's disease",
"Ulcerative colitis",
"Celiac sprue",
"Whipple's disease"
] | B | Ulcerative colitis
Ulcerative colitis is an inflammatory bowel disease characterized by -
Inflammation involving only the mucosa and submucosa.
Formation of pseudopolyps
Involvement is in a continuous fashion (absent of skip lesions which are characteristic of CD).
Ulcerative colitis involves the rectum and exten... | train | med_mcqa | null |
Mouth opening is due to action of | [
"Lateral pterygoid",
"Medial pterygoid",
"Temporalis",
"Masseter"
] | A | null | train | med_mcqa | null |
Treatment of pseudocyst of pancreas include -a) Cystogastrostomyb) Cystojejunostomyc) Cystocolostomyd) Excision of the cyste) All of the above | [
"abd",
"bcd",
"abc",
"ab"
] | A | null | train | med_mcqa | null |
Acetylcholine acting on nicotinic receptors produces: KCET 12 | [
"Contraction of skeletal muscle",
"Secretion of saliva",
"Bradycardia",
"Pupillary constriction"
] | A | Ans. Contraction of skeletal muscle | train | med_mcqa | null |
Low bih weight baby is the one whose bih weight is? | [
"Less than 1800 g",
"Less than 2000 g",
"Less than 2500 g",
"Less than 3000 g"
] | C | Less than 2500 g REF: Nelson essentials of pediatrics, 17th edition Low bih weight (LBW) infants, defined as infants having bih weights of less than 2500 g, represent a dispropoionately large component of the neonatal and infant moality rates. Although bihs of LBW infants make up only about 6% to 7% of all bihs, they a... | train | med_mcqa | null |
Mousy urine in a child is due to defect in conversion of phenlylalanine to - | [
"Tyrosine",
"Homogentisic acid",
"Phenyl acetate",
"Phenyl pyruvate"
] | A | Ans. is A. Tyrosine Defect in conversion of phenlylalanine to has been asked hence it's tyrosine . If mousy odour is due to is asked then answer will be phenyl acetate . Phenylketonuria o Autosomal recessive o Deficiency of phenylalanine hydroxylase. o Defect in conversion of phenylalanine to tyrosine. o This leads to ... | train | med_mcqa | null |
Tzank smear is for - | [
"HZV",
"Psittacosis",
"Cryptococcus",
"Ricketssia"
] | A | Ans is 'a' i.e., HZV o Tzank smear is done for vesiculobullous disorders.Tzank smear findings in bullous disordersDisordersFindingso PemphigusAcantholysiso Bullous pemphigoidPredominantly eosinophilso Varicella-zoster infectionMultinucleated giant cellso Herpes simpex infectionMultinucleated giant cellso Toxic epiderma... | train | med_mcqa | null |
The Y-axis is also known as growth axis because | [
"Its axis is parallel to patient's growth in height",
"It is an indicator of the direction of growth pattern",
"It is an indicator of the amount of facial growth",
"It increases in size as the growth increases"
] | B | Y-axis
It is also called as growth-axis angle, measured as the posterior inferior angle on S–Gn–FHP. The Y-axis indicates the degree of downward and forward position of the chin in relation to the upper face. A large Y-axis is indicative of the clockwise rotation of the mandible. Y-axis does not give an indication of t... | train | med_mcqa | null |
Regarding IgE which of the following is false. | [
"Cause anaphylaxis",
"Immediate reaction",
"Fix complement",
"Cross placenta"
] | D | Ans. (d) Cross placenta Ref. Ananthanarayan 9/e 99 IgE 8S molecule immunoglobulin with a half life of two days and molecular weight of about 190,000 Structurally resemble IgG Heat labile and affinity for the surface of tisue cells Suceptible to mercaptoethanol. Does not cross the placental barrier or fix complement. Mo... | train | med_mcqa | null |
Monthly repo to be submitted in RCH program to monitor efficiency include all except - | [
"Minimum 3 ANC visits",
"Minimum 2 PNC vistas",
"Number of LBW babies recorded",
"Number of women taking treatment of anemia"
] | B | Ans. is 'b" i.e., Minimum 2 PNC visits | train | med_mcqa | null |
Albumin treatment along with antibiotic in the setting of SBP(spontaneous bacterial peritonitis) is indicated to prevent the development of hepatorenal syndrome is in all , EXCEPT: | [
"Serum creatine is > 1 mg/dl",
"BUN > 30mg/dl",
"Total bilirubin is > 4 mg/dl",
"INR > 2"
] | D | In patients with SBP along with cefotaxime albumin infusion is indicated in the setting , when 1.Serum creatine is > 1 mg/dl 2. BUN > 30 mg/dl 3. Total bilirubin is > 4 mg/dl Dose o f albumin: 1. g/Kg within 6 hours of antibiotic treatment and 1 g/kg on day 3. A decrease in moality from 30%to 10 % is noted. Ref: AASLD ... | train | med_mcqa | null |
Cerebellar cortex contains - | [
"Pyramidal cells",
"Purkinje cells",
"Stromal cells",
"Kupffer cells"
] | B | Ans. (b) Purkinje cellsRef.: Gray's 41sted./335-336* The cerebellar cortex contains five types of neurons: Purkinje, Granule, Basket, Stellate and Glogi Cells. | train | med_mcqa | null |
Repeat upper GI endoscopy in a patient with a gastric ulcer is performed after how many weeks of PPI therapy to assess the healing of the ulcer and confirm absence of malignancy: | [
"2 weeks",
"4 weeks",
"6 weeks",
"12 weeks"
] | C | Repeat upper endoscopy is done in patients with a gastric ulcer after 6 to 10 weeks of acid suppressive therapy to confirm healing of the ulcer and absence of malignancy. 2% to 4% of repeat upper endoscopies have been repoed to disclose gastric cancer. Ref: Sleisenger and Fordtran's, E-9, P-305 | train | med_mcqa | null |
The electroretinogram may assist in the diagnosis of all of the following, except: | [
"Bilateral disease",
"Progression of retinal disease",
"Clinically unsuspected disease in familial degenerations",
"Complications of glaucoma"
] | D | Ans. Complications of glaucoma | train | med_mcqa | null |
What is false regarding wandering spleen? | [
"Chronic torsion leads to splenomegaly",
"Treatment of choice is splenectomy only",
"Infarction & torsion are common",
"It is encapsulated with long vascular pedicle"
] | B | Wandering spleen- when position is not fixed due to laxity of ligaments or previous surgery - twisting of vascular pedicel - splenic congestion . Wandering Spleen Wandering spleen is an unusual condition with normal spleen having a long loose & vascular splenic pedicle but lacks ligamental attachments. Clinical Feature... | train | med_mcqa | null |
All are true regarding brachial plexus injury, except | [
"Preganglionic lesions have a better prognosis than postganglionic lesions",
"Erb's palsy causes paralysis of the abductors and external rotators of the shoulder",
"In Klumpke's palsy, Horner's syndrome may be present on the ipsilateral side",
"Histamine test is useful to differentiate between the preganglion... | A | Preganglionic lesions have a better prognosis than postganglionic lesions* o Preanlionic Brachial Plexus Injury. o - preganglionic lesions represent root avulsions from the spinal cord o - preganglionic injuries have limited spontaneous recovery; o - surgical repair is impossible (bad pregnosis as compared to post-gang... | train | med_mcqa | null |
Activator of acetyl CoA carboxylase is | [
"Malonyl CoA",
"Acetoacetate",
"Citrate",
"Palmitoyl CoA"
] | C | Acetyl CoA Carboxylase It is the key enzyme; citrate activates this enzyme. The citrate level is high only when both acetyl CoA and ATP are abundant. Covalent modification is another regulatory mechanism. Phosphorylation inactivates acetyl CoA carboxylase (similar to glycogen synthase under the effect of glucagon). Hen... | train | med_mcqa | null |
Dermatomal supply of the perianal skin is - | [
"S1",
"L2",
"L3",
"S4"
] | D | Dermatomal supply of perianal skin and groin is S4. | train | med_mcqa | null |
Which of the following Anti-psychotic drug has maximum chances of causing hyperprolactinemia? | [
"Clozapine",
"Olanzapine",
"Ziprasidone",
"Risperidone"
] | D | (D) Risperidone[?]RISPERIDONE is one of the atypical neuroleptics most likely to induce hyperprolactinemia.Mechanism: Dopamine acts on the pituitary as an inhibitor of prolactin secretion.Blockade of dopamine D2 receptors by risperidone can cause hyperprolactinemia in males and females.Other atypical antipsychotics do ... | train | med_mcqa | null |
A 35-year-old woman present for regular health check-up. She denies any current medical problem except the fact that she remembers being hospitalize for throat infection as a child. Examination reveals normal vitals. On physical examination, normal S1 and S2 with late rumbling diastolic murmur was heard at apex and is ... | [
"Erythema migrans",
"Erythema marginatum",
"Erythema multiforme",
"Janeway lesion"
] | B | Erythema marginatum is a non-pruritic, pink eruption that is present in cases of acute rheumatic fever. It is a consequence of pharyngeal infection with group A streptococcus, usually in childhood. In some cases, rheumatic fever can lead to valvular damage, often mitral stenosis. The characteristic murmur of MS is: lat... | train | med_mcqa | null |
Aspergillus causes all except ? | [
"Bronchopulmonary allergy",
"Otomycosis",
"Dermatophytosis",
"Allergic sinusitis"
] | C | Ans. is 'c' i.e., Dermatophytosis | train | med_mcqa | null |
Which of the following is the most common cause of overdenture abutment failure? | [
"Caries",
"Periodontal complications",
"Endodontic complications",
"None of the above"
] | B | Most frequent cause of overdenture abutment failure is periodontal complication (70%) followed by caries (25%) and endodontic complications (5%). | train | med_mcqa | null |
Sodium hypochlorite in caridex is used in concentration of | [
"0.2 % w/v",
"0.5% w/v",
"1.5% w/v",
"1 % w/v"
] | D | null | train | med_mcqa | null |
In a seriously ill patient, addition of amino acids indiet results in a positive nitrogen balance. The mechanism for this is : | [
"Increased Growth hormones secretion",
"Enhanced rate of gluconegenesis",
"Increased absorption of amino acids from diet",
"Increased secretion of Insulin."
] | D | Increased secretion of insulin Amino acid diet (paicularly arginine & lysine) stimulate insulin release which has anabolic effect on metabolism. It decreases protein catabolism .for energy and increases amino-acid uptake & protein synthesis. | train | med_mcqa | null |
Induration of seminal vesicle is seen most often in | [
"Tuberculosis",
"Gonorrhea",
"Syphilis",
"Lymphogranuloma venereum"
] | A | Tuberculosis of genital tract should be considered in the presence of following situationsChronic cystitis that refuses to respond to adequate treatmentSterile pyuria, gross or microscopic hematuriaNon-tender enlarged epididymis with beaded or thickened vasChronic draining scrotal sinusInduration or nodulation of prost... | train | med_mcqa | null |
Beer - claw appearance on CECT abdomen is seen in | [
"Hepatic laceration",
"Pancreatic laceration",
"HCC",
"RCC"
] | A | Beer-claw laceration : Multiple linear laceration of liver on CECT abdomen Ref: Sabiston 20th edition Pgno : 437-439 | train | med_mcqa | null |
Hyperuricemia in von Gierke disease is due to the deficiency of the following enzyme: | [
"Defect in hypoxanthine-guanine phosphoribosyl transferase",
"Glucose-6-phosphatase",
"Xanthine oxidase",
"Adenosine deaminase"
] | B | Purine overproduction and hyperuricemia in von Gierke disease (glucose-6-phosphatase deficiency) occurs secondary to enhanced generation of the PRPP precursor ribose 5-phosphate. The Lesch-Nyhan syndrome, an overproduction hyperuricemia characterized by frequent episodes of uric acid lithiasis and a bizarre syndrome of... | train | med_mcqa | null |
Growth on a cell-free artificial solid medium is possible for following except - | [
"Ureaplasma urealyticum",
"Mycoplasma pneumoniae",
"C and L form of proteus vulgaris",
"Chlamydia"
] | D | null | train | med_mcqa | null |
Which of the following drugs required a dose adjustment in patient during radiotherapy in order to present radiation toxicity ? | [
"Vincristine",
"Dactinomycin",
"Cyclophosphamide",
"6-Mercaptopurine"
] | B | Ans. is 'b' i.e., Dactinomycin o Like anthracyclines (doxo and daunorubicin), dactinomycin can also cause radiation recall syndrome and the dose should be adjusted with radiotherapy. | train | med_mcqa | null |
Alcoholic hyaline, in alcoholic liver disease is composed of- | [
"Lipofuscin",
"Eosinophilic intracytoplasmic inclusions",
"Basophilic intracytoplasmic inclusions",
"Hemozoin"
] | B | Ans. is 'b' i.e., Eosinophilic intracytoplasmic inclusions | train | med_mcqa | null |
The most specific feature of death due to hanging is- | [
"Tardieu spots",
"Ligature mark",
"Fracture of thyroid cartilage",
"Dribbling of saliva"
] | D | Dribbling of saliva is specific for antemortem hanging.
Tardieu spots are less common in hanging and they are not specific for hanging. They are more common in strangulation.
Fracture of thyroid cartilage is more common in strangulation.
Option b requires specific mention here. Diagnosis of hanging can also be made by ... | train | med_mcqa | null |
Niemann - Pick disease is due to deficiency of which of the following enzymes? | [
"Acid Sphingomyelinase",
"Hexosaminidase A",
"Ceramidase",
"Arylsulfatase B"
] | A | Deficient enzyme Disease Acid Sphingomyelinase Niemann pick disease Hexosaminidase A Tay-sachs disease Ceramidase Farber disease Arylsulfatase B Maroteaux - Lamy syndrome | train | med_mcqa | null |
Rideal-Walker Coefficient is employed for the assessment of | [
"Germicidal Power of a disinfectant",
"Sufficiency of Pasteurisation",
"Effect of Incineration",
"Effect of autoclaving"
] | A | RWC
Also known as ‘Carbolic acid coefficient’.
Is used to ‘represent germicidal power of a disinfectant’.
Standard used for comparison: Phenol (RWC = 1.)
RWC = 10 implies: Given disinfectant is 10 times more potent than phenol.
Organism used for testing: Salmonella typhi
210 In presence of organic matter, RWC is ineffe... | train | med_mcqa | null |
Schiller Duval body is characteristic of | [
"Yolk sac tumor",
"Dysgerminoma",
"Granulosa cell tumor",
"Immature teratoma"
] | A | Yolk Sac TumorThough rare, yolk sac tumor (also known as endodermal sinus tumor) still ranks as the second most common malignant tumor of germ cell origin. Similar to the normal yolk sac, the tumor cells elaborate a-fetoprotein. Its characteristic histologic feature is a glomerulus-like structure composed of a central ... | train | med_mcqa | null |
Williams 'syndrome is an autosomal dominant disorder characterized by all of the following features, except: | [
"Hypercalcemia",
"Mental retardation",
"Subvalvular aortic stenosis",
"Elfin facies"
] | C | Ans. C. Subvalvular aortic stenosisWilliam's syndrome or Idiopathic hypercalcemia of infancy is an autosomal dominant disorder characterized by multiple congenital developmental defects, including supravalvular aortic stenosis, mental retardation, and an elfin facies, in association with hypercalcemia due to abnormal s... | train | med_mcqa | null |
Alkaline diuresis is treatment of choice in poisoning with- | [
"Benzodiazepine",
"Barbiturates",
"Dhatura",
"Morphine"
] | B | Ans. is 'b' i.e., Barbiturate poisoning o Elimination of poison from circulation can be by following methods :-Forced diuresis with or without alteration of urinary pH# Diuresis and ion trapping via alteration of urinary' pH may prevent the renal reabsorption of poisons that under go excretion by glomerular Alteration ... | train | med_mcqa | null |
In a population sample size depends on | [
"expected prevalence",
"expected incidence",
"universe size",
"population size"
] | A | null | train | med_mcqa | null |
The colloidal plasma expander used in treatment of hypovolemic shock is | [
"5% dextrose saline",
"Normal saline",
"Ringer Lactate",
"6% dextran"
] | D | null | train | med_mcqa | null |
Capgras syndrome is ? | [
"Sharing of delusion",
"Delusion of double",
"Erotomania",
"Hypochondriacal delusions"
] | B | Ans. is 'b' i.e., Delusion of double Capgras syndrome is delusion of double. The delusional misidentification syndrome (DSM) DSM is characterized by misidentification delusions of other or self. Four main syndromes are differentiated : ? Capgras syndrome (Delusion of double) :- Patient falsely sees a familiar person as... | train | med_mcqa | null |
All have beta lactam ring EXCEPT: | [
"Penicillin",
"Linezolid",
"Cefotaxime",
"Imipenem"
] | B | ANSWER: (B) LinezolidREF: Goodman and Gillman 11th edition page 780"Linezolid is a synthetic antimicrobial agent of the oxazolidinone class"The three classes of drugs which have beta lactam ring in its structure are:Penicillins consist of a thiazolidine ring connected to a b-lactam ring, to which is attached a side cha... | train | med_mcqa | null |
A 40-year-old construction worker has noted increasing shortness of breath and cough over many years. On physical examination bilateral inspiratory crackles are heard. Chest x-ray shows eggshell calcifications in hilar adenopathy and bilateral small nodular interstitial markings in the upper lobes. | [
"Lymphangioleiomyomatosis",
"Bronchoalveolar carcinoma of the lung",
"Silicosis",
"Eosinophilic pneumonia"
] | C | The 40-year-old construction worker provides an example of environmental lung disease. Silicosis is caused by the inhalation of crystalline silica. Occupations typically at risk include cement workers and sandblasters. These workers should be provided with respiratory protection such as a respirator. Usually, a latency... | train | med_mcqa | null |
External cephalic version (ECV) is CONTRAINDICATED in: September 2012 | [
"Primigravida",
"Flexed breech",
"Anemia",
"PIH"
] | D | Ans. D i.e. PIH External version Conversion is done by External manipulation only Done for Breech presentation and Transverse lie. Internal version Done in Transverse lie in case of second baby of twins. Conversion is done by one hand introduced into the uterus and the other on the abdomen | train | med_mcqa | null |
Halitosisisprimarilybecauseof- Halitosisisprimarilybecauseof- | [
"Hydrogen sulfide",
"Alkaline phosphates",
"Trypsin like enzymes Trypsin like enzymes",
"Collagenase enzymeCollagenase enzyme"
] | A | * Halitosis or unpleasant smell of breath arises mainly from volatile sulfide compounds like- 1) Hydrogen sulfide (H2S). 2) Methyl Mercapton (CH3SH). 3) Dimethyl Sulfide . * Specific character of breath odour is as follows - Rotten Eggs Volatile sulfide compounds Sweet Odour/Smell of dead mice Liver insufficiency Rotte... | train | med_mcqa | null |
In laminar flow, if diameter is reduced to half ? | [
"Blood flow increases four fold",
"Blood flow decreases four fold",
"Blood flow increases sixteen-fold",
"Blood flow decreases sixteen-fold"
] | D | Ans. is 'd' i.e., Blood flow decreases sixteen-foldIf everything else remains constant, blood flow is direactly poropoional to 4th power of radius.Thus, if the diameter (or radius) is reduced to half, blood flow will decrease sixteen-fold. | train | med_mcqa | null |
In pauci immune glomerulonephritis, immunofluorescence of renal biopsy specimens do not reveal any evidence of immunoglobulin or complement deposition. Pauci immune necrotizing glomerulonephritis is seen in: | [
"After transplant in alpos",
"Microscopic polyangiitis",
"Henoch-Schonlein nephritis",
"Lupus"
] | B | Pauci-immune necrotizing glomerulonephritis is caused by the following systemic ANCA-associated small-vessel vasculitides: granulomatosis with polyangiitis, microscopic polyangiitis, and Churg-Strauss disease. ANCA-associated glomerulonephritis can also present as a primary renal lesion without systemic involvement; th... | train | med_mcqa | null |
Treatment of choice for 'erythrasma' is: | [
"Doxycycline",
"Gentamycine",
"Clarithromycin",
"Moxifloxacin"
] | C | Erythrasma is a cutaneous infection caused by Nondiphtherial corynebacteria C. minutissimum producing reddish-brown, macular, scaly, pruritic interiginous patches. The dermatologic presentation under the Wood's lamp is of coral-red fluorescence. There is evidence for a polymicrobial etiology in ceain settings. In addit... | train | med_mcqa | null |
Commonest complication of immunosuppression is? | [
"Malignancy",
"Graft rejection",
"Infection",
"Thrombocytopenia"
] | C | Ans is c i.e. Infection | train | med_mcqa | null |
A 40-year-old hypertensive male was admitted to the hospital with sudden onset of headache and altered sensorium. On Examination his Blood Pressure was observed to be 220/110mm Hg and the patient died four later. What is likely pathological finding in his kidneys - | [
"Small kidney with granular surface",
"Small kidney with petechial hemorrhages",
"Large kidney with waxy appearance",
"Large kidney with granular surface"
] | B | Ans. (b) Small kidney with petechial hemorrhages(Ref: Robbins 9th/pg 939; 8th/pg 950-951)This is a case of a middle aged man who died of malignant hypertensionKidneys in such patients have a characteristic flea-bitten appearance i.e. Small kidney with petechial hemorrhages. | train | med_mcqa | null |
Statins inhibit which of the following enzyme - | [
"HMG CoA reductase",
"HMG CoA synthetase",
"HMG CoA oxidase",
"Acetyl CoA synthetase"
] | A | Ans. is 'a' i.e., HMG CoA reductase * Statins (Lovastatin) competitively inhibit the conversion of HMG-CoA to mevalonate (rate limiting step in cholesterol synthesis) by inhibiting the enzyme HMG-CoA reductase. | train | med_mcqa | null |
Dull appearance of mouth temperature wax indicates | [
"Insufficient material",
"Overextension",
"Contact of the material with tissues",
"Partial contact of tissues"
] | D | null | train | med_mcqa | null |
Dysphagia lusoria is due to | [
"Esophageal diveiculum",
"Aneurysm of aoa",
"Esophageal web",
"Compression by aberrant blood vessel"
] | D | The MC anomaly is right subclan aery arising from the descending aoa and travels behind the esophagus to complete its course to the right upper extremity, may cause significant posterior compression of the esophagus Ref : ENT textbook by Dhingra 6th edition Pgno : 447 | train | med_mcqa | null |
Glutathion synthetase requires ? | [
"Copper",
"Selenium",
"Magnesium",
"Iron"
] | C | Magnesium RememberGlutathione synthetase requires --* MagnesiumGlutathione peroxidase contains -> Selenium | train | med_mcqa | null |
The root of the right lung does not lie behind which one of the following | [
"Right atrium",
"Right vagus",
"Superior vena cava",
"Phrenic nerve"
] | B | Right vagus is the posterior relation of the root B D CHAURASIA'S HUMAN ANATOMY UPPER LIMB THORAX-VOLUME1 page no-237,238 | train | med_mcqa | null |
In urea cycle which defect is an X linkeddisease ? | [
"Ornithine transcarbamylase",
"Aspaate transcarbamylase",
"Arginase",
"Argininosuccinate synthase"
] | A | Ans. is 'a' i.e., Ornithine transcarbamylase | train | med_mcqa | null |
A normal child will acquire complete neck control by? | [
"8 weeks",
"16 weeks",
"28 weeks",
"24 weeks"
] | B | GROSS MOTOR DEVELOPMENT: 2 months: Holds head in the plane of rest of the body when held in ventral suspension. In the prone position in bed, the chin lifts momentarily. 3 months: lift head above the plane of the body. Head control stas by 3 months and fully developed by 5 months. 4 months: Remain on forearm suppo if p... | train | med_mcqa | null |
A 25-year-old male student presents with the chief complaint of rash. He denies headache, fever, or myalgia. A slightly pruritic maculopapular rash is noted over the abdomen, trunk, palms of the hands, and soles of the feet. Inguinal, occipital, and cervical lymphadenopathy is also noted. Hypertrophic, flat, wart-like ... | [
"Human papillomavirus (HPV) serology",
"Rapid Plasma Reagin (RPR) test",
"Nucleic acid amplification test for Chlamydia",
"Blood cultures"
] | B | Diffuse rash involving palms and soles should suggest the possibility of secondary syphilis. The hypertrophic, wart-like lesions around the anal area, called condyloma lata, are specific for secondary syphilis. The VDRL slide test will be positive in all patients with secondary syphilis. Rash and lymphadenopathy would ... | train | med_mcqa | null |
First chemical barrier encountered by microorganism for common exposed sites- | [
"Lysozyme",
"Acidic pH",
"Skin",
"Lactose"
] | B | The stomach is the site for acidic encounter Gastric secretion of the stomach has antibacterial action | train | med_mcqa | null |
A patient died and relatives complain that it is due to negligence of doctor. According to a recent Supreme Cou judgement, doctor can be charged for Medical Negligence under section 304-A, only if: | [
"If he is from corporate hospital",
"If negligence is from inadveent error",
"Gross negligence",
"Res Ipsa Loquitor"
] | C | C i.e. Gross negligence A/t recent supreme cou judgement, doctor can be charged for medical negligence under section 304-A IPC (ie criminal negligence), only if he shows gross lack of competence/ skills, gross inattention, or inaction or recklessness or wanton (gross) indifference to the patient's safety or gross negli... | train | med_mcqa | null |
Blood supply of posterior limb of internal capsule includes all except- | [
"Middle cerebral artery",
"Anterior cerebral artery",
"Anterior choroidal artery",
"Posterior cerebral artery"
] | B | Posterior limb of internal capsule is supplied by three sets of arteries :
striate branch of middle cerebral artery,
anterior choroid artery; and
posterolateral branches of posterior cerebral artery. | train | med_mcqa | null |
Mechanism of action of amoxapine is :- | [
"SNRI",
"SSRI",
"NA + 5HT reuptake inhibitor",
"Predominantly NA reuptake inhibitor"
] | D | Ans. is 'd' i.e., Predominantly NA reuptake inhibitor Antidepressants|| |Typical(Inhibits reuptake or metabolism of Na/5-HT) Atypical(Act by other mechanism)|* Trazodone* Mianserine* Mitrazapine* Venlafaxine* Duloxetine* Tianeptine* Amineptine* Bupropion|||MAO-A inhibitorTricyclic antidepressants* NA+5HT reuptake inhib... | train | med_mcqa | null |
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