question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
values | rationale stringlengths 0 22.5k ⌀ | split stringclasses 1
value | dataset stringclasses 6
values | subject stringclasses 1
value |
|---|---|---|---|---|---|---|
A young boy has a single scaly, hypo anaesthetic patch over Hand plus thickened ulnar nerve, diagnosis is: | [
"Tuberculoid leprosy",
"Lepromatous leprosy",
"Indeterminate",
"Borderline"
] | A | Tuberculoid leprosy | train | med_mcqa | null |
Composition of Nova-T is _______ | [
"Copper and silver",
"Copper and aluminium",
"Copper only",
"Copper and selenium"
] | A | Composition of Nova-T is copper and silver Copper carrying devices: In these, copper wire of surface area 200 to 250mm is wrapped round the veical stem of a polypropylene frame. Among these devices are copper T 200, Copper 7, Multiload copper 250, Cop-per T 380, Copper T 220 and Nova T. They have an effective life of a... | train | med_mcqa | null |
Retraction of scapula at sternoclavicular joint is done by: | [
"Serratus anterior",
"Trapezius",
"Subscapularis",
"Supraspinatus"
] | B | Retraction means moving backward of scapula at sternoclavicular joint. It is done by the following muscles: Trapezius Rhomboid major Rhomboid minor. Subscapularis helps in medial rotation of humerus. Serratus anterior helps in protraction of scapula. Supraspinatus helps in adduction. | train | med_mcqa | null |
Succinate dehydrogenase is inhibited by | [
"Fluoroacetate",
"Cyanide",
"Arsenite",
"Malonate"
] | D | Succinate is dehydrogenated to fumarate, an unsaturated dicarboxylic acid, by succinate dehydrogenase (step 6, Fig.18.2). The hydrogen atoms are accepted by FAD. The FADH2 then enters into ETC to generate ATPs. The enzyme is a flavoprotein. The succinate dehydrogenase is competitively inhibited by malonateRef: DM Vasud... | train | med_mcqa | null |
The following are all residual insecticides except- | [
"Pyrettmim",
"DDT",
"Gamma HHC",
"Malathion"
] | A | Ans. is 'a' i.e., Pyrethrum | train | med_mcqa | null |
Which of the following is not the component of Multien- zyme Fatty Acid Synthase Complex? | [
"Acetyl transacylase",
"Enoyl reductase",
"Malonyl transacylase",
"Monoamine oxidase"
] | D | Ans. d (Monoamine oxidase) (Ref. Harper's biochemistry 27th ed., Chapter 23)FATTY ACID SYNTHASE COMPLEX IS A POLYPEPTIDE CONTAINING 7 ENZYME ACTIVITIES# In mammals, the fatty acid synthase complex is a dimer comprising two identical monomers, each containing all seven enzyme activities of fatty acid synthase on one pol... | train | med_mcqa | null |
Peripheral eosinophilla is not a characteristic feature of- | [
"Hypersensitivity pneumonitis",
"Allergic aspergillosis",
"Tropical eosinophilia",
"Loeffler's syndrome"
] | A | Hypersensitivity pneumonitis or extrinsic allergic alveolitis,is an inflammatory disorder of the lung involving alveolar walls and terminal airways that is induced by repeated inhalation of a variety of organic agents in a susceptible host.Bronchoalveolar lavage in patients with HP consistently demonstrates an increase... | train | med_mcqa | null |
Enzyme marker for Golgi apparatus: | [
"Peroxidase",
"Galactosidase",
"Galactosyl transferase",
"Catalase"
] | C | C i.e. Galactosyl transferase | train | med_mcqa | null |
Bulls eye retinopathy is seen in | [
"Chloroquine",
"Methanol",
"Ethambutol",
"Steroids"
] | A | Refer Kanski clinical ophthalmology 6/e p842-843 Chloroquine can cause Bulls eye retinopathy. The risk of retinotoxicity increases significantly with cumulative dose of more than 300 g.it is rare if duration is less than than one year | train | med_mcqa | null |
Maintenance of high urinary pH is impoant during methotrexate treatment because: | [
"Bladder irritation is reduced",
"It decreases renal tubular secretion of methotrexate",
"Leucovorin toxicity is increased in a dehydrated patient",
"Methotrexate is a weak acid"
] | D | Methotrexate is a weak acid and is reabsorbed in acidic urinary pH. Higher plasma concentration may result in toxicity. Therefore, to decrease the reabsorption through renal tubules, high urinary pH must be maintained. | train | med_mcqa | null |
a2 agonists cause all of the following except: | [
"Analgesia",
"Hyperalgesia",
"Sedation",
"Anxiolysis"
] | B | Ans. b. Hyperalgesia (Ref: Goodman and Gilman 12/e pe p296; Katzung 12/e p176)a2 agonists causes analgesia, not the hyperalgesia.Potential actions of alpha2 agonists (DASHA)Drying of secretionsQAnalgesiaQSedationQHypotensionQAnxiolysisQ | train | med_mcqa | null |
Erythromycin acts by binding to SOS and interferes with______ step of protein synthesis by bacteria? | [
"Transcription",
"Translation",
"Transduction",
"Translocation"
] | D | Ans. D. Translocation. (Ref. KDT 6th/pg. 727).KDT6th/pg. 727......."Erythromycin acts by inhibiting bacterial protein synthesis. It combines with SOS ribosome subunits and interferes with 'translocation'"Erythromycin:# It is bacteriostatic at low but cidal at high concentration.# It is several fold more active in alkal... | train | med_mcqa | null |
All the following syndromes are associated with cardiac lesions except | [
"Turner syndrome",
"Downs syndrome",
"Rasmussen syndrome",
"CATCH 22"
] | C | Rasmussen syndrome is not associated with any cardiac lesions. Common genetic conditions linked to occurrence of congenital hea disease Syndrome Genetic mutation; inheritance Cardiac lesions Other features CATCH 22 Microdeletion in 22q; autosomal dominant (AD) Interrupted aoic arch, TOF, VSD, persistent truncus aeriosu... | train | med_mcqa | null |
Which of the following is a direct branch of Mandibular nerve | [
"Inferior Alveolar Nerve",
"Auriculotemporal nerve",
"Lingual Nerve",
"Nervous spinosus"
] | D | MANDIBULAR NERVEThis is the largest of the three divisions of the trigeminal nerve. It has both sensory and motor fibers. It is the nerve of the first branchial arch and supplies all structures derived from the mandibular or first branchial arch.Branches:From the main trunk: (a) Meningeal branch or Nervous Spinosus and... | train | med_mcqa | null |
Lower end Esophageal cancer can be treated by: | [
"Ivor Lewis Approach",
"Mc keown's Approach",
"Only Chemotherapy",
"Chemoradiotherapy"
] | A | Ans. (a) Ivor Lewis approachRef: Bailey and Love 25th Edition, Page 1033The methods of treating lower end esophageal cancer by surgery can be by* Ivor lewis transthoracic radical two stage lymphadenectomy* Video Assisted Thoracoscopic Surgery (VATS) esophagectomy* Transhiatal esophagectomy of Orringer. | train | med_mcqa | null |
Which of the following is TRUE of adrenal suppression due to steroid therapy ? | [
"It is not associated with atrophy of the adrenal glands",
"It is less likely to occur in patients receiving inhaled steroids",
"It should be expected in anyone receiving >5 mg prednisolone daily",
"Following cessation, the stress response normalizes after 8 weeks"
] | B | null | train | med_mcqa | null |
Which of the following viruses does not produce viral esophagitis | [
"Herpes",
"Adrnovirus",
"Varicella",
"Cytomegalovirus"
] | B | Refer Robbins page no 9/e 754 Viruses that cause esophagitis are HSV 1 HSV 2 Varicella zoster virus Cytomegalovirus HIV | train | med_mcqa | null |
Bronchial Asthma is characterized by all of the following, Except: | [
"Inflammatory disease of airway",
"Allergic disease of airway",
"Hyporesponsive ness of airway",
"Hyperresponsiveness of airway"
] | C | Answer is C (Hyporesponsiveness of airway): Asthma is characterized by Hyperresponsiveness of airways and not hyporesponsivenes Asthma is an inflammatory disorder of the airways Asthma is a chronic inflammatory disorder of the airways - CMDT-2009/210 Asthma is an allergic disease of the airways The pattern of inflammat... | train | med_mcqa | null |
When do we have to start antibiotics to prevent post-operative infection? | [
"2 days before surgery",
"After surgery",
"1 week before surgery",
"1 hour before surgery & continue after surgery"
] | D | Prophylactic antibiotics are administered before the skin incision is made. Repeat dosing occurs at an appropriate interval, usually 3 hours for abdominal cases or twice the half-life of the antibiotic.
Perioperative antibiotic prophylaxis generally is not continued beyond the day of surgery. | train | med_mcqa | null |
Deaths from lactic acidosis in diabetes mellitus is associated with therapy with which one of the following: | [
"Metformin",
"Tolbutamide",
"Phenformin",
"Glipizide"
] | C | null | train | med_mcqa | null |
Which is false about adrenal adenoma - | [
"Usually less than 4 cm",
"Should be excised",
"Presents as abdominal mass",
"Causes cushing syndrome"
] | C | Adrenal adenoma is one of the cause of cushing syndrome.
Adrenal adenomas are either asymptomatic or present with cushing syndrome (not as an abdominal mass).
Adrenal adenoma may be resected using laproscopic technique. | train | med_mcqa | null |
2 weeks old baby having scrotal pigmentation along with hyponatremia, gypoglycemia and hyperkalemia enzyme deficient- | [
"11 beta hydroxylase",
"21 a- hydroxylase",
"3- Beta hydroxylase dehydrogenase",
"17- hydroxylase deficiency"
] | B | Ans. is 'b' i.e., 21 a- hydroxylase Congenital adrenal hyperplasia (CAH)o Autosomal recessive disorder,o MC. is a-hvdroxylase deficiency.In 21a-hyroxylese deficiencyo There is deficiency of mineralocorticoids & glucocorticoid,o This leads to hypoglycemia, hyponatremia. | train | med_mcqa | null |
Which of the following i.v anaesthetic agent suppresses cortisol synthesis | [
"Propofol",
"Ketamine",
"Etomidate",
"Thiopentone"
] | C | Etomidate is known to cause adrenocortical suppression on long term infusion. | train | med_mcqa | null |
The biologic standard used to test the efficiency of sterilization involves the use of | [
"Spores of Clostridium tetani",
"Streptococcus pneumoniae",
"Spores of Vibrio",
"Mycoplamsa"
] | A | Spores of Clostridium tetani is used for Dry Heat; 106 spores are used.For moist heat, Bacillus stearothermophilus are usedReference: Ananthanarayan and Paniker&;s Textbook of Microbiology; 10th edition | train | med_mcqa | null |
Commercially available digital imaging includes: | [
"RVG",
"Flash dent",
"Sense-a–ray",
"All of the above."
] | D | Digital imaging (commercially available):
• RVG
• Flash dent
• Sense-a–ray | train | med_mcqa | null |
Iris pearl are seen in ? | [
"Leprosy",
"Tuberculosis",
"Sarcoidosis",
"Cat Scratch disease"
] | A | Ans. is 'a' i.e., Leprosy LEPROTIC UVEITIS It predominantly involves anterior uvea; more commonly in lepromatous than in the tuberculoid form of disease. Clinical types Lepromatous uveitis may occur as acute iritis (non-granulomatous) or chronic iritis (granulomatous). Acute iritis : It is caused by antigen-antibody de... | train | med_mcqa | null |
Name of mumps vaccine is: | [
"Jeryll Lynn",
"Edmonston",
"Danish 1331",
"OKA"
] | A | a. Jeryll Lynn(Ref: IAP 228, Nelson's 20/e p 1381, Ghai 8/e p 193-194)Mumps vaccine virus strains include Leningrad-Zagreb, Leningrad-3, Jeryl Lynn strains and are grown in chick embryo/human diploid cell cultures. | train | med_mcqa | null |
Kerley B lines seen in: | [
"Pleural effusion",
"Mitral stenosis",
"Pericardial effusion",
"All"
] | B | B i.e. Mitral stenosis | train | med_mcqa | null |
A 25 year old patient with cystic fibrosis wants to know about the disease. Which of the following is majorly associated with chronic airway infection in cystic fibrosis? | [
"Pseudomonas fluorescens",
"Pseudomonas putida",
"Pseudomonas aeruginosa",
"Burkholderia pseudomallei"
] | C | Pseudomonas aeruginosa is the major pathogen associated with chronic airway infection in cystic fibrosis (CF). CF is an autosomal recessive disorder, caused by mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene leading to thick inspissated mucus and impaired mucociliary clearance and hence... | train | med_mcqa | null |
A 65-year-old man undergoes a low anterior resection for rectal cancer. On the fifth day in hospital, his physical examination shows a temperature of 39degC (102degF), blood pressure of 150/90 mm Hg, pulse of 110 beats per minute and regular, and respiratory rate of 28 breaths per minute. A computed tomography (CT) sca... | [
"Systemic inflammatory response syndrome (SIRS)",
"Sepsis",
"Severe sepsis",
"Septic shock"
] | B | The correct diagnosis is sepsis. Systemic inflammatory response syndrome (SIRS) involves 2 or more of the following: temperature >38degC (100degF) or 90 beats per minute, respiratory rate >20 or PaCO2 12,000 or 10% immature neutrophils. Sepsis = SIRS + documented infection. Severe sepsis = sepsis + organ dysfunction or... | train | med_mcqa | null |
Gene silencing RNA ? | [
"rRNA",
"tRNA",
"miRNA",
"None"
] | C | Ans. is 'c' i.e., miRNA According to recent sudies a very large number of genes do not encode proteins. Instead, their products play impoant regulatory functions. The most recently discovered among this class of genes are that encode for gene-silencing RNAs, i.e. RNAs that do not encode proteins but instead inhibit gen... | train | med_mcqa | null |
Green discharge is M. Commonly seen with | [
"Duct papilloma",
"Duct ectasia",
"Retention cyst",
"Fibroadenosis"
] | B | Ans is 'b' ie Duct ectasia "A black or green discharge is usually due to duct ectasia and its complications." - Bailey & Love.Duct ectasia is dilatation of lactiferous ducts associated with periductal inflammation, the pathogenesis of which is unknown. | train | med_mcqa | null |
Anti-glaucoma drug use to increase uveoscleral outflow is | [
"Acetazolamide",
"Pilocarpine",
"Latanoprost",
"Timolol"
] | C | (Refer: Parson's, 21st edition, pg no: 154,155) | train | med_mcqa | null |
Which of these does not form the right border of the hea on X-ray: | [
"Right atrium",
"Arch of aoa",
"Superior vena cava",
"Inferior vena cava"
] | B | Right border of the mediastinal shadow (chiefly produced due to the hea and the vessels entering and leaving it) is formed from above downwards by the right brachiocephalic vein, superior vena cava, right atrium and the inferior vena cavaThe Base of the HeaThe base is located posteriorly and is formed mainly by the lef... | train | med_mcqa | null |
Non specific esterase is positive in all the categories of AML except – | [
"M3",
"M4",
"M5",
"M6"
] | D | FAB classification divides AML into eight types M0 to M7.
This scheme takes into account : -
i) The degree of maturation (MO to M3)
ii) The lineage of leukemic blast (M4 to M7). | train | med_mcqa | null |
Which of the following is the most common tumour associated with Neurofibromatosis -1 (NF-I) in a child? | [
"Juveile Myelomonocytic Leukemia (JMML)",
"Acute Lymphoblastic Leukemia (ALL)",
"Acute Myeloid Leukemia (AML)",
"Chronic Myeloid Leukemia (CML)"
] | A | Children with neurofibromatosis type 1 have higher risk of developing juvenile myelomonocytic leukemia. Ref: Essential pediatrics by O.P.Ghai 6th edn/page 545; Rook's textbook of dermatology, Volume 1 By Ahur Rook, Tony Burns (FRCP.)page 2-32. | train | med_mcqa | null |
True about small silencing RNAs | [
"They are mature oligomers in human genome",
"They are associated with knock down technology",
"XIST is an example of si RNA",
"Related to atherosclerosis"
] | B | in all prokaryotic and eukaryotic organisms,four main classes of RNA molecules exist mRNA, tRNA, rRNA,and small RNAs. Each differs from the others by abundance,size, function, and general stability.Small RNA: Most of these molecules are complexed with proteins to form ribonucleoproteins and are distributed in the nucle... | train | med_mcqa | null |
Which is not used in the treatment of endometriosis : | [
"Danazol",
"Tamoxifen",
"Medroxyprogesterone",
"GnRH analogues"
] | B | Tamoxifen | train | med_mcqa | null |
In a neonate, jaundice appears for the first time in the 2nd week. The following is not a cause – | [
"Galactosemia",
"Rh Incompatibility",
"Hypothyroidism",
"Breast milk jaundice"
] | B | null | train | med_mcqa | null |
Treatment of garre's osteomyelitis is | [
"Incision & drainage",
"Sequestrectomy",
"Saucerization",
"Surgical recontouring"
] | D | null | train | med_mcqa | null |
The most appropriate test to assess the prevalence of tuberculosis infection in a community is: | [
"Mass miniature radiography",
"Sputum examination",
"Tuberculin test",
"Clinical examination"
] | C | Tuberculin test | train | med_mcqa | null |
Pressure created in vacuum is - | [
"12 kgs",
"0.2 kg/cm2",
"0.8 kg/cm2",
"18 kgs"
] | C | Ans. is 'c' i.e., 0.8 kg/cm2 * When using rigid cups, it is recommended that the vacuum be created gradually by increasing the suction by 0.2 kg/cm2 every 2 min until a negative pressure of 0.8 kg/cm2 (600 mm Hg) is reached. With soft cups, negative pressure can be increased to 0.8 kg/cm2 within 1 min.Differences betwe... | train | med_mcqa | null |
You suspect iron deficiency anemia in a 46 year old lady presenting with pallor. Which blood investigation result is NOT consistent with your provisional diagnosis? | [
"Low levels of plasma ferritin",
"Decreased saturation of transferrin",
"Decreased level of hemoglobin",
"Decreased level of red cell protoporphyri"
] | D | Protoporphyrin is an intermediate in the pathway to heme synthesis. Under conditions in which heme synthesis is impaired, protoporphyrin accumulates within the red cell. Normal values are The most common causes of increased red cell protoporphyrin levels are absolute or relative iron deficiency and lead poisoning. Unde... | train | med_mcqa | null |
Which of the following is an antidote to acetaminophen poisoning? | [
"N-acetyl cysteine",
"Atropine",
"Flumazenil",
"Naloxone"
] | A | Ans. A. N-acetyl cysteineParacetamol poisoning, also known as acetaminophen poisoning, is caused by excessive use of the medication paracetamol (acetaminophen). Most people have few or non-specific symptoms in the first 24 hours following overdose. This may include feeling tired, abdominal pain, or nausea. This is typi... | train | med_mcqa | null |
Paial agonist can antagonise the effects of a full agonist because it has | [
"High affinity but low intrinsic activity",
"No affinity and low intrinsic activity",
"Low affinity but high intrinsic activity",
"High affinity but no intrinsic activity"
] | A | Agonists:- Have both affinity and maximal intrin-sic activity. Competitive antagonists :- Have affinity but no intrinsic activity. Paial agonists:- Have affinity and submaximal intrinsic activity. Inverse agonists:- Have affinity but intrinsic activity with a minus sign (IA between 0 and -1). Ref:- kd tripathi; pg num:... | train | med_mcqa | null |
Spermin is detected in semen by which test - | [
"Barberio test",
"Florence",
"ELISA",
"Agglutination inhibition"
] | A | Barberio's test → Yellow coloured crystals of spermin picrate.
Florence test → 4 Brown crystals of choline periodide. | train | med_mcqa | null |
True about screw feed technology | [
"Waste is reduced by 80% in volume and by 20-35% in weight",
"Waste is reduced by 85% in volume and by 10-20% in weight",
"Wet thermal disinfection process",
"Used to process pathological waste"
] | A | Screw-feed technology is the basis of a non-burn, dry thermal disinfection process in which waste is shredded and heated in a rotating auger.The waste is reduced by 80 percent in volume and by 25-35 percent in weight.This process is suitable for treating infectious waste and sharps. Should not be used to process pathol... | train | med_mcqa | null |
PTH does what directly? | [
"Controls the rate of 25-hydroxycholicalciferol formation",
"Controls the rate of calcium transpo in the mucosa of the small intestine",
"Controls the rate of formation of calcium-binding protein",
"Controls the rate of formation of 1,25-dihydroxycholicalciferol"
] | D | Parathyroid hormone acts in the renal coex to stimulate the reaction forming 1,25-dihydroxycholicalciferol from 25-hydroxycholicalciferol. It has no effects on other the other reactions | train | med_mcqa | null |
Commonest operation done for gastric outlet obstruction with peptic ulcer is: March 2007 | [
"Truncal vagotomy with gastrojejunostomy",
"Truncal vagotomy with gastrojejunostomy",
"Highly selective vagotomy with pyloroplasty",
"Gastrojejunostomy"
] | A | Ans. A: Truncal vagotomy with gastrojejunostomyGastric outlet obstruction is manifested by obstruction at the level of the pylorus, which is the outlet of the stomach. Patients may develop vomiting, which may be projectile but non-bilious in nature, nausea or abdominal pain. An unusual finding that may lead to the diag... | train | med_mcqa | null |
Basanti a 29 years female from Bihar present with active tuberculosis; she delivers baby all of the following are indicated except - | [
"Administer INH to the baby",
"Withhold breast feeding",
"Give ATT to mother for 2 years",
"Ask mother to ensure propedr disposal of sputum"
] | B | Park&;s Textbook of Preventive and Social Medicine 23rd edition Page no:195 A child born to mother who was diagnosed to have TB in pregnancy should receive prophylaxis for 6 months provided congenital TB has been ruled out . BCG vaccination can be given at bih even if INH chemoprophylaxis is planned | train | med_mcqa | null |
Esomeprazole acts by inhibiting | [
"H+Na+ ATPase pump",
"H+ pump",
"H+K+ ATPase pump",
"Any of the above"
] | C | Esomeprazole is an example of proton pumb inhibitor | train | med_mcqa | null |
Chocolate" colored post-mortem staining is seen in? | [
"Carbon monoxide poisoning",
"KCN poisoning",
"Phosphorus poisoning",
"Potassium chlorate poisoning"
] | D | (HYPOSTASIS, POST MORTEM LIVIDITY, POSTMORTEM SUGGILLATIONS)
Lividity is a dark purple discolouration of the skin resulting from the gravitational pooling of blood in the veins and capillary beds of the dependent parts of the body following cessation of the circulation.
The process begins immediately after the circula... | train | med_mcqa | null |
Millennium Development Goals (MDGs) are based upon:- | [
"WHO health records",
"UNICEF health criteria",
"United National Millennium Declaration",
"SEARO Millennium Declaration"
] | C | Millennium Development Goals are based upon United Nations Millennium Declaration The millennium development goals (MDGs) were the eight international development goals for the year 2015 that had been established following the millennium summit of the United Nations in 2000, following the adoption of the United Nations... | train | med_mcqa | null |
Young person with self mutilating behaviour and impulsivity is suffering from? | [
"Dependent personality disorder",
"Borderline personality disorder",
"Adjustment disorder",
"Paranoid personality disorder"
] | B | ANSWER: (B) Borderline personality disorderREF: Kaplan and sadocks 10th edition page 800DSM-IV- Diagnostic Criteria for Borderline Personality DisorderA pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety ... | train | med_mcqa | null |
A 46-year-old Texan develops a lesion in the vestibule of his mouth that on histological examination is revealed to be verrucouscarcinoma of the upper aerodigestive tract. What is true of this lesion? | [
"It is most commonly found on the inside of the cheek.",
"It is associated with a high metastatic rate.",
"It is ulcerating in appearance.",
"It is best treated with radiation."
] | A | Verrucous carcinoma is a low grade malignancy and is seen more frequently in the southern pa of the United States. It is found most commonly on the gingival buccal junction in tobacco chewers. It is grayish white and exophytic. wide local excision is Treatment of choice .Radiation may be tried for very large lesions.If... | train | med_mcqa | null |
Cat eye syndrome is - | [
"Paial trisomy 18",
"Paial trisomy 13",
"Paial trisomy 21",
"Paial trisomy 22"
] | D | Ans. is 'd' i.e., Paial Trisomy 22 Cat eve syndrome o The supernumerary cat eye syndrome (CES) chromosome is dicentric, containing two copies 22g11. Features i) Ocular cloboma of iris, choroid or optic nerve vii) Cystic dysplasia ii) Preauricular skin tags or pits viii) Mild mental retardation iii) Congenital hea disea... | train | med_mcqa | null |
Which of the following is the smallest autosome? | [
"Chromosome 1",
"Y chromosome",
"Chromosome 21",
"Chromosome 22"
] | C | Karyotyping Chromosome visualisation technique in which chromosome pairs are arranged in decreasing order of size except chromosome 21 & 22. Feature Chromosome no. The largest chromosome 1 The smallest chromosome Y The smallest autosome 21 | train | med_mcqa | null |
Silicoflouoride is used in: | [
"Dry feeder system.",
"Saturator system.",
"Solution feeder system.",
"All of the above."
] | A | null | train | med_mcqa | null |
Which is the most common etiologic agent of Phlyctenular conjunctivitis? | [
"Bacterial",
"Fungal",
"Protozoal",
"Tuberculous"
] | A | Phlyctenular conjunctivitis is a delayed hypersensitivity (Type IV cell mediated) response to endogenous microbial proteins most commonly staphylococcus proteins. Previously, tuberculous proteins was considered as the most common cause. Also know: Signs of phlyctenular conjunctivitis: Simple phlyctenular conjunctivitis... | train | med_mcqa | null |
Initiation of visual impulse is associated with | [
"Condensation of opsin with vitamin A aldehyde",
"Photoisomerization and hydrolysis of visual purple",
"| NADP",
"| NAD"
] | B | Ans. (b) Photoisomerization and hydrolysis of visual purple(Ref: Ganong, 25th ed/p. 179)On exposure to light, there is conversion of 11 cis retinal to All trans retinal (photoisomerization) and hydrolysis of visual pigment | train | med_mcqa | null |
During replication of DNA, which one of the following enzymes polymerizes the Okazazki fragments? | [
"DNA Polymerase I",
"DNA Polymerase II",
"DNA Polymerase III",
"RNA Polymerase I"
] | C | Okazaki fragments are sho segments of DNA synthesized on the lagging strand, during the process of DNA replication. DNA polymerase III is a highly "processive" enzyme that has a 1 g unit which acts as a clamp loader for the lagging strand Okazaki fragments, helping the two b subunits to form a unit and bind to DNA. The... | train | med_mcqa | null |
Chlamydia can cause infertilty due to? | [
"Slaphingitis",
"Endometritis",
"Oophritis",
"Cervicitis"
] | A | ANSWER: (A) SlaphingitisREF: Shaw 13th ed p. 209Salphingitis due to chlamydia and gonnorrea are common causes of tubal block resulting in infertility | train | med_mcqa | null |
Full term, Small for Date Babies are at high risk of? | [
"Hypoglycemia",
"Intraventricular haemorrhage",
"Bronchopulomonary dysplasia",
"Hypehermia"
] | A | Ans. is 'a' i.e., Hypoglycemia o Small for date babies are prone to hypoglycemia. o Intraventricular hemorrhage occurs in preterm infants (not in full term, small for date babies). | train | med_mcqa | null |
All are germ cell tumors except - | [
"Seminoma",
"Leydig cell tumor",
"Embrional carcinoma",
"Endoderma sinus"
] | B | I. Germ cell tumors A. Seminomatous tumors 1. Seminoma 2. Spermatocytic seminoma 3. Anaplastic seminoma B. Non-seminomatous tumors 1. Embryonal carcinoma 2. Yolk sac (endodermal sinus) tumor 3. Choriocarcinoma C. Teratoma Mature Immature Teratoma with malignant transformation D. Mixed germ cell tumors II. Sex cord-stro... | train | med_mcqa | null |
In a patient with fixed respiratory obstruction, Helium is used along with Oxygen instead of plain oxygen because: | [
"It provides analgesia",
"It decreases turbulence",
"It decreases oxygenation",
"It decreases the dead space"
] | B | Heliox is a mixture of 80% Helium and 20% O2. Its density is about ? rd of air and has a low Reynolds number and hence low turbulence. It reduces the workload of breathing, improves dyspnea, and aerial blood gases in patients with fixed respiratory obstruction. It also decreases the chance for pneumothorax. Ref: Clinic... | train | med_mcqa | null |
In a suspected case of death due to poisoning where cadaveric rigidity is lasting longer than usual, it may be a case of poisoning due to | [
"Lead",
"Arsenic",
"Mercury",
"Copper"
] | B | B i.e. Arsenic In Arsenic poisoning, rigor mois lasts longer than usual because it retards putrificationQ; and in Strychine poisoning it sets immediatelyQ Rigor mois or Cadavericrigidity Not seen seen in Appears early & passes off quickly Early onset Delayed onset Fetus < 7 In condition where muscle is exhausted & Orga... | train | med_mcqa | null |
The most sensitive and practical technique for detection of myocardial ischemia in the perioperative period is: | [
"Magnetic Resonance Spectroscopy",
"Radio labeled lactate determination",
"Direct measurement of end diastolic pressure",
"Regional wall motion abnormality detected with the help of 2D transoesophageal echocardio-graphy"
] | D | D i.e. Regional wall motion abnormality detected with the help of 2D transoesophageal echocardiography | train | med_mcqa | null |
Which of the following local anaesthetic should not be alkalinized with soda bicarbonate | [
"Lignocaine",
"Procaine",
"Bupivacaine",
"Benzocaine"
] | C | Local anaesthetic drug if dissociated –it wont act on sodium channel.
So drug is kept undissociated by adding soda bicarbonate to maintain pka 7.7→ 8.2
But for bupivacaine soda bicarbonate is not used as it gets precipitated. | train | med_mcqa | null |
Most common congenital malformation seen in a diabetic pregnant woman amongst the following are: | [
"Cardiac defect",
"Renal defect",
"Liver defect",
"Lung defect"
] | A | Ans. is a, i.e. Cardiac defectRef. Williams Obs. 24/e, p 1128; Fernando Arias 2/e, p 289; COGDT 10/e, p 312; Sheila Balakrishnan, p 288,Cardiac anomalies are the most common single organ anomalies in case of diabetes. --Williams 21/e, p 1369This is supported by 24/e Williams which specifically mention, that cardiovascu... | train | med_mcqa | null |
All of the following are true statement for Arbovirus EXCEPT: March 2013 (c) | [
"Japanese encephalitis is caused by group B Arbovirus (Flavivirus)",
"Chikungunya fever is transmitted by Aedes mosquito",
"Kyasanur Forest Disease is transmitted by mites",
"West nile fever is transmitted by Culex mosquito"
] | C | Ans. C i.e. Kyasanur Forest Disease is transmitted by mites There are a variety of animals thought to be reservoir hosts for the Kyasanur Forest disease, including porcupines, rats, squirrels, mice and shrews. The vector for disease transmission is Haemaphysalis spinigera, a forest tick. Humans contract infection from ... | train | med_mcqa | null |
Serum prolactin levels are highest | [
"REM sleep",
"24 hrs after paurition",
"1 hr after running",
"When Estrogens are high"
] | A | Normaladult serum PRL levels are about10-25 mg/Linwomenand10-20 mg/L in men. PRL secretion is pulsatile, with the highest secretory peaks occurring during rapid eye movement sleep. Peak serum PRL levels (up to 30 mg/L) occur between 4:00 and 6:00 a.m. The circulating half-life of PRL is about 50 min. | train | med_mcqa | null |
A very low bih weight preterm baby is on ventilator for respiratory distress. Baby presents with clinical features of necrotizing enterocolitis with perforation. What will be the appropriate management? | [
"Conservative management",
"Immediate laparotomy",
"Extra corporeal membrane oxygenation with surgery after stabilization",
"Peritoneal drainage"
] | D | Surgical intervention is the most definitive treatment of perforated necrotising enterocolitis. However the patient mentioned in the above question is premature with very low bih weight. Such critically ill preterm babies are extremely unstable for surgery and are unlikely to tolerate major resective procedure. Periton... | train | med_mcqa | null |
A 15-year-old-boy suffers from vesiculating painful ulcers, there is also oral temperature of 103° F since 3 days and lymphadenopathy. The most likely diagnosis is: | [
"Herpes zoster",
"Acute herpetic gingivostomatitis",
"Major apthae",
"Recurrent aphthae"
] | B | null | train | med_mcqa | null |
All of the following lesions causing paralysis of extraocular muscles produce diplopia except: | [
"Nuclear lesions",
"Lesions of nerve trunks",
"Lesions of neuromuscular junction",
"Lesions of supranuclear pathways"
] | D | Ans. Lesions of supranuclear pathways | train | med_mcqa | null |
Which of the following is not steroid - | [
"Estrogen",
"Cholic acid",
"Leukotrians",
"Vitamin D"
] | C | Ans. is 'c' i.e., Leukotrians o Steroids are complex molecules consisting of four fused carbon rings.o There is a phenanthrene nucleus made of three six-membered rings (A,B,C, rings), and a cyclopentane which forms Dring.o The fully saturated parent compound (steroid) is known as cyclopentanoperhydrophenathrene.o The a... | train | med_mcqa | null |
Sinus arrhythmia is due to- | [
"Sinus node disease",
"Exaggerated response to sympathetic system",
"Fluctuating parasympathetic response during respiration",
"Decreased hea rate in inspiration"
] | C | Answer-C. Fluctuating parasympathetic response during respirationSinus rhythm with a beat-to-beat variation in the P-P interval (the time between successive P waves), producing an irregular ventricular rate.Sinus arrhythmia is a normal physiological phenomenon, most commnonly seen in young, healthy people.The hea rate ... | train | med_mcqa | null |
Kala azar is spread by - | [
"House fly",
"Black fly",
"Sand fly",
"Tse tse fly"
] | C | Kala azar or visceral leishmaniasis is a protozoal disease.It is transmited from person to person by bite of female Phlebotomus argentipus.Transmission also occurs by contamination of bite wound or by crushing the insect during act of feeding.it may transmit by blood transfusion also. C/f : fever,splenomegaly,hepatomeg... | train | med_mcqa | null |
Most common cause of small intestine obstruction is? | [
"Intussception",
"Idiopathic adhesions",
"Tumors",
"Postoperative adhesions"
] | D | ANSWER: (D) Postoperative adhesionsREF: Bailey & Love 25th edition page 1188, overview"The most common cause of small-bowel obstruction (SBO) is postsurgical adhesions" | train | med_mcqa | null |
Features of non-proliferative DR is all except: | [
"Neovascularisation",
"Soft exudate",
"Hard exudate",
"Cotton-wool spot"
] | A | Ans. Neovascularisation | train | med_mcqa | null |
Ligamentum teres of the liver is remnant of | [
"Umbilical aeries",
"Left umbilical vein",
"Ductus venosus",
"Ductus aeriosus"
] | B | Ligamentum teres is the obliterated fibrous remnant of the left umbilical vein of the fetus. It originates at the umbilicus. It passes superiorly in the free margin of the falciform ligament. From the inferior margin of the liver, it may join the left branch of the poal vein or it may be in continuity with the ligament... | train | med_mcqa | null |
Triradiate pelvis is seen in: | [
"Rickets",
"Chondrodystrophy",
"Osteoporosis",
"Hyperparathyroidism"
] | A | Contracted pelvis is alteration in size and/or shape of pelvis of sufficient degree so as to alter the normal mechanism of labour in an average size baby. It can be a result of malnutrition, diseases or injuries affecting the bone of pelvis or it can be due to any developmental defect. | train | med_mcqa | null |
Apolipoprotein that acts as enzyme activator: | [
"Apo A-II",
"Apo C-II",
"Apo B-100",
"Apo E"
] | B | null | train | med_mcqa | null |
A 16-year-old girl has not yet reached menarche. She has normal secondary sex characteristics, and vi¬sual inspection of her external genitalia is unremark¬able. The patient is given progesterone and has with¬drawal bleeding a few days later. This patient most likely has | [
"Primary ovarian disease",
"Turner syndrome",
"A destructive hypothalamic disorder",
"A constitutional delay in puberty"
] | D | The patient most likely has a delayed onset of puberty rather than a destructive lesion in the hypothalamic/pituitary axis, a primary disease involving the ovaries or a problem involving the end-organs (e.g., imperforate hymen). Note that she has normal secondary sex characteristics indicating the presence of estrogen... | train | med_mcqa | null |
Which of the following ours filtration at the aeriolar end of the capillary bed. | [
"Decrease in hydrostatic pressure of capillaries",
"Increase in hydrostatic pressure of capillaries",
"Increase in oncotic pressure of capillaries",
"Decrease in oncotic pressure of interstitium"
] | B | The rate of filtration at any point depend on 1)Hydrostatic pressure gradient(Hydrostatic pressure of capillaries-hydrostatic pressure of interstitium) 2)Osmotic pressure gradient Net filtration pressure = Hydrostatic pr.gradient-Osmotic pr.gradient So increase in hydrostatic pressure of capillaries ours filtration at ... | train | med_mcqa | null |
Commonest side effect of cryotherapy for carcinoma cervix in situ : | [
"Hemorrhage",
"Persistent watery discharge",
"Cervical stenosis",
"Ulceration"
] | B | Persistent watery discharge | train | med_mcqa | null |
Length of Eustachian tube? | [
"12 mm",
"24mm",
"36mm",
"48mm"
] | C | Length of Eustachian tube is 36 mm. (reached by the age of 7 years) Lateral third (i.e. 12 mm) is bony. Medial 2/3 (i.e. 24 mm) is fibrocailaginous. | train | med_mcqa | null |
A 65-year-old smoker presents with hoarseness, hemoptysis and a hard painless lump in the left supraclavicular fossa. Which of the following is the MOST appropriate diagnostic step in this patient? | [
"Undeake an open biopsy of the neck lump",
"Undeake a radical neck dissection",
"Do fine needle aspiration cytology",
"Give a trial of Anti tuberculous therapy"
] | A | This patient presenting with a history of smoking along with symptoms and presence of hard painless mass in left supraclavicular fossa probably indicates the presence of an underlying lung malignancy which has metastasised to the lymph node. Open biopsy is especially indicated when the patients history and physical fin... | train | med_mcqa | null |
Absent fructose content in the seminal fluid suggests | [
"Congenital absence of seminal vesicle",
"Partial duct obstruction",
"None",
"Both"
] | D | Absence of fructose suggests congenital absence of seminal vesicle or portion of the ductal system or both.
PESA-percutaneousepidydymal sperm aspiration
ICSI-intracytoplasmic sperm injection | train | med_mcqa | null |
Which is/are not transpo protein? | [
"Transferrin",
"Collagen",
"Ceruloplasmin",
"Hemoglobin"
] | B | Ans.is'b'i.e., Collagen [Ref is a structural proteinAlbumin has circulating transpo proteins such as steroids, thyroxine, triiodothyronine, fat soluble hormones, fatty acids to liver, unconjugated bilirubin, many drugs, Calcium, magnesium, cations & anions.Ceruloplasmin has CopperHemoglobin - Oxygen from lung to tisuue... | train | med_mcqa | null |
Arginosuccinate is synthesized from | [
"Citrulline and arginine",
"Arginine and aspaate",
"Citrulline and aspaate",
"Citrulline and fumarate"
] | C | Ans. is 'c' i.e., Citrulline and aspaate Arginosuccinate is synthesized from citrulline and aspaate in Urea cycle. | train | med_mcqa | null |
Drug of choice for attention deficit hyperactivity disorder is:- | [
"Haloperidol",
"Imipramine",
"Alprazolam",
"Methylphenidate"
] | D | Methylphenidate is the preferred drug for the treatment of attention deficit hyperkinetic disorder (ADHD). Other drugs used for this indication are amphetamines, atomoxetine and pemoline. Pemoline has been withdrawn due to life threatening hepatotoxicity. | train | med_mcqa | null |
In spinal anaesthesia the segmental level of: | [
"Sympathetic block is lower than the sensory block",
"Sympathetic block is higher than the sensory block",
"Motor block is higher than the sensory block",
"Sympathetic, motor and sensory block has the same level"
] | B | Spinal anaesthesia creates a zone of differential blockade in which sympathetic fibres are blocked two segments higher and motor fibres are blocked two segments lower than the level of sensory block. | train | med_mcqa | null |
Concentric hyperophy of hea is caused by: September 2007 | [
"Hyperophic cardiomyopathy",
"Congestive hea failure",
"Systemic hypeension",
"Mitral regurgitation"
] | A | Ans. A: Hyperophic cardiomyopathy In the case of chronic pressure overload as occurs with chronic hypeension or aoic valve stenosis, the ventricular chamber radius may not change; however, the wall thickness greatly increases as new sarcomere are added in-parallel to existing sarcomeres. This is termed concentric hyper... | train | med_mcqa | null |
Rabies virus - | [
"Can be isolated from the blood of infected patients",
"Has multiple antigenic types",
"Can be transmitted by a dog 4 weeks before the dog becomes noticeably ill",
"Produce infection that is almost fatal to humans"
] | D | In case of rabies virus death was considerd inevitable and no serious attempt at treatment was made REF:ANANTHANARYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.533 | train | med_mcqa | null |
Dili. SLAinks 101 | [
"Breast Imaging Repoing and Data System",
"Best Imaging Repoing and Data System",
"Brain Imaging Repoing and data system",
"Best imaging Repoing and Data System"
] | A | Ans. a. Breast Imaging Repoing and Data System BIRADS stands for Breast Imaging Repoing and Data System BIRADS (Breast Imaging Repoing And Data System) Category Definition 0 Incomplete assessment, need additional imaging evaluationQ 1 Negative, routine mammogram in 1 year is recommendedQ 2 Benign findings, routine mamm... | train | med_mcqa | null |
The study of human relationships and of human behavior for better understanding of the pattern of human life, is called: | [
"Anthropology",
"Social Psychology",
"Social epidemiology",
"Sociology"
] | D | Sociology Sociology can be viewed from two angles: (a) First, it can be seen as the study of relationships between human beings, and how these relationships change or vary in different pas of the world and at different times. The unit of study can be a small group (e.g., family) consisting of parents and children, or t... | train | med_mcqa | null |
Which of the following is not a pa of management of hepatic encephalopathy? | [
"Restriction of dietary protein",
"Lactulose",
"Rifaximin",
"Zinc supplementation"
] | A | In the past, restriction of dietary protein was considered for patients with encephalopathy; however, the negative impact of that manoeuvre on overall nutrition is thought to outweigh the benefit when treating encephalopathy, and it is thus discouragedHydration and correction of electrolyte imbalance are all that is ne... | train | med_mcqa | null |
Myringotomy is indicated in: | [
"Coalescent mastoiditis",
"Cholesteatoma",
"ASOM",
"External otitis media"
] | C | (c) ASOM(Ref. Scott Brown, 8th ed., Vol 2; 143)Myringotomy is indicated in ASOM. Another indication of doing Myringotomy is in serous Otitis media (SOM). Here in SOM Myringotomy along with grommet insertion is done. | train | med_mcqa | null |
Dermatitis herpetiformis is associated with:- | [
"Tissue transglutaminase 1",
"Transglutaminase 3",
"Tissue transglutaminase 6",
"Tissue transglutaminase 9"
] | B | Dermatitis herpetiformis is a gluten hypersensitivity condition C/F: lesions mainly over extensors, vesico papule lesions, extremely pruritic-resulting in excoriation marks, some patients might also develop fluid filled lesion DIF Finding: shows granular IgA deposits in the tip of dermal papillae giving picket fence ap... | train | med_mcqa | null |
The most common postoperative psychiatric condition is: | [
"Schizophrenia",
"Delirium",
"Chronic brain syndrome",
"Depression"
] | B | Delirium | train | med_mcqa | null |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.