question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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A 20 years old nulliparous women is on oral contraceptives pills. She is currently diagnosed as having pulmonary tuberculosis. Which anti-tubercular drug decreases the effect of OCP | [
"INH",
"Pyrazinamide",
"Ethambutol",
"Rifampicin"
] | D | Ans. is d i.e. Rifampicin Interacuons of OCP's with other Drugs | train | med_mcqa | null |
Pulm edema associated with normal PCWP is observed, which of these is not a cause - | [
"High altitude",
"Cocaine overdose",
"Post cardiopulmonary bypass",
"Bilateral renal artery stenosis"
] | D | null | train | med_mcqa | null |
The ratio of actin : troponin : tropomyosin molecules in an thin filament is: | [
"1:01:01",
"1:03:05",
"1:07:07",
"7:01:01"
] | D | A thin filament has 3 molecules - actin troponin tropomyosin in a ratio of 7: 1: 1. | train | med_mcqa | null |
Type of collagen present in vitreous humor | [
"Collagen type 1",
"Collagen type 2",
"Collagen type 3",
"Collagen type 4"
] | B | COLLAGEN Ref:- Sima Jain; pg num:- 10 | train | med_mcqa | null |
Malignant hyperthermia is due to | [
"Halothane",
"Scoline",
"Isoflurane",
"All of the above"
] | D | (D) All of the above # Most common agents causing malignant hyperthrmia:> Succinyl choline> Halothane# Other agents implicated:> F/ura/ies-Sevoflurane; Isoflurane> Amide local anesthetics-Ugnocame> Phenothiazines-- Tricyclic antidepressant; MAOI's> Drug of choice for treatment of malignant hyperthermia is Dantrolene. | train | med_mcqa | null |
Which of the following hormones is used in the adjuvant treatment of depression? | [
"Progesterone",
"Coisol",
"ACTH",
"Levothyroxine"
] | D | The connection between thyroid function and mood disorders has been known for more than a century since nineteenth-century physicians noticed that hypothyroidism was accompanied by depression. b. All the hormones of the hypothalamic- pituitary-thyroid axis have been used in the treatment of depression, alone or in comb... | train | med_mcqa | null |
"Wet Pillow Syndrome" is caused by | [
"Imipramine",
"Bromocriptine",
"Clozapine",
"Amitryptaline"
] | C | Clozapine can lead to sialorrhea or hypersalivation which is also called as "Wet pillow syndrome". | train | med_mcqa | null |
Organ of locomotion in bacteria is | [
"Fimbria",
"Flagella",
"Capsule",
"Cell wall"
] | B | null | train | med_mcqa | null |
A 42-year-old male has strong positive Benedict's test, random blood sugar is > 163 mg%, fasting blood sugar is > 200 mg% Next line of investigation is - | [
"Urine glucose charting 5 hourly",
"Oral GIT",
"Repeat benedict's test",
"24 hr urine sugar estimation"
] | B | null | train | med_mcqa | null |
Absolute indication of enucleation is | [
"Intraocular retinoblastoma",
"Endophthalmitis",
"Mutilating ocular injury",
"All the above"
] | A | null | train | med_mcqa | null |
A gardener was accidentally poisoned by a weed killer that inhibits acetylcholinesterase. Which of the following alterations in neurochemical transmission at brain cholinergic synapses is the most likely result of this poisoning? | [
"Blockade of cholinergic receptors",
"A pileup of choline outside the cholinergic neuron (in the synaptic cleft)",
"A pileup of acetylcholine outside the cholinergic neuron (in the synaptic cleft)",
"Up-regulation of postsynaptic cholinergic receptors"
] | C | Ans. C. A pileup of acetylcholine outside the cholinergic neuron (in the synaptic cleft)Acetylcholinesterase is the enzyme that breaks acetylcholine down into acetate and choline. The acetate diffuses away, and choline is taken back up into the presynaptic nerve terminal for the synthesis of more ACh. Blocking the func... | train | med_mcqa | null |
Which of the following is the LEAST likely symptom of hyperthyroidism in a 77-year-old man? | [
"Atrial fibrillation",
"Confusion",
"Tremor",
"Weakness"
] | C | One of the most important principles of caring for the older patient is the recognition that diseases present in an atypical fashion. For example, hyperthyroidism in a young or middle-aged individual usually manifests as tremor, goiter, or exophthalmos. Instead, this endocrinopathy in an older person is more likely to ... | train | med_mcqa | null |
Anterior diaphragnatic hernia is through ? | [
"Oesophageal opening",
"Paraesophageal opening",
"Foramen of morgagni",
"None"
] | C | Ans. is 'c' i.e., Foramen of morgagni Diaphragmatic hernia 1. Congenital Posterolateral costo-veebral hernia through pleuro- peritoneal hiatus ie. foramen of Bochdalek. It is most common type of congenital diaphragmatic hernia. More common on left side. Retrosternal or anterior costo-sternal hernia through foramen of M... | train | med_mcqa | null |
Which of the following is not a common manifestation of Congenital Rubella – | [
"Deafness",
"PDA",
"Aortic stenosis",
"Mental retardation"
] | C | Nerve deafness is the single most common clinical finding among infant with congenital Rubella syndrome.
FDA is the most common CHD in congenital rubella syndrome.
Classical triad of congenital rubella consists of → Cataract, Deafness, CHD
Mental retardation is also common. | train | med_mcqa | null |
Which of the following hepatic lesions can be diagnosed with high accuracy by using nuclear imaging | [
"HCC",
"Hepatic adenoma",
"FNH",
"Hemangioma"
] | C | Focal nodular hyperplasia FNH is second most common benign tumor of the liver Usually a small (<5cm) nodular mass arising in a normal liver, involves right and left liver equally Mainly seen in young women associated with OCP's use Pathology Central fibrous scar with radiating septa in the mass Typical hepatic vascular... | train | med_mcqa | null |
Function of mitochondrial DNA | [
"Encodes protein of cell membranes",
"Encodes proteins of respiratory chain",
"Helps in cell replication",
"Formation of rRNA"
] | B | Mitochondria contains specific DNA .The integral inner membrane proteins ,are made by mitochondrial protein synthesizing machinery. However, the majority of proteins,especially of outer membrane are synthesized under the control of cellular DNA. The division of mitochondria is under the command of mitochondrial DNA. RE... | train | med_mcqa | null |
Best and most successful treatment of bronchial asthma is | [
"Avoidance of antigen",
"Bronchodilators",
"Corticosteroids",
"Anticholinergics"
] | A | (A) Avoidance of antigen # Elimination of the causative agent(s) from the environment of an allergic individual with asthma is the most successful means available for treating this condition (for details on avoidance, Desensitization or immunotherapy with extracts of the suspected allergens has enjoyed widespread favor... | train | med_mcqa | null |
Which of the following muscles forms the floor of the digastric triangle? | [
"Mylohyoid",
"Geniohyoid",
"Stylohyoid",
"Sternohyoid"
] | A | Ans. is 'a' i.e., Mylohyoid Digastric triangle* This triangle is bounded -i) Above by base of mandible and a line extending its angle to mastoidii) Below and in front by anterior belly of digastriciii) Below and behind by posterior belly of digastric and stylohyoid.* Floor is formed by mylohyoid and hyoglossus.* Its co... | train | med_mcqa | null |
A patient present with enophthalmos after a trauma to face by blunt object.There is no fever and no extraocular muscle palsy. Diagnosis is: | [
"Fracture maxilla",
"Fracture zygoma",
"Blow out fracture",
"Fracture ethmoid"
] | C | Blow out fracture is isolated fracture of orbital floor, when a large blunt object strikes the globe. It presents with:Ecchymosis of lid, conjunctiva and scleraEnophthalmosDiplopia due to displacement of eye ballAnaesth esia of cheek and upper lip, if infraorbital nerve is involved. | train | med_mcqa | null |
Community water fluoridation is important because | [
"All groups of socio economic status have accessibility to it",
"Does not pose a health hazard",
"Leads to decrease in the dental caries incidence",
"All of the above"
] | D | null | train | med_mcqa | null |
Not a stimuli for insulin secretion: | [
"Glucagon",
"Hypokalemia",
"Ketone bodies",
"Amino acids"
] | B | (Refer: Ganong’s Physiology, 23rd edition, pg no: 537)
Factors Affecting Insulin Secretion | train | med_mcqa | null |
Child presents with ling verracons plaques on the trunk with vacuolization of keratinocytes in S.Spinosum and S.Granulosum.Dignosis is? | [
"Incontinenta pigmenti",
"Delayed hypersensitivity reaction",
"Verrucous epidermal nevus",
"Linear darriers disease"
] | C | NAEVI:- Circumscribed congenital anomaly of skin.Depending of cell/tissue of origin,naevi are classified as:-1. Epidermal- arising from keratinocytes 2. Melanocytic-arising from melanocytes.3. Connective tissue /vascular. EPIDERMAL NAEVI: 1. Veruccous epidermal naevi- present at bih as brownish plaques. As the child gr... | train | med_mcqa | null |
All of the following appear to decrease hot flushes in menopausal women except: | [
"Androgens",
"Raloxifene",
"Isoflavones",
"Tibolone"
] | B | Raloxifene A non steroidal compound,a selective estrogen receptor modulator(SERM)which reduces the risk of fracture by 50%,10%reduction of cholesterol, raises HDL level.Cardioprotective in nature. Low risk of endometrial and breast cancer, Side effects are hot flushes,cramps,increased incidence of venous thrombosis ,re... | train | med_mcqa | null |
Schistosoma Japonicum resides in: | [
"Vesical Plexus",
"Ileocecal plexus",
"Systemic Circulation",
"Gallbladder"
] | B | Ans. (b)Schistosoma Japonicum and Schistosoma mansoni - inhabit the rectal venous plexus and portal venous system.Schistosoma haematobium - inhabits the vesical venous plexus. | train | med_mcqa | null |
Pulsus paradoxus is a characteristic feature of | [
"Constrictive pericarditis",
"Cardiac Tamponade",
"Hypertrophic obstructive cardiomyopathy",
"Restrictive cardiomyopathy"
] | B | null | train | med_mcqa | null |
In the lungs bronchial aeries supply the bronchopulmonary tree: | [
"Till teiary bronchi",
"Till segmental bronchi",
"Till segmental bronchi",
"Till alveolar sacs."
] | C | Lower lobe of both lungs has 5 segments - superior, anterior/ posterior/ medial/ lateral - basalQ. Middle lobe of right lung has lateral & medial segmentsQ. Bronchopulmonary segment is drained by intersegmental pa of pulmonary veinQ that lie in intersegmental space and drain adjacent segmentsQ. Bronchial aeries supply ... | train | med_mcqa | null |
True treatment regarding hepatic amoebiasis - | [
"More common in females",
"Multiple lesions",
"Mostly treated conservatively",
"Jaundice is common"
] | C | null | train | med_mcqa | null |
Nerve root of pudendal nerve is ? | [
"SIS,S,",
"S,S3S,",
"S3-S,",
"S2-S3"
] | B | Ans. is 'b' i.e., S2S3S4 NerveRoot valveSiatic nerveL 4, 5 S 1,2,3 L Tibial nerve4, 5 S 1,2,3 Common peroneal nerveL4,5 S 1,2Superior gluteal nerveL 4,5 S 1Inferior gluteal nerveL 5 S 1,2Nerve to quadratus femorisL 4,5 S 1Nerve to obturatus internusL 5 S 1,2Superior gemellus L 4,5 S 1Infeior gemellusL 4,5 S 1,2 S Poste... | train | med_mcqa | null |
Herd immunity is not impoant in | [
"Tetanus",
"Peussis",
"Diphtheria",
"All"
] | A | The epidemics wave declines with an up-built of herd immunity after natural infection and if high-level immunity maintained with immunization disease eliminated, e.g. Polio, Diphtheria. It is neither possible nor necessary to achieve 100% herd immunity in a population to halt an epidemic or to control the disease. E.g.... | train | med_mcqa | null |
An organism grown on agar shows green coloured colonies, likely organism is ? | [
"Staphylococcus",
"Streptococcus",
"Pseudomonas",
"E. coli"
] | C | Ans. is 'c' i.e., Pseudomonas | train | med_mcqa | null |
Long compression is used for which fracture ? | [
"Talus",
"Calcaneum",
"Fibula",
"Femur"
] | B | Ans. is 'b' i.e., Calcaneum Bulk foot compression dressing is given to treat inoperable calcaneal fractures. | train | med_mcqa | null |
Non-deforming arthritis among the following | [
"Syphilis",
"Bechet's sydrome",
"Osteoarthritis",
"Psoriatic arthritis"
] | B | null | train | med_mcqa | null |
Lens derives its nutrition from | [
"Tears",
"Small capillaries",
"Aqueous",
"None"
] | C | The lens derives its nutrients from the aqueous humor and the vitreous body . Ref - sciencedirect.com | train | med_mcqa | null |
When fetus is in attitude of flexion, presentation is : | [
"Veex",
"Brow",
"Cephalic",
"Face"
] | C | The pa of the fetus which occupies the lower pole of the uterus is called the presentation of the fetus In an attitude of flexion the presention is Cephalic Ref: Dutta Obs 9e pg 69. | train | med_mcqa | null |
Painless effusions in joints in congenital syphilis is called - | [
"Clutton' s joints",
"Banton's joints",
"Charcot's joints",
"Synovitis"
] | A | Ans. is 'a' i.e., Clutton's joints | train | med_mcqa | null |
Ascending pharyngeal artery is a branch of | [
"Middle branch of ECA.",
"Medial branch of ECA.",
"Terminal branch of ECA.",
"Anterior branch of ECA."
] | B | null | train | med_mcqa | null |
Culture media used for corynebacterium diphtheria is: | [
"14 media",
"Potassium tellurite media",
"Loeffler's serum slope",
"McConkey"
] | C | Ans. C: Loeffler's serum slope Corynebacterium diphtheria/Klebs-Leiffler bacillus It is a facultatively anaerobic Gram positive organism, characterized by non-encapsulated, non-sporulated, immobile, straight or curved rods with a length of 1 to 8 pm and width of 0.3 to 0.8 Jim, which form ramified aggregations in cultu... | train | med_mcqa | null |
Which of the following strain of influenza causes Swine flu which causes serious systemic manifestations? | [
"H1N1",
"H5N1",
"H3N1",
"H3N3"
] | A | Swine flu is caused by swine-origin H1N1 virus. Of the 15 HA subtypes found in birds, only a few have been transferred to mammals (H1, H2, H3, and H5 in humans; H1 and H3 in swine; and H3 and H7 in horses). The same pattern holds for NA; nine NA subtypes are known for birds, only two of which are found in humans (N1, N... | train | med_mcqa | null |
Drug of choice for rapid cyclers in manic–depressive psychosis is : | [
"Carbamazepine",
"Valproate",
"Phenytoin",
"Lithium"
] | B | null | train | med_mcqa | null |
Dental lamina cysts of new born are seen at: | [
"The junction of hard and soft palate",
"Along the median raphae of hard palate",
"The alveolar ridges",
"None of the above"
] | C | "Bohn's nodules" are seen at the junction of hard and soft palate, whereas "Epstein pearls" are seen along the median raphae of hard palate. A third type known as "Dental lamina cysts of new born" are seen on the alveolar ridges. | train | med_mcqa | null |
Glycogenolysis is activated in muscles due to: | [
"Glucagon",
"Insulin",
"Epinephrine",
"Growth hormone"
] | C | Glycogenolysis is activated by glucagon & epinephrine But Glucagon receptors are not found in muscles. So epinephrine increases glycogenolysis in muscles. | train | med_mcqa | null |
Vogt-Koyanagi-Harada (VKH) syndrome is: | [
"Chronic granulomatous uveitis",
"Chronic non-granulomatous uveitis",
"Acute purulent uveitis",
"None"
] | A | Ans. Chronic granulomatous uveitis | train | med_mcqa | null |
A child is receiving corticosteroids for medical therapy. The following is not a contraindication in this child for receiving a live viral vaccine: | [
"When child is receiving 2 mg/kg of prednisolone for at least 2 weeks at present",
"When child has received 2 mg/kg of prednisolone for at least 2 weeks in the past one month",
"Child receiving 4 mg/kg of prednisolone for 4 weeks, prior to 2 weeks",
"Chronic asthmatic child receiving low dose inhaled steroid ... | D | d. Chronic asthmatic child receiving low dose inhaled steroid for 10 months(Ref: Ghai 8/e p 142)Low dose steroids are not a contraindication to live vaccines. | train | med_mcqa | null |
Normal menstrual cycle duration in an adolescent is | [
"21 - 35 days",
"21 - 45 days",
"24 - 38 days",
"24 - 45 days"
] | B | Parameters for Normal Menstrual Cycles in AdolescentsParameterNormalMenstrual cycle frequency21 - 45 daysCycle variation from cycle to cycleLess than adultsDuration of flow4 - 8 daysVolume of flow4 - 80mlParameters for Normal Menstrual Cycles in Reproductive age womenParameterNormalMenstrual cycle frequency24 - 38 days... | train | med_mcqa | null |
Differentiation of Neisseria gonorrhoeae and Neisseria meningitidis is by: | [
"Glucose fermentation",
"Maltose fermentation",
"V.P. reaction",
"Indole test"
] | B | Ans is 'b' i.e., Maltose fermentation* Neisseria meningitidis ferment maltose and glucose both but gonococci only glucose (G for g). | train | med_mcqa | null |
Most potent cholegogue is __________ | [
"Bile salts",
"Bile acids",
"CCK",
"GIP"
] | C | Cholagogue causes gall bladder contraction. Most potent cholagogue in CCK. | train | med_mcqa | null |
Which of the following is not a cardiac poison? | [
"Aconite",
"Opium",
"Oleander",
"Nicotine"
] | B | Opium causes respiratory depression. It is not cardiotoxic. Nicotine, oleander, aconite and digitalis are poisons which are principally cardiotoxic. | train | med_mcqa | null |
Success of reimplanted avulsed tooth depends on: | [
"Proper antibiotic coverage",
"Prevention of dehydration of PD ligament of avulsed tooth",
"Protection of socket",
"All of the above"
] | D | null | train | med_mcqa | null |
A patient has history of A 2 years back; at the same sight he developed pain and swelling. X - ray shows the following features. What will be the diagnosis? | [
"Osteogenic sarcoma",
"Ewing's sarcoma",
"Chronic osteomyelitis",
"Multiple myeloma"
] | C | * X-ray shows a deformed bone with holes/cavities in the bone.* Chronic Osteomyelitis: Its characteristic feature is sequestrum (dead bone in a cavity) with involucrum (live bone) around it. There is discharge of pus draining through cloacae and track sinuses in the cavity.* Osteosarcoma: aggressive tumor, there will b... | train | med_mcqa | null |
Hypercalcemia occurs in which type of lung cancer? | [
"Oat cell",
"Giant cell",
"Squamous cell",
"Alveolar cell"
] | C | null | train | med_mcqa | null |
In the treatment of congenital adrenal hyperplasia due to lack of 21 b-hydroxylase, the purpose of administration of a synthetic glucocoocoid is: | [
"Inhibition of aldosterone synthesis",
"Prevention of hypoglycemia",
"Recovery of normal immune function",
"Suppression of ACTH secretion"
] | D | In congenital adrenal hyperplasia, Due to decreased formation of steroids--> decreased feedback inhibition of ACTH. Thus more ACTH is formed which leads to adrenal hyperplasia-->exogenous steroids are given to suppress ACTH secretion. | train | med_mcqa | null |
Recurrent Neisseria infections are predisposed ina) Early complement component deficiencyb) Late complement component deficiencyc) C1 esterase deficiencyd) Properdin deficiency | [
"bd",
"d",
"ab",
"ac"
] | A | null | train | med_mcqa | null |
What is the number of layers in greater omentum? | [
"1",
"2",
"3",
"4"
] | D | The greater omentum is folded back on itself and is therefore made up of four layers of closely applied visceral peritoneum, which are separated by variable amounts of adipose tissue. Ref: Gray's anatomy 40th edition, Chapter 69. | train | med_mcqa | null |
In infants most sensitive audiometric screening is | [
"Electrocochleography",
"BERA",
"Coical evoked response",
"Tympanometry"
] | B | BERA is the investigation of choice for congenital deafness in children.OAE (otoacoustic emissions) is the commonest screening test in neonates.Electrocochleography- Used to measure the electrical activity of the cochlea, commonly used to diagnose Meniere&;s disease. Ref: Hazarika; 3rd ed; Pg 64 | train | med_mcqa | null |
An infant had high grade fever and respiratory distress at the time of presentation to the emergency room. The sample collected for blood culture was subsequently positive showing growth of ααααα - haemolytic colonies. On Gram staining these were gram positive cocci. In the screening test for identification, the suspec... | [
"Bacitracin",
"Novobiocin",
"Optochin",
"Cloxacillin"
] | C | Infant is suffering from pneumococcal pneumonia (Gram positive α-hemolytic cocci).
Pneumococci is differentiated from other α hemolytic Gram positive cocci by its susceptibility to optochin and bile solubility. | train | med_mcqa | null |
Stomach wash is contraindicated in all except | [
"Carbolic acid",
"Hydrochloric acid",
"Sulphuric acid",
"Nitric acid"
] | A | Corrosive poison: In the case of corrosive acid poisoning stomach wash is contraindicated except phenol. Aspiration of contents can be done by carefully introducing a soft flexible rubber tube. This may prevent perforation of stomach due to retaining the acid in the stomach. In case of concentrated corrosive alkali, no... | train | med_mcqa | null |
Extra calories in lactating mothers in first six months - | [
"300",
"500",
"600",
"1000"
] | C | - the energy requirements of women are increased during pregnancy and lactation. - additional +600 kcal daily is needed during first six months of lactation. Reference: Park's textbook of preventive and social medicine, 25th edition, pg no:693 | train | med_mcqa | null |
Which occupation increases risk for silicosis: | [
"Mica worker",
"Sugarcane worker",
"Cotton industry workers",
"Coal mine workers"
] | A | Ans. a. Mica workerSILICOSISDefinition: Silicosis is an occupational lung disease caused by inhalation of silica dust.Epidemiology: Silicosis is seen in individuals who work in mining, quarrying, tunneling, glass and pottery making, and sandblasting.Signs and Symptoms: Silicosis will cause similar symptoms to asbestosi... | train | med_mcqa | null |
agranuloctosis is a side effect of | [
"risperidone",
"clonazepam",
"olanzapine",
"carbamezepine"
] | D | - SIDE EFFECTS OF THE DRUG - APLASTIC ANEMIA - AGRANULOCYTOSIS - Hyponatremia - Steven Johnson's syndrome - Liver enzyme elevation - It has teratogenic potential Ref.kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 935 | train | med_mcqa | null |
Hashimoto&;s thyroiditis - True are all except | [
"Follicular destruction",
"Increase in lymphocytes",
"Oncocytic metaplasia",
"Orphan Annie eye nuclei"
] | D | Cause of Hashimoto thyroiditis,is autoimmune-mediated destruction of thyrocytes. A complex immunologic phenomenon results in the formation of immunecomplexes and complement in the basement membrane of follicular cells. These cellular reactions ultimately result in the infiltration of lymphocytes and resultant fibrosis,... | train | med_mcqa | null |
The normal ratio of CD4to CD8 is | [
"1:01",
"2:01",
"8:01",
"10:01"
] | B | Ref Robbins 9/e p190-191 A normal CD4/CD8 ratio is 2.0, with CD4lymphocytes equal to or greater than 400/mm3 and CD8 lymphocytes equal to 200 to 800/mm3. If your ratio is higher than 2, it means your immune system is strong and you may not have HIV. If your ratio is less than 1, you may have: HIV. | train | med_mcqa | null |
An example of antiprogesterone is: | [
"Gossypol",
"Atosiban",
"Clomiphene",
"Mifepristone"
] | D | null | train | med_mcqa | null |
All of the following structures form the stomach bed except: | [
"Splenic aery",
"Splenic flexure",
"Tail of pancreas",
"Transverse mesocolon"
] | C | STOMACH BED Diaphragm. Left kidney Left suprarenal Pancreas except tail Transverse mesocolon Splenic flexure of colon Splenic aery ALSO REMEMBER Posterior surface of stomach is separated from stomach-bed by: Lesser sac. | train | med_mcqa | null |
Gossypol is : | [
"New drug for fibroids",
"New drug for endometriosis",
"Injectable contraception",
"Contraceptive pills for males"
] | D | Gossypol: Contains Disequiterpene aldehyde,yellow pigment isolated from cottonseed oil Produces its effect by inhibiting spermatogenesis, decreasing epididymal sperm motility, and affecting the conversion of proacrosin to acrosin. It is administered orally 10-20 mg daily for 3 months and thereafter 20 mg twice weekly. ... | train | med_mcqa | null |
Digoxin toxicity produce all of the changes in ECG except | [
"Inveed T waves",
"Prolonged QT interval",
"ST depression",
"Prolonged PR interval"
] | B | In digoxin toxicity, the finding of frequent premature ventricular beats (PVCs) is the most common and the earliest dysrhythmia. Sinus bradycardia is also very common. In addition, depressed conduction is a predominant feature of digoxin toxicity. Other ECG changes that suggest digoxin toxicity include bigeminal and tr... | train | med_mcqa | null |
In cotrimoxazole, sulphamethoxazole and trimethoprim are in the ratio of- | [
"2:01",
"1:01",
"5:01",
"1:05"
] | C | Ans. is 'c' i.e., 5 : 1 o Optimal synergy in case of most organism is exhibited at a concentration ratio of Sulphamethoxazole 20: Trimethoprim 1 (This ratio is obtained in plasma when two are given in a dose ratio of 5:1). | train | med_mcqa | null |
All of the following are characteristic features of Kwashiorkar, except - | [
"High blood osmolarity",
"Hypoalbuminemia",
"Edema",
"Fatty liver"
] | A | Ans. is 'a' i.e., High blood osmolarity | train | med_mcqa | null |
Congenital long QT syndrome is associated with neonatal - | [
"Sinus bradycardia",
"Sinus tachycardia",
"Supra ventricular tachycardia",
"Ventricular tachycardia"
] | A | Many people with long QT syndrome have no signs or symptoms. Symptoms that do occur are generally caused by abnormal hea rhythms or arrhythmias, most commonly a form of ventricular tachycardia called Torsades de pointes. If the arrhythmia reves to a normal rhythm by itself then the affected person may experience a fain... | train | med_mcqa | null |
Valvoplasty is done in following except | [
"PS",
"MS",
"AS",
"Coarctation of aoa"
] | D | A valvuloplasty, also known as balloon valvuloplasty or balloon valvotomy, is a procedure to repair a hea valve that has a narrowed opening. In this valve condition, the valve flaps (leaflets) may become thick or stiff, and they may fuse together (stenosis). This causes the valve opening to be narrowed and results in r... | train | med_mcqa | null |
In a 29 day menstrual cycle ovulation takes place at: | [
"14th day",
"15th day",
"16th day",
"17th day"
] | B | If the menstrual cycle is 29 days long, ovulation takes place on 15th day. Date of ovulation is calculated by substracting 14 days from the duration of menstrual cycle. A surge in LH secretion triggers ovulation, and ovulation normally occurs about 9 hours after the peak of the LH surge at midcycle. The follicle that r... | train | med_mcqa | null |
Drug used in irritable bowel syndrome with constipation is: | [
"Lubiprostone",
"Loperamide",
"Alosetron",
"Clonidine"
] | A | Ans. (A) Lubiprostone(Ref: Katzung 11/e p1080)Lubiprostone acts by stimulating Cl- channel opening in the intestine, increasing liquid secretion in gut and decreasing transit time, therefore used for chronic constipation. It has also been approved for constipation dominant irritable bowel syndrome in women. | train | med_mcqa | null |
All of the following antiretroviral drugs produce dyslipidemia except: | [
"Atazanavir",
"Saquinavir",
"Amprenavir",
"Nelfinavir"
] | A | Atazanavir:This PI is administerd along with light meal which improves absorption,while acid suppressant drugs decrease absorption.ATV is metabolised by CYP3A4,which is also moderately inhibited by it.Dyslipidemia and other metabolic complications are minimal,but jaundice occurs in some due to inhibition of hepatic glu... | train | med_mcqa | null |
Not a social Evil | [
"Smoking",
"Crime",
"Poverty",
"Prostitution"
] | C | null | train | med_mcqa | null |
Which of the following test is useful in diagnosis of congenital dislocation of hip ? | [
"Barlow's test",
"Thomas test",
"Hibb's test",
"Laguerres test"
] | A | Barlow&;s test : Clinical test in DDH Test has two pas . 1st pa - surgeon faces child&;s perineum .He grasps the upper pa of each thigh , with his fingers behind on the greater trochanter and thumb in front.The child&;s knee are fully flexed and hips flexed to a right angle .The hip is now gently adducted ,gentle press... | train | med_mcqa | null |
Spider-leg sign on IVP is suggestive of: March 2010 | [
"Pyelonephritis",
"Renal aery stenosis",
"Polycystic kidney disease",
"Bilateral hydronephrosis"
] | C | Ans. C: Polycystic kidney disease Polycystic Kidneys Bilateral renal swelling in a man with or without dragging pain in the loin Hematuria Uremia Urine: Low specific gravity with albumin and a few casts IVP: Attenuated and elongated (spider leg) calyces with terminal clubbing or cupping. | train | med_mcqa | null |
Which of the following is the most reliable method of identification of an individual? | [
"Scars",
"Anthropometry",
"Dactylography",
"Handwriting"
] | C | Dactylography - The finger print system is the most reliable method of identification of an individual. Fingerprints are impressions of pattern formed by papillary or epidermal ridges of the finger prints. The ridge pattern of fingers appear between 12 -16 weeks of intrauterine life and the formation is completed by 24... | train | med_mcqa | null |
The following are precursors of endometrial carcinoma except: | [
"Atypical adenomatous hyperplasia",
"Atrophic endometrium",
"Adenocarcinoma in situ",
"Cystic hyperplasia"
] | B | Premaliginant Lesions of Endometrium are:-
Simple hyperplasia: Endometrium is thick. The glands are dilated and have outpouching and inva-ginations. They are crowded and have irregular outlines. The stroma is more dense and cellular.
Complex hyperplasia: Endometrium is thicker. The gland are crowded and arranged back t... | train | med_mcqa | null |
The formula denotes - | [
"Sensitivity",
"Specificity",
"PPV-Positive Predictive Value",
"NPV-Negative Predictive Value"
] | B | null | train | med_mcqa | null |
Most common cause of Congenital hypothyroidism is | [
"Thyroid agenesis",
"Thyroid dysharmonogenesis",
"Thyroid dysgensis",
"Iodine deficiency"
] | C | Most common cause of congenital hypothyroidism is thyroid dygenesis > thyroid dysharmonogenesis. | train | med_mcqa | null |
Persistence of Moro's reflex is abnormal beyond the age of – | [
"3rd month",
"4th month",
"5th month",
"6th month"
] | D | "In a normal infant, the Moro's reflex begins to fade at three months of age and gradually disappears at 4-6 months.
When it persists beyond 6 months it indicates a delay in CNS development." ---------- Tachdjian
"Moro's reflex disappears by six months in a normal infant." ------------ Ghai | train | med_mcqa | null |
How would diagnosis of Agoraphobia be made? | [
"Patient has panic attack when left alone",
"Patient will have fear if she is in open space",
"She would be able to get into lift alone",
"She complaints of Insomnia"
] | B | (B) Patient will have fear if she is in open space # AGORAPHOBIA is an anxiety disorder which primarily consists of the fear of certain settings that may present unexpected challenges or demands. These include parking lots, shopping malls or restaurants. Social consequences of having a panic attack or losing control in... | train | med_mcqa | null |
The following antiarrhythmic drug has the most prominent anticholinergic action | [
"Quinidine",
"Lignocaine",
"Disopyramide",
"Procainamide"
] | C | Disopyramide It is a quinidine like Class IA drug that has prominent cardiac depressant and anticholinergic actions, but no a adrenergic blocking propey. Disopyramide usually has no effect on sinus rate because of opposing direct depressant and antivagal actions. Ref:- kd tripathi; pg num:-530 | train | med_mcqa | null |
|An 18-year-old female gymnast is admitted to the hospital with pelvic pain. Physical examination reveals that the patient has a history of primary amenorrhea and an imperforate hymen. Which of the following is the most likely explanation for this condition? | [
"Failure of the vaginal plate to canalize",
"Cervical atresia",
"Patent processus vaginalis",
"Androgen insensitivity syndrome"
] | A | The vaginal plate, which arises from the sinovaginal bulbs, undergoes canalization during embryonic development. Failure of canalization results in a persistent vaginal plate and thus imperforate hymen. The hymen is a fold of mucous membrane that covers the opening of the vaginal canal. It is often torn early in life. ... | train | med_mcqa | null |
Which one of the following antiplatelet is a prodrug | [
"Aspirin",
"Dipyridamole",
"Ticlopidine",
"Abciximab"
] | C | Ans. is 'c' i.e., Ticlopidine Ticlopidine is a prodrug that requires conversion to the active thiol metabolite by a hepatic cytochrome P450 enzyme. | train | med_mcqa | null |
Test discovered by this scientist is a type of | [
"Slide agglutination test",
"Tube agglutination test",
"CFT",
"Ring precipitation test"
] | B | WIDAL Fernand Isidore discovered widal test. | train | med_mcqa | null |
Interstitial keratitis is seen in all except: | [
"Syphilis",
"Acanthamoeba",
"Chlamydia trachomatis",
"HSV"
] | B | Ans. Acanthamoeba | train | med_mcqa | null |
Most common microdeletion syndrome is? | [
"WAGR syndrome",
"VCF syndrome",
"Prader villi syndrome",
"Angelmann syndrome"
] | B | ANSWER: (B) VCF syndromeREF: Harrison's 18th ed ch: 62The term contiguous gene syndrome refers to genetic disorders that mimic a combination of single-gene disorders. They result from the deletion of a small number of tightly clustered genes. Because some are too small to be detected cytogenetically, they are termed mi... | train | med_mcqa | null |
Elective dental extractions on a patient who has had a myocardial infarct two months prior are best: | [
"Performed under oral valcum sedation",
"Performed using an epinephrine free local anesthetic",
"Performed using both of the above",
"Postponed until at least six months have elapsed"
] | D | null | train | med_mcqa | null |
A 25-year old patient with a history of recent respiratory tract infection complains of severe chest pain at rest. The ECG of the patient is given. The most probable diagnosis of the patient is? | [
"Acute MI",
"Prinzmetal angina",
"Takotsubo cardiomyopathy",
"Acute pericarditis"
] | D | The history points to a recent viral infection that could contribute to the development of pericarditis. Acute Pericarditis -Most common cause of pericarditis is idiopathic or viral. -ECG findings: Hea rate= 75 bpm Axis= normal PR interval= 0.16 sec QRS= 0.08 sec QT= 400 msec Uniform ST segment elevation - Concave upwa... | train | med_mcqa | null |
Which amongst the following statements are true regarding Acute Fatty liver of Pregnancy? | [
"Occurs due to LCHAD deficiency (long-chain hydroxyl acyl coenzyme A dehydrogenase)",
"Macrovascular steatosis with peripoal sparing",
"Increase in fibrinogen, ammonia and SGOT",
"Most of the cases are asymptomatic"
] | A | Acute Fatty liver of Pregnancy = Acute Metamorphosis = Acute yellow Atrophy Abnormal fatty acid oxidation LCHAD deficiency present in foetus.(long-chain hydroxyl acyl coenzyme A dehydrogenase) Microvascular steatosis with peripoal sparing Greasy soft yellow liver Complications--hypoglycaemia, hepatic encephalopathy, co... | train | med_mcqa | null |
An autopsy is performed on an 8-year old child with diabetes mellitus of recent onset who has died en route to the hospital following an automobile accident. Which of the following autopsy findings would or the diagnosis of type 1 diabetes as contrasted to type 2 diabetes? | [
"Amylin deposition in pancreatic islets",
"Armanni-Ebstein lesion",
"Insulitis",
"Kimmelstiel-Wilson nodules"
] | C | - All the findings listed in options are characteristic to both types of diabetes mellitus except insulitis which is specific for type 1 diabetes. - Amylin deposition in pancreatic islets, derived from insulin-associated polypeptide, is found especially in type 2 diabetes mellitus. - Armanni-Ebstein lesions (deposition... | train | med_mcqa | null |
Which of these is not a premalignant lesion of lesion: March 2011 | [
"Esophageal web",
"Barrett's esophagus",
"Hiatus hernia",
"Achalasia"
] | C | Ans. C: Hiatus hernia Esophageal web is included in Plummer-Vinson syndrome. Some patient may have oropharyngeal leukoplakia, and this may account for an alleged increased risk of developing hypopharyngeal cancer Barrett's esophagus makes their first appearance with a symptomatic and therefore usually locally advanced ... | train | med_mcqa | null |
True about MRI are all except | [
"Not helpful in a breast implant",
"Not good for calcified lesions",
"No radiation exposure",
"Contraindicated in cardiac pacemaker"
] | A | "MRI should be used (with mammography and ultrasound) to investigate any nodular change near a breast implant to determine whether it is caused by a tumor or by silicon leak" | train | med_mcqa | null |
Which of the following nerve injury gives positive Trendelenburg test? | [
"Obturator",
"Sciatic",
"Superior Gluteal",
"Inferior Gluteal"
] | C | When a person who has suffered a lesion of the superior gluteal nerve is asked to stand on one leg, the pelvis on the unsuppoed side descends, indicating that the gluteus medius and minimus on the suppoed side are weak or non-functional. This sign is referred to positive Trendelenburg test. Other causes of positive Tre... | train | med_mcqa | null |
Most common location of MALT (Mucosa Associated Lymphoid Tissue): | [
"Stomach",
"Duodenum",
"Jejunum",
"Ileum"
] | D | Ans. d. Ileum | train | med_mcqa | null |
True about thermal burn injury | [
"Outermost layer is zone of stasis",
"Middle layer is zone of hypermia",
"Inner layer is zone of coagulation",
"Hypermia is due to vasodilation"
] | C | Outermost area is zone of hyperaemia and Middle layer is zone of stasis and Innermost layer is the zone of coagulation according to JACKSON'S burn zones. ref:SRB;s manual of surgery,ed 5,pg no 130 | train | med_mcqa | null |
Post moem staining in case of "CO" poisoning is: | [
"Blue",
"Brown",
"Bright red",
"Cherry red"
] | D | Cherry red | train | med_mcqa | null |
Increase in false positive cases in a community is due to: | [
"High specificity",
"High sensitivity",
"High prevalence",
"Low prevalence"
] | D | Low prevalence Repeat from May 10 | train | med_mcqa | null |
Which of the following condition is an indication for Chrysotherapy? | [
"Rheumatoid ahritis",
"Ankylosing spondylitis",
"Behcet's syndrome",
"Osteoahritis"
] | A | Chrysotherapy refers to the treatment of rheumatoid ahritis with gold based drugs. Toxicities associated with its use are skin rash, bone marrow supression and proteinuria. Drugs included under the conventional DMARD group of medications are methotrexate, sulfsalazine, gold, antimalarials, leflunomide, azathioprine, pe... | train | med_mcqa | null |
Most common cause for complication of blood transfusion is? | [
"Human error",
"Anaphylaxis",
"GVHD",
"Presensitisation"
] | A | Ans. is 'a' i.e., Human error The most common cause resulting in complications from blood transfusion is human error Acute hemolytic reaction resulting from ABO incompatibility is the most serious complication of blood transfusion. | train | med_mcqa | null |
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