question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
values | rationale stringlengths 0 22.5k ⌀ | split stringclasses 1
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|---|---|---|---|---|---|---|
A patient presents with single hypopigmented anaesthetic patch with satellite lesion on forearm. The most likely diagnosis is | [
"Indeterminate leprosy",
"Neuritic leprosy",
"Lepromatous leprosy",
"Tuberculoid leprosy"
] | D | Ref:- Sima Jain; pg num:-222 | train | med_mcqa | null |
In neonatal cholestasis, if the serum gamma glutamyl transpeptidase (GGT) is more than 600 IU/L, the most likely diagnosis is: | [
"Neonatal hepatitis",
"Choledochal cyst",
"Sclerosing cholangitis",
"Biliary atresia"
] | D | 3 Enzymes reflect cholestasis: Alkaline phosphatase, 5'nucleotidase & Gamma glutamyl transpeptidase. About GGT in Cholestasis: (Normal value of GGT is 5-40 IU/L) "GGT levels are commonly elevated to values more than 10 times normal in biliary atresia while in hepatic causes it is raised to about three times normal" Val... | train | med_mcqa | null |
Method of autopsy in which various systems organs are removed en masse: NEET 14 | [
"Rokitansky",
"Virchow",
"Ghon",
"Lettulle"
] | D | Ans. Lettulle | train | med_mcqa | null |
In wiskott - Aldrich syndrome true is | [
"Raised IgE",
"Raised IgM",
"Reduced IgA",
"CD4 and CD8 defect"
] | A | null | train | med_mcqa | null |
Tumour most sensitive to radiotherapy is | [
"Osteogenic sarcoma",
"Ewing's sarcoma",
"Multiple myeloma",
"Osteoclastoma"
] | B | EWING'S SARCOMA: This is highly malignant tumour occurring between the age of 10-20 years, sometimes up to 30 years. This is a highly radiosensitive tumour, melts quickly but recurs. In most cases, distant metastasis has occurred by the time diagnosis is made. Treatment consists of control of local tumour by radiothera... | train | med_mcqa | null |
A patient on ATT develops tinnitus and hearing loss due to? | [
"Isoniazis",
"Pyrazinamide",
"Streptomycin",
"Rifampicin"
] | C | Ans. (c) StreptomycinRef: Dhingra 4thed p. 39 | train | med_mcqa | null |
Mouse-nibbled vocal cord is seen in ? | [
"TB",
"Leprosy",
"Laryngeal papilloma",
"Epiglottitis"
] | A | Tubercular laryngitis Tubercular laryngitis is almost always secondary to pulmonary lesions, mostly affecting males in middle age (20-40 years). Disease affects the posterior third of larynx more commonly than anterior pa. The pas affected in descending order of frequency are :- i) Interarytenoid fold, ii) Ventricular ... | train | med_mcqa | null |
Mutations are due to changes in: | [
"DNA nucleotide sequence",
"RNA nucleotide sequence",
"Amino acid sequence of ribonuclease",
"Cell walls"
] | A | null | train | med_mcqa | null |
All are true about ANCA associated crescentic glomerulonephritis, except - | [
"Seen in Wegner's granulomatosis",
"Seen in microscopic polyangitis",
"Seen in Henoch Schonlein purpura",
"Is pauci-immue in nature"
] | C | Antineutrophil Cytoplasmic Antibodies(ANCA) Antineutrophil cytoplasmic antibodies (ANCAs) are a heterogeneous group of autoantibodies directed against ceain proteins (mainly enzymes) in the cytoplasmic granules of neutrophils and monocytes. Two impoant ANCAs are: Anti-Myeloperoxidase (MPO-ANCA): MPO is a lysosomal enzy... | train | med_mcqa | null |
Cardiovascular causes of digital clubbing include all of the following Except: | [
"Infective Endocarditis",
"Aeriovenous Fistulos",
"Tricuspid Atresia",
"Aoic Dissection"
] | D | Answer is D (Aoic Dissection) Aoic Dissection is not a known cause for digital clubbing: Digital clubbing results from long standing conditions that take months to develop. It is not associated with acute event like aoic dissection Cardiovascular causes of Digital clubbing (Ultra medicine (2005)/285) Subacute Bacterial... | train | med_mcqa | null |
Xavier and yogender stayed in the same hostel of the same university. Xavier develops an infection due to group B meningococcus. After few days yogender develops an infection due to Group C meningococcus. All of the following are true statements except | [
"Educate students about meningococcal transmission and take preventive measures",
"Chemoprophylaxis to all againts both group B and group C",
"Vaccine prophylaxis of contacts of xavier",
"Vaccine prophylaxis of contacts of yogendra"
] | C | Monovalent and polyvalent vaccines containing the capsular polysaccharides of groups A, C, W-135 and Y are available. The vaccine induces good immunity after a single dose in older children and adults but is of little value in children below 2 years of age as the polysaccharide antigen is T-cell independent. Immunity i... | train | med_mcqa | null |
Which of the following is the preferred local
anesthetic technique for hemophiliacs? | [
"Nerve block",
"Supraperiosteal",
"Intraligamentary",
"Field block"
] | C | null | train | med_mcqa | null |
Dull, boring, gnawing type of pain is due to excitation of: | [
"C fibres.",
"A delta fibres.",
"Both.",
"None."
] | A | Dull, boring, gnawing, and excruciating. This kind of painful response is consistent with those resulting from excitation and slower rate of transmission of the "C" nerve fibers in the pulp | train | med_mcqa | null |
If the hemoglobin is saturated with carbon monoxide, the hypoxia involved will be: March 2007 | [
"Hypoxic hypoxia",
"Stagnant hypoxia",
"Anaemic hypoxia",
"Histotoxic hypoxia"
] | C | Ans. C: Anaemic hypoxia When carbon monoxide is inhaled, it takes the place of oxygen in hemoglobin Levels of carbon monoxide bound in the blood can be determined by measuring carboxyhemoglobin, which is a stable complex of carbon monoxide and hemoglobin. The affinity between carbon monoxide and hemoglobin is 240 times... | train | med_mcqa | null |
Daily depressed mood for minimum ________ weeks is must to classify someone as suffering from major depression disease - | [
"1",
"2",
"3",
"4"
] | B | Symptoms of depression should be present for at least 2 weeks. | train | med_mcqa | null |
X - ray given below suggests | [
"Normal x-ray",
"Miliary TB",
"Hydropneumothorax",
"Interstitial lung disease"
] | B | Millet shaped opacitres seen s/o miliary tb. | train | med_mcqa | null |
In shigella dysentry associated hemolytic uremic syndrome, the false statement is ? | [
"Leucocytosis",
"Neurological abnormalities",
"Hepatic failure",
"Thrombotic angiopathy"
] | C | Ans. is 'c' i.e., Hepatic failure o Hepatic failure does not occur in HUS. Laboratory findings of HUS o Thrombocytopenia o Leukocytosis o ARF r BUN and creatinine with oliguria o Microscopic hematuria o Peripheral smear Helmet cells, burr cells, fragmental RBCs (Schistocytes). o Proteinuria o Hemoglobinuria with hemosi... | train | med_mcqa | null |
Total ATP generated per turn of TCA cycle is? | [
"7.5",
"10",
"15",
"20"
] | B | null | train | med_mcqa | null |
Most common gall bladder stone is? | [
"Pigment",
"Cholesterol",
"Oxalate",
"Oxalate"
] | B | Cholesterol REF: Harrison's 17th ed chapter 305 Gallstones are formed because of abnormal bile constituents. They are divided into two major types: Cholesterol stones account for 80% of the total, with pigment stones comprising the remaining 20%. Cholesterol gallstones usually contain >50% cholesterol monohydrate plus ... | train | med_mcqa | null |
Defective proteins are degraded after attaching covalently to- | [
"Pepsin",
"Laminin",
"Clathrin",
"Ubiquitin"
] | D | The Ubiquitin-Proteasome Pathway (UPP) is the main & highly regulated mechanism for protein degradation. UBIQUITIN It is present in the cytoplasm and nucleus. Ubiquitin protein is highly conserved, small, globular, non-enzymic protein and is recycled which is used to degrade damaged or sho-lived or misfolded proteins. ... | train | med_mcqa | null |
A patient presented with multiple vesicles over the body with fish net like IgG deposition in the epidermis. Most likely diagnosis is – | [
"Pemphigus vulgaris",
"Pemphigus folliaceous",
"Dermatitis herpetiformis",
"Bullous pemphigoid"
] | A | null | train | med_mcqa | null |
In grand rapid survey (1945) of water fluoridation, which city was used as control? | [
"Kingston",
"Muskegon",
"Oakpark",
"Evanston"
] | B | null | train | med_mcqa | null |
Heparin is the commonly used anticoagulant in cardiac surgery. All of the following are true about heparin except | [
"Weakest acid found in living beings",
"Most commercial preparations of heparin are derived from pig intestine",
"Acts antithrombin activation",
"Produce thrombocytopenia"
] | A | Refer KDT 6/e p 597 Heparin is the strongest organic acid found in human being It acts by activating AT-3 that inhibits factor CA and 2a Most commercial preparations of heparin are derived from ox lung and pig intestine | train | med_mcqa | null |
All are true about chaperones except ? | [
"Cause folding of proteins",
"Are lipid in nature",
"May have ATPase activity",
"Include heat shock proteins"
] | B | Ans. is 'b' i.e., Are lipid in nature Chaperones are proteins (not lipid). Chaperones Ceain proteins play a role in the assembly or proper folding of other proteins without themselves being components of the latter. Such proteins are called molecular chaperones. Most chaperones exhibit ATPase activity and bind ADP and ... | train | med_mcqa | null |
Pulp therapy which sweet name associated with | [
"Formocresol pulpotomy",
"Beech wood cresol pulpotomy",
"Non vital pulpotomy",
"Pulpectomy"
] | A | null | train | med_mcqa | null |
Owl eye inclusion bodies are seen in? | [
"HSV",
"CMV",
"EBV",
"Hepatitis B"
] | B | Ans. (b) CMV(Ref: Robbins 9th/pg 1266)Enlarged cells (cytomegaly) with intranuclear and intra- cytoplasmic inclusions are seen with cytomegalovirus infection. QThe intra nuclear inclusions appear like owl's eye inclusions in stained tissue sections | train | med_mcqa | null |
A young patient presents with jaundice. Total bilirubin is 21, direct is 9.6, alk phos is 84 KA units. Diagnosis is - | [
"Hemolytic jaundice",
"Viral hepatitis",
"Chronic active hepatitis",
"Obstructive jaundice"
] | D | null | train | med_mcqa | null |
A 28-year-old man complains of nasal obstruction, bloody nose, cough, and bloody sputum. A chest X-ray displays cavitated lesions and multiple nodules within both lung fields. Urinalysis reveals 3+ hematuria and red blood cell casts. Laboratory studies show anemia and elevated serum levels of C-ANCA (antineutrophil cyt... | [
"Chronic nephritic syndrome",
"Nephrotic syndrome",
"Rapidly progressive glomerulonephritis",
"Type I membranoproliferative glomerulonephritis"
] | C | Focal necrotizing glomerulonephritis is one of the early features of Wegener granulomatosis. The pathogenesis of this renal disease is not known, but it is thought to be immune mediated because most patients have antibodies to neutrophils (ANCA). These autoantibodies activate neutrophils and cause them to adhere to end... | train | med_mcqa | null |
You are a surgeon posted at CHC. A patient of head injury comes to you with rapidly deteriorating sensorium and progressive dilatation and fixation of pupil. Neurosurgeon and CT scan is not available. You decide to make a burr hole to emergently relieve the intracranial pressure. Which of the following sites will you c... | [
"In the temporal region contralateral to the side of pupillary dilatation",
"In the midline if both pupils are equal or it is not known which side dilated first",
"In the left temporal region if no localizing sign is found",
"Refer to higher centre if both pupils are equal or it is not known which side dilate... | C | Ans. c. In the left temporal region if no localizing sign is found Burr hole to emergently relieve the intracranial pressure should be done in the left temporal region if no localizing sign is found, to evaluate and decompress the dominant hemisphere Choice of side for Initial Burr Hole Sta with a temporal burr hole on... | train | med_mcqa | null |
Rotavirus is detected by - | [
"Antigen in stool",
"Antibody in serum",
"Deminstration of virus",
"Stool culture"
] | A | rota virus is detected by antigen in stool by ELISA,CF REF:ANATHANARAYANAN MICROBIOLOGY NINTH EDITION PAGE.561 | train | med_mcqa | null |
All of the following are TRUE about ASO titre, EXCEPT: | [
"ASO can be increased in school children",
"May be negative in post streptococcal glomerulonephritis",
"ASO titre included in major criteria in jones criteria",
"May not be elevated in 20% cases of carditis"
] | C | The antistreptolysin O (ASO) titer is the most commonly used streptococcal antibody test to establish a recent streptococcal infection. It is not a major criteria but, suppoing evidence of antecedent group A streptococcal infection. An ASO titer of 240 Todd units or higher in adults or 320 Todd units or higher in child... | train | med_mcqa | null |
Which of the following conditions is not considered
as premalignant | [
"Erosive lichen planus",
"Syphilitic glossitis",
"Leukoedema",
"Leukoplakia"
] | C | null | train | med_mcqa | null |
BRCA-1 gene is located at chromosome location? | [
"17 p21",
"17 q21",
"13 p21",
"13 q21"
] | B | Ans. is 'b' i.e., 17 q21 | train | med_mcqa | null |
Graft for myringoplasty | [
"Temporalis fascia",
"Iliacus fascia",
"Coles fascia",
"I hotibial band"
] | A | Ans. is 'a' i.e., Temporalis fascia Graft material used for myringoplasty are : Temporalis fascia (most common) Tragal cailage Perichondrium from the tragus Vein | train | med_mcqa | null |
Aseptate hyphae is not seen in - | [
"Rhizopus",
"Mucor",
"Aspergillus",
"None"
] | C | Non-septate (aseptate) hyphae → Rhizopus, mucor.
Septate hyphae → Aspergillus. | train | med_mcqa | null |
The patch test is read after | [
"2 hours",
"2 days",
"2 months",
"2 weeks"
] | B | The patch test is read after 48 to 72 hrs and then again after a week. It is read at 20 mins to see any immediate reaction Ref: Harrison 20th edition pg 1256 | train | med_mcqa | null |
Nissl's substance is mainly | [
"Histone",
"Ribosomes",
"DNA",
"Ribonucleoprotein"
] | D | Nissl Substance - The cytoplasm shows the presence of a granular material that stains intensely with basic dyes; this material is the Nissl substance (also called Nissl bodies or granules). When examined by EM, these bodies are seen to be composed of rough surfaced endoplasmic reticulum. The presence of abundant granul... | train | med_mcqa | null |
ACTH level is higher during: | [
"Early morning",
"Evening",
"Afternoon",
"Night"
] | A | Ans. (a) Early morning(Ref: Ganong, 25th ed/p.366)ACTH and cortisol secretion is pulsatile with a characteristic circadian rhythm. It is high in the early morning and low in the evening75% of the daily production of ACTH & cortisol occurs between 4:00 AM and 10:00 AM | train | med_mcqa | null |
Flea bitten appearance of stomach mucosa is seen in: | [
"Arsenic poisoning",
"Sulphuric acid poisoing",
"Phosphorus poisoning",
"Viper snake bite"
] | A | PM findings of acute arsenic poisoning : 1. Gastrointestinal congestion is a feature in acute arsenic poisoning and varies from reddening of mucosa (red velvet) to frank haemorrhagic gastritis. 2. Focal haemorrhages giving rise to flea bitten appearance is said to be characteristic. 3. Intestines may be inflamed and ma... | train | med_mcqa | null |
Specific poison for succinate dehydrogenase is ? | [
"Cyanide",
"Malonate",
"Arsenite",
"Fluoride"
] | B | B i.e. Malonate | train | med_mcqa | null |
Black gun powder composition - | [
"Carcoal 60% + Potassium nitrate 20% + sulphur 20%",
"Charcoal 25% + Potassium nitrate 70% + sulphur 05%",
"Charcoal 15% + Potassium nitrate 75% + sulphur 10%",
"Charcoal 65% + Potassium nitrate 20% + sulphur 15%"
] | C | The synopsis of forensic medicine & toxicology ; Dr k.s narayan reddy ; 28th edition ; Pg.no. 125 Fine grains travel 60cm or more ,one gram of powder produces 3,000-4,500c.c of gas | train | med_mcqa | null |
Splenectomy is not done in - | [
"Myelofibrosis",
"Sickle cell anemia",
"Hereditary spherocytosis",
"None"
] | D | Ans. is None Splenectomy is indicated in all, absolutely in Hereditary spherocytosis and almost absolutely in splenic abscess. Still, if we have to choose one option, we will go for - sickle cell anemia. In it, splenectomy is rarely indicated. Also remember Most common indication for splenectomy ---> splenic trauma Mos... | train | med_mcqa | null |
Contraindication for laparoscopic Cholecystectomy is? | [
"Coagulopathy",
"Obstructive pulmonary disease",
"End-stage liver disease",
"All above"
] | D | Contraindications to laparoscopic cholecystectomy include Coagulopathy Severe chronic obstructive pulmonary disease End-stage liver disease Congestive heart failure Currently,
the major contraindication to completing a laparoscopic cholecystectomy is inability to clearly identify all of the anatomic structures | train | med_mcqa | null |
Splenic rupture is most common in infection with- | [
"P. vivax",
"P ovale",
"P. malariae",
"P. falciparum"
] | D | Ans. is 'd' i.e., P. falciparum . Involvement of spleen is most common with falciparum malaria. | train | med_mcqa | null |
Apple core appearance on barium enema is seen in? | [
"Carcinoma Colon",
"TB caecum",
"Crohns disease",
"Ulcerative colitis"
] | A | Ans. (a) Carcinoma ColonRef: Bailey 26th ed. 170* On double contrast barium enema of the rectum and distal sigmoid colon demonstrates a typical annular constricting carcinoma of the colon with overhanging edges on both the proximal and distal margins forming a so called "apple-core" lesion. | train | med_mcqa | null |
Enzyme deficiency in Pompe's disease? | [
"Glycogen synthase",
"Liver debranching enzyme",
"Acid maltase",
"Muscle phosphorylase"
] | C | Type Name Enzyme Deficiency Clinical Features II Pompe disease Lysosomal a1 - 4 and a1 - 6 glucosidase (acid maltase) Accumulation of glycogen in lysosomes: juvenile onset variant, Muscle hypotonia, Death from hea failure by age 2 Adult-onset variant, muscle dystrophy Reference: Harper; 30th edition; Table: 18-2; Page ... | train | med_mcqa | null |
Which of the following workers is located at as sub-centre? | [
"Anganwadi worker",
"Multi - purpose worker",
"ASHA",
"Health assistant"
] | B | Multi - purpose worker is located at: Sub - centre Anganwadi worker is located at: Village level or Urban slums ASHA is located at : Village level Health assistant is located at: PHC. | train | med_mcqa | null |
Which of the following contains long spaced collagen? | [
"Diaphragm",
"Cornea",
"Basement membrane",
"Tympanic membrane"
] | B | Ans. (b) CorneaRef: Cornea by Mannis, 4/e, p. 897Seen in a number of corneal pathologies like Fuch dystrophy, PPMD, Scheie syndrome, etc. | train | med_mcqa | null |
True about head circumference measurement - | [
"Measured in supra-orbital ridge",
"Measured hydrocephalus/microcephaly",
"Serial measurement is useful",
"All"
] | D | Ans. is All Options 'a' o Head circumference is measured from the occipital protuberance to the supraorbital ridge on the forehead. Option `b' o If the head circumference growth exceeds 1 cm in 2 weeks during the first 3 months, hydrocephalus should be suspected. o In microcephally head circumference is two standard de... | train | med_mcqa | null |
Earliest change in iron deficiency anaemia is | [
"Decreased serum iron",
"Decreased serum ferritin",
"Decreased TIBC",
"Decreased hemoglobin"
] | B | Ferritin is a blood cell protein that contains iron. A ferritin test helps your doctor understand how much iron your body is storing. If a ferritin test reveals that your blood ferritin level is lower than normal, it indicates your body's iron stores are low and you have iron deficiency Ref:guyton and hall textbook of ... | train | med_mcqa | null |
Which of the following cause tropical spastic paraplegia - | [
"EBV",
"CMV",
"HTLV-I",
"HSV"
] | C | HTLV-I was isolated in 1980 from a T cell lymphoma cell line from a patient originally thought to have cutaneous T cell lymphoma. Serologic data have determined that HTLV-I is the cause of at least two impoant diseases: Adult T cell leukemia/ lymphomaATL and tropical spastic paraparesis, also called HTLV-I-associated m... | train | med_mcqa | null |
Which of the following statement is true regarding inguinal hernia: | [
"Pain could indicate obstruction",
"Direct inguinal hernia is more common in children",
"Spigelian hernia occur through rectus sheath",
"Inguinal hernia is more common on left side"
] | A | "Spigelian hernia is a type of interparietal hernia occurring at the level of the arcuate line just lateral to the rectus muscles" "Obstructed hernia: The symptoms (colicky abdominal pain & tenderness over hernia site) are less severe and the onset is more gradual than in strangulated hernia" "Both inguinal and femoral... | train | med_mcqa | null |
Destruction of Heinz bodies in spleen is performed by? | [
"Macrophages",
"Lymphocytes",
"Neutrophills",
"Fibroblasts"
] | A | Ans. is 'a' i.e., Macrophages Heinz bodies* Heinz bodies are formed by damage and denaturing to the hemoglobin component of red blood cells, most commonly by oxidative stress, rarely by genetic abnormalities in hemoglobin.* The oxidative stress denatures portions of the hemoglobin, causing the hemoglobin to precipitate... | train | med_mcqa | null |
A 70-year-old man with a history of emphysema and progressive dyspnea is admitted with mild hemoptysis. On exam, he is afebrile; he has a left-sided chest wall scar from a previous thoracotomy with decreased breath sounds in the left lung field. There are wheezes and rhonchi heard in the right lung field. The CXR is sh... | [
"Left lung atelectasis with mucus plug",
"Metastatic lung disease from lung primary",
"Multiple pulmonary infarcts",
"Septic emboli"
] | B | This chest x-ray shows opacification of the left lung field with surgical rib changes and clips seen near the left main stem secondary to a left pneumonectomy. Multiple nodular opacities of varying sizes are seen in the right lung field. These changes are characteristic of metastatic disease. With the history of a left... | train | med_mcqa | null |
A 28 years old man has anterior lenticonus and ESRD now. His maternal uncle also died of similar illness. Diagnosis is: | [
"ARPKD",
"ADPKD",
"Oxalosis",
"Alport's syndrome"
] | D | Ans. d. Alport's syndrome (Ref: Harrison 19/e p2513, 18/e p2351)The given clinical picture is typical of Alport's syndrome, which is characterized by triad of hereditary nephritis (ESRD), sensorineural deafness and ocular abnormalities (anterior lenticonus).Alport's Syndrome (Characterized by triad of)Hereditary Nephri... | train | med_mcqa | null |
The 9 month old child of a diabetic mother presents with tachypnea and hepatomegaly. Echocardiography of the hea showed normal cardiac morphology with asymmetric septal hyperophy. Which of the following you will give to treat this child : | [
"Digoxin",
"Frusemide",
"Propranolol",
"Isoptin"
] | C | Answer is C (Propranolol) The symptoms of the patient and echocardiographic finding of asymmetrical septal hyperophy almost confirms the diagnosis of Hyperophic cardiomyopathy. Beta Blockers should be the initial drug Q in symptomatic individuals Management of HOCM Avoidance of strenuous physical activity Beta Blockers... | train | med_mcqa | null |
In acute pulmonary embolism the most frequent ECG finding is | [
"S1Q3T3 pattern",
"P.pulmonale",
"Sinus tachycardia",
"Right Axis detion"
] | C | The ECG is often normal but is useful in excluding other impoant differential diagnoses, such as acute myocardial infarction and pericarditis. The most common findings in PE include sinus tachycardia and anterior T-wave inversion but these are non-specific; larger emboli may cause right hea strain revealed by an S1Q3T3... | train | med_mcqa | null |
A 50-year-old patient complains of dizziness and palpitations. ECG shows? | [
"Bradycardia-tachycardia syndrome",
"Mobitz I block",
"Mobitz II block",
"Complete heart block"
] | A | Ans. (a) Bradycardia-tachycardia syndrome.ECG shows runs of tachycardia interspersed with long sinus pauses.The sinus rate is slow to level that it looks like an arrest.Sinus beats are followed by paroxysms of junctional tachycardia at 140 bpmNone of the definitions of Mobitz I and II blocks discussed above are satisfi... | train | med_mcqa | null |
Risk factors of pulm embolism | [
"30 yrs female of OCPs",
"Pregnancy",
"Leg paralysis",
"All"
] | D | Risk factors for pulmonary embolism include (a) Surgical-major abdominal/pelvic surgery,hip/knee surgery,post operative intensive care; (b) Obstetric-pregnancy/puerperium,use of OCPs; (c) Cardiorespiratory-COPD,congestive cardiac failure; (d) Lower limb problems-fracture,varicose bins,stroke/spinal cord injury; (e) Mal... | train | med_mcqa | null |
A 16 years boy is accused of rape to a 12 years old girl. By which of the following, the boy can prove that he is innocent -a) No abrasion in body & genitaliab) Absence of blood & semen in cloth & genitaliac) Absence of saliva in cheekd) Age of the boy 16 yearse) Presence of smegma in penis & corpora granulosus | [
"abc",
"abe",
"cde",
"acd"
] | B | The absence of signs of struggle (injuries to body and vagina) and absence of exchange (blood and semen in cloth and genitalia) may be used as evidence in defences, as their presence is suggestive of rape.
Presence of smegma under prepuce is inconsistent with recent intercourse as it may be rubbed during intercourse an... | train | med_mcqa | null |
A three years old boy presents with poor urinary stream. Most likely cause is : | [
"Stricture urethra.",
"Neurogenic bladder.",
"Urethral calculus.",
"Posterior urethral valve."
] | D | Ans. is 'd' i.e. Posterior urethral valve Poor urinary stream in 3 years old boy suggests urinary tract obstruction (usually infravesical) and the most common cause of obstructive uropathy in a male child is posterial urethral valve.Posterior urethral valveThese are symmetrical folds of urothelium extending distally fr... | train | med_mcqa | null |
All dead or devitalized bone must be identified by the preoperative injection of sulphan blue which stains all living tissue green, leaving dead material unstrained in | [
"Acute osteomyelitis with sequestrum",
"Subacute haematogenous osteomyelitis with sequestrum",
"Chronic osteomyelitis with cavity",
"Chronic osteomyelitis with sequestrum"
] | D | (Chronic osteomyelitis with sequestrum) (38-A)Chronic osteomyelitis - under antibiotic cover all infected soft tissue and all dead or devitalized bone must be excised, dead material can be identified by the preoperative injection of sulphan blue which stains all living tissues green, leaving dead material unstained;* S... | train | med_mcqa | null |
Effect of tamoxifen:- | [
"Increased risk of endometrial carcinoma",
"Decreased risk of ovarian CA",
"Causes cardiotoxicity",
"Increased risk of osteoporosis"
] | A | Effects of tamoxifen Tamoxifen is an S.E.R.M (selective estrogen receptor modulator) Increase risk of endometrial cancer Decrease risk of osteoporosis Useful in breast cancer Menopausal symptoms like hot flushes | train | med_mcqa | null |
In early AIDS infection of ELISA is negative what should be done - | [
"p24 antibody",
"gp 120 antibody",
"gp 120 antigen",
"p 24 antigen"
] | D | null | train | med_mcqa | null |
All of the follow ing are risk factors for carcinoma gall bladder, except - | [
"Typhoid carriers",
"Adenomatous gall bladder polyps",
"Choledochal cysts",
"Oral contraceptives"
] | D | Ans. is 'd' i.e., Oral contraceptives No risk of Ca G.B. has been noted with the use of oral contraceptiveso Risk factors for Ca Gall bladder are :i) Gall stonesApproximately 90% of patients with Ca GB have gall stonesSize of the stone has a direct relationship with development of carcinoma, the risk is ten times more ... | train | med_mcqa | null |
Assistance for the National Blindness Control Programme is done by | [
"WHO",
"UNICEF",
"DANIDA",
"SIDA"
] | C | Danish International Development Agency (DANIDA) is providing assistance for the development of services under national blindness control programme. A comprehensive National Programme for Control of Blindness was launched in 1976 with the goal of reducing prevalence of blindness to 0.3 per cent by 2000 AD. (iii) DANIDA... | train | med_mcqa | null |
True about typhoid-a) It is caused by food poisoningb) Water can transmit the diseasec) Ty21a is an oral vaccined) Chronic carrier is called when transmitted upto 6 monthe) Widal test +ve in 1st week | [
"a",
"c",
"ac",
"bc"
] | D | null | train | med_mcqa | null |
A one year old child having leucocoria was detected to be having a unilateral, large retinoblastoma filling half the globe. Current therapy would involve: | [
"Enucleation",
"Chemotherapy followed by local dyes",
"Direct Laser ablation using photo dynamic cryotherapy",
"Scleral radiotherapy followed by chemotherapy"
] | A | A i.e. Enucleation | train | med_mcqa | null |
Progestreone has how many carbons - | [
"18",
"19",
"21",
"20"
] | C | Ans. is 'c' i.e., 21 o Steroid hormones are of 3 types :-21-carbon steroids (C21) - Progesterone, corticosteroids (glucocorticoids, mineralocorticoids).19-carbon steroids (C19) - Androgens (testosterone).18-carbon steroids (C18) - Estrogens. | train | med_mcqa | null |
Electron microscopy findings of renal biopsy shows permeation of the lamina densa of the glomerular basement membrane (GBM) by a ribbon-like, homogeneous, extremely electron-dense material of unknown composition. Which of the following is the likely diagnosis? | [
"Dense-deposit disease (DDD)",
"Collapsing glomerulopathy",
"Minimal change disease",
"Focal segmental glomerulosclerosis (FSGS)"
] | A | Dense-deposit disease (formerly called Type II MPGN) Excessive activation of the alternative complement pathway. Electron M/E - Permeation of the lamina densa of the GBM by a ribbon-like, homogeneous, extremely electron-dense material of unknown composition. By immunofluorescence, C3 is present in irregular granular or... | train | med_mcqa | null |
The setting time of ZnPO4 cement can be retarded by | [
"mixing more powder to the liquid",
"mixing powder to liquid, checked by water",
"slower addition of powder to liquid",
"faster addition of powder to liquid"
] | C | null | train | med_mcqa | null |
Type of receptor present on T-cells are: | [
"IgA",
"IgG",
"Prostaglandins",
"CD4"
] | D | Helper T cells
Carries CD4 marker.
Helps or induces immune responses.
Recognize antigen in association with class II MHC.
Macrophages are activated to kill intracellular microorganisms by secreting cytokines.
Parija SC. Textbook of Microbiology & Immunology. Elsevier Health Sciences; 2014. Page:127 | train | med_mcqa | null |
All are true about hyperophic obstructive cardiomypathy except- | [
"Asymmeric hyperophy of septum",
"Systolic motion of anterior leaflet",
"Left ventricle outflow obstruction",
"Beta blockers are not effective"
] | D | Ref:Harrison&;s 19th E pg 1568. Beta-blockers are the drug of choice for HOCM. Decreasing the contractility of hea prevents the hyperophied septum coming in contact with the anterior leaflet of the mitral Valve. Hence reducing the obstruction. | train | med_mcqa | null |
Which of the following is aldosterone antagonist ? | [
"Eplerenone",
"Deoxycorticosterone",
"Fenoldopam",
"Furosemide"
] | A | null | train | med_mcqa | null |
Women with unicornuate uterus have increased risk of all except | [
"Infertility",
"Endometriosis",
"Dysmenorrhea",
"Premature labor"
] | D | Premature labor is risk seen in Bicornuate uterus although not commonly seen with unicornuate uterus. | train | med_mcqa | null |
Not true about congenital PUJ obstruction is - | [
"Can be associated with renal agenesis",
"Can be diagnosed antenatally",
"b/l in 10 - 15% of cases",
"Abberant vessels is the most common cause."
] | D | It was earlier believed that the aberrant renal vessels is responsible for causing the cong. PUJ obstruction Bailey writes that - "Aberrant vessels probably do not cause hydronephrosis, although a hydronephrotic renal pelvis may bulge between renal vessels."
Cambells Urology writes - "whether the aberrant vessel causes... | train | med_mcqa | null |
What is FRC? | [
"Volume present in lungs after normal expiration",
"Volume present in lungs after forceful expiration",
"Volume present in lungs after deep inspiration",
"Volume present in lungs after normal inspiration"
] | A | FUNCTIONAL RESIDUAL CAPACITY = ERV + RV The volume of air that remains in lungs at the end of normal expiration = 2300 ml | train | med_mcqa | null |
Young lady comes with mild erosion of cervix and pap smear shows dysplasia, next step is: | [
"Antibiotics",
"Colposcopy",
"Cryosurgery",
"Conization"
] | A | Ans. is a, i.e. AntibioticsRef: Jeffcoate 7th/ed, p410-l; Dutta Gynae. 4th/ed, p250The erosion should first be treated with antibiotics and then pap smear repeated. | train | med_mcqa | null |
Drugs used in treatment of essential tremor are all, EXCEPT: | [
"Primidone",
"Propranolol",
"Botulinum toxin",
"None of the above"
] | D | Many cases are mild and require no treatment other than reassurance. Occasionally, tremor can be severe and interfere with eating, writing, and activities of daily living. Primidone (25-1000 mg/d) and propranolol (20-80 mg/d) are the standard drug therapies and can be administered alone or in combination. Alprazolam, g... | train | med_mcqa | null |
Indication for radioterhapy in carcinoma endometrium include all except: | [
"Pelvic node involvement",
"Deep myometrial involvement",
"Enlarged uterine cavity",
"Poor differentiation"
] | C | null | train | med_mcqa | null |
After renal transplant the commonest malignancy is ? | [
"Lymphoma",
"Renal cell ca",
"Skin cancer",
"Adrenal cancer"
] | C | Ans is 'c' ie skin cancer Immunosuppressed patients are more likely to develop cancer than age-matched subjects in the general population. Among several thousand tumors that occurred in renal transplant recipients before 1995, the common cancers, in order, were skin cancer, lymphoma, Kaposi's sarcoma, carcinomas of cer... | train | med_mcqa | null |
An epidemiologist visits a village and wants to collect data for recent parasitic activity. What should be measure ? | [
"Spleen rate",
"Infant parasite rate",
"Slide positivity rate",
"Slide falciparum rate"
] | B | Ans. is 'b' i.e., Infant parasite rate MEASUREMENT OF MALARIA In the pre-eradication era, the magnitude of the malaria problem in a country used to be determined mostly from the repos of the clinically diagnosed malaria cases and the classical malariometric measures, e.g., spleen rate, parasite rate etc. On the other h... | train | med_mcqa | null |
A person working in hot environment who consumes more water without salt is likely to develop a condition called -0 | [
"Heat stroke",
"Heat exhaustion",
"Heat cramps",
"Heat hyperpyrexia"
] | C | park'stextbook of preventive and social medicine 23rd edition. *heat cramps occur in persons who are doing heavy muscular work in high temperature and humidity . *there are painful and spasmodic contractions of skeletal muscles *cause is the loss of sodium and chlorides in the blood. | train | med_mcqa | null |
True about Hepatocellular Carcinoma ? | [
"Most prevalent malignancy",
"Commonest liver tumor",
"HBV predisposes",
"Patient present in early stage"
] | C | Ans. is 'c' i.e. HBV predisposes Most common cancers in the world are --> Lung > Breast > Colorectal. As already stated before, HCC presents quite late and thus only 15-20% cancers are resectable. Most patients with unresectable lesions die within a year after diagnosis. | train | med_mcqa | null |
Feilization can occur within how many hours after ovulation? | [
"24",
"12",
"36",
"48"
] | A | Window period for feilization Feilization should occur within 24 hrs after ovulation. Life span of ovum - 24 hrs Sperms are capable of feilization for 48 hrs after ejaculation Sperms survival time in female is 5-10 days | train | med_mcqa | null |
A total of 3500 patient with thyroid cancer are identified and surveyed by patient interviews with reference to past exposure to radiation. The study design most appropriately illustrates - | [
"Case series report",
"Case control study",
"Case report",
"Clinical trial"
] | A | null | train | med_mcqa | null |
A heterophile antibody is found in - | [
"Weil Felix test",
"Widal test",
"Elisa",
"All"
] | A | Ans. is 'a' i.e., Weil Felix test Heterophilic agglutination reaction o Some organisms of different class or species share closely related antigens. o When serum containing agglutinin (antibody) of one organism gives agglutination reaction with the antigen of another organism, it is called heterophilic agglutination te... | train | med_mcqa | null |
About nasal syphilis the following is true, except: | [
"Perforation occurs in septum",
"Saddle nose deformity may occur",
"In newborn, it presents as snuffles",
"Secondary syphilis is the common association"
] | D | Nasal syphilis may be: Acquired: Primary, e.g. chancre in vestibule Secondary, e.g. simple rhinitis, crusting and fissuring leading to atrophic rhinitis Teiary, e.g. Gumma leads to septal perforation and saddle nose deformity (due to collapse of nasal bridge) Congenital: Early (first 3 months): Presenting as snuffles, ... | train | med_mcqa | null |
Sterotactic radiosurgery is a form of: | [
"Radiotherapy",
"Robotic surgery",
"Radio iodine therapy",
"Cryotherapy"
] | A | Ans: A (Radiotherapy) Ref: Devita's Cancer: Principles and Practice of Oncology, 7th edition, pg: 283Explanation:Stereotactic RadiosurgeryIt is a type of external beam radiation therapy.It is a single day procedure for treating small intracranial lesion.The technique requires metallic frame that is rigidly attached to ... | train | med_mcqa | null |
Bleeding disorders with it APTT andt PT: | [
"Factor 13 deficiency",
"Severe liver disease",
"Immune thrombocytopenic purpura",
"Leiden (Factor V) deficiency"
] | B | Answer is option 2, severe liver disease Liver disease is associated with impairment of the haemostatic function due to the abnormal and decreased synthesis of the clotting factors. It is thus only logical to have considered assessment of the clotting profile (to include prothrombin time (PT) and activated paial thromb... | train | med_mcqa | null |
Which of the following is not true regarding delusional disorder? | [
"Early immigration",
"Social isolation",
"Sensory impairment",
"Occurs at early age"
] | D | Delusional disorders do not occur at an early age. Risk factors for development of delusional disorders- Advanced age Social isolation Sensory impairment or isolation (e.g. auditory or visual disturbances) Family history of delusional disorder Recent immigration (is also risk factor for schizophrenia) Ceain personality... | train | med_mcqa | null |
Example of Zoonoses are all EXCEPT: | [
"Plague",
"Rabies",
"Taeniasis",
"Brucellosis"
] | C | Ans. (c) TaeniasisRef: Harrison's 18th ed. Ch 159* Zoonosis are infectious diseases of animals that can naturally be transmitted to humans.* Plague is a systemic zoonosis caused by Yersinia pestis (gram negative). It predominantly affects small rodents in rural areas of Africa, Asia, and the Americas and is usually tra... | train | med_mcqa | null |
C3 convertase acts on | [
"C3",
"C4b2b",
"C4b",
"Lymphocytosis"
] | A | All 3 pathways of complement system lead to the formation of C3 convertase, which cleaves C3 into C3a and C3b. | train | med_mcqa | null |
"Casoni Test" is positive in: | [
"Diphtheria",
"Scarlet fever",
"Echinococcus",
"Kala Azar"
] | C | Echinococcus | train | med_mcqa | null |
The least radio sensitive tissue is - | [
"Nervous tissue",
"Bone",
"Kidney",
"Thyroid"
] | A | Human Cell Radiation Sensitivity High Lymphocytes (white blood cells) Spermatogonia (sperm-producing cells) Erythroblasts (immature red blood cells) Intestinal crypt cells (small intestine) Mid Spermatids (non-dividing immature sperm) Osteoblasts (immature bone cells) Low Muscle cells Nerve cells | train | med_mcqa | null |
Breast feeding done after child birth should be | [
"ASAP or within half an hour",
"ASAP or within one hour",
"ASAP or within four hours",
"ASAP or within 6 hours"
] | B | null | train | med_mcqa | null |
Tuberculin test positivity indicates | [
"Good humoral immunity",
"Infection with mycobacteriam",
"Good cell mediated immunity",
"None"
] | C | Tuberculin (Mantoux) skin test. This test is done by intradermal injection of 0.1 ml of tuberculin protein, purifiedprotein derivative (PPD). Delayed-type of hypersensitivity develops in individuals who are having or have beenpreviously infected with the tuberculous infection which is identified as an indurated area of... | train | med_mcqa | null |
A 55-yr-old male, with uncontrolled DM & HT, developed severe airborne contact dermatitis. The most appropriate drug for his treatment would be: | [
"Systematic corticosteroids",
"Thalidomide",
"Azathioprine",
"Cyclosporine"
] | C | Ans. C. AzathioprineCONTACT DERMATITIS: TREATMENTa. If contact dermatitis is suspected and an offending agent is identified and removed, the eruption will resolve. Usually, treatment with high-potency topical glucocorticoids is enough to relieve symptoms while the dermatitis runs its course. For those patients who requ... | train | med_mcqa | null |
Which of the following is a dimorphic fungus? | [
"Rhizopus",
"Sporothrix schenckii",
"Tinea versicolor",
"Microsporum"
] | B | Ref: Ananthnarayan R. Paniker CKJ. Textbook of Microbiology. 8th Edition. Hyderabad: Universities Press: 2009. Pg. 601-15.Explanation:Dimorphic fungi can occur as filaments or as yeasts, depending on the conditions of growth.In host tissues or cultures at 37degC they occur as yeasts, while in the soil and in cultures a... | train | med_mcqa | null |
Which one of the following feature is NOT associated with primary hyperparathyroidism | [
"Giant cell tumour",
"Sharply defined radiolucencies of maxilla and mandible",
"Partial loss of lamina dura",
"Hypercementosis"
] | D | null | train | med_mcqa | null |
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