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A person was found dead with bluish green frothy discharge at the angle of mouth and nostrils. What is the diagnosis?
[ "Arsenic poisoning", "Copper poisoning", "Mercury poisoning", "Lead poisoning" ]
B
Clinical Features Acute Poisoning Ingestion: * Metallic taste,* Increased salivation * Colicky abdominal pain * Nausea and vomiting. Vomitus is bluish or greenish in color * Diarrhea * Myalgia * Pancreatitis * Methemoglobinemia * Hemolysis * Jaundice * Oliguria and renal failure * Convulsions * Delirium * Coma. Inhalat...
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A newborn infant is noted to have numerous, light brown macules dispersed across her skin. The significance of this feature is due to its strong association with the development of which of the following tumors?
[ "Basal cell carcinoma", "Neuroblastoma", "Neurofibroma", "Retinoblastoma" ]
C
Congenital "cafe au lait" spots are present in more than 90% of patients with neurofibromatosis. This autosomal dominant disorder is characterized by multiple neural tumors, especially neurofibromas, pigmented hamaomas of the iris (Lisch nodules), and cafe au lait spots, which usually occur over nerve trunks. Although ...
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C-reactive protein is synthesized exclusively in:
[ "Kidney", "Pancreas", "Liver", "Thymus" ]
C
null
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A child presents with swelling in the right groin region. When this selling was reduced by hand, a gurgling sound was heard and the swelling reduced. Which of the following is a true statement in relation to the above?
[ "The child has right direct hernia", "The processus vaginalis has been completely obliterated", "Hernial sac contains greater omentum only", "Hernial sac contains intestine" ]
D
Ans. (d) Hernial sac contains intestineRef: Bailey 26th edition Page 930* Hernial sac containing Intestine will reduce with gurgling sound, Initial part will be difficult to reduce in Enterocele.* Hernial sac containing Omentum will be Easy to reduce initially but difficult to reduce the last part. (Omentocele)* In chi...
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The ability of an alloy to withstand mechanical stresses without permanent deformation is reflected by its:
[ "Resilience", "Elastic limit/Elastic strain", "Hardness", "Fatigue resistance" ]
B
Elastic strain—Amount of deformation that is recovered instantaneously when an externally applied force or pressure is reduced or eliminated. Strain may be either elastic, plastic, elastic and plastic, or viscoelastic.  Elastic strain is reversible. The object fully recovers its original shape when the force is removed...
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Flea bitten kidney is seen in all of the following except: September 2007
[ "Malignant hypeension", "Henoch-Schonlein purpura", "DM", "Polyaeritis nodosa" ]
C
Ans. C: DM Diseases such as microscopic polyaeritis, accelerated hypeension and Henoch-Schonlein purpura (and other disorders in which there is destruction of small vessel walls) produce microinfarcts, which are usually multiple ('flea-bitten kidney').
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ADHD is characterized by all, except -
[ "Impulsivity", "Distractibility", "Hyperactivity", "Hallucinations" ]
D
Ans. is 'd' i.e., Hallucination o Characteristic triad of Attention deficit hyperactivity disorder (ADHD) includesi) Hyperactivity,ii) Impulsiveness andiii) Inattention (distractibility or lack of concentration)o ADHD is one of the most common psychiatric problem in school age population. It usually arises in the first...
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False about chorionic villi biopsy:
[ "strongly associated with faciomandibular defects", "Done in 10-12 weeks", "Rh immunoglobulin prophylaxis is necessary", "Done to diagnose genetic disorders" ]
A
Done in 10-12 weeks in transcervically done to diagnose genetic disorders Rh immunisation:Anti-Dimmunoglobulin 50 microgm IM should be administered following the procedure to a Rh negative woman. complications: oromandibular limb deformities,vaginal bleeding and fetal D.C.DUTTA'S TEXTBOOK OF GYNECOLOGY,Pg no:107,7th ed...
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Continuous GnRH is useful in all except:
[ "Precautious puberty", "Prostate cancer", "Male infertility", "Endometriosis" ]
C
Ans. (C) Male infertility(Ref: Goodman Gilman 13th E/P781)GnRH agonists can be used by pulsatile and non-pulsatile or continuous dosing.By pulsatile dosing they increase release of LH/FSH and cause ovulation, spermatogenesis and increase synthesis estrogen and testosterone. Hence used for treatment of anovulation, olig...
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The ejection systolic murmur in hyperophic obstructive cardiomyopathy is diminished when a patient -
[ "Parforms the valsalva maneuver", "Lies down", "Inhales amyl nitrite", "Stands up" ]
B
Ref:Harrison&;s 19th E pg 1568. This increases venous return. And hence amount of blood in LV. In HOCM the blood acts as a physical barrier between hyperophied septum and anterior mitral leaflet. As the patient lies down, venous return increases, fuher increasing the blood coming to the ventricles. This blood prevents ...
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Transient myleoproliferative disorder of the newborn is seen in association with
[ "Turnur's syndrome", "Down's syndrome", "Neurofibromatosis", "Ataxia telangiectasia" ]
B
Approximately 10% of children with Down syndrome develop a preleukemic clone,transient myeloproliferative disorder,with somatic mutations in hematopoietic transcription factor GATA1.These children have a high leukocyte count,circulating blasts in peripheral blood,hepatosplenomegaly,effusions,anemia and thrombocytopenia...
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All are true about hyperophic cardiomyopathy, except :
[ "Systolic dysfunction", "Concentric hyperophy", "Diastolic dysfunction", "Double apical impulse" ]
A
Answer is A (Systolic dysfunction) 'The ubiquitous pathophysiological abnormality in hyperophic obstructive cardiomyopathy is not systolic but rather diastolic dysfunction' Note: It has now been demonstrated that systolic dysfunction characterized by an outflow tract pressure gradient is present only in about one quaer...
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Which of the following is FALSE about Infectious mononucleosis
[ "Non-Suppurative, painless Lymphadenopathy", "Maculo-papular rash or petechial rash", "Lymphocytosis is usually demonstrable, with >10% atypical lymphocytes", "Transient bilateral upper lid Edema" ]
A
Atypical lymphocytosis -points diagnosis towards Infectious mononucleosis (EBV) (kissing disease) among the given other options. Essentials of Diagnosis Malaise, fever, and (exudative) sore throat Palatal petechiae, lymphadenopathy, splenomegaly, and, occasionally, a maculopapular rash Positive heterophile agglutinatio...
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A 35-year-old woman presents with several days of increasing fatigue and shortness of breath on exertion. She was recently diagnosed with Mycoplasma pneumoniae. Physical examination reveals BP 113/67, HR 114 beats/min, and respiratory rate 20 breaths/min. She appears icteric and in mild respiratory distress. Her hemogl...
[ "Serum protein electrophoresis", "Flow cytometry", "Peripheral blood smear", "Glucose-6-PD level" ]
C
Macrocytic anemia and indirect hyperbilirubinemia suggest hemolysis, which in this patient is likely due to IgM antibodies which may follow Mycoplasma infections and which cross-react with RBC surface molecules of the I/i system These antibodies are termed cold-reacting antibodies because they react at temperatures les...
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The threshold value for workers in the mercury industry is:
[ "200 to 400 µg per day", "100 to 200 µg per day", "350 to 500 µg per day", "500 to 700 µg per day" ]
C
The threshold value for workers in the mercury industry is 350 to 500 µg per day.  Reference: Phillip’s Science of Dental Materials, Pg-361
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Posterior wall of the axilla is formed by all of the following muscles, EXCEPT:
[ "Teres major", "Teres minor", "Subscapularis", "Latissimus dorsi" ]
B
Posterior wall of axilla consists of teres major, subscapularis and latissimus dorsi. The impoant relations of the posterior wall are subscapular vessels, subscapular and thoracodorsal nerves and posterior or subscapular lymph nodes. The posterior axillary fold is formed by the teres major and latissimus dorsi muscles ...
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Which of the following is multi-enzyme complex?
[ "HMG-CoA synthase", "Malic enzyme", "Fatty acid synthase", "Fatty acid oxidase" ]
C
Ans. c (Fatty acid synthase). (Ref. Harper's biochemistry 27th ed. Pg. 238 Chapter 23)KEY STEPS OF FATTY ACID SYNTHESIS# Fatty acid entry into mitochondrion is via Camiitine shuttle.2# Fatty acid entry into cytosol is via Carnitine shuttle.# Fatty acid synthase is a polypeptide multi-enzyme complex.2# Acyl carrier prot...
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Bidextrous grasp is seen at what age?
[ "3 months", "5 months", "6 months", "9 months" ]
B
3 months - Holds an object when placed in hands 4 months - Tries to reach for an object, but overshoots 5 months - Bidextrous grasp 6 months - Unidextrous/palmar grasp 7 months - Transfers objects from 1 hand to another 9 months - Immature/Assisted pincer grasp 12 months - Mature/ Unassisted pincer grasp
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Fecal soiling in children is most commonly due to -
[ "Hirschsprung's disease", "Chronic constipation", "Rectal atresia", "None of the above" ]
B
null
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Single umbilical aery is associated with all of the following except :
[ "Polyhydramnios", "Advanced maternal age", "Fetal growth retardation", "Increased incidence of fetal malformation" ]
B
Advanced maternal age
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Ionophores have following action except
[ "Abolish proton gradient", "Inhibit ADP to ATP conversion", "Hydrophilic in character", "Abolish pH gradient" ]
C
Hydrophilic in character  Inophors are lipophilic (not hydrophilic). Inophors inhibit ATP formation by inhibiting oxidative phosphorylation by abolishing proton gradient or pH gradient.
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Pain and temperature are carried by:
[ "Anterior spinothalamic tract", "Lateral spinothalamic tract", "Dorsal column", "None" ]
B
VENTROLATERAL SPINOTHALAMIC TRACT Fibers from nociceptors and thermoreceptors synapse on neurons in the dorsal horn of the spinal cord. The axons from these dorsal horn neurons cross the midline and ascend in the ventrolateral quadrant of the spinal cord, where they form the ventrolateral spinothalamic pathway. Fibers ...
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Tender Bubos seen are used in the diagnosis of:
[ "Gonorrhoea", "Herpes", "Chancroid", "Granuloma venereum" ]
C
Chancroid
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Following amino acid form an integral part of collagen synthesis:
[ "Lysine", "Leucine", "Arginine", "Glutamic acid" ]
A
Ans: A (Lysine) Ref: Harpers illustrated Biochemistry. 28th editionExplanation:CollagenCollagen is a fibrous proteinMost abundant structural proteinAccounts for 25% of the total body proteinsFound in skin, joints, skeleton, tendons, cartilage, cornea and blood vesselsUnusual right-handed triple helix3 polypeptide chain...
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Poland syndrome all of the following are seen except -
[ "Absence of lattissimus dorsi", "Absence of pectoralis major", "Syndactyly of digits", "Sho index fingers" ]
A
Poland syndrome is a bih defect characterized by an underdeveloped chest muscle and sho webbed fingers on one side of the body.Sho ribs, less fat, and breast and nipple abnormalities may also occur on that sideTypically the right side is involved. People generally have normal movement and health The cause is unknown. O...
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Thyroglossal fistula develops due to -
[ "Developmental anomaly", "Injury", "Incomplete removal of thyroglossal cyst", "Inflammatory disorder" ]
C
Thyroglossal fistula is never congenital. It follows infection or inadequate removal of a thyroglossal cyst.
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Which is not true regarding varicocele -
[ "Testicular veins involved", "More common on the right side", "May be the first feature of a renal tumour", "Feels like a bag of worms" ]
B
Ans:B.)More common on Right Side.VaricoceleA varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum. This plexus of veins drains blood from the testicles.The varicoceles might be noticed as soft lumps, usually above the testicle and mostly on the left side of the scrotum. Some people who ...
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A 10 year old boy has a fracture of femur. biochemical evaluation revealed Hb 11.5 gm/dl and ESR 18 mm 1st hour. Serum calcium 12.8 mg/dL, serum phosphorus 2.3 mg/dL, alkaline phosphate 28 KA units and blood urea 32 mg/dl. Which of the following is the most probable diagnosis in his case –
[ "Nutritional ricicets", "Renal rickets", "Hyperparathyroidism", "Skeletal dysplasia" ]
C
You can solve the question just looking at calcium value. Amongst the given options only hyperparathyroidism causes hypercalcemia. The patient in question has an increased serum Ca', decreased serum phosphorus and increased values of alkaline phosphatase, all of which characterize hyperparathyroidism.
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Stalactite growth in ghee broth is due to the following organism?
[ "Y.pestis", "T.palladium", "H.influenzae", "C.diphtheriae" ]
A
Cultural characteristics of Yersinia pestis: 1. When grown in a flask of broth with oil / ghee floated on top (ghee broth) a characteristic growth occurs which hangs down into the broth from the surface, resembling stalactite. 2. On nutrient agar, colonies are small, delicate, transparent discs, becoming opaque on cont...
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Dracunculosis is most common in -
[ "Gujarat", "Rajasthan", "Madhya Pradesh", "Orissa" ]
B
Park's Textbook of Preventive and Social Medicine 23rd edition Page no: 245 In India , the last case was repoed in July 1996. Now India is declared free of guineaworm disease
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Most microorganisms pathogenic for humans grow best in the laboratory when cultures are incubated at
[ "15-20degC", "20-30degC", "30-37degC", "38-50degC" ]
C
Most human pathogens are neutralophiles (grow best at pH of 6.0-8.0) and mesophilic (grow best at 30-37degC).Ref: Jawetz; 27th edition; Page no: 78
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Denominator refers to:
[ "Pa of the presentation which lies over the Internal os", "Relation of different pas of fetus to one another", "Bony fixed point of reference on presenting pa", "Pa of fetus lying in the lower segment of uterus" ]
C
Denominator : It is an arbitrary bony fixed point on the presenting pa which comes in relation with the various quadrants of maternal pelvis. Denominators in different presentations : Occiput in veex Mentum in chin Frontal eminence in brow Sacrum I'm breech Acromion in shoulder. Ref: Datta Obs 9e pg 70.
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The recommended daily energy intake of an adult woman with heavy work is -
[ "1800", "2100", "2300", "2900" ]
D
-The recommended daily energy intake of an adult woman with heavy work is 2850 kcal /day. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:634,table 24.
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All of these are true about GnRH analogues used in treatment of endometriosis , EXCEPT?
[ "Continuous administration causes downregulation of pituitary gonadotropins", "The risk of osteoporosis decreases with prolonged use as the estrogen mediated osteoblastic action continues", "Add back therapy includes estrogens", "Discontinuation causes recurrence" ]
B
GnRH is given continuously to downregulate and suppress pituitary gonadotropins and cause atrophy of endometriotic tissue. The risk of osteoporosis increases after prolonged use as the estrogen mediated osteoblastic action stops while the estrogen independent osteoclast action continues Add back therapy is given to red...
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A patient with pneumonia for 5 days is admitted to the hospital now with an altered sensorium. He suddenly ceases to recognize the doctor and staff. He thinks that he is in jail and complains of scorpion attacking him. His probable diagnosis is
[ "Acute Dementia", "Acute delirium", "Acute schizophrenia", "Acute paranoia" ]
B
Ans.B. i.e. Acute deliriumDeliriumAcute confusional state occurring in various medical, surgical, metabolic, toxic & post-operative conditions. It is characterized by acute agitation, disorientation, and inability to sustain attention, form memories or reason. Characteristic features include- Clouding of consciousness ...
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All the following indicators are used to measure disability rates in a community except ?
[ "Suillivan's index", "Human povey index", "Health adjusted life expectancy", "Disability adjusted life yea" ]
B
Ans. is 'b' i.e., Human povey index
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Age independent anthropometric measure of malnutrition is?
[ "Weight/height", "Mid arm circumference", "Head circumference", "Mid arm circumference/height" ]
B
ANSWER: (B) Mid arm circumferenceREF: Ghai 7th ed p. 64Age independent anthropometric measurements:IndexRatioValueKanawati IndexHead Circumference (cm)/Mid arm Circumference (cm)0.32-0.33Rao's IndexWt. In Kg/CHtcm) square x 1000.15 - 0.16Dug dale's IndexWt (Kg) / Ht (cm) to power 1.6 x 1000.88 - 0.97Mid arm circumferen...
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'Saturnism' is seen in:
[ "Chronic lead poisoning", "Chronic mercury poisoning", "Chronic phosphorus poisoning", "Chronic gold poisoning" ]
A
Chr. Lead poisoning = Plumbism = Saturnism = Saturnine poisoning- ALA in urine, Coproporphyrin in urine, facial pallor, Basophilic stippling/Punctate basophilia (dark blue, pin-head spots in cytoplasm of RBCs), Buonian line (blue line gums' margin, PbS, 50-70% cases, near carious/diy teeth, Lead palsy, Pb encephalopath...
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Nikshay software is used for
[ "Filaria", "Malaria", "Kala azar", "Tuberculosis" ]
D
Nikshay software is a web based solution for monitoring TB patients under Revised National Tuberculosis Control Programme (RNTCP). It was developed by National Informatics Center (NIC).
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Lumbar sympathectomy is of value in the management of
[ "Intermittent claudication", "Distal ischaemia affecting the skin of the toes", "Aeriovenous Fistula", "Back pain" ]
B
. Ans: b (Distal ischemia affecting the skin of toes) (Ref. Textbook of surgery by S. Das-3rd ) - Indications for sympathectomy: 1. Circulatory insufficiency of the limbs (Limb warms, pain reduces and ulcers may show signs of regression) o Atherosclerosis (with rest pain, impending gangrene of toes) o Raynaud's Syndrom...
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Drugs Contraindicated in pregnancy -
[ "Enalapril", "CCB", "Beta-blockers", "Propylthiouracil" ]
A
Ans is 'a' i.e., Enalapril o Enalapril is an ACE inhibitors used as antihypertensive drugs,o ACE inhibitors are C/I in pregnancyACE inhibitor are fetopathic, These can cause fetal growth retardation hypoplasia of organs and fetal death may occur if ACE inhibitors are given during later half ofpregnancy.A recent report ...
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Glutamate entering into the brain along with ammonia transforms into the following amino acid:
[ "Glutamine", "Arginine", "Glyceride", "Glycine" ]
A
The brain's uptake of glutamate is approximately balanced by its output of glutamine. Glutamate entering the brain associates with ammonia and leaves as glutamine. The glutamate--glutamine conversion in the brain--the opposite of the reaction in the kidney that produces some of the ammonia entering the tubules--serves ...
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In corneal reflex efferent is carried by
[ "occulomotor", "trochlear", "abducens", "facial" ]
D
null
train
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True about Rx of fracture neck of femur?
[ "SP nail is very popular especially in management of pediatric cases.", "Austin Moore prosthesis is most preferred Rx in younger patients.", "An impacted fracture is treated conservatively in all age groups.", "Meyer's operation should be avoided in treating the fractures presenting late and those with signif...
C
Ans. C. An impacted fracture is Rxed conservatively in all age groups.Rx of fracture neck femur:a. This is rightly termed as "unsolved " because of the high incidence of complications.b. This invariable needs operative treatment.c. An impacted fracture is Rxed conservatively in all age groups (hip spica in children and...
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Imatinib used in CML acts by
[ "inhibiting Bcr/abl translocation tyrosine kinase", "Blocking the action of P-glycoprotein", "Competitive inhibition of ATP binding site of Abl kinase", "C-kit kinase inhibition" ]
C
Competitive inhibition _of ATP binding site of ABL kinase [Ref. Harrison 16thie p 4781 CML is characterized by the presence of a distinctive molecular abnormality namely philadelphia chromosome. Philadelphia chromosome in formed as a result of reciprocal translocation between long arm of chromosome 22 and chromosome 9 ...
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Which of the following helps in generating reactive 02 intermediates in neutrophils?
[ "NADPH Oxidase", "Superoxide dismutase (SOD)", "Catalase", "Glutathione peroxidase" ]
A
Ans. is 'a' i.e., NADPH oxidase
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Positive predictive value depends on all except ?
[ "Sensitivity", "Specificity", "Prevalence", "Incidence" ]
D
Ans. is 'd' i.e., Incidence Positive predictive value (PPV) of a screening test depends on : - Sensitivity Specificity Prevalence of disease As the sensitivity and specificity of a test are relatively constant, positive predictive value is mainly dependent on the prevelance of disease.
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Which of the following lobes of Cerebrum is related to the inferior horn of the lateral ventricle?
[ "Frontal", "Parietal", "Temporal", "Occipital" ]
C
null
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ECG change seen in Hypokalemia
[ "Tall 'T' wave", "U wave", "Sine wave configration", "Shoening of QT interval" ]
B
Hypokalemia (plasma K+ +-3.5 meq/L). PR interval = 0.2 s; QRS interval = 0.06 s; ST-segment depression. A prominent U wave is now present immediately following the T. Tall T wave is present in hyperkalemiaIf the U wave is erroneously considered a pa of the T, a falsely prolonged QT interval of 0.6 s will be measured in...
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What is true about Histoplasmosis ?
[ "In early stages it is indistinguishable from T.B.", "Culture is not diagnostic", "Hyphal forms are infectious form", "Person to person spread occurs by droplet infection" ]
A
In early stages it is indistinguishable from T.B. Histoplasmosis Histoplasmosis is a dimorphic fungi i.e. it grows in two forms myeclia and yeast. It grows as mycelia forms, producing spores at 25degC on sabroud's agar and at 37degC it grows as a yeast form. This dimorphism plays a pa in human infection i.e. in their n...
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Galea aponeurotica lies in which layer of scalp
[ "Skin", "Superficial fascia", "Deep fascia", "Pericranial layer" ]
C
deep fascia is in the form of the epicranial aponeurosis or galea aponeurotica with the occipitofrontalis muscle. The epicranial aponeurosis, or galea aponeurotica is freely movable on the pericranium along with the overlying and adherent skin and fascia.
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True about ASHA are all except
[ "One per 1000 rural population", "Mobiliser of antenatal care", "Female voluntary worker", "Skilled bih attendant" ]
D
ASHA is not a skilled bih attendant. she will arrange esco/accompany pregnant women. All others are true. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 449
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true about fracture shaft femur in infant is:
[ "Child abuse is commonest cause", "Heals rapidly", "Traction is all that usually required", "Fat embolism is common" ]
D
D i.e. Fat embolism is common
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All are true regarding somatization disorder except:
[ "Maintain sick role", "4-Pain symptoms", "1-Sexual symptom", "1-Pseudo neurological symptom" ]
A
Ans:A-Maintain sick roleSomatic symptom disorder (SSD formerly known as "somatization disorder" or "somatoform disorder") is a form of mental illness that causes one or more bodily symptoms, including pain.The symptoms may or may not be traceable to a physical cause including general medical conditions, other mental il...
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Partogram help in the detection of -
[ "PPH", "Abruption placetae", "Obstracted labour", "Incordinate uterine action" ]
C
Ans-C
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The dangerous paicle size causing pneumoconiosis varies from ?
[ "100-150 m", "50-100 m", "10-50 m", "1-5 m" ]
D
Ans. is 'd' i.e., 1-5 m Pneumoconiosis o Pneumoconiosis is an occupational lung disease caused by the inhalation of dust. o The development of pneumoconiosis depends on - (i) The amount of dust retained in the lungs and airways. (ii) The size, shape of the paicles --> The most dangerous paicle ranges from Ito 5 m in di...
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Donepezil is used in treatment of:
[ "Alzheimer's dementia", "Schzophrenia", "Anxiety disorder", "Anxiety disorder" ]
A
A i.e. Alzheimer's disease
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Total-etch concept was put forth by
[ "Nakabayhashi", "Buonocore", "Bowen", "Fusayama" ]
D
null
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Non - union is a complication of :
[ "Scaphoid", "Colle's", "Inter- trochanteric of hip", "Supra condylor of the humerus" ]
A
A i.e. Scaphoid Fracture Fracture head & neck femur, fracture body of talus and fractures through waist of scaphoid most commonly leads to nonunion and avascular necrosis due to poor blood supplyQ
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Testosterone production is mainly contributed by -
[ "Leydig cells", "Sertoli cells", "Seminiferous tubules", "Epididymis" ]
A
Ans. is 'a' i.e.. Ley dig cells o Androgens (including testosterone) are produced by ley dig cells (interstitial cells).o Leydig cells have receptors for LH and secrete androgens, i.e. Testosterone, dihydrotestosterone (DHT), androstenedione, and dehydroepiandrosterone (DHEA).o Sertoli cells have receptors for FSH and ...
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Infective endocarditis is least likely to occur in
[ "Aerial septal defect", "Small ventricular septal defect", "Mitral valve prolapse", "Tetrology of hea" ]
A
Ref Harrison 19 th ed pg 816 Infection most commonly involves hea valves but may also occur on the low-pressure side of a ventricular septal defect, on mural endocardium damaged by aberrant jets of blood or foreign bodies, or on intracardiac devices themselves. The analogous process involving aeriovenous shunts, aerio-...
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Most common site of osteomyelitis in children
[ "Diaphysis", "Metaphysis", "Epiphysis", "Growth plate" ]
B
Overall Most common location of osteomyelitis is metaphysis. It is due to high vascularity, hair-pin loop system of blood supply, more prone to trauma and monocyte-macrophage system is weaker. Most common pa of osteomyelitis is lower end of Femur. Most common organism of osteomyelitis is staphylococcus aureus.
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Maximum level of beta HCG is seen on which day of gestation?
[ "6 weeks", "9 weeks", "28 weeks", "36 weeks" ]
B
Ans. is 'b' i.e., 9 weeks o Maximum levels of beta HCG occur on 66th day of pregnancy, i.e. 9 weeks 3 days.Human Chorionic Gonadotropino Produced almost exclusively in placenta, low levels in fetal kidneyo Molecular weight - 36000 - 40000 Da.o Highest carbohydrate content of any hormone - 30 percent.o It has a long hal...
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The type of stress to which dental amalgam is most resistant:
[ "Shear's stress", "Tensile stress", "Compressive stress", "Impact stress" ]
C
null
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All are the measures of dispersion except
[ "Variance", "Standard deviation", "Mode", "Range" ]
C
null
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Velvety appearance of stomach is seen in poisoning with:(1995)
[ "Abrus precatorius", "Barbiturates", "Arsenic", "lead" ]
C
Ans: cRef: Parikh, 6th ed, p. 9.10 and 5th ed, p. 748
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In pupillary reflex nerve tested is -
[ "2nd", "3rd", "Both 2nd and 3rd", "4th" ]
C
Afferent nerve for light reflex → optic (2nd) nerve. Efferent nerve for light reflex → occulomotor (3rd) nerve.
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Schizophrenia is characterized by: Kerala 06
[ "Delusion and hallucination", "Tremor and delusion", "Obsession and delusion", "Autonomic disturbance" ]
A
Ans. Delusion and hallucination
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All of the following condition are associated with granulomatous pathology, EXCEPT:
[ "Wegner's Granulomatosis (WG)", "Takayasu Aeritis (TA)", "Polyaeritis Nodosa (Classic PAN)", "Giant Cell Aeritis (GCA)" ]
C
Classic PAN is characterised by segmental transmural necrotizing inflammation of small to medium sized aeries in all organs except lung. Ref: Robbin's Basic Pathology, 7th Edition, Page 350, 347 - 352.
train
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Tuberculosis in children true is
[ "Commonly sputum negative", "Incidence < 5% of all TB cases", "Clinically child does not show sign of florid TB", "All of the above" ]
D
Tuberculosis in children : Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. Cases of tuberculosis represent 5 - 15 percent of all tubercular cases. Clinical manifestations of TB in children : The majority of children with tuberculosis infection develop no signs or symptoms at any le...
train
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Which of the following incision used in diaphragm surgery is safest
[ "Horizontal", "Veical", "Circumferential", "Transverse" ]
C
Circumferential is the safest as it prevents injury to phrenic nerve to maintain the function of the diaphragm
train
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Winter bottoms sign in sleeping sickness refers to -
[ "Unilateral conjunctivitis", "Posterior cervical lymphadenopathy", "Narcolepsy", "Transient erythema" ]
B
Generalized or regional lymphadenopathy - Posterior cervical lymphadenopathy (Winterbottom sign) is characteristic of T brucei gambiense African trypanosomiasis
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Drug efficacy refers to:
[ "Effectiveness of drug in life threatening conditions", "The maximal intensity of response that can be produced by the drug", "The dose of the drug needed to produce half maximal effect", "The minimum dose of the drug needed to produce toxic effect" ]
B
null
train
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A 6-month-old child is suffering from patent ductus arteriosus (PDA) with congestive cardiac failure. Ligation of ductus arteriosus was decided for surgical management. The most appropriate inhalational anesthetic agent of choice with minimal hemodynamic alteration fro induction of anesthesia is -
[ "Halothane", "Sevoflurane", "Isoflurane", "Enflurane" ]
B
Ans. is 'b' i.e., Sevoflurane Sevoflurane is the agent of choice for inhalational induction of anesthesia in pediatric procedures.It is an excellent choice for smooth and rapid inhalational induction in pediatric procedures becauseIt has a sweet odor so induction is smoothThe rapid increase in alveolar anesthetic conce...
train
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A patient with following skin lesions is seen in a disease, which has ________ inheritance.
[ "X-linked recessive", "X-linked dominant", "Autosomal recessive", "Autosomal dominant" ]
D
Lesions are multiple cutaneous neurofibromas. Neurofibromatosis is an autosomal dominant disease. It is associated with Cafe-au-lait spots as well.
train
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Not True about Pinna of the Ear
[ "Develops from HILLOCK's of HIS", "Tragus formed from 1st Hillock", "Costal Rib Cartilage used as graft in treatment of Anotia", "Reconstruction of pinna in Anotia is done as soon as possible within 1 year of age" ]
D
Reconstruction of pinna done at 6 years of age.
train
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How would a drug that competes with ACh for receptors at the motor end plate affect skeletal muscle? It would:
[ "Produce uncontrolled muscle spasms", "Cause the muscles to contract and be unable to relax", "Cause muscles to relax and be unable to contract", "Make the muscles more excitable" ]
C
Ref: KD Tripathi pharmacology 7th edition (page.no: 58) Anticholinergic drugs compete with acetylcholine for receptors at NM junction . Anticholinergic opposes the action of Ach causing relaxation of the muscle.
train
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Size of fibrillary proteins in amyloidosis:
[ "0-5 nm", "7.5-10 nm", "12-17 nm", "18-20 nm" ]
B
Ans. b (7.5-10 nm). (Robbin Pathologic Basis of Diseases 5th/231)PHYSICAL NATURE OF AMYLOID# By electron microscopy, amyloid is seen made up largely of non-branching fibrils of indefinite length and a diameter of approximately 7.5 to 10 nm.# X-ray crystallography and infrared spectroscopy demonstrate a characteristic c...
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Os trigonum is which type of epiphysis ?
[ "Aberrant", "Pressure", "Atavistic", "Traction" ]
C
C i.e. Atavistic
train
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The bacterial cell wall has all of the following properties except:
[ "It consists of a mixed polymer called peptidoglycon", "It is the structure principally responsible for the reaction of gram staining", "It is a unique flexible plastic structure", "It contains D-isomers of amino acids" ]
C
null
train
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The tumor suppressor gene p 53 induces cell cycle arrest at -
[ "G2- M phase", "S G2phase", "G1 phase", "Go phase" ]
C
Harshmohan textbook of pathology 7th edition. In blocking mitotic activity p53 inhibits the cyclins and CDKs and prevent the cell to enter G1 phase transientally. .
train
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All have NO LYMPHATICS, except
[ "Brain", "Internal ear", "nail", "Eye" ]
C
LYMPHATIC VESSELS AND CAPILLRIES - When circulating blood reaches the capillaries, pa of its fluid content passes into the surrounding tissues as tissue fluid. Most of this fluid re-enters the capillaries at their venous ends. Some of it is, however, returned to the circulation through a separate system of lymphatic ve...
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All are true regarding cryptococcal infection,except -
[ "Occurs in immunodeficient states -", "Capsular antigen in CSF is a rapid method of detection", "Anticapsular antibody is protective", "Urease +ve" ]
C
null
train
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Tip of tongue drains inot -
[ "Occipital lymph node", "Submental lymph node", "Deep cervical lymph nodes", "Tonsillar lymph nodes" ]
B
B i.e. Submental lymphnode
train
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Which of the following antiviral drug has a dual antiviral activity that is against HBV and HIV?
[ "Saquinavir", "Abacavir", "Emtricitabine", "None of the above" ]
C
Emtricitabine (FTC) ​ Emtricitabine, a fluoro derivative of lamivudine, inhibits both HIV and HBV.​ Reference: Lippincott Illustrated Reviews: Pharmacology Wolters Kluwer Sixth Edition page no 577​
train
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Membrane incised during hemilaryngectomy is
[ "Thyrohyoid", "Cricothyroid", "Aryepiglottic", "Infralaryngeal" ]
B
Ans. is 'b' i.e., Cricothyroid Steps in hemlaryngectomyIndications and containdications* Ideal for bulky lesions of the membranous true vocal cord* Normal or slightly impaired vocal cord mobility* No involvement of the supraglottis* Tumor may extend as far as the apex of the ventricle* Subglottic extension of no more t...
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Sunder Lal, 28 year old farmer is found convulsing in the farm. Heart rate is 100/min and blood pressure is 180/110 mm Hg. Diarrhea, sweating and urination are apparent. Pupils are pin point. Drug poisoning is suspected. Most probable cause is:
[ "Acetaminophen overdose", "Amphetamine toxicity", "Organophosphate poisoning", "Atropine poisoning" ]
C
All the given symptoms are due to anticholinesterase action.
train
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Type of schizophrenia with mental retardation
[ "Von-Gosh syndrome", "Paranoid schizophrenia", "Catatonic schizophrenia", "Pfropf schizophrenia" ]
D
Pfropf schizophrenia occurring in the presence of mental retardation .it differs from schizophrenia in only that there is often a povey of ideation and delusions are not usually very well systematised.therefore behavioural disturbances are more prominent than delusions and hallucinations Ref: A sho textbook of Psychiat...
train
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Peripheral nerves can withstand ischemia upto ?
[ "30 minutes", "1 hour", "2 hours", "None" ]
D
Ans. is 'None'
train
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Which drug is contraindicated in a glaucoma patient suffering from bronchial asthma:
[ "Timolol maleate", "Latanoprost", "Betaxolol", "Brimonidine" ]
A
null
train
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Which of the following is more prone to osteomyelitis
[ "Maxilla", "zygorna", "palatine bone", "mandible" ]
D
null
train
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On consumption of which aminoacid, requirement of methionine is reduced because of sparing effect?
[ "Homocysteine", "Cysteine", "Lysine", "Arginine" ]
B
Ans. is 'b' i.e., Cysteine"Adequate dietary source of cysteine 'spares' methionine".* Methionine is an essential amino acid.* Methionine is required for synthesis of cysteine (thus cysteine is non-essential amino acid)* Thus, cysteine can spare the requirment of methionine in diet.
train
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Which of the following is a feature of hibernating myocardium?
[ "Elevated cardiac troponins", "Depressed ST segment", "Elevated ST segment", "Left bundle branch block" ]
B
Hibernating myocardium/chronic stable angina Depressed ST segment seen in chronic stable angina Option A: Elevated cardiac Troponins is seen in stunned myocardium/MI Option C: Elevated ST seen in MI Option D: LBBB-Complication of MI
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Last ocular muscle to be involved in Grave's disease?
[ "Inferior rectus", "Lateral rectus", "Superior rectus", "Inferior oblique" ]
D
Ans. is 'd' i.e., Inferior oblique Order of involvement (Mnemonic : IM SLO(W)) :- Inferior rectus > medial rectus > superior rectus > Lateral rectus > obliques.
train
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The "Crude death rate" is defined as "the number of deaths (from all causes) per 1000 estimated".
[ "Total population", "Total births", "Mid year population", "Live births" ]
C
(C) Mid year population # Crude death rates lack comparability for communities with populations that differ by age, sex, race etc.> Crude Death Rate: Number of deaths /1000 population/year in a given community deglt indicates the rate at which people are dying The usefulness of Crude death rate is restricted because it...
train
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Superior thyroid artery is related to -
[ "Recurrent laryngeal nerve", "External laryngeal nerve", "Internal laryngeal nerve", "Chorda-tympani nerve" ]
B
Ans. is 'b' i.e., External laryngeal nerve Blood supply of thyroidArteryBranch ofRelated toRemarkSuperior thyroidExternal carotidExternal laryngeal N.During thyroidectomy superior thyroid artery is ligated close to upper pole ofgland to avoid injury to external laryngeal nerve.Inferior thyroidThyrocervical trunkRecurre...
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Which among the following is the abductor of vocal cord?
[ "Posterior cricoarytenoid", "Cricothyroid", "Interarytenoid", "Lateral cricoaretynoid" ]
A
The posterior cricoarytenoid is the only abductor of the vocal cords. The major abductors of the vocal cords are the lateral cricoarytenoid, thyroarytenoid, and arytenoideus muscles.
train
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Not true about carcinoma Nasopharynx
[ "Epstein barr virus", "Nickel if found to be associated", "Bimodel age distribution", "Samter's Triad" ]
D
null
train
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Culture mediam for corynebacterium diphtheria?
[ "Loefflers serum slope", "McConkey", "Saburauds agar", "Lowenstein Jensen medium" ]
A
Ans. is 'a' i.e., Loefflers serum slope
train
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Canon 'a' wave is seen in
[ "Junctional rhythm", "Atrial fibrillation", "Atrial flutter", "Ventricular fibrillation" ]
A
Ans. is 'a' i.e., Junctional rhythm
train
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