question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
values | rationale stringlengths 0 22.5k ⌀ | split stringclasses 1
value | dataset stringclasses 6
values | subject stringclasses 1
value |
|---|---|---|---|---|---|---|
For screening of Medullary ca which of the following is estimated: | [
"Serum HCG",
"Serum AFP",
"Serum Calcium",
"Serum calcitonin"
] | D | Ans. is 'd' ie Serum calcitoninMCT can be of two types - sporadic and familial (occuring in MEN syn. 2A & 2B and Familial cases without MEN syn.)The familial MTC are more aggressive, multicentric (bilateral) and present at a younger age, therefore high risk cases should be screened for MTC by - detecting RET mutation. ... | train | med_mcqa | null |
All of the following immunosuppressives cause profound myelosuppression except: | [
"Sirolimus",
"Cyclosporine",
"Azathioprine",
"Mercaptopurine"
] | B | Ciclosporin&;s main effect is to lower the activity of T-cells; it does so by calcineurin-phosphatase pathway.Unlike cytotoxic immunosuppressants, it is free of toxic effects on bone marrow and RE system as it doesn&;t act on cell cycle.(ref: KD Tripathi 6/e p839) | train | med_mcqa | null |
Fatty acids can not be utilised by : | [
"Muscles",
"Heart",
"Liver",
"RBC"
] | D | RBC can utilise only glucose even during fasting / starvation | train | med_mcqa | null |
A patient presented with complaints of diplopia. O/E pupils were dilated. Both direct and consensual light reflexes were lost. The diagnosis is : | [
"2nd nerve palsy",
"3rd nerve palsy",
"5th nerve palsy",
"7th nerve palsy"
] | B | 3rd nerve palsy PUPILLARY LIGHT REFLEX :- If light enters an eye, the pupil of the same eye contracts (direct light reflex),activity shared equally by the pupil of other eye (consensual light reflex) - Afferent limb of light reflex is Optic nerve (CN2) and efferent limb is Oculomotor nerve (CN3) - Both direct and conse... | train | med_mcqa | null |
Which of the following is CD 15 & CD30 positive: | [
"Lymphocyte predominance Hodgkin's lymphoma",
"Mantle cell lymphoma",
"Burkit's lymphoma",
"Mixed cellularity Hodgkin's lymphoma"
] | D | Answer- D. Mixed cellularity Hodgkin's lymphomaCD15-Granulocytes; also expressed by Reed-Sternberg cells and variants in classical Hodgkin lymphomaCD30-Activated B cells, T cells, and monocytes; also expressed by Reed-Sternberg cells and variants in classical Hodgkin lymphoma. | train | med_mcqa | null |
D1C is common in which AML- | [
"Monocytic (M5)",
"Promyelocytic (M3)",
"Erythrocytic (M6)",
"Megakaryocytic (M7)"
] | B | Ans. (b) Promyelocytic (M3)(Ref: Robbins 9th/pg 612; 8th/pg 622)Acute Promyelocytic Leukemic (APML, M3) cells can induce Disseminated intravascular coagulation (DIC) | train | med_mcqa | null |
About CPAP all are true except: | [
"Given prophylactically in all preterm with respiratory distress",
"Staed with Fi02 50 to 60 percent",
"Given in infants less than 28 weeks and less than 1 kg weight",
"Improves oxygenation and improves lung compliance"
] | B | B. i.e. Staed with Fi0250-60% (Nasal CPAP or intubation at bih for very preterm infants. The new England journal of medicine Feb 08 vol 358: 700 - 708 nuber 07) Bronchopulmonary dysplasia is associated with ventilation (intubation) & 02 treatment. Infants who were born at 25 -28 weeks gestation and were breathing spont... | train | med_mcqa | null |
Rabies vaccine schedule is: | [
"0,3,7,14,28",
"8,0,4,0,1,1",
"8,0,0,4,1,1",
"8,0,4,0,0,1"
] | B | 8, 0, 4, 0, 1, 1 | train | med_mcqa | null |
Which of the following conditions presents with a palpable crepitus? | [
"Anaerobic infections",
"Streptococcal infections",
"Surgical emphysema",
"All of the above"
] | D | null | train | med_mcqa | null |
You are examining a direct inguinal hernia in a 45 year old man. On examination the swelling is doughy in consistency and dull on percussion. The swelling is reducible but reduction is difficult towards the end. What is your diagnosis? | [
"Cystocele",
"Enterocele",
"Epiplocele",
"Hydrocele"
] | C | You are already told that it is a case of direct inguinal hernia. So hydrocele is out. In case cystocele the swelling gets enlarged on attempt to micturate and the swelling reduces in size following micturition. Another feature is that pressure on the swelling produces the desire to micturate. Enterocele is elastic in ... | train | med_mcqa | null |
A term baby girl has two episodes of bile-stained emesis at 24 hours after bih. There is a history of excessive amniotic fluid volume. The most appropriate diagnostic test is? NOT RELATED - MEDICINE | [
"Blood culture",
"Barium swallow and Gastrointestinal X rays",
"CT scan of head",
"Neurosonogram"
] | B | . | train | med_mcqa | null |
Glucose uptake in brain is by: | [
"GLUT 1 and 3",
"GLUT 2 and 3",
"GLUT 3 and 4",
"GLUT 1 and 4"
] | A | Ans: A. GLUT 1 and 3For this question table given below:ReceptorLocationGLUT 1Brain, kidney, colon, placenta, erythrocytesGLUT 2Liver, pancreatic p cell, small intestine, kidneyGLUT 3Brain,kidney, placentaGLUT 4Heart and skeletal muscle, adipose tissueGLUTSSmall intestineSGLT1Small intestine and kidneySome other associ... | train | med_mcqa | null |
Non-nucleoside reverse transcriptase inhibitors (NNRTIs) include all of the following except: | [
"Nevirapine",
"Delavirdine",
"Etravirine",
"Lamivudine"
] | D | Ans. (D) Lamivudine(Ref: Katzung 12th/870, KDT 8th/e p861)Lamivudine is nucleoside reverse transcriptase inhibitor (NRTI), not the non-nucleoside reverse transcriptase inhibitor (NNRTI). | train | med_mcqa | null |
Meconium ileus is associated with: | [
"Fibrocystic disease of pancreas",
"Liver aplasia",
"Cirrhosis of liver",
"Malnutrition"
] | A | Meconium ileus in the newborn represents the earliest clinical manifestation of CF and affects roughly 15% of patients with this inherited disease Cystic FIbrosis Diagnosis The diagnosis of CF is usually confirmed in the postoperative period The pilocarpine iontophoresis sweat test revealing a chloride concentration >6... | train | med_mcqa | null |
ECT is indicated in - | [
"Neurotic depression",
"Auditory hallucination",
"Schizophrenia",
"Delusional depression"
] | D | ECT is given in severe depression with psychotic symptoms (e.g. delusion). | train | med_mcqa | null |
Reducing agent used in lipogenesis is derived from | [
"Pentose phosphate pathway",
"Glycolysis",
"TCA cycle",
"Gluconeogenesis"
] | A | NADPH is involved as donor of reducing equivalents in both the reduction of the 3-ketoacyl and of the 2, 3-unsaturated acyl derivatives. The oxidative reactions of the pentose phosphate are the chief source of the hydrogen required for the reductive synthesis of fatty acids. | train | med_mcqa | null |
What is the paial pressure for oxygen in the inspired air? | [
"116 mm Hg",
"158 mm Hg",
"100 mm Hg",
"0.3 mm Hg"
] | B | Paial pressure of O2 in inspired air (Pi O2) - 158 mm Hg Gaseous concentration & its paial pressure in alveoli: 1. Oxygen: Concentration & paial pressure controlled by, Rate of absorption of O2 into blood Rate of entry of new O2 into lungs by ventilatory process. Values: Paial pressure of O2 in inspired air (Pi O2) 158... | train | med_mcqa | null |
Mutation in Hartnup's disease is | [
"SLC6A18",
"SLC6A17",
"SLC6A19",
"SLC6A20"
] | C | SLC6A19 gene encodes neutral amino acid transporter. Its mutation is seen in Hartnup's disease. | train | med_mcqa | null |
The gross appearance of the kidney shown below is most compatible with which of the following conditions? | [
"Cystic renal dysplasia",
"Acute pyelonephritis",
"Chronic pyelonephritis",
"Acute glomerulonephritis"
] | C | The kidney shown is typical of chronic pyelonephritis with dilation of the renal pelvis, clubbing of the calyces, and irregular reduction in parenchymal mass. Chronic pyelonephritis is an asymmetric, irregularly scarring process that may be unilateral or bilateral. Microscopically, there is atrophy and dilation of tubu... | train | med_mcqa | null |
Neurons located in which area release serotonin as their neurotransmitter? | [
"Periaqueductal gray area",
"Interneurons of the spinal cord",
"Periventricular area",
"Nucleus raphe magnus"
] | D | Neurons of the nucleus raphe magnus release serotonin at their nerve endings. These terminate in the spinal cord on interneurons that in turn release enkephalin and block the incoming signals from the pain fibers. The analgesia system consists of three major components: Periaqueductal gray and periventricular areas of ... | train | med_mcqa | null |
Drug of choice for ADHD: | [
"Amphetamine",
"Methylphenidate",
"Pemoline",
"Modafinil"
] | B | (Ref: KD Tripathi, 6th ed. pg. 470-471 & 126)* Methylphenidate acts by releasing NA and DA in brain and is most widely used for attention deficit hyperkinetic disorder because it causes lesser tachycardia and growth retardation as compared to amphetamine.* It is considered as DOC of ADHD* Modafinil# Psychostimulant age... | train | med_mcqa | null |
A transplant patient who had serologic evidence of previous Epstein-Barr virus infection was taking high levels of immunosuppressive medications. He presents with generalized lymphadenopathy, fever, night sweats, weight loss, abdominal pain, and tonsillitis. The dosage of immunosuppressive drugs given to the patient is... | [
"Burkitt lymphoma",
"Hodgkin lymphoma",
"Infectious mononucleosis",
"Lymphoproliferative disorder"
] | D | All of the choices are associated with EBV. The patient most likely has lymphoproliferative disorder (posttransplant) (d), a polyclonal response to reactivation or acquisition of EBV in persons on immunosuppressive therapy to prevent transplant rejection. The disorder responded to reduction of the immunosuppressive age... | train | med_mcqa | null |
Aaron's sign is seen in: | [
"Chronic appendicitis",
"Hiatus hernia",
"Mediastinum emphysema",
"Acute appendicitis"
] | D | Abdominal Examination Signs Sign Description Diagnosis Aaron Sign Pain or pressure in epigastrium or anterior chest with persistent firm pressure applied to McBurney's point. Acute appendicitis Bassler Sign Sharp pain created by compressing appendix between abdominal wall and iliacus Chronic appendicitis Blumberg's Sig... | train | med_mcqa | null |
Therapeutic index of a drug is an indicator of:- | [
"Potency",
"Safety",
"Efficacy",
"All of these"
] | B | Therapeutic index (T.I) = LD 50 / ED 50 = Median lethal dose / Median effective dose Median lethal dose: dose at which 50% of animals die after receiving drug. Median effective dose: dose at which 50% of patient see effect after receiving the drug LD50 should be high, i.e. The drug should produce toxicity at high doses... | train | med_mcqa | null |
Widening of periodontal ligament is seen in: | [
"Hypercementosis",
"Osteosarcoma",
"Hypofunction of teeth",
"Paget's disease"
] | B | Widening of periodontal ligament is seen in
Osteosarcoma
Chondrosarcoma
Scleroderma
Trauma from occlusion
Obliteration of periodontal ligament space is seen in
Hypercementosis
Ankylosis
Hypofunction of teeth
Paget's disease | train | med_mcqa | null |
Causes of a cavitating lesion in the chest radiograph are all except - | [
"Hamartoma",
"Pulmonary infarction",
"Squamous carcinoma of the bronchus",
"Caplan's syndrome"
] | A | Haematoma (not hamartoma) causes lung cavitation.
Pulmonary infarct, squamous cell carcinoma of lung, RA & Caplan's syndrome can also cause lung cavitation. | train | med_mcqa | null |
Which statement is false regarding familial adenomatous polyposis - | [
"Males are usually carriers",
"Autosomal dominant inheritance",
"If not treated progress to malignancy in 100% of cases",
"Males and females are affected equally."
] | A | Familial polyposis coli is an autosomal dominant* Condition affecting males and females equally.
Carcinomatous change supervenes in these polyps in 100% of cases by the age of 30-35 yrs.
As it is autosomal dominant condition, no carrier state exists. | train | med_mcqa | null |
True about Henoch Schonlein purpura is - | [
"Medium vessels vasculitis",
"Renal symptoms sta late in the disaese",
"IgA deposition in mesangium",
"Low Platelet count"
] | C | Answer- C. IgA deposition in mesangiumHenoch - Schonlein purpura is vasculitis of small vessels (capillaries, venule or aerioles) and characterized by deposition of IgA in the wall of involved vessels.H.S. purpgra is characterized by tetrad of purpura ahritis glomerulonephritis, and abdominal pain.Diagnosis is confirme... | train | med_mcqa | null |
Deleterious effect of ultrasound on small organism is: | [
"Ionisation",
"Vacoulation",
"Cavitation",
"Disintegration"
] | C | Ans. Cavitation | train | med_mcqa | null |
Which is most comonly implicated in genital (vulval) warts ? | [
"HPV 16",
"HPV 18",
"HPV 31",
"HPV 6"
] | D | null | train | med_mcqa | null |
Neonate triangular cord sign on USG is seen in – | [
"Galactosemia",
"Biliary atresia",
"Hepatitis",
"None"
] | B | Triangular cord sign is seen in biliary ateria due to fibrosis. | train | med_mcqa | null |
Patient is having normal CK & CKMB after 2 days of chest pain which of the following is true | [
"Excludes diagnosis of MI",
"Reperfusion after MI",
"Extracardiac source of pain",
"Cardiac surgery"
] | A | null | train | med_mcqa | null |
The following Pelvic Radiograph is seen in? | [
"Achondroplasia",
"Osteoahritis",
"Nail Patella Syndrome",
"Rheumatoid Ahritis"
] | C | The Given Radiograph shows Iliac Horns which are a feature of Nail Patella Syndrome Nail-patella syndrome - is characterized classically by the tetrad of Nail hypoplasia Aplastic or hypoplastic patellae Elbow dysplasia and Presence of iliac horns Iliac horns are considered pathognomonic, and the presence of hypoplastic... | train | med_mcqa | null |
When the rectum is inflated with air through a rectal tube, pain and tenderness occur in the right iliac fossa in case of appenidicitis. This is known as? | [
"Aaron's sign",
"Battle's sign",
"Bastedo's sign",
"Mc Burney's sign"
] | C | Ans. is 'c' i.e., Bastedo's sign | train | med_mcqa | null |
Climbing fibres of cerebellar coex are ? | [
"Olivocerebellar fibres",
"Spinocerebellar fibres",
"Pontocerebellar fibres",
"Vestibulocerebellar fibres"
] | A | Input (afferent) cerebellum comes from two fibres.1) Climbing fibres (olivocerebellar fibres) bring information from inferior olivary nuclei only.2) Mossy fibres bring infrormation from all other pas of the body. | train | med_mcqa | null |
"Bamboo spine" is seen in | [
"Ankylosing spondylitis",
"Diffuse idiopathic skeletal hypertrophy",
"Osteitis fibrosa cystica",
"All"
] | A | Ans. a (Ankylosing spondylitis). (Ref. Sutton Textbook of Radiology, 6th ed., 1220)RADIOGRAPHIC FINDINGS OF ANKYLOSING SPONDYLITIS# Radiographically demonstrable sacroiliitis is usually present in AS.# The earliest changes by standard radiography are blurring of the cortical margins of the subchondral bone, followed by... | train | med_mcqa | null |
Risk factors of pulmonary embolism | [
"30 yrs female on OCP's",
"Pregnancy",
"Leg paralysis",
"All"
] | D | Ans. is 'a' i.e. 30 yrs female on OCP's, 'b' i.e. Pregnancy, 'c' i.e. Leg paralysis | train | med_mcqa | null |
A patient with the typical cutaneous lesions which are slightly elevated red or purple macules that are often covered by gray or yellow adherent scales. Forceful removal of the scale reveals numerous ‘carpet tack’ extensions, reveals the lesion as: | [
"SLE",
"DLE.",
"Lichen planus.",
"Scleroderma."
] | B | The typical cutaneous lesions are slightly elevated red or purple macules that are often covered by gray or yellow adherent scales. Forceful removal of the scale reveals numerous ‘carpet tack’ extensions which had dipped into enlarged pilosebaceous canals. The lesions increase in size by peripheral growth, this feature... | train | med_mcqa | null |
All of the following are true about Praziquantal except: | [
"It is the drug of choice for intestinal taenia solium infection",
"It is the drug of choice for schistosomiasis",
"It increases the permeability for calcium ions and lead to flaccid paralysis of helminths",
"Side effects include myalgia and arthralgia"
] | C | Praziquantal increases entry of calcium ions and causes "spastic paralysis" | train | med_mcqa | null |
In a patient with acute arsenic poisoning, which of these would show accumulation of As | [
"Liver",
"Bone marrow",
"Skin",
"All"
] | D | A i.e. Liver; B i.e. Bone marrow; C i.e. Skin The disadvantages of using As for homicide are As accumulates in liver > kidney > spleen, hair, nailQ, bonesQ, gastrointestinal tract & lungs and also excreted through urine, faeces, milk, bile sweat & other secretions. It retards putrefactionQ & can be detected in complete... | train | med_mcqa | null |
Endocrine causes for hypertension are all the following except: | [
"Cushing's syndrome",
"Hypopituitarism",
"Hyperaldosteronism",
"Gigantism"
] | B | Ans: B (Hypopitutarism) Ref: Harrison's Principles of Internal Medicine. 17th edition. 200H. Chapter 241. Pg.1554. Table 241-3Explanation:Secondary Causes of HypertensionRenal* Parenchymal diseases* Renal cysts (including polycystic kidney disease)* Renal tumors (including renin- secreting tumors)* Obstructive urooathy... | train | med_mcqa | null |
Conduct disorder in a child manifests with all except | [
"Disregard for right of others",
"Doesn't care for authority",
"Backward in studies",
"Decreased head circumference"
] | D | Conduct disorder is characterised by a persistent and significant pattern of conduct, in which the basic rights of others are violated or rules of society are not followed. The diagnosis is only made when the conduct is far in excess of the routine mischief of children and adolescents. The characteristic clinical featu... | train | med_mcqa | null |
Confirmatory tests for C. diphtheriae - | [
"Serological tests",
"Isolation in selective media",
"Tests for toxin",
"All of the above"
] | B | null | train | med_mcqa | null |
Infections of the ring finger spread to the | [
"Radial bursa",
"Ulnar bursa",
"Mid palmar space",
"Thenar space"
] | C | Infections of the ring and middle spread into the mid palmar space. Index finger to thenar space Little finger spread to ulnar bursa and mid palmar space. Ref: Internet sources. | train | med_mcqa | null |
Sulphur of cysteine are not used/utilised in the body for the following process/product: | [
"Help in the conversion of cyanide to thiocyanate",
"Thiosulphate formation",
"Introduction of sulphur in methionine",
"Disulphide bond formation between two adjacent peptide"
] | C | Ans. C. Introduction of sulphur in methionine.Methionine is an essential amino acid, so it cannot be synthesized from Cysteine.But Sulphur of cysteine is donated by sulphur of methionine.This is called transulfuration reaction.PLP is the coenzyme of transulfuration.The reaction is catalysed by Cystathionine beta Syntha... | train | med_mcqa | null |
Complete transaction of the spinal cord at the C7 level produces all of the following effects except: | [
"Hypotension",
"Limited respiratory effo",
"Anaesthesia below the level of the lesion",
"Areflexia below the level of the lesion"
] | D | D i.e. Areflexia below level of lesion The diaphragm is innervated by two phrenic nerves that originate as branches of the cervical plexus in neck. This motor nerve to diaphragm arise from the anterior rami of cervical nerves C3, C4, C5Q, with major contribution coming from C4. So transection of spinal cord at C7 level... | train | med_mcqa | null |
Central dot sign is seen in: | [
"Caroli's disease",
"Primary sclerosing cholangitis",
"Polycystic liver disease",
"Liver hamaoma"
] | A | A. i.e. Caroli's disease Central dot sign is considered pathognomonic of carolis diseaseQ. This sign consists of cystically dilated intra hepatic biliary radicles with a "dot" of increased density represented by poal radicle with the lumen of duct. Caroli's disease Communicating cavernous ectasia of the intrahepatic bi... | train | med_mcqa | null |
Male patient presents to the hospital with abdominal pain and is incidentally detected with an abdominal aoic aneurysm. What is the appropriate management of this patient? | [
"Immediate surgery",
"USG monitoring till size of the aneurysm reaches 70 mm",
"Monitor till size reaches 40 mm",
"Monitor till size reaches 55 mm"
] | D | Investigations X-ray - Eggshell pattern of calcification Investigation of choice for screening of abdominal aoic aneurysm - USG Investigation of choice for diagnosis & planning repair of aoic aneurysm - CT Investigation of choice for diagnosis & planning repair of aoic aneurysm in patients of renal failure - MRI Indica... | train | med_mcqa | null |
Non-noxious stimulus is perceived as pain in - | [
"Allodynia",
"Hyperalgesia",
"Paraesthesia",
"Hyperpathia"
] | A | Ans. is 'a' i.e., Allodynia Terminology of sensory disturbances:o Allodynia-Perception of nonpainful stimulus as painful, even excruciating.o Paraesthesia-Pins and needle sensation, tingling (may include a wide variety of other abnormal sensations, except pain)o Dysesthesia-All types of abnormal sensations including pa... | train | med_mcqa | null |
In the case of malpractice, punishment is given by - | [
"State medical council",
"MCI",
"IMA",
"High court"
] | D | Punishment for professional negligence (malpractice) is given only by criminal courts. Criminal courts are magistrate courts, session courts, high courts and supreme court
Civil and consumer courts are for compensation in professional negligence (not for punishment). | train | med_mcqa | null |
Ochronosis is due to chronic exposure to | [
"Carbolic acid",
"Phosphorus",
"Mercury salts",
"Iodine fumes"
] | A | (Refer: Rajesh Bardale - Principles of Forensic medicine & Toxicology, 1st edition, pg no: 440)
Carbolic aci | train | med_mcqa | null |
Not seen in osteogenesis imperfecta: | [
"Wormian bones",
"Thick coex",
"Coxa vara",
"Saber shin"
] | B | Osteogenesis imperfecta is a type- 1 collagen defect which affects the tensile strength of the bone.it most commonly occurs in femur. It leads to weakening of bones. Thin coex is the hallmark for osteogenesis imperfecta. Deformities occurring in osteogenesis imperfecta includes saber shin (bowing), Coxa vara (decreased... | train | med_mcqa | null |
Fetal sex can be detected by USG at : | [
"14 weeks",
"16 weeks",
"18 weeks",
"20 weeks"
] | A | Male development is completed by 12 weeks and female development by 15 weeks By 28 weeks,the testis descends to the internal inguinal ring. By 36 weeks, one testis and by 38-40 weeks both testes descend into scrotum In female, the genital tubercle becones clitoris, the genital folds become the labia minora and the geni... | train | med_mcqa | null |
Spasm of masseter muscles occur in: | [
"Tetanus",
"Trigeminal neuraligia",
"Tuberculous meningitis",
"Rabies"
] | A | null | train | med_mcqa | null |
All are true regarding Endotracheal intubation except | [
"Saturation not more than 90% after 2 min",
"CO2 in expired air",
"ET inseed under direct vision of glottis",
"Bilateral chest movement"
] | A | Endotracheal Tube Intubation:- - When the expiratory gas passes through the tube (hot & humidified) leaves vapour on the tube (tube has gone into trachea)- Tube has Radiopaque blue line on it which can be seen by X-ray- Earlier 90% saturation,if it continuously stas dropping suspects that tube is not in the Respiratory... | train | med_mcqa | null |
True about measles – | [
"Koplik spot appears in prodromal stage",
"Fever stops after onset of rash",
"Vaccine given at 9 month",
"All the above"
] | D | Measles vaccine is given at the age of 9 months of age. | train | med_mcqa | null |
Sweating does not occur in: September 2010 September 2012 | [
"Heat exhaustion",
"Heat fatigue",
"Heat rash",
"Heat Stroke"
] | D | Ans. D: Heat Stroke Types of heat illnesses: Heat stroke - Defined by a body temperature of greater than >40.6 degC (105.1 degF) due to environmental heat exposure with lack of thermoregulation. Symptoms include dry skin, rapid, strong pulse and dizziness. Heat exhaustion - Can be a precursor of heatstroke; the symptom... | train | med_mcqa | null |
what condition in the mother associated with following fetal anomaly | [
"GDM",
"DM",
"intake of ACE INHIBITORS",
"Intake of sodium Valproate"
] | B | REF : DUTTA 9TH ED | train | med_mcqa | null |
An infant with severe respiratory distress is found to have double aoic arch during investigation. Double aoic arch is due to persistence and continued patency of the segment of: | [
"Right dorsal aoa between the right seventh intersegmental aery and its junction with the left dorsal aoa",
"Right dorsal aoa between the right sixth intersegmental aery and its junction with the left dorsal aoa",
"Left dorsal aoa between the right seventh intersegmental aery and its junction with the left dors... | A | Aoic arch development involves the sequential development and then involution of six arch pairs, which arise from paired dorsal aoae that fuse distally. The fifth aoic arch is rudimentary. Double aoic arch is the result of persistence and continued patency of the segment of the right dorsal aoa between the origin of th... | train | med_mcqa | null |
A 21-year-old javelin thrower is diagnosed with a full-thickness ulnar collateral ligament (UCL) tear. On presentation, he complains of numbness and tingling in the ring and small fingers. Which muscle group would he be most likely to have motor weakness | [
"Brachioradialis",
"Extensor carpi ulnaris",
"Abductor digiti minimi",
"Palmaris longus"
] | C | The patient is experiencing ulnar nerve paresthesias. If the patient had associated motor symptoms, they would manifest as weakness within the abductor digiti minimi. The other answer choices are muscles not innervated by the ulnar nerve. | train | med_mcqa | null |
The presence of the philadephia chromosome is associated with a worse prognosis in patients with which of the following diseases? | [
"Acute lymphoblastic leukemia",
"Acute myelogenous leukemia",
"Chronic lymphocytic leukemia",
"Chronic myelogenous leukemia"
] | A | The presence of the philadelphia chromosome a translocation from the long arm of chromosome 22 to chromosome 9 (t,9,22) is associated with a more ourable prognosis in patients with chronic myelogenous leukemia but is associated with an unourable outcome in Acute lymphoblastic leukemia. (ref Robbins 8th/603) | train | med_mcqa | null |
Which of the suprahyoid muscle is supplied by both facial nerve and mandibular nerve - | [
"Stylohyoid",
"Mylohyoid",
"Digastric",
"Hyuglossus"
] | C | Ans, is 'c' i.e., Digastric o Anterior belly of digastric is supplied by nerve to myelohyoid (a branch of mandibular nerve) and posterior belly is supplied by facial nerve. Suprahyoid musclesMuscle1. Digastric (DG)has two belliesOrigin(a) Anterior belly (DGA) from digastric fossa of mandible(b) Posterior belly (DGP) fr... | train | med_mcqa | null |
Transfusion reactions are due to which type of hypersensitivity? | [
"Immediate",
"Immune complex-mediated",
"Antibody-mediated",
"Delayed-type"
] | C | Type II: HypersensitivityType II hypersensitivity involves the binding of IgG antibodies to cell surface antigens or extracellular matrix molecules.Antibody-directed at cell surface antigens can activate complement to damage the cells. The result may be complement mediated lysis, which occurs in hemolytic anemia, ABO t... | train | med_mcqa | null |
Rekha a 45 years old woman has negative pap smear with +ve endocervical curretage. Next step in management will be : | [
"Col poscopy",
"Vaginal hysterectomy",
"Conisation",
"Weheim's hysterectomy"
] | D | Ans. is d i.e. Weheim's hysterectomy A 45 year old woman i.e. (perimenopausal female) with negative pap smear (i.e Ca cervix excluded) with positive Endocervical curettage points towards cancer Endometrium which has spread to cervix i.e. (if you remember the staging which I have given in answer 12) - Stage II. Approach... | train | med_mcqa | null |
A 48-year-old patient with signs and symptoms of congestive hea failure presented to the emergency depament. Following stabilization, he was admitted and staed on an inotropic drug 4 months into therapy, the patient staed complaining of yellow scotomas and xanthopsia. An ECG was also conducted. What is the mechanism of... | [
"B1 agonist",
"PDE3 inhibitor",
"Inhibition of Na-K ATPase pump",
"B2 antagonist"
] | C | The above ECG shows alternating narrow and broad QRS complex with negative T waves following a broad QRS suggestive of Ventricular BIGEMINY. Ventricular BIGEMINY is a type of VPC characterised by alternate VPC and sinus rhythm. It is also the most common arrhythmia caused by digoxin. Digoxin is an inotropic drug which ... | train | med_mcqa | null |
All of the following drugs are used for treating Mycobacterial Infections except: | [
"Rifaximin",
"Rifampicin",
"Rifabutin",
"Rifapentine"
] | A | Rifamycins: include Rifampin or Rifampicin, Rifapentine and Rifabutin. MOA: binds to the b subunit of DNA-dependent RNA polymerase (rpoB) resulting in suppressesion of the chain formation in RNA synthesis. Inhibitsthe growth of most gram-positive bacteria as well as many gram-negative microorganisms, such as Escherichi... | train | med_mcqa | null |
Anticraving agents for alcohol abuse are all the following except | [
"Acamprosate",
"Disulfiram",
"Topiramate",
"Naltrexone"
] | B | treatment for alcohol dependence is an impoant question that is asked in exams treatment for alcohol dependence is done in 2 steps first detoxification, next is deaddiction detoxification involves helping the patient having a smooth withdrawl deaddiction involves preventing the patient from having relapse the main phar... | train | med_mcqa | null |
Neisseria gonorrhea causes | [
"Urethritis",
"Salpingitis",
"Cervicitis",
"Vaginitis"
] | A | In men, Neisseria gonorrhea cause acute urethritis with a mucopurulent discharge containing gonococci in large numbers. Reference: Textbook of Microbiology; Anathanarayan and panicker&;s; 9th edition; Page no: 232 | train | med_mcqa | null |
The plateau phase of Myocardial action potential is due to | [
"Efflux of Na+",
"Influx of Ca++",
"Influx of K+",
"Closure of voltage gated K+ channels"
] | B | Ca2+ influx through more slowly opening Ca2+ channels produces the plateau phaseRef: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 491 | train | med_mcqa | null |
Investigation of choice for gall stone | [
"X-Ray",
"USG",
"Cholecystography",
"CAT Scan"
] | B | B i.e. USG | train | med_mcqa | null |
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 | null | train | med_mcqa | null |
Low and fixed specific gravity of urine is seen in ? | [
"Diabetes mellitus",
"Diabetes insipidus",
"Chronic renal failure",
"Acute glomerulonephritis"
] | C | Ans is 'c' i.e., Chronic renal failure. | train | med_mcqa | null |
Flower petal appearance in fundus flourescein angiography is in | [
"Cystoid macular edema",
"Retinitis pigmentosa",
"Central serous retinopathy",
"Age related macular degeneration"
] | A | Flower petal appearance - CME.
Smoke stack pattern or Ink blot sign - Central serous retinopathy. | train | med_mcqa | null |
Calorie requirement per a day of a child weighing 15 kg would be | [
"1150 kcal",
"1250 kcal",
"1450 kcal",
"1550 kcal"
] | B | We draw the energy from our food: The nutrients are transpoed to the body cells in the digestive tract after splitting up and are broken down there. This releases the required energy. They are measured in kilojoule (kJ) or kilocalories (kcal). One kilocalorie corresponds to 4,184 kilojoules. The calorie though is an ou... | train | med_mcqa | null |
DOC for Tenia Ungum | [
"Ampthotericin B",
"Miconazole",
"Gresiofulvin",
"Nystatin"
] | C | C i.e. Griseofulvin | train | med_mcqa | null |
The following is the finding seen in DIVC : | [
"Increased fibrinogen , increased antithrombin III, increased thrombin-antithrombin III complexes",
"Increased FDP, decreased PT, increased antithrombin III",
"Increased FDP, prolonged PT, increased thrombin-antithrombin complexes",
"Increased FDP, prolonged PT, reduced Platlets"
] | D | Answer is D (Increased FDP, prolonged PT, Reduced platelets) The laboratory manifestation of DIC include thrombocytopenia (Reduced platelets), prolonged PT, PTT and thrombin time (TT). Reduced fibrinogen levels from depletion of coagulation protein and elevated FDP from intense secondary fibromolysis | train | med_mcqa | null |
Pregangrene is | [
"Ulceration",
"Hyperaesthesia",
"Putrefaction",
"Mummification"
] | B | Pregangrene is changes in tissue which indicates that blood supply is inadequate to keep tissues alive and presents with rest pain, colour changes, oedema, hyperaesthesia. | train | med_mcqa | null |
Chromium deficiency may lead to:- | [
"Insulin dysfunction",
"Cardiomyopathy",
"Endocarditis",
"External ophthalmoplegia"
] | A | NUTRITIONAL DEFICIENCIES:- Chromium deficiency causes Insulin dysfunction resulting in Glucose intolerance. Copper deficiency causes : Neutropenia Selenium deficiency : Endemic cardiomyopathy (Keshan's disease) Zinc deficiency : growth failure, delayed wound healing, pernicious anemia Molybdenum deficiency: mouth and e... | train | med_mcqa | null |
What is the treatment for primary grade 5 vericoureteric reflux involving both kidney in a 8 months old boy is | [
"Antibiotic Prophylaxis",
"Ureteric implantation",
"Cystoscopy followed by subureteric injection of Teflon",
"Bilateral ureterostomies"
] | A | In all children presenting at age < 1yr with VUR, are treated with continuous Antibiotic Prophylaxis.
Indication for surgery :
Ureteric reimplantation for bilateral grade IV and V VUR that Persist beyond infancy. | train | med_mcqa | null |
Which of the following is not a 2 way communication- | [
"Lectures",
"Group discussion",
"Panel discussion",
"Symposium"
] | A | The flow of communication is one way from the communicator to the audience.The familiar example is the lecture method in class rooms.This is known as Didactic method (refer pgno:855 park 23 rd edition) | train | med_mcqa | null |
The stability of the ankle joint is maintained by all of the following, except: | [
"Plantar calcaneonavicular (spring) ligament",
"Deltoid ligament",
"Lateral ligament",
"Shape of the superior talar aicular surface"
] | A | A i.e. Plantar calcaneonavicular (spring) ligament | train | med_mcqa | null |
A 25-year-old patient presented with signs of meningoencephalitis following swimming in a nearby local pond one week back. The CSF on wet mount microscopy revealed motile unicellular microorganisms. The most likely organism is | [
"image_question",
"image_question",
"image_question",
"image_question"
] | A | The given clinical scenario is suggestive of Primary amoebic meningoencephalitis caused by Naegleria fowleri. It is also known as Brain-eating amoeba. It occurs in 3 forms: cyst, amoeboid trophozoite and flagellate trophozoite forms. The infection usually follows swimming in the freshwater rivers or ponds. The amoebae ... | train | med_mcqa | null |
Nodular scabies is found in | [
"Web space of finger",
"Axilla",
"Abdomen",
"Scrotum"
] | D | D i.e. Scrotum | train | med_mcqa | null |
During postmoem no tattoo is visible, but according to deceased family, there was a tattoo present. What evidence can indicate the same? | [
"Lymph node",
"Surrounding subcutaneous tissue",
"Adipose tissue",
"Adjacent skin"
] | B | Tattoo marksDesigns made in the skin by multiple small puncture wounds with needles or electric vibrator dipped in coloring matter. The most permanent pictures are made when the dye penetrates the dermis.If the dye is deposited into deeper layers of the dermis, it will be removed by phagocytes.Most of the marks are fou... | train | med_mcqa | null |
Operculated eggs are seen in - | [
"Nematodes",
"Cestodes",
"Tremalodes",
"Protozoa"
] | C | Ans. is 'c' i.e., Trematodes o Operculated eggs has a little cap like structure (operculum) at the end. The operculum pops open when the next stage is ready to emerge.o The trematodes (flukes) lay operculated eggs. An exception is schistosome egg, which are not operculated. | train | med_mcqa | null |
Zoonotic disease is/are transmitted by - | [
"Ticks",
"Rat flea",
"Sand fly",
"Mosquito"
] | A | <p> Zoonotic diseases are transmitted by hard ticks(e.g.tick typhus, viral fever) or soft tick(Q-fever). Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:780. <\p> | train | med_mcqa | null |
A 17-year-old high school tennis player sustains a right midshaft clavicle fracture. Which of the following increases the risk of nonunion in the non operative treatment of clavicle fractures | [
"Sling treatment",
"Figure-of-eight bandage treatment",
"Displacement and comminution",
"Male sex"
] | C | Displacement and comminution have been shown to increase risk of non-union in nonoperative management. There are no significant differences between outcomes when using sling immobilization versus a figure-of-eight bandage. | train | med_mcqa | null |
Which of the following statements is not true regarding hemolytic uremic syndrome ? | [
"It is a microangiopathic hemolytic anemia",
"Thrombocytopenia and schistocytes are seen in the peripheral blood smear",
"Remal insufficiency is a complication",
"Direct coombs test is positive"
] | D | Hemolytic-uremic syndrome (HUS) is a clinical syndrome characterized by progressive renal failure that is associated with microangiopathic (nonimmune, Coombs-negative) In hemolytic uremic syndrome coomb&;s test is usually negative except if associated with s.pneumoniae. Reference: GHAI Essential pediatrics, 8th edition | train | med_mcqa | null |
Taste sensations from anterior 2/3rd of tongue are carried by: | [
"Glossopharyngeal nerve",
"Chorda tympani nerve",
"Trigeminal nerve",
"Greater auricular nerve"
] | B | Taste sensation from anterior 2/3rd of tongue is carried by chorda tympani (branch of facial nerve), towards the facial nerve and geniculate ganglion. | train | med_mcqa | null |
Substance present in both serum and plasma:September 2007 | [
"Fibrinogen",
"Factor II",
"Factor VII",
"Factor V"
] | C | Ans. C: Factor VIISerum has essentially the same composition as that of plasma except that its fibrinogen and clotting factors II,V and VIII has been removed and it has a higher seroton in content. | train | med_mcqa | null |
Blind spot of Mariotte is also known as: March 2007 | [
"Optic disc",
"Ora serrata",
"Macula",
"Fovea"
] | A | Ans. A: Optic disc Blind spot/physiological blind spot/punctum caecum is the place in the visual field that corresponds to the lack of light-detecting photoreceptor cells on the optic disc of the retina where the optic nerve passes through it. Since there are no cells to detect light on the optic disc, a pa of the fiel... | train | med_mcqa | null |
Upper border of thyroid cartilage is at - | [
"C2",
"C4",
"C6",
"Tl"
] | B | Thyroid cartilage, itself lies in front of C4 - C5 level. Its upper border is at C4 vertebra level.
"The superior border of the thyroid cartilage is at the C4 level." — Atlas of anatomy | train | med_mcqa | null |
Electrical synapse is closely associated with | [
"Neuromuscular junction",
"Tight junction",
"Gap junction",
"None of the above"
] | C | Cell junction forms tunnels that join the cytoplasm of two cells. They help in the transmission of electrical activity from one cell to another. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 18) | train | med_mcqa | null |
NRHM involves | [
"VHG",
"ASHA",
"ANM",
"HWM"
] | B | Ans) b (ASHA) Ref park 20th ed pg 379-381The main aim of the national rural health mission (NRHM) is to provide accessible, affordable, accountable, effective and reliable primary health care and bridging the gap of rural health care through creation of a cadre of Accredited social health activist (ASHA)VHG is village ... | train | med_mcqa | null |
21 year old female presents with history of mild bilater ptosis, proximal muscle weakness and easy fatiguability which among the following is best in diagnosis this condition | [
"Muscle biopsy",
"Edrophonium test",
"Repetitive nerve stimulation",
"Electro myography"
] | B | * For diagnosis inject edrophonium 2mg i.v Improvement- myasthenic crisis No improvement or worsening - cholinergic crisis. The Tensilon test uses the drug Tensilon (edrophonium) to help your doctor diagnose myasthenia gravis. Tensilon prevents the breakdown of the chemical acetylcholine, a neurotransmitter that nerve ... | train | med_mcqa | null |
All are indications for penile angiography except | [
"Painful priapism",
"Peyronie's disease",
"Erectile dysfunction",
"Aerio-venous malformation"
] | A | Priapism Priapism means a persistent erection lasting longer than 4 hours and it is a surgical emergency. There are two main types of priapism. ISCHAEMIC PRIAPISM Ischaemic or venogenic priapism is the commoner and is due to venous congestion, with consequent thrombosis and ischaemia. The penis remains erect and become... | train | med_mcqa | null |
According to CDC recommendations, HIV screening of pregnant women is | [
"Opt in testing",
"Opt out testing",
"Compulsory",
"Symptomatic"
] | B | Opt-out testing means performing an HIV test after notifying the patient that the test is normally performed, but that the patient may elect to decline or defer testing; consent is then assumed unless the patient declines to test. WHO and CDC recommend opt-out testing policies in healthcare settings. Reference: HIV tes... | train | med_mcqa | null |
'Herald patch' is seen in: | [
"Pityriasis rosea",
"Pityriasis rubra pilaris",
"Pityriasis lichenoides et varioliformis acuta",
"Pityriasis alba"
] | A | Ans. A. Pityriasis rosea. (Ref. Harrison's 18lh/pg. 367)In Pityriasis rosea, initially, there is a single 2- to 6-cm annular salmon-colored patch (herald patch) with a peripheral rim of scale, followed in days to weeks by a generalized eruption involving the trunk and proximal extremities.Pityriasis rosea:# It is an ac... | train | med_mcqa | null |
Increased BP, proteinuria, RBC casts are the features of which type of Glomerulonephritis ? | [
"RPGN",
"Membranous GN",
"Membranoproliferative GN",
"Focal segmental glomerulosclerosis"
] | A | Answer- A. RPGNHaematuria, proteinuria, hypeension, edema and oliguria are the clinical features associated with Nephritic syndrome.Presence of RBC casts in urine is classical feature of nephritic syndrome. | train | med_mcqa | null |
An 18-year-old man suffers massive trauma in a motorcycle accident. A CT scan shows multiple intracerebral hemorrhages. The patient expires after 6 months in a coma. At autopsy, there are cystic cavities within the frontal and temporal lobes, corresponding to the areas of prior hemorrhage. These cavities were formed in... | [
"Astrocytes",
"Endothelial cells",
"Microglial cells",
"Neutrophils"
] | C | Microglia are phagocytic macrophage-derived cells of the CNS, accounting for 5% of all glial cells. In response to necrosis, macroglia become phagocytic, accumulate lipids and other cellular debris, and are designated gitter cells. Some reactive microglia exhibit a prominent elongated nucleus, in which case they are re... | train | med_mcqa | null |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.