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Multiple Sclerosis is associated with all of the following, Except
Answer is A (Hydrocephalus): Multiple sclerosis is not associated with Hydrocephalus. Optic Neuritis, Spasticity and Spinal cord involvement may all be seen with multiple sclerosis. Multiple Sclerosis Multiple Sclerosis is a chronic disease characterized by inflammation, demyelination, gliosis (scarring) and neuronal l...
1
Hydrocephalus
Optic Neuritis
Spasticity
Spinal cord involvement
Medicine
null
eaa204cc-200c-488d-adf1-2479df42cf0b
multi
acute and chronic renal failure can be differentiated by?
Ans c (peripheral neuropathy in CRF) ref: Harrison 17th ed 1755Findings that suggest chronic kidney disease include anemia, evidence of renal osteodystrophy (radiologic or laboratory), and small scarred kidneys, anemia may also complicate ARF ARF with hyperphosphatemia:rhabdomyolysisUrate nephropathytumor lysis syndrom...
3
anemia in CRF
hyperphosphatemia in CRF
peripheral neuropathy in CRF
d)
Medicine
Kidney
5099c371-e73e-4535-ab1e-2b4aa0186584
single
Venous drainage from neurohypophysis is routed through all of the following EXCEPT?
Superior hypophyseal veins to ventricular tanycytesThere are no vessels by the name superior hypophyseal veinsThere are 3 routes for venous drainage of neurohypophysis: To adenohypophysis long & sho poal vessels; into dural venous sinuses inferior hypophyseal veins & to hypothalamus capillaries passing to median eminen...
2
Poal vessels to adenohypophysis
Superior hypophyseal veins to ventricular tanycytes
Inferior hypophyseal veins to dural venous sinuses
Capillaries to median eminence & hypothalamus
Anatomy
null
e0f18e48-42b2-40d7-a6fb-1156edee200b
multi
B/L ronchi are seen in -a) Pulmonary edemab) Pulmonary emobolismc) Bronchiectasisd) Pulmonary AV fistula
null
2
a
ac
ad
b
Medicine
null
89620edf-7507-4fbd-98ad-256cae20a6bb
single
Which of the following is true of cellular cementum?
null
2
Forms during root formation
Forms after the eruption of the tooth
Seen at the coronal portion of the tooth
Formation is a slow process
Dental
null
36b7069a-4df1-4ec3-999d-d56951fec6f0
multi
An athelete presented with red coloured urine after 2 days of history of severe exertion. The most probable cause is?
ANSWER: (D) MyoglobinuriaREF: Harrison's Internal Medicine 17th edition chapter 382,Physiology and pathology of the urine by John dixon p. 49Red color urine may be due to hemoglobin or myoglobin. In the question clue is given that patient is an athlete who competed in an event which lead to sternous exercise and hence ...
4
Hemoglobinuria
Hemosiderinuria
Hematuria
Myoglobinuria
Medicine
Kidney
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single
During which stage of development does maximum growth spu occur in females ?
FOR GIRLS peak height growth:breast stage III and axillary hair stage III. FOR BOYS peak height growth: genitalia (testes and penis) stage IV and axillary hair stage IV. In girls, the breast bud (Thelarche) is usually the first sign of pubey (10-11 yr), followed by the appearance of pubic hair 6-12 months later. The in...
3
Tanner breast stage I, Axillary stage I
Tanner breast stage II, Axillary stage II
Tanner breast stage III, Axillary stage III
Tanner breast stage IV, Axillary stage IV
Pediatrics
null
2930bee6-f47a-46f4-b0a0-8077df8a0ec9
single
A 50-yrs-old woman is diagnosed with cervical cancer. Which lymph node group would be the first involved in metastatic spread of this disease beyond the cervix and uterus?
The cervix and upper vagina drain laterally to the parametrial, obturator, and external iliac nodes and posteriorly along the uterosacral ligaments to the sacral nodes. Drainage from these primary lymph node groups is upward along the infundibulopelvic ligament, similar to drainage of the ovary and fallopian tubes to t...
2
Common iliac nodes
Parametrial nodes
External iliac nodes
Para-aoic nodes
Gynaecology & Obstetrics
Cervical Carcinoma
a8471b3a-6581-4d02-a3f1-1de61dbeea0b
single
Oxygen comes from alveoli to blood by ?
Ans. is 'a' i.e., Diffusion Oxygen is transferred from the alveoli to the pulmonary capillaries by the process of diffusion. The diffusion occurs across the respiratory membrane. As oxygen diffuses into the blood, it combines with hemoglobin. However, the oxygen, in combination with hemoglobin, does not contribute to t...
1
Diffusion
Receptor mediated
Active transpo
Osmosis
Anatomy
null
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single
Most common site of metastases in case of osteosarcoma is
Ans. is 'b' i.e., Lungs * Almost 10% of the patient have metastases at presentation. Metastases is most common to lungs, but hematogenous spread to other organs is also possible - including lymph nodes, brain and skeleton.
2
Brain
Lungs
Liver
Bladder
Orthopaedics
Metastatic Bone Disease
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single
True about 'Tetralogy of Fallot' (TOF) are all of the following EXCEPT?
TETRALOGY OF FALLOT: --> MC congenital cyanotic hea disease in children --> Contain 4 COMPONENTS: 1. Large, unrestricted VSD 2. Pulmonary infundibular stenosis 3. Overriding aoa 4. Right ventricular hyperophy --> CLINICAL FEATURES: Cyanosis Clubbing Polycythemia Cyanotic spells Hea failure is not seen in TOF, unless it...
3
It is the most common congenital cyanotic hea disease in children
Severity of disease depends on the severity of pulmonary stenosis
Atrial septal defect is one of the components of TOF
Boot shaped hea is seen on chest X ray
Pediatrics
Acyanotic congenital hea diseases
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multi
Which of the following streptococcal antigen cross reacts with synol fluid ?
Ans. is 'c' i.e., Capsular hyaluronic acid
3
Carbohydrate (group A)
Cell wall protein
Capsular hyaluronic acid
Peptidoglycan
Microbiology
null
15459b33-9a46-4c01-8307-7f53499dbfe2
multi
All of the following are associated with cardiac looping, EXCEPT:
Cardiac looping is dependent in pa upon the laterality-inducing genes nodal and left. These genes induce expression of the transcription factor PITX2 in lateral plate mesoderm on the left side and later in mesoderm on the left side the hea. PITX2 may play a role in the deposition and function of extracellular matrix mo...
4
Lefty
PITX2
HAND1
None of the above
Anatomy
null
1f1ab370-2b8e-4aea-b2ef-25efff6aaf91
multi
Clostridium difficile diarrhoea is most commonly associated with
Clostridium difficile diarrhea is a super-infection also called Pseudomembranous colitis. Mc cause is 3rd generation Cephalosporins Other causes include Clindamycin, Aminopenicillins (Ampicillin and Amoxycillin), and Fluoroquinolones. DOC for treatment of PMC is oral Vancomycin now. Stool transplant can also be done. M...
1
Aminopenicillins
Fluoroquinolones
Macrolides
Carbapenems
Pharmacology
Cell Wall Synthesis Inhibitors
b7ffa479-464c-4ff0-8414-60522ebbb193
single
Facial nerve paralysis is common with
null
4
Pleomorphic adenoma
Epidermoid carcinoma
Warthin's tumour
Lymphoepithelial carcinoma
Pathology
null
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single
A 27 year old male patient complains of discoloration with his upper front teeth. Intra-oral examination reveals proximal caries with 11 and 21. Dentist prepares the tooth to receive composite restoration. Optimal enamel bevel features seen with this type of restoration is:
Enamel margins are beveled with a FLAME SHAPED OR ROUND DIAMOND INSTRUMENT . Bevel is prepared by creating a 45 degree angle to the internal surface and width of 0.5-2mm depending on the size of the preparation, location of margin and esthetic requirement.
1
45 degree bevel with 0.5-1.5mm width
30 degree bevel with 0.5-1.5 mm width
45 degree bevel with 2-3 mm width
30 degree bevel with 2-3 mm width
Dental
null
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single
CLO test is used for -
Answer- A. H. pyloriRapid urease test, also known as the CLO test (Campylobacter-like organism test), is a rapid diagnostic test for diagnosis of Helicobacter pylori.
1
H. pylori
Brucella
Gonorrhoea
EBOLA
Medicine
null
70c49cbc-9cba-4c7c-9eac-6c2f1c08b1ac
single
According to the new WHO 2013 malaria treatment guidelines, which of the following statements is true?
Ans. c. Primaquine is contraindicated in infants and pregnant women (Ref: Harrison 19/e p1383; Doc/Diagnosis-Treatment-Malaria-2013 .pdf)Primaquine is contraindicated during pregnancy and in lactation unless the infant being breast-fed has a documented normal G6PD level."Primaquine is contraindicated in persons with G6...
3
No ACT in falciparum malaria
Presumptive treatment with chloroquine should be given
Primaquine is contraindicated in infants and pregnant women
Primaquine is to be given for 7 days in falciparum malaria
Social & Preventive Medicine
Communicable Diseases
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multi
Craniotabes is seen in following except?
Ans. is 'd' i.e., Thalassemia Craniotabes is seen in o Rickets o Hydrocephalus o Osteogenesis imperfecta o Syphilis
4
Rickets
Syphilis
Osteogenesis imperfecta
Thalassemia
Pediatrics
null
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multi
Nothern blot is used for the separation of:
A i.e. m- RNA
1
mRNA
DNA
Protein
Protein DNA interaction
Medicine
null
1e171a98-fe1a-41d0-b7d8-5b3c761c7750
single
Left cardiac border bulge can be sen in all, except
A i.e. Enlarged Azygous Vein Azygous vein is a right sided structureQ and all others are left sided. Azygous vein lies in the angle between the right main bronchus & trachea and size is < 10mm diameter on erect X-ray. Its size decreases on valsalva, in spiration; and increases in supine position, pregnancy, poal hypeen...
1
Enlarged azygous vein
Left appendicular overgrowth
Coronary aery aneurysm
Pericardial defect
Radiology
null
f14adf62-276b-4af5-9072-838d89ca3c5a
multi
True statements about ankylosing spondylitis include all except -a) HLA-B27 is found in 90% of sufferersb) Uveitis is found in 15 to 20% of sufferersc) The conditions is commoner in femaled) The radiological changes can occur in the spine before symptoms
HLA - B27 is positive in 90-95% of cases. Uveitis occurs in 40% of patients (Harrison 17th /e 2111) Ankylosing spondylitis is more common in males. Radiological changes do not occur before clinical symptoms :- "One of the drawback to radiography is that the disease may be present for 7-10 years before changes are sign...
1
bcd
acd
ac
bd
Orthopaedics
null
92daa4d5-d10e-470f-8fa3-75974276429a
multi
Cricoid cartilage is a derivative of which branchial arch?
Cricoid is derived from VIth arch. Other cartilages of VIth arch derivation are arytenoids and corniculate.Thyroid and cuneiform cartilages are derived from IVth arch.Epiglottis is derived from hypobranchial eminence and possibly also from ventral ends of IVth arch.
3
IIIrd arch
IVth arch
VIth arch
Hypobranchial eminence
ENT
Larynx
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single
Medulloblastoma exclusively occurs in the:
b. Cerebellum(Ref: Nelson's 20/e p 2458, Ghai 8/e 612-613)Medulloblastoma is a cerebellar tumor occurring predominantly in males and at a median age of 5-7 yr.CT & MRI show a solid, homogeneous, contrast enhancing 4th ventricular obstruction & hydrocephalus.
2
Medulla
Cerebellum
Cerebral hemispheres
Spinal cord
Pediatrics
Childhood Tumors
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single
Presence of endometrial tissue within the myometrium is defined as
Endometriosis is defined as the presence of endometrial tissue (glands and stroma) outside the uterus. The most frequent sites of implantation arethe pelvic viscera and the peritoneum.Adenomyosis is defined as the presence of endometrial stroma and glands within the myometrium, at least one low-power field from the bas...
1
Adenomyosis
Endometriosis
Myoma
PID
Gynaecology & Obstetrics
Disorders of menstruation
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single
Disturbance of affect is not seen in
(B) Obsessions # Obsessive-Compulsive Disorder:> An obsession is defined as an idea, impulse or image which intrudes into conscious awareness repeatedly. It is recognized as one's own idea, impulse or image but is ego-alien (foreign to one's personality). It is recognized as irrational and absurd (insight is present) P...
2
Drowsiness
Obsessions
Hallucinations
Delusions
Psychiatry
Miscellaneous
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multi
Causes of chronic constipation are all except:
null
4
Hirschsprung disease
Chagas disease
Hypokalemia
Polyps
Surgery
null
ecbeeaea-28f4-4036-aeca-82de4bbbb6ee
multi
Increased incidence of squamous cell carcinoma of the skin is due to all except:
null
4
Ultraviolet radiation
Actinic keratitis
Alcohol
None of the above
Pathology
null
cf51f87b-3736-4065-9d3d-57a18358755a
multi
Which of the following tendons has attachments on sustenticulum Tali?
Sutenticulum Tali provides attachment to a slip of Tibialis Posterior Tendon. Ref: BDC, Volume 2, 4th Edition, Page 38; Anatomy By Mitra, Volume 3, Page 138; Grants Method of Anatomy, 11th Edition, Page 326, 329
2
Tibialis Anterior
Tibialis Posterior
Flexer digitorum longus
Flexer Hallucis Longus
Anatomy
null
a5ac6f7b-d2c3-46d9-8574-281aee66bd23
multi
If a Panchayat is dissolved, elections are to be held within –
null
3
1 month
3 months
6 months
1 year
Social & Preventive Medicine
null
8a584b83-fd5e-46de-9d5a-37c3beba9559
single
Primary treatment of dacrocystitis -
Massage increases the hydrostatic pressure in the sac and help to open the membranous occlusions and it carried out 4 times a day to be followed by antibiotic drops. Ref Ak khurana 6th edition
1
Massage
Probing
Surgery
Antibiotic drops
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
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single
The following drug has maximum propensity to cause peripheral neuropathy:
Both Stavudine and Didanosine cause peripheral neuritis in a dose dependent manner. But Stavudine has more chances to cause peripheral neuropathy. Peripheral neuropathy is not seen in patients on treatment with Lamivudine and Zidovudine. Ref: K D Tripathi Textbook of Pharmacology, 5th Edition, Pages 725-31
3
Didanosine
Zidovudine
Stavudine
Lamivudine
Pharmacology
null
ba8b89f9-3b7a-4682-8bab-cc6c309fe410
single
After Cleft lip operation sutures are removed on
Guidelines go rday of suture removal by Area Body region Removal Eyelid 3-4 days Eyebrow 3-5 days Nose 3-5 days Lip 3-4 days Face(other) 3-4 days Scalp 6-8 days Chest, abdomen 8-10 days Ear 10-14 days Back 12-14 days Extremities 12-14 days Hand 10-14 days Foot, sole 12-14 days Ref: Sabiston 18th edition Pgno :2134
2
2nd day
4th day
7th day
10th day
Surgery
Head and neck
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single
Recognized complications associated with enteral feeding include all except
Complications of enteral nutrition Tube-related: Malposition, Displacement, Blockage, Breakage/leakage Local complications (e.g. erosion of skin/mucosa) Gastrointestinal : Diarrhoea, Bloating, nausea, vomiting, Abdominal cramps, Aspiration, Constipation Metabolic/biochemical: Electrolyte disorders, Vitamin, mineral, tr...
4
Constipation
bloating & nausea
Aspiration pneumonia
Hepatic steatosis
Surgery
General surgery
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multi
Which of the following is not an indicator for nutritional values?
null
1
Vital signs
Weight and height
Mid arm circumference
Prevalence of low birth weight
Dental
null
ef5823ed-7069-4416-98b2-f26134a6b84b
single
Which amongst the following endothelin is involved in MI?
Plasma ET-1 levels are raised after acute myocardial infarction due to coronary vasoconstriction-Myocardial ischemia -Ventricular dysfunction. Endothelin (ET)-1 is a potent coronary vasoconstrictor.
1
Endothelin 1
Endothelin 2
Endothelin 3
Endothelin 4
Medicine
Acute coronary syndrome
d4b6e50b-30af-4da2-9f75-6335c9a898a8
single
Earliest clinical sign of raised intracranial pressure is:
Ref: Harrison's Principles of Internal Medicine, 18ed.Explanation:Early Manifestations of Acute Raised ICTHeadacheProjectile Vomiting w ithout nauseaExtraocular muscle palsyAltered level of consciousnessBack painPapilledema.Other ManifestationsIf papilledema is prolonged, it may lead to visual disturbances, optic atrop...
4
Hypotension
Tachycardia
Dvsnea
Altered behavior
Medicine
C.N.S.
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single
All of the following are the causes of post menopausal bleeding except-
Ans. is 'd' i.e., None of the aboveCauses of post menopausal bleedingo Senile endometritiso Atrophic endometriumo Endometrial hyperplasiao DUBo Genital malignancy such as carcinoma (cervix, endometrium, vagina, vulva & fallopian tubes), sarcoma uterus, granulose cell tumour of ovaryoUterine polypo Tubercular endometrit...
4
Senile vaginitis
Decubitus ulcer
Cervical erosion
None of the above
Gynaecology & Obstetrics
Gynaecological Disorders in Obs.
96fad18d-8b1a-4a10-8f01-c28b9a0aba56
multi
Major fibril protein in Primary Amyloidosis is?
Ans. (a) AL(Ref: Robbins 9th/pg 257-260)AL protein is made of complete Ig light chains, amino- terminal fragments of light chains, or both.Most of the AL proteins are composed of l light chains or their fragments, but in some cases k chainsThe amyloid fibril protein of the AL type is produced from free Ig light chains ...
1
AL
AA
Transthyretin
Procalcitonin
Pathology
Amyloidosis
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single
H pylori treatment: A/E-
H.pyori treatment is based upon a PPI taken simultaneously with 2 antibiotics (from amoxicillin, clarithromycin and metronidazole) Davidson page 874
1
Oentamycin
Clarithromycin
Metronidazole
Amoxicil in
Medicine
G.I.T
360a6d32-ba1a-4c6d-9423-cda8b7a80a20
single
"Daing motility" is shown by -
Ans. is 'c' i.e., Vibrio . Daing motility --1 V. cholerae . Stately motility --1 Clostridia . Tumbling motility --k Listeria (at 20-25degC) . Lashing motility --). Borrelia . Cork screw motility --0. T. pallidum . Gliding motility --1 Mycoplasma .Swarming --1 Proteus mirabilis, P. vulgaris, B. cereus, Cl. tetani
3
Proteus
Serratia
Vibrio
E. coli
Microbiology
null
3119338d-38cb-47f3-a957-86669d2eb1ac
single
which position is best in patients suspecting air embolism
For venous air embolism the Trendelenburg or left lateral positioning of a patient with an air-lock obstruction of the right ventricle may move the air bubble in the ventricle and allow blood flow under the bubble Ref Davidson edition23rd pg 622
4
Supine
Left Lateral
Trendelenberg
BC
Medicine
Respiratory system
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single
Chronic disorder characterised by compulsive use of drugs resulting in physical, psychological and social harm and continued use despite evidence that is harmful is called as
Addiction is defined as a chronic disorder characterised by compulsive use of drugs (craving) resulting in physical, psychological and social harm, and continued use despite evidence of that harm. Drug habituation is a condition resulting from the repeated consumption of a drug, in which there is psychological or emoti...
2
Substance intoxication
Drug addiction
Drug abuse
Drug dependence
Forensic Medicine
Drug Abuse
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multi
6th month immunization given is -
Ans. is 'a' i.e., Measles o Measles vaccine is given at 6 month.
1
Measles
DPT
BCG
All
Social & Preventive Medicine
null
59cf0f99-5424-4f36-a598-c803e44f7a2e
multi
Pontine hemorrhage most common cause is -
null
1
Hypertension
Diabetes
Trauma
Aneurysmal rupture
Medicine
null
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single
Transcytosis occurs in
In transcytosis, vesicles undergo Endocytosis on one side of a cell and then undergo exocytosis on the opposite side of the cell. Transcytosis is mostly seen in capillaries but also seen in M cells of intestine, osteoclasts,neurons (Ref: Ganong's Review of medical physiology)
1
M cells of intestine
Neuroglia
Pneumocytes
Axonlemma
Physiology
General physiology
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single
All of the following are true regarding Bedaquiline use except
BEDAQUILINEPatient should be using non- hormonal based bih control measure throughout the treatment period The basic criteria for patient selection for bedaquiline is : Age of the patient should be >=18 years having MDR- TB Pregnancy is a contraindication for BDQ therapy and the patient should be using non-hormonal bas...
3
The patient >= 18 years with MDR TB is included
Patient with XDR-TB is eligible for its therapy
Patient should be using hormonal based bih control measure throughout the treatment period
Pregnant patients are excluded
Social & Preventive Medicine
RNTCP
06be2bf1-164f-4286-a8b9-6937940293b4
multi
Root value for nerve to Quadratus femoris -
Ans. is 'c' i.e., L4 L5 S1o Nerve to quadratus femoris is a branch of sacral plexus with root value L4 L5 S\.Sacral plexus has been explained in previous sessions.
3
L1L2 L3
L2 L3 L4
L4 L5 S1
S1 S2 S3
Anatomy
Nerves of Lower Extremity
32e57761-db69-4350-8310-1e30e06e09c6
single
Mean ± 250 in normal distribution
In normal distribution : Mean ± 150 lovers 68% values. Mean ± 250 lovers 95% values. Mean ± 350 lovers 99% values.
2
68%
95%
99%
50%
Social & Preventive Medicine
null
f1ae711c-78f6-4fd5-b4cc-541acb6e56e0
single
Drug, NOT metabolised by liver is :
Ans. is 'a' Penicillin G Penicillin G is metalized mainly in kidneyApproximately 10% of the drug is eliminated by glomerular filtration and 90% by tubular secretionRest of the drugs given in the question erythromycin, cimetidine and phenytoin are metabolized in the liver.
1
Penicillin G
Phenytoin
Erythromycin
Cimetidine
Pharmacology
Pharmacokinetics
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single
All cases cluster within one incubation period in:
Ans: a (Point source epidemic) Ref: Park, 19th ed, p. 60There are three kinds of time trends or fluctuation in disease occurrence1. Short term fluctuation2. Periodic fluctuation3. Long term or secular trendsShort term fluctuations-Best known example is an epidemic.Types of epidemics:A. Common -source epidemicsa) Single...
1
Point source epidemic
Continuous source epidemic
Secondary epidemic
Endemic
Social & Preventive Medicine
Epidemiology
3635116b-1fb3-4e98-a0dc-93a5bba54cee
multi
Nitric oxide produces its anti–aggregatory action by increasing the levels of
null
2
cAMP
cGMP
ADP
Phosphoinositol
Pharmacology
null
cd9bedf1-878d-481d-9471-c60fa86c421e
single
Which one of the following foetal functions is the last to be affected
(A) Tone
1
Tone
Movement
Heart rate reactivity
Breathing movements
Gynaecology & Obstetrics
Miscellaneous (Obs)
1f5643f6-242d-4d23-85bb-eb21d0ef9831
single
Neurological involvement is pronounced in which type leprosy -
null
1
Tuberculoid
Lepromatous
Borderline
Lucio leprosy
Microbiology
null
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single
Karyotyping of the fetus can be done through all of the following invasive methods except:
Ans. d. Fetal skin biopsy (Ref: Williams 23/ep299-30I; Dutta 6/e pit)?. 108, 642>"Currently there are three routine itw.! of obtaining fetal tissue: Amniocentesis at 15 to 20 weeks, gestation, chorionic villus sampling at 10 to 12 weeks, a tut percutaneous umbilical blood sampling (cordocentesis) past 18 weeks. In addi...
4
Chorionic villus sampling
Cordocentesis
Amniocentesis
Fetal skin biopsy
Gynaecology & Obstetrics
Antenatal Screening
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multi
Aneurysm of post-cerebral artery can result in paralysis of which cranial nerve?
Posterior cerebral artery aneurysm is associated with occulomotor nerve palsy.
2
2nd
3rd
5th
6th
Surgery
null
f53ae849-9b5d-44af-a522-2718364c0c9e
single
Low doses of aspirin therapy is essentially advised for all of the following conditions except:
Answer is A (SLE) Low dose aspirin therapy has definite indication in preecclampsia, IUGR and post MI. There appears no rationale of using low dose aspirin for manifestation of SLE. Neveheless low dose aspirin is of definite benefit in antiphospholipid antibody syndrome. SLE is thus the single best answer of exclusion ...
1
SLE
IUGR
Post myocardinal infarction
Pre ecclampsia
Medicine
null
1fab42e8-8266-4653-b9c9-1ac099672a46
multi
Which of the following displacement is not seen in Colle's fracture?
Ans. b. Volar tilt
2
Radial tilt
Volar tilt
Dorsal displacement
Supination
Gynaecology & Obstetrics
null
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Which is true regarding prostate gland?
Ans. C Glandular tissue and fibromuscular stromaRef: Gray's Anatomy, 39th ed. pg. 1302* The anterior part of the prostate is composed mainly of fibromuscular stroma, which is continuous with detrusor fibers.* Toward the apex of the gland, this fibromuscular tissue blends with striated muscle from the levator.* Pubospro...
3
Only glandular tissue
Glandular tissue covered with transitional epithelium
Glandular tissue and fibromuscular stroma
Entire gland is composed of collagen
Anatomy
Abdomen & Pelvis
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Sec 174 CrPC deals with -
Sec 174 CrPC deals with police inquest.
1
Inquest
Inquiry
Murder
Medical negligence
Forensic Medicine
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Blood vessels can be harvested from a body after death, for the purpose of transplantation latest by?
The periods within which some organs should be removed are as follows: Cornea - 6 hours Skin - 24 hours Bone - 48 hours Blood vessels - 72 hours Ref: Essentials of Forensic Medicine and Toxicology by Narayan Reddy, 21st Edition, Page 112.
4
8 hours
12 hours
48 hours
72 hours
Forensic Medicine
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Final product in anaerobic glycolysis
In glycolysis; During anaerobic (oxygen deficient) condition, when one molecule of glucose is conveed into 2 molecules of lactate, there is a net yield of 2 molecules of ATP. (refer,table:9.4)Ref: DM Vasudevan, 7th edition, page no: 112
3
Pmyruvate
Acetyl CoA
Lactate
Oxaloacetate
Biochemistry
Metabolism of carbohydrate
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A person hears voices before Jailing asleep, history of falls in day time sleep attacks. The probable diagnosis is (* NIMHANS Post MBBS 2017; NIMHANS 2014; NIMHANS 2007)
(A) Narcolepsy# NARCOLEPSY:> It is a long-term neurological disorder that involves a decreased ability to regulate sleep-wake cycles.> Symptoms are periods of excessive daytime sleepiness that usually last from seconds to minutes and may occur at any time.> 70% of Narcolepsy people experience episodes of sudden loss of...
1
Narcolepsy
Schizophrenia
Delusion
Insomnia
Psychiatry
Miscellaneous
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Ridge of Passavant is found in:
Superior constrictor
3
Tensor palati
Levator palati
Superior constrictor
Inferior constrictor
Anatomy
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Dystrophic calcification is seen in -
Dystrophic calcification is seen in dead and degenerated tissue. Calcification in degenerated tissue: atheroma in the aoa and coronaries. Metastatic calcification occurs in normal tissues due to hypercalcimia. E.g. hyper vitaminosis D , hyper parathyroidism, Milk alkali syndrome. .ref Robbins 9/e p14
2
Milk alkali syndrome
Atheromatous plaque
Hyperparathyroidism
Vitamin A intoxication
Pathology
General pathology
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The primary direct stimulus for excitation of central chemo-receptors is:
The primary direct stimulus for excitation of central chemo receptors is |H+. Increased in blood pCO2 causes CO2 to diffuse the blood brain barrier with ease where it reacts with water to form carbonic acid acid. This carbonic acid in turn dissociates into H+ and bicarbonate ions. This H+ ions then have a potent stimul...
1
|H+
|CO2
|O2
|CO2
Physiology
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20 year old male lalu develops multiple tender bleeding, nonindurated ulcer over prepuce and glans which are painful along with suppurative lymphadenopathy, 5 days after having sexual interc-ourse with a sex worker, most probable disease is
D i.e. Chancroid
4
LGV
Herpes genitials
Molluscum Contagiousm
Chancroid
Skin
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All are true about nasolabial cysts except:
Nasolabial Cysts/Nasoalveolar Cyst/Klestadt's Cyst It is a rare non odontogenic cyst which occurs in the region of nasolabial seen fold. It may arise from epithelial entrapment in the line of fusion between medial and lateral nasal process during the development of nose and cheek (hence also called epithelial inclusion...
3
They are B/L
They present in adults
Derived from odontogenic epithelium
Strong female predilection
ENT
null
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Which vitamin is required for hydroxylation of proline-
Ans. is 'c' i.e., C o Hydroxylation of proline and lysine residue takes place during post-translational modification in rough ER.o The enzyme catalyzing the reactions are prolyl hydroxylase (for proline) and lysyl hydroxylase (for lysine),o Both these enzy mes are dioxygenasesQ using molecular oxygen (O2) and cofactor ...
3
A
B
C
D
Biochemistry
Vitamins
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A 6 year old boy taken for ophthalmic examination under anaesthesia. His father told that he has lowerlimb weakness & his elder brother died at 14 years of age. Which anaethetic drug has to be avoided-
Ans. is 'a' i.e., Succinylcholine o History suggestive of some type of muscle dystrophy,o Sch can cause dangerous hyperkalemia in Muscular dystrophy.Succinylcholineo SCh is a depolarising skeletal muscle relaxant.o It causes sustained partial depolarization of muscle end plate - intially produce twitching and fascicula...
1
Succinylcholine
Pancuronium
Atracurium
Dexacurium
Anaesthesia
Complications Of Anaesthesia
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When did WHO declare world free of small pox?
Small pox was declared eradicated in 198i0 by WHO. India was declared free of small pox in 1977. Ref: Park 21st edition, page 132 Chapter: Epidemiology in communicable diseases.
4
1965
1970
1975
1980
Social & Preventive Medicine
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Ash leaf maculae is found in –
null
1
Tuberous sclerosis
Neurofibromatosis
Lymphangioma
null
Dental
null
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Osgood schlatter disease is osteochondritis of -
Ans. is 'a' i.e., Tibial tuberosity' Kienbock's disease is osteochondritis of LunateNameSite affectedo Perthes's diseaseo Panner's diseaseo Kienbock's diseaseo Osgood Sh latter's diseaseo Sever's diseaseo Kohler's diseaseo Scheurmann's diseaseo Calve's diseaseo Frieberg's diseaseo Islene diseaseo Johansson-Larson's dis...
1
Tibial tuberosisty
Lunate
Calcaneum
Navicular
Orthopaedics
Infection of Bones & Joints
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Pure aryans have which type of skull :
C i.e. Dolicocephalic
3
Mesaticephalic
Brachycephalic
Dolicocephalic
None of the above
Forensic Medicine
null
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Epithelium of oral mucous membrane is
null
3
Keratinized
Non keratinized
Ortho, para and non keratinized
Only para keratinized
Dental
null
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Instrument used for gingival retraction during rubber dam placement is
null
3
retainer no:208
retainer no:210
retainer no:212
retainer no:216
Dental
null
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A lady with 37 weeks pregnancy, presented with bleeding per vagina. Invetigation shows severe degree of placenta pre. The treatment is:
A patient with 37 weeks of pregnancy and severe degree of placenta pre with bleeding per vagina, the next step of management should be immediate C.S. Ref: Obstetrics and Gynecology By Charles R. B. Beckmann, American College of Obstetricians and Gynecologists, Barbara M. Barzansky, Frank W. Ling, Douglas W. Laube, 2009...
1
Immediate C.S.
Blood transfusion
Conservative
Medical induction of labour
Gynaecology & Obstetrics
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Common between B and T cells - (PGI Nov 14)
1. Both T and B cells originate from same cell lineage - Lymphoid lineage 2. But, differentiation occurs at different sites-T-cell in Thymus & B-cell in Bone marrow.
1
Origin from same cell lineage
Site differentiation
Antigenic mark
Both humoral and cellular immunity
Microbiology
Immunology Pa 1 (Immune Response, Antigen-Antibody Reactions, Hypersensitivity, Structure of Immune System, Immunodeficiency Disorders)
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A 60 year old male patient complains of discoloration of right leg. Patient is a known case of diabetes mellitus and gives a history of traumatic injury to right leg. General physical examination reveals blackish discoloration of right leg with pus and foul smell. Which of the following most appropriately describes the...
Although gangrenous necrosis is not a distinctive pattern of cell death, the term is still commonly used in clinical practice. It usually refers to the condition of a limb (generally the lower leg) that has lost its blood supply and has undergone coagulative necrosis involving multiple tissue layers. When bacterial inf...
1
Wet gangrene
Dry gangrene
Psoriasis
Pemphigus
Pathology
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Which of the following is a radioactive substance?
P-32 is a radio-active substance. It is a beta emitter with a half-life of 14 days. It is used for systemic radiotherapy of Polycythemia Vera. I-127 is a normal iodine and it is not a radio-active substance
2
Bromide
P32
C13
I127
Radiology
Contrast Agents
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Low molecular weight dextran is contraindicated in:
Low molecular weight dextran is contraindicated in Thrombocytopenia( low blood platelet count) because it interferes in platelet function. Infusion of LMW Dextran prevent early thrombosis of the small aeries which was subjected to recent operative trauma
4
Fetal distress syndrome
Cerebrovascular accident
Electrical burns
Thrombocytopenia
Surgery
Fluid, Electrolyte and Nutrition
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Which muscles is known as 'Triceps surae' ?
Ans. is 'a' i.e., Gastro-soleus Gastrocnemius and soleus together (gastro-soleus) are known as triceps surae. Soleus is known as peripheral hea helping in venous return from lower limb.
1
Gastro-soleus
Popliteus
EHL
EDL
Anatomy
null
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single
Which aery can be felt at anterior border of masseter against the mandible?
Facial aery REF: Anatomy at a glance by Omar Faiz, David Burns Moffat page 165Surface anatomy of facial aery:"Facial aery can be felt on the mandible at the anterior border of the masseter"
1
Facial aery
Maxillary aery
Posterior auricular aery
Superficial temporal aery
Anatomy
null
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single
A 40 year old female with history of myasthenia gravis on treatment with azathioprine presents with ahritis involving knee joint and serum uric acid is 12mg% . which of the following is best drug for lowering uricacid in this patient?
Allopurinol should never be used in combination with azathioprine because the two drugs share a common degradation pathway; the result may be severe bone marrow suppression due to increased effects of the azathioprine. Drugs with Interactions in Myasthenia Gravis (MG) Drugs That May Exacerbate MG Antibiotics Aminoglyco...
2
allopurinol
febuxostat
both allopurinol and febuxostat
pencillamine
Medicine
C.N.S
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Gradenigo's syndrome is due to ?
Ans. is 'b' i.e., Petrositis Petrositis Infection of mastoid and middle ear may be complicated by the spread of infection within the temporal bone into petrous apex. Petrositis is an extension of infection from middle ear and mastoid to the petrous pa of the temporal bone. Gradenigo's syndrome is the classical presenta...
2
Mastoiditis
Petrositis
Sigmoid sinus thrombophlebitis
Labyrinthitis
ENT
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All the following are present deep to the pterion except
The floor of Norma lateralis: The anterior pa of the floor is crossed by an H-shaped suture where four bones; frontal, parietal, sphenoid and temporal adjoin each other; This area is termed the pterion. It lies 4 cm above the midpoint of the zygomatic arch or 4 cm above the zygoma and 2.5 cm behind the frontozygomatic ...
2
Middle meningeal vein
II cranial nerve
Anterior division of the middle meningeal aery
Stem of the lateral sulcus of the brain
Anatomy
Head and neck
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Intrinsic causes of hemolytic anemia are all except:
- Hypersplenism is extracorpuscular cause of hemolytic anemia. - Causes of hemolytic anemias: INTRACORPUSCULAR CAUSES EXTRACORPUSCULAR CAUSES - Inherited causes: Hereditary spherocytosis G6PD deficiency; Pyruvate kinase deficiency Thalassemia Sickle cell anemia - Acquired causes: Paroxysmal Nocturnal Hemoglobinuria - I...
3
G6PD deficiency
Hereditary spherocytosis
Hypersplenism
Pyruvate kinase deficiency
Pathology
Hemolytic Anemias: Basic concepts and classification
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In which of the following forms of pulmonary carcinoma is the classic progression of metaplasia to dysplasia to carcinoma in situ observed
All stages from squamous metaplasia to carcinoma in situ are observed in squamous cell carcinoma. Such a clear progression is not seen in the other forms of cancer listed.
4
Small-cell carcinoma
Adenocarcinoma
Large-cell carcinoma
Squamous cell carcinoma
Pathology
All India exam
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Bowel can get strangulated in all of the following space except -
Ans. is 'a' ie Recto-uterine pouch
1
Rectouterine pouch
lleocolic recess
Paraduodenal recess
Omental bursa
Surgery
null
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multi
All of the following statements about primary Gouty arthritis are true, Except -
null
1
90% of cases are caused by over production of uric acid
Uric acid levels may be normal at the time of an acute attack
Men are more commonly affected than women (Male > Females)
Definitive diagnosis requires aspiration of synovial fluid
Medicine
null
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Which one of the following statement regarding Chlamydia pneumoniae is TRUE?
Chlamydiae possess group specific antigens. These are heat-stable lipopolysaccharides with 2-keto-3-deoxyoctanoic acid as an immunodominant component. Antibody to these genus-specific antigens are detected by complement fixation (CF) and immunofluorescence. Ref: Harrisons Internal Medicine, 18th Edition, Chapter 176; J...
4
Fifteen serovars have been identified as human pathogens
It is transmitted through the inhalation of bird excreta
The cytoplasmic inclusions present in the sputum specimen are rich in glycogen
The group specific antigen is responsible for the production of complement fixing antibodies
Microbiology
null
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multi
Lactational amenorrhea is due to :
Ans. is a i.e. Prolactin induced inhibition of GnRH In breast feeding females, prolactin levels are increased in response to suckling stimulus of breast feeding. Besides iProlactin, FSH concentrations are normal and LH concentrations are low. Despite the presence of gonadotropin the ovary during lactational hyperprolac...
1
Prolactin induced inhibition of GnRH
Prolactin induced inhibition of FSH
Oxytocin induced inhibition of GnRH
All
Gynaecology & Obstetrics
null
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Ankle is most stable in dorsiflexion due to
DORSIFLEXION FOOT:-The forefoot is raised,and the angle between the front of the leg and the dorsum of the foot is diminished.The wider anterior trochlear surface of the talus fits into the lower end of narrow posterior pa of the lower end of tibia.No chance of dislocation in dorsiflexion.PLANTAR FLEXION OF FOOT:-Foref...
1
Wedge shape of talus
Muscle pull during dorsiflexion
Presence of malleoli
Ligament pull
Anatomy
Lower limb
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Pneumocystis carinii is a fungus because ?
Ans. is 'a' i.e., rRNA, Mitochondrial protein gene sequence & presence thymidylate synthase; `b' i.e., Cell wall contains glucans; 'c' i.e., Antifungals are effective against p. carinii . The taxonomic classification of Pneumocystis as a fungus is based on factors: 1. Analysis of gene sequence for ribosomal RNA, mitoch...
4
rRNA, mitochondrial protein gene sequence & presence of thymidylate synthase
Cell wall contains glucans
Angifungals are effective against P. carini
All
Microbiology
null
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Hunt Hess scale is used to grade manifestations of
Answer-A. Subarachnoid hemorrhageThe initial clinical manifestations of SAH are graded using the Hunt-Hess or World Federation of Neurosurgical Societies classification schemes.A grading system has therefore been developed to document the severity of patient's disease in order to guide therapy and prognostication.
1
Subarachnoid hemorrhage
Meningioma
Hydrocephalus
Tuberculous meningitis
Surgery
null
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A 53 years old patient was admitted complains of dyspnea. On examination he has face with engorged veins over the chest. SVC obstruction is suspected. Chest x-ray shows mediastinal enlargement. What is the next step?
SUPERIOR VENA CAVA (SVC) SYNDROME Clinical manifestation of SVC obstruction, with severe reduction in venous return from head, neck and upper extremities. MC cause is Lung cancer (small cell & squamous cell carcinoma)Q, along with lymphoma and metastatic tumors responsible for more than 90% of all SVC syndrome. In youn...
2
Total blood count with peripheral smear
CT thorax
Sta cyclophosphamide
Urgent referral to
Surgery
Neck
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Primary TB most commonly involves ?
Since tuberculosis is most commonly transmittead through aerosoles from an open case of TB, lung is most commonly involved in primary TB. Secondary TB may present as extra pulmonary TB and can be seen in lymph nodes, intestine, brain etc through dissemination through blood and lymph Pulmonary TB is caused by the bacter...
3
Brain
Lymph node
Lung
Intestine
Medicine
Infection
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Mitochondria havea) Plasmid DNAb) Circular DNAc) Single stranded DNAd) Double stranded DNA
Mitochondrial DNA is small circular double stranded DNA molecule.
1
bd
d
ab
ac
Biochemistry
null
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single
A female aged 20 presented with vaginal discharge which is non irritating and malodorous. Saline wet preparation reveals clue cells. Which type of vaginitis Clue cells are used to detect?
Ans. A. Bacterial vaginosisClue cells are considered to be the most reliable indicators of BV.* The positive predictive value is of around 95% of this test for the presence of BV.* These vaginal epithelial cells contain many attached bacteria and hence create a poorly defined border of stippled cells.
1
Bacterial vaginosis
Candidal vaginitis
Primary syphilis
Secondary syphilis
Gynaecology & Obstetrics
Miscellaneous (Obs)
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The dengue fever virus is
Dengue (breakbone fever) is a mosquito-borne infection caused by a flavivirus that is characterized by fever, severe headache, muscle and joint pain, nausea and vomiting, eye pain, and rash.Ref: Jawetz, Melnick, & Adelberg's Medical Microbiology; Twenty-Seventh Edition; Chapter 38; Ahropod-Borne and Rodent-Borne Viral ...
1
Flavi virus
Echo virus
Entero virus
Ohomyxo virus
Microbiology
Virology
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