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Discoloration after death is first seen in -
Ans. is 'a' i.e., Dependent pas It is seen on dependent pas of the body, therefore site depends upon position of body after death :In supine : On posterior dependent poion of body. But not seen on back of shoulder blades, buttocks and back of calves due to contact flattening, i.e.toneless capillaries are compressed and...
1
Dependent pas
Scalp
Face
Arms
Forensic Medicine
null
15e60b22-8a81-45a0-b3ab-e339aebdf965
single
Total number of dehydrogenases Krebs cycle -
Ans. is 'c' i.e., 4 o There are 4 dehydrogenase in TCA cycle(i) Isocitrate dehydrogenase, (ii) a-ketoglutarate dehydrogenase, (iii) Succinate dehydrogenase, (iv) Malate dehydrogenase.Important facts about TCA cycleo First product of the cycle is citrate Q synthesized by enzyme citrate synthase.o The final product is ox...
3
3
2
4
5
Biochemistry
Kerbs Cycle
bc209b69-a1b2-4e52-b393-c18cc7bb58a9
single
Height of person is 174 cm and his wreight is 89 kg. The person is -
Ans. is 'c' i.e., Preobese o Weight = 89 kgo Height = 174 cm = 1.74 metreo Thus the person is question comes in range of pre-obese, i.e. BMI25 - 29.99Classification of adults according to BMIClassificationBMIRisk of comorbiditiesUnderweight<18.50Low (but risk of other clinical problems increased)Normal range18.50-24.99...
3
Underweight
Normal
Preobese
Obese
Social & Preventive Medicine
Non-Communicable Diseases
6b5bf7bb-1528-4fcf-8142-6f0f21c77617
single
The key to occlusion is:
null
1
Maxillary permanent first molar
Maxillary permanent second molar
Maxillary primary first molar
Maxillary primary second molar
Dental
null
e4339440-c685-4d1b-bd47-da89c8de172f
single
The most abundant extracellular cation is?
Potassium is the most abundant cation in intracellular fluid. Phosphate is the most abundant intracellular anion. Sodium is the most abundant extracellular cation. Chloride is the most abundant extracellular anion.
2
Chloride
Sodium
Calcium
Potassium
Physiology
null
a595b471-9f4a-4f4b-9cce-aad9dc54f036
single
True about histoplama capsulatum -
Ans. is 'a' i.e., Dimorphic fungus Histoplasma capsulatum . A dimorphic fungus . Non encapsulated The only medically impoant capsulated fungus is cryptococcus. . Infection is acquired by inhalation of microconidia (small spores) in dust contaminated with bird or bat dropping. . It causes intracellular infection of reti...
1
Dimorphic fungus
Causative organism of moniliasis
Causative organism of valley fever
Capsulated
Microbiology
null
c18aa7dc-f0bc-4afd-8c0d-f5f8fc9d9119
multi
Chilotic line is:
Line on hip bone for sex determination
1
Line on hip bone for sex determination
Line on femur for sex determination
Line on hip bone for race determination
Line in femur bone for race determination
Forensic Medicine
null
56ec53c5-6a22-484a-a8fe-fcf868b9dbc9
single
Melanin is derived from which amino acid?
Melanin is synthesized from tyrosine by following pathway. Melanin is synthesized from tyrosine by following pathway It occurs in melanosomes present in melanocytes of skin and hair Uses of tyrosine: Option B: Tryptophan forms niacin (Vit B3), serotonin and melatonin. Extra Information: Albinism - Absence of pigment fr...
1
Tyrosine
Tryptophan
Phenylalanine
Alanine
Biochemistry
FMGE 2019
f1967995-6533-452f-ad0b-3ede923d14cb
single
Which of the following can recognize dead material?
Ans. B. InflammasomeNOD-like receptors (NLRs) and the inflammasomeLocationCytosolic receptorsRecognizeNecrotic cells, ion disturbances (e.g., loss of k), urate crystal, and some microbial productsMechanism of actionActivates Caspase-1- activates IL-1- recruits leukocytes and induces feverRole in diseases* Periodic feve...
2
NET
Inflammasome
Necrosis
Toll-like receptor
Pathology
Cellular Pathology
c02f59ce-4dce-4f2b-94c3-27e35a308ed5
single
Neovascularization of iris is frequently seen in all/except
Ans. (d) Congenital cataractRef: Parson's 22/e, p. 253; Yanoff 4/e, p. 1076, 1077)Causes of Iris NeovascularizationRetinal Ischemia* Diabetic retinopathy* Central retinal vein occlusion* Central retinal artery occlusion* Retinal detachment* Sickle cell retinopathy* Retinoschisis* Carotid artery occlusionInflammatory* C...
4
CRVO
Diabetic retinopathy
Fuch's heterochromic cyclitis
Congenital cataract
Ophthalmology
Glaucoma
ecb7ec88-d968-4579-8eb3-23fc4a2fd78c
multi
Investigation to be done immediately when an unstable patient comes with blunt abdominal trauma is -
Ans. is 'a' i.e., USG Stable patient - CT Unstable patient - FAST
1
USG
CT Scan
Complete Hemogram
Abdominal Xray
Unknown
null
3c10986b-58aa-4408-9058-88457a0edd3f
single
A 45 year old male presents to OPD with with acute abdominal pain . On examination it seems to have spread to retroperitoneal structures . Which of the following is the most likely to get affected
The descending colon is a retroperitoneal organ. The rest of the organs are surrounded by peritoneum. Other retroperitoneal organs are: - Pancreas, Duodenum, Ascending colon, Descending colon, Middle third of the rectum Image showing Pancreas and Duodenum lying retroperitoneally.
4
Stomach
Transverse colon
Jejunum
Descending colon
Anatomy
Abdominal wall ,Inguinal and Femoral region
42408510-2b00-460f-8efd-3ddfe848609b
single
Causes of breech presentation are :
Ans. is a, c and d i.e. Hydrocephalus; Pelvic contracture; and Placenta prae At 28 weeks of pregnancy, approximately 20% of women have breech presentation. The fetus undergoes spontaneous version usually between 30th and 34th week. This corrects the breech position such that, at term only 3% of pregnant women have bree...
4
Hydrocephalus
Placenta prae
Pelvic contracture
All of the above
Gynaecology & Obstetrics
null
8ffe48a1-09b2-4397-9875-3db3432eea32
multi
Constitutional pancytopenia can be seen in following except-
Ans. is 'b' i.e., Diamond-Blackfan syndrome
2
Fanconi's anemia
Diamond-Blackfan syndrome
Dyskeratosis congenita
Schwachman Diamond syndrome
Pediatrics
null
33a5bb14-994d-4370-afc0-5e69a24e0e46
multi
Trisomy 21 is ?
Ans. is 'a' i.e., Down's syndrome
1
Down's syndrome
Turner syndrome
Kleinfelter syndrome
Edward syndrome
Pathology
null
19087c36-f92d-468e-889e-6eeae481c0d1
single
All of the following are true statements about membranous nephropathy except?
Type I MPGN is characterized by the presence of discrete subendothelial electron-dense deposits of IgG and C3 (deposited in a granular pattern seen on IF). Membranous nephropathy Diffuse thickening of the glomerular capillary wall due to the accumulation of deposits containing Ig along the subepithelial side of the bas...
3
Irregular 'spikes' on silver staining
Selective proteinuria
Granular subendothelial IgG accompanied by C3 deposits
SLE is a secondary cause
Pathology
Membranous Glomerulopathy and Membranoproliferative Glomerulopathy
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multi
True about lyme disease is -
null
3
Arthritis is an early manifestation
Conduction block is not seen
Mood disorder is chronic neurological manifestation
Causative organism is Borrelia rectirrentis
Medicine
null
e0792a89-9d3e-48fd-a5a1-e193c6f7408c
multi
Best anti-tubercular drug against intermittently dividing mycobacteria is:-
Bacteria Present at Most effective drug Rapidly multiplying Wall of tubercular cavity Isoniazid Intermittently dividing (Spuers) In casseous necrosis Rifampicin Slow multiplying Inside the macrophages Pyrazinamide
1
Rifampicin
Pyrazinamide
Ethambutol
INH
Pharmacology
Mycobacterial Diseases (TB, Leprosy and MAC)
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single
Treatment of choice in solar keratosis is :
Solar (actinic) keratosis is treated by application of liquid nitrogen. The alternative is 5-FU. Imiquimod cream can also be used.
2
Methotrexate
Topical 5 FU
Topical mechlorethamine
Topical steroids
Pharmacology
null
5020638d-c1cb-449f-bda8-a7e63869d92a
single
Rigor mois completely develops in: Bihar 10
Ans. 10-12 h
4
1-2 h
3-6 h
6-8 h
10-12 h
Forensic Medicine
null
cdd737a8-e41c-45a9-85fe-3d5449350b25
single
Which category of ICD is associated with mood disorders
ICD ICD mentions International classification of mental and behavioural disorders this was given by WHO( World health Organisation) ICD is used all over the world except America latest edition of ICD is ICD11 ICD 11 was released in 2018 DSM DSM mentions Diagnostic and Statistical manual of mental disorders this was giv...
4
F0
F1
F2
F3
Psychiatry
Symptoms and signs in psychiatry and classification
176b2121-bd55-43ac-8278-7b2e5cf620b8
single
Which of the following is true regarding major basic protein?
Major basic protein is toxic cationic protein that is the principal protein found in the granules of eosinophils and that is capable of damaging tissue. Its main function is to bind to and kill larvae of helminthic worms. Other proteins secreted by eosinophils are eosinophil cationic protein, eosinophil peroxidase, and...
4
Formed by Eosinophils
Cytotoxic to parasites
Not very effective against bacteria
All the above
Pathology
null
c1bb1cd3-408d-4da8-abc6-3891c06229db
multi
Commonest risk factor for HCV infection is:
Most common risk factors for HCV infection are: Intravenous drug abuse (54%) Multiple sex paners (36%) Having had surgery within the last 6 month (16%) Needle stick injury (10%) Multiple contacts with an HCV-infected person (10%) Employment in medical or dental fields (1.5%)
1
i.v. drug abuse
Multiple sex paners
Surgery within last 6 months
Multiple contacts with HCV infected person
Pathology
Hepatitis
bb403fdc-f08f-40c2-913f-4fdd88d57e65
single
Home bleach is also called as:
Commonly used solutions for nightguard bleaching/home bleaching/walking bleach: 10% carbamide peroxide with or without carbopol 15% carbamide peroxide Hydrogen peroxide (1–10%) Indications for home bleaching/night guard bleaching  Mild generalized staining Age-related discolorations Mild tetracycline staining Mild f...
1
Walking bleach
Thermocatalytic bleach
Power bleach
All of the above
Dental
null
9b3b3de6-f7da-4adf-8405-bad6d52d6a4c
multi
Antidote for methotrexate toxicity:
Ref: Katzung 14th ed. pg. 957; KDT, 6th ed. pg. 823* The toxicity of Mtx can not be overcome by folic acid, because it will not be converted to the active coenzyme form. However, folinic acid rapidly reverses the effect.* Thymidine also counteracts the Mtx toxicity.METHOTREXATE (MTX)DHFA-DHFRaseTHFA* Methotrexate is a ...
2
Folic acid
Folinic acid
Vitamin B
Thymine
Pharmacology
Anti-Cancer
a0ca41b8-5da8-4876-9e1d-8e6a5284f3ef
single
Enzyme to both common in gluconegenesis and glycolysis pathway is :
A i.e. Phosphofructokinase
1
Phosphofructokinase
Fructose 2,6-biphosphatase
Hexokinase
Glucose 6 phosphatase
Biochemistry
null
e2ff8210-21b6-4bf4-b8e3-20d8c88eec74
multi
The most common site of the internal opening of a branchial fistula is at the -
Ans. is 'd' i.e., Tonsillar fossa
4
Lateral nasopharyngeal wall
Fossa of Rosenmuller
Gingivo - labial sulcus
Tonsillar fossa
Surgery
null
8070639c-e291-4d29-953d-8b0360d9500d
multi
Urban Malaria Scheme, following is not true
Urban malaria has three specific criteria- Utilization of Anti-Larval measures. It is done in town/city with minimum 50,000 population. Slide positivity rate more than 5% .
2
Utilization of anti-larva measures
Slide positivity rate more than 10%
It is done in town/city with minimum 50,000 population
Introduction of active surveillance
Social & Preventive Medicine
NVBDCP, NLEP
335cfb5b-49eb-4314-9c3c-cc84afef50f4
multi
Rhinoscleroma is due to which infection?
Rhinoscleroma is a chronic granulomatous disease caused by a gram-negative bacillus called Klebsiella rhinoscleromatis or Frisch bacillus. In India, it is more often in the nohern pas than in the southern pas. (Ref: PL DHINGRA diseases of ear, nose and throat, 7th edition page no 175)
2
Viral
Bacterial
Fungal
null
ENT
Nose and paranasal sinuses
eea73961-0423-4e11-b47e-b0d660d9bfab
multi
A couple, with a family history of beta thalassemia major in a distant relative, has come for counseling. The husband has HbA2 of 4.8% and the wife has HbA2 of 2.3%. The risk of having a child with beta thalassemia major is:
- Normal percentage of HbA2 ranges from 1.5 to 3%. - In thalassemia trait (b thalassemia minor), HbA2 level may be elevated (3.5-7.5%). - Thus, wife in this question has normal genotype (b,b) whereas husband has thalassemia - trait (b+,b). - b-Thalassemia is an autosomal recessive disease. So, None of the offsprings wi...
4
50%
25%
5%
0%
Pathology
Beta thalasemmia
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single
Structure superficial to flexor retinaculum -
Ans. is 'c' i.e., Ulnar artery Structures deep to flexor retinaculumLateral compartment: Flexor carpi radialis tendon with its synovial sheath lodged in the groove on the palmar surface of trapezium.Medial compartment: (carpal tunnel proper).Median nerv eFlexor pollicis longus with its synovial sheath (radial bursa)4 t...
3
FDS
FPL
Ulnar artery
Median nerve
Unknown
null
dc801b66-95ff-465a-89f5-cb6aa5872bd5
single
X-rays causes radiation damage primarily by their property of
null
4
Penetration
Radio activity
Electromagnetic induction
Ionisation
Radiology
null
3c3f4df1-600e-48a1-a660-ae68ceac01f2
single
Thin filament consists of all except-
Ans. is 'c' i.e., Myosin o Myosin is thick filament.Muscle contractiono The shortening of muscle fiber occurs due to sliding of actin filaments on myosin filament. However, there are four muscle proteins involved in the process : - Actin, Myosin, Tropomyosin, and troponin.MyosinMyosin is the protein that constitutes th...
3
Actin
Troponin
Myosin
Tropomyosin
Physiology
Skeletal Muscle: Contraction and Excitation
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multi
All of the following are true for Sjogren syndrome except: September 2009
Ans. B: Excessive salivationSjogren's syndrome is a chronic systemic disorder of idiopathic origin characterized by three major compo-nents:Keratoconjunctivitis siccaXerostomia andPolyahritis of rheumatoid origin occurring predominantly in women over foy years.There is immunologically mediated destruction of the lacrim...
2
May be associated with other autoimmune diseases
Excessive salivation
Immunologically mediated disease
Commonly associated with rheumatoid ahritis
Pathology
null
3526247d-f670-41a4-a5a9-2b261e517262
multi
Which of the following immune hypersensitivity reaction is resonsible for Myasthenia Gravis ?
Ans. is `b' i.e., Type II Hypersensitivity o Myasthenia Gravis is an example of Type II Hypersensitivity reaction.
2
Type I Hypersensitivity
Type II Hypersensitivity
Type III Hypersensitivity
Type IV Hypersensitivity
Pathology
null
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single
A female presented with history of episodes of altered sensorium, involuntary movements, memory deficits and headache since the last 6 months. 4 episodes occurred during the day and 2 during sleep. She has been married since 1 year. Most likely diagnosis is:
A i.e. Epilepsy - Somatoform disorders include - Somatization disorders, hypochondriasis, factitious illness (Munchausen's Syndrome) & Mallingering. - Occurence of seizure during night, amnesia (memory deficit) and altered sensorium rules out psychiatric cause (pseudoseizure). Feature Epileptic seizure Pseudoseizure - ...
1
Epilepsy
Somatization disorder
Somatoform disorder
Hypochondriasis
Psychiatry
null
19872a97-ad37-4ef2-9ac8-4f21a5622fa4
single
Drug induced poal hypeension is seen with
Vitamin A induced Hepatotoxicity Normal dose of vitamin A are not associated with liver injury or liver test abnormalities, but higher doses can be toxic Mechanism of injury : Excess Vitamin A is stored in stellate cells in the liver and accumulation can lead to their activation and hyperophy, excess collagen productio...
1
Vitamin A toxicity
Methotrexate
Aldomet
Hydatid cyst
Anatomy
G.I.T
f8f4b383-b8fd-4a9d-8d89-a1b8639d060a
single
Capnography basically monitors-
Capnography monitores end tidal CO2 levels ( CO2 in Exhaled gas ) It is based on the principle of absorption spectrophotometry . Normal levels of EtCO2 is 35-45mmg
3
Central venous pressure
Blood pressure during anesthesia
Concentration of exhaled CO2
Concentration of inhaled O2
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
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multi
Most potent form of cannabis: Maharashtra 11
Ans. CHARAS(HASHISH) MOST POTENT 10-20% (most potent)3
2
Bhang
Charas(HASHISH)
Ganja
NONE OF THESE
Forensic Medicine
null
3bf8eac1-52a5-4fd2-9c58-42679a982ad6
multi
The most common cause of death in patients in Marfan syndrome patients is
Between 75% and 85% of patients with the Marfan syndrome have dilatation of the ascending aoa and annuloaoic ectasia (dilatation of the aoic sinuses and annulus). Such aoic abnormalities are the most common cause of death among patients with Marfan syndrome ref - Harrisons 20edition pg1918,2975,829
1
Annuloaoic ectasia
Mitral valve prolapse
Aoic dissection
Abdominal aoic aneurysm rupture
Medicine
C.V.S
f5b3050b-4e7f-4891-b45c-5d349f925b13
single
Which disaccharide is not broken down into GIT by enzymatic action:
Lactulose is nonabsorbable carbohydrate
1
Lactulose
Lactose
Sucrose
Isomaltose
Physiology
Gastrointestinal System
e0c5d61a-4db7-460a-9394-cd2a9f73afdc
single
In cystic fibrosis the most common organism which causes early infection is
Cystic fibrosisMost common organism which causes infection is Staphylococcus.The infection that characterizes cystic fibrosis airways involves the mucus layer rather than epithelial or airway wall invasion.The unique predisposition of cystic fibrosis airways to chronic infection by Staphylococcus aureus and Pseudomonas...
2
Pseudomonas
Staphylococcus
Klebsiella
Streptococcus
Pathology
All India exam
52b1b0b3-4367-439a-b5b5-5b9a4263a49d
single
Which one of the following penicillin group drug is penicillinase resistant?
Cloxacillin is a penicillinase resistant penicillin. It has an isoxazole side chain that protect beta lactam ring from the attack of staphylococcal penicillinase. It is also acid resistant. It is more active than methicillin against penicillinase producing staphylococci, but not against MRSA. Cloxacillin is incompletel...
2
Amoxicillin
Cloxacillin
Penicillin G
Piperacillin
Pharmacology
null
8828df5a-7c9e-49dd-8642-302562a1dd54
single
Patients, who are grandiose and require admiration from others have which type of personality
Narcissistic Personality Disorder characterised by:1. Ideas of grandiosity and inflated sense of self-impoance.2. Preoccupation with fantasies of unlimited success.3. Attention seeking, dramatic behaviour, needs constant praise, and unable to face criticism.4. Lack of empathy with others, with exploitative behaviour.5....
1
Narcissistic
Histrionic
Borderline
Antisocial
Psychiatry
Personality disorders
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single
In crude death rate, the population is taken as on
The mid-year population is considered. Hence July 1st is taken.
4
1st March
1st April
15th August
1st July
Social & Preventive Medicine
null
52235ec1-47d5-418d-afae-238fc932c31c
single
Disturbed orientation is seen in -
A significant disturbance in cognitive functions (confusion, disorientation, memory impairment, impaired concentration & attention, impaired consciousness) commonly points to the presence of organic psychiatric disorder.
4
Schizophrenia
Neurosis
Paranoid personality
Organic mental disorder
Psychiatry
null
3a5bbe5f-ece7-4b5e-8171-2cd18cc2c042
single
a young male develops serous otitis media of the left ear with cough, occassional hemoptysis, hematuria and epistaxis for 2months.hb is 7.5 g% with heavy protienuria, bp 170/100 mmhg, RA -ve and anca +ve the most probable diagnosis is
Wegener Granulomatosis * Triad of: -- Acute necrotizing granuloma of U or L -- Necrotizing or granulomatous vasculitis of small-medium vessels -- Renal disease: crescentic glomerulonephritis * C-ANCA in 95% of cases * Diagnosis -- cANCA * 95% sensitive in generalized disease * 60% sensitive in localized disease -- FBC,...
1
wegners granulomatosis
rapidly proliferative glomerulonephritis
rheumatoid ahritis
good pastures syndrome
Medicine
All India exam
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single
The parasympathetic nervous system has central connections with the brain through all of the following cranial nerves, except:
The cranial nerves containing preganglionic general visceral efferent components of the parasympathetic system are the oculomotor, facial, glossopharyngeal, and vagus or III, VII, IX, and X, respectively.
4
III
VII
X
V
Anatomy
null
38d0a43f-6082-4f60-869a-6253b4027267
multi
There is a high risk of renal dysplasia in ?
Ans is 'a' Posterior urethral valve The term renal dysplasia is technically a histological diagnosis. It occur due to abnormality in metanephric differentiation and is characterized histologically by the persistence in the kidney of abnormal structures - cailage, undifferentiated mesenchyme and immature collecting duct...
1
Posterior urethral valve.
Bladder ex stroph y
Anorectal malformation
Neonatal sepsis
Surgery
null
5a570290-d319-4bd2-9284-fcc2cf3063de
single
The right of the oxygen dissociation curve shifted in:
(pH4): Ref: 593-H, 581-SL, 667-G, 468-GTN (611- Ganong 23rd)* Fetal haemoglobin (HbF) does not bind, 2, 3 D PG, so it tends to have a higher oxygen affinity in vivo, the oxygen hemoglobin curve shifted to left:Right side shift of oxygen - hemoglobin dissociation curve - causes1. Increased CO2 concentration2. Increased ...
3
Fetal hemoglobin |
2,3 DPG|
pH |
Temperature |
Physiology
Respiratory System
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single
A 71/2 months old child with cough, mild stridor is staed on oral antibiotics. The child showed initial improvement but later developed wheeze, productive cough, and mild fever. X-ray shows hyperlucency and PFT shows an obstructive curve. The most probable diagnosis is,
Answer is A (Bronchiolitis obliterans): The patient in question is presenting with charachteristic features of bronchiolitis obliterans. Fever, cough, and wheeze are common clinical features of bronchiolitis obliterans and a period of initial improvement may well be seen in cases of bronchiolitis obliterans (Initial si...
1
Bronchiolitis obliterans
Post viral syndrome
Pulmonary alveolar microlithiasis
Follicular bronchitis
Medicine
null
59dc01ea-488a-40fe-bb86-395eb5e60bc5
single
Internationally quarantinable disease are
At the international level the WHO maintains surveillance of impoant diseases -eg influenza, malaria, polio and gives timely warning to all national governments. Surveillance if properly pursued can provide the health agencies with an overall intelligence and disease accounting capability. Ref: 25th edition, Park's Tex...
4
Plague
Cholera
Yellow fever
All of the above
Social & Preventive Medicine
Epidemiology
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multi
Pond's fracture is most common in :
A i.e. Children
1
Children
Elderly
Adolescent
Middle aged women
Forensic Medicine
null
8cd8d190-83bf-4574-91ae-ecdba0ec85c6
single
The capsule of the crystalline lens is thinnest at –
Capsule is thickest at → Pre-equator regions. Capsule is thinnest at →Posterior pole.
2
Anterior pole
Posterior pole
Equator
null
Ophthalmology
null
bb891f0c-e387-49da-b9ce-9be6fc3bc515
multi
Ergot derivatives are used in all of the following except : March 2009
Ans. B: Vasoconstrictive Disorders Ergot derivatives are used to treat migraine headache and enhance uterine contraction postpaum. Ergots are produced by the fungus Claviceps purptirea, which may grow on rye and other grains. They produce sustained vasoconstriction, smooth muscle contraction and vasomotor centre depres...
2
Uterine contraction
Vasoconstrictive disorders
Migraine
Dementia
Pharmacology
null
10993222-282d-41c2-a7fc-27a620f26933
multi
Number of tubules per unit area
The number of tubules per unit area is more at the pulpal end by 4 times than at their terminal end. Hence the intertubular dentin is well appreciated at the terminal end. The tubules generally have a doubly convex course, the primary curvature (often called ―S‖ shaped tubules), the first convexity of which is directed...
3
Is 2 times more at pulpal end
Is 3 times more at pulpal end
Is 4 times more at pulpal end
Is 5 times more at pulpal end
Dental
null
57d2745d-7d0f-4187-9c93-86b5feba96b6
single
Type of papilloma virus which is strongly associated with carcinoma cervix is :
33
1
33
34
56
55
Gynaecology & Obstetrics
null
df8cb332-1c1a-4fc7-8a2a-ff7cd6cf600a
single
A 37-year-old woman comes to the emergency depament with sudden onset of left leg weakness. There is no history of any prior medical illness. On neurological examination, there is no wasting, muscle tone is normal, deep-tendon reflexes are normal, and plantars show 'flexor' response. The patient cannot raise her left l...
This patient had a sudden onset of neurological symptoms , and the symptoms and clinical examination findings are inconsistent. This is a strong pointer towards conversion disorder. Please note that there is no la belle indifference (lack of concern for the symptoms) in this patient. La belle indifference is not seen i...
1
Conversion disorder
Factitious disorder
Illness anxiety disorder
Malingering
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
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single
Contraindication for skin traction -a) Dermatitisb) Vascularity compromized status of limbc) Abrasionsd) Hypopigmentation (vitiligo)e) Bony deformity
Contraindications of skin traction Skin damage or sepsis in the area. Deep vein thrombosis Suspected vascular defecit Anaesthetic limb (neurological deficit). Force required is > 5 kg & for long duration due to changes of peeling off of skin. In small abrasions it can be applied with proper padding but large abrasion...
2
ab
abc
acd
bcd
Orthopaedics
null
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A known patient with renal stone disease developed pathological fractures along with abdominal pain and certain psychiatric symptoms. He should be investigated for -
null
3
Polycystic kidney
Renal tubular acidosis
Hyperparathyroidism
Paget's disease of bone
Surgery
null
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A 45-year-old male having a long history of cigarette smoking presented with gangrene of left foot. An amputation of the left foot was done. Representative sections from the specimen revealed presence of aerial thrombus with neutrophilic infliltrate in the aerial wall. The inflammation also extended into the neighbouri...
Ans. is 'd' i.e. Thromboangitis obliterans About other options Takayasu's Aeritis : - does not involve the peripheral limb vessels. Its an inflammatory and stenotic disease of medium and large-sized aeries characterized by a strong predilection for the aoic arch and its branches (thus also k/a aoic arch syndrome) Giant...
4
Takayasu aeritis
Giant cell aeis
Hypersensitivity angitis
Thrmoboangitis obliterans
Surgery
null
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Pseudoahrosis may be seen in all of the following conditions except:
D i.e. Osteomyelitis
4
Fracture
Idiopathic
Neurofibromatosis
Osteomyelitis
Surgery
null
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Which vitamin is related to a co-factor in glycine Metabolism?
Tetrahydrofolic acid and S- adenosyl methionine act as a carrier compound for single carbon units.
2
V, E
Folic acid
Thiamine
Pantothenic acid
Biochemistry
null
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single
All are true about acute pericarditis except:
Answer- C. Pain relieved by lying supine & intensified by sitting up and leaning forwardThe characteristic pain of pericarditis is retrosternal, radiates to the shoulders and neck (retrosternal, and left precoridal).Characteristically, pericaridial pain may be relieved by sitting up and leaning forward and is intensifi...
3
Pain radiate to left shoulder & arm
Widespread elevation of the ST segments, often with upward concavity & then return to baseline
Pain relieved by lying supine & intensified by sitting up and leaning forward
Coicosteroid relieves symptoms
Medicine
null
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The Toxin responsible for Lathyrism is
(A) BOAA # LATHYRISM or NEUROLATHYRISM is a neurological disease of humans and domestic animals, caused by eating certain legumes of the genus Lathyrus. This problem is mainly associated with Lathyrus sativus.> The lathyrism resulting from the ingestion of Lathyrus odoratus seeds (Sweet peas) is often referred to as od...
1
BOAA
Sanguinarine
Pyrazolidine alkaloid
Calotoxin
Social & Preventive Medicine
Miscellaneous
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single
Akathisia is treated by all except
Haloperidol can cause extrapyramidal effects (dystonias, akathisia, parkinsonian features) For akathisia and dystonic reactions, many clinicians prefer to use a sedative antihistamine with anticholinergic propeies, which can be given either parenterally or orally. Conventional antiparkinson drugs too can be used. Propr...
3
Trihexyphenidyl
Propanolol
Haloperidol
Promethazine
Pharmacology
Central Nervous system
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multi
A chronic alcoholic presents with regurgitation and retrosternal pain. Endoscopic biopsy confirms Barrett's oesophagus. What is most appropriate management in this case
Patients who are found to have Barrett's oesophagus may be submitted to regular surveillance endoscopy with multiple biopsies in the hope of finding dysplasia or in situ cancer rather.Annual endoscopy has been widely practised, but two-year intervals are probably adequate, provided no dysplasia has been detected.High-d...
4
PPI
H. pylori treatment
Balloon dilatation
Endoscopic biopsy every 2 years
Medicine
C.V.S
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Anterior lymphatics from the nose drain into ?
Ans. is 'b' i.e., Submandibular nodesSubmandibular nodes These nodes lie deep to investing layer of deep cervical fascia in submandibular triangle, between the deep fascia and submandibular gland.These nodes receive afferents from centre of forehead; anterior pa of nasal cavity; frontal, maxillary and ethmoidal air sin...
2
Pretracheal nodes
Submandibular nodes
Sublingual nodes
Superficial cervical nodes
Anatomy
null
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single
Child with proteinuria, generalised edema. With hypoproteinemia & hyperlipidemia-M.C. cause is?
Ans. is 'a' i.e., Minimal change N.S. Nephrotic syndrome characterised by :? Massive proteinuria = (more than 1 gm/m2/day). Hypoalbuminemia (serum albumin below 2.5 g//dl). Edema Hyperlipidemia often associated. Resultant fall in plasma oncotic pressure leads in edema. Stimulation of Renin - Angiotensin system causes s...
1
Minimal change nephrotic syndrome
IgA nephropathy
Mesangial glomerulonephritis
FSGN
Pediatrics
null
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Shepherd's crook deformity is a characteristic radiological feature of
Shepherd's crook deformity - Fibrous dysplasia Coat - hanger appearance - Osteochondroma.
3
Osteosarcoma
Chondrosarcoma
Fibrous dysplasia
Vertebral hemangioma
Radiology
null
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single
Amniocentesis is best diagnostic if done in.................weeks :
16-18
3
10-Aug
14-Dec
16-18
20-22
Gynaecology & Obstetrics
null
a94c1d65-2eb3-444f-92b2-47673c7ff068
single
Mark the false statement about Pulmonary aery hypeension .
TB- Caseous necrosis Histoplasmosis - Granuloma PAH - Plexiform aeriopathy - Blood vessel is showing Luminal obstruction It is one of the most commonest infection developing in PAH actually happens to be HIV. also know: Mutations in the gene encoding the bone morphogenetic protein receptor type II (BMPR2) are the commo...
1
Mutations in the gene encoding bone morphogenetic protein receptor type I
Large a wavesleading toelevated JVP
In severe PAH, early Pulmonic regurgitation can occur
On Histopathology ,Plexiform aeriopathy is seen
Medicine
Thromboembolism and Fat Embolism Syndrome
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Ratio of fat cells and RBC in bone marrow is? -
Fat cells and RBC ratio is 1:1 Fat to Cell ratio ... should be 1:1 so 1/2 hemopoietic cells and 1/2 are fat cells ... hyperplasia depending on the overall cellularity of the bone marrow. Blasts ... irregular and jagged RBC fragments w/ no central pallor Reference: textbook of Pathology ,7th edition ,18 Harsha Mohan, pa...
1
1:01
2:01
4:01
6:01
Pathology
Haematology
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single
All are true about Till-aux triad of mesentric cyst except
Tillaux triad of mesetric cyst : Central area of dullness with zone of resonance all around. Soft fluctuant swelling in umbilical region. Swelling moves perpendicular to mesentry freely.
1
Swelling movement perpendicular to mesentry is restricted
Central area of dullness with zone of resonance all around
Soft fluctuant swelling in umbilical region
Painless abdominal swelling
Surgery
null
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The first and most important step in management of a case of trauma is:
"Upon initial evaluation, ascertaining patency of the airway is of highest priority."
3
Supply large amount of oxygen
Start intravenous infusion
Clearing the airway
Call ambulance
Surgery
null
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Abnormalities of copper metabolism is implicated in the pathogenesis of all except?
Ans. A. CardiomyopathyCopper is a constituent of several Metalloenzymes required for oxidative metabolism. Ceruloplasmin, a glycoprotein that contains eight copper atoms per molecule, accounts for 95% of the ion in blood. The richest sources are meats, liver, seafood, nuts and seeds. Primary deficiency is infrequent. S...
1
Cardiomyopathy
Indian childhood cirrhosis
Menkes Disease
Wilson Disease
Pediatrics
Metabolic Disorders
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multi
A 60 year old woman presents after 4 days of cataract surgery with history of pain and decrease in vision after an initial Improvement. Diagnosis is
Bacterial endophthalmitis is most dreaded complication over all. Pain, diminition of vision after improvement s/o endopthalmitis.
2
After cataract
Endophthalmitis
Iris prolapse
posterior capsular rupture
Ophthalmology
null
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single
Average weigth of fetal lung after respiration is
Foder's test The weight of the respired lung will be twice the weight of unrespired lung. This is due to the increased blood flow to the lung. This is not a conclusive evidence of establishment of respiration. Average weight of fetal lung is 30-40gm before establishment of respiration and will become 60-70gm after resp...
3
30-40gm
40-50 gm
60-70 gm
90-100gm
Forensic Medicine
Sexual offences and infanticide
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Signs of raised ICP in a 7 months old male baby can be all of the following except:
Ans. A. PapilledemaElevated ICP is a potentially devastating complication of neurologic injury. In children, increased ICP is most often a complication of traumatic brain injury; it may also occur in children who have hydrocephalus, brain tumors, intracranial infections, hepatic encephalopathy, or impaired central nerv...
1
Papilledema
Bulging fontanelle
Increase in head size
Increasing irritability
Pediatrics
New Born Infants
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multi
Differential diagnosis of acute funicultitis with a small inguinal swelling is -
null
4
Undescended testes
Acute orchitis
Lymphadenitis
Small strangulated inguinal hernia
Surgery
null
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Incision used in endomeatal approach to the ear ?
Ans. is 'C i.e., Rosen's incision(Ref Dhingra /e p. 400)Endomeatal or transcanal approach.It is used to raise a tympanomeatal flap in order to expose the middle ear.Rosen's incision is the most commonly used lot stapedectomy.
3
Lempe I incision
Lempe II incision
Rosen's incision
Wilde's incision
ENT
null
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single
Ewing's sarcoma is associated with
(A) CD-56 # Tumor cells in Ewing's sarcoma show diffuse membrane positivity for CD-56. Tumor cells are also positive for neuron-specific enolase.# Ewing's sarcoma (or Endothelial sarcoma of bone):> It is a highly malignant tumour, occurring between the age of 10-20 years.> Multicentric in origin.> Cytogenetic abnormali...
1
CD-56
CD-38
CD-117
CD-139
Pathology
Misc.
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single
Structure passing through anterior part of jugular foramen
null
1
Inferior petrosal sinus
Internal jugular vein
Accessory meningeal artery
X, XI nerve
Anatomy
null
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single
True about salivary gland tumour is:
Treatment and Prognosis The treatment of mucoepidermoid carcinoma is predicated by the location, histopathologic grade, and clinical stage of the tumor. Early-stage tumors of the parotid often can be treated by subtotal parotidectomy with preservation of the facial nerve. Advanced tumors may necessitate total removal ...
2
MEC shows perineural spread and requires wide resection
ACC shows perineural spread and requires wide resection
MEC is well-encapsulated and does not require surgical excision
ACC is well-encapsulated and does not require surgical excision
Pathology
null
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multi
All of the following are side effects of cyclosporine EXCEPT :
null
2
Post–transplant lymphoproliferative disorders (PTLDs)
Hypotension
Nephrotoxicity
Tremors
Pharmacology
null
63f64078-4720-4d2b-bd66-55143612ad8f
multi
Arrange the following tumours according to increasing age group A. Ewing's Sarcoma B. Osteosarcoma C. Osteoclastoma D. Chondrosarcoma
Tumours according to increasing age group A. Ewing's Sarcoma B. Osteosarcoma C. Osteoclastoma D. Chondrosarcoma
4
B,D,A,C
C,B,D,A
D,A,C,B
A,B,C,D
Pathology
Skin, Bones and Joints
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single
A 21 year old primigravida is admitted at 39 weeks gestation with painless antepaum hemorrhage. On examination uterus is soft non-tender and head engaged. The management for her would be :
Ans. is c i.e. Pelvic examination in OT Patient is presenting with painless vaginal bleeding and uterus is soft and nontender. These findings confirm the diagnosis of placenta pre (In abruptio-bleeding is accompanied by pain, uterus is tense, tender and rigid). The gestational age of patient is 39 weeks i.e., fetal mat...
3
Blood transfusion and sedatives
A speculum examination
Pelvic examination in OT
Tocolysis and sedatives
Gynaecology & Obstetrics
null
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single
Virulence factor of gonococci Includes all except
M Protein is a virulence factor produced by Streptococcus.
3
Outer membrane protein
IgA1 Protease
M Protein
Transferrin
Microbiology
null
216ca167-03ce-4e84-a472-1975faca63b8
multi
Hydrogen breath test is/ae used for
<p>Davidson&;s principles and practice of medicine 22nd edition. *The lactose hydrogen breath test is an useful non invasive confirmatory investigation. <p>
1
Lactose intolerance
GERD
H.Pylori
Irritable bowel syndrome
Medicine
G.I.T
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single
Technical, infectious, and metabolic complications occur in total parenteral nutrition (TPN). Which of the following is NOT a complication of TPN?
Major metabolic complications of total parenteral nutrition: Azotemia Essential fatty acid deficiency Vitamin and trace element deficiency Fluid overload Hyperchloremic metabolic acidosis Hypomagnesemia Metabolic bone disease Intrinsic liver disease Electrolyte imbalances Ref: Barbour J.R., Barbour E.F., Herrmann V.M. ...
3
Metabolic bone disease
Essential fatty acid deficiency
Congestive cardiac failure
Hypomagnesemia
Surgery
null
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All of the following are true regarding cephalosporins except :
null
2
Bactericidal agents
Active against only gram negative bacteria
IIIrd Generation are resistant to B-lactamases from gram negative bacteria
ceftriaxone is administered parenterally
Pharmacology
null
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multi
All are true about surveillance except
null
2
It is continuous scrutiny of factors
Feedback present
Helps in national health program's
Stops once disease is eliminated / cradicated
Social & Preventive Medicine
null
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multi
Antibodies in ITP are:
Ans. (a) IgG(Ref: Robbins 9th/pg 205-206)Antibodies in Immune thrombocytopenic purpura are of IgG type directed against gp Ib/IX and IIb/IIIa.These antibodies cause Type II hypersensitivity reaction.
1
IgG
IgM
IgE
IgD
Pathology
Immunity
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single
A girl about to marry has comedonal acne. Drug to treat such a case is:
Retinoids are mainly comedolytic Acne Comedones are characteristic of: Acne vulgaris Comedones are: * Small cysts, * formed in hair follicles, * due to blockage of the follicular orifice * by the retention of sebum and keratinous material. Ref : Ref : Thomas b Habif 6th Ed.
3
Topical antibiotic
Benzoyl peroxide
Retinoids
Estrogen
Dental
All India exam
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single
All of the following statement are true regarding idiopathic pulmonary fibrosis, except:
Idiopathic Pulmonary Fibrosis (also known as cryptogenic fibrosing alveolitis): Grossly, the pleural surfaces of the lung are cobblestoned as a result of the retraction of scars along the interlobular septa. The cut surface shows firm, rubbery white areas of fibrosis, which occurs preferentially in the lower lobes the ...
4
Pleural surfaces developed "cobblestoned" appearance
Areas of fibrosis, occur preferentially in the lower lobes and subpleural regions
Fibroblastic foci are the earliest lesion
Masson bodies are characteristic
Pathology
Interstitial lung diseases
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multi
Centrally acting sympatholytic agent used as antihypertensive agent
null
2
Propranolol
Clonidine
Prazosin
Phenoxybenzamine
Pharmacology
null
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All of the following are seen in MEN 2b EXCEPT:
Hyperparathyroidism REF: Harrison's Internal Medicine 17th ed Chapter 345 Table 345-1, http://en.wikipedia.org/ wiki/Multiple_endocrine_neoplasia Feature MEN 1 MEN 2A MEN 2B Eponym Wermer syndrome Sipple syndrome Williams-Pollock syndrome, Gorlin-Vickers syndrome, and Wagenmann-Froboese syndrome Entero-Pancreatic tumor...
1
Hyperparathyroidism
Neuromas
Medullary carcinoma
Pheochromocytoma
Surgery
null
7e8bf80b-5d08-40a9-9d3b-5368f3e1c786
multi
Investigation of choice for lumbar prolapsed disc -
REF : essential ohopedics, Maheshwari , 9th edition , pg.no.256 MRI is the investigation of choice . it shows the prolapsed disc theca, nerve roots very clearly .others are 1. x- ray , 2.myelography - shows* complete or incomplete block to the flow of dye at the level of a disc * an indentation of dye column * root cut...
3
X-ray
CT Scan
MRI
Myelogram
Orthopaedics
Spinal injuries
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Heterophile antibody is found in -
Weil- Felix reaction for the diagnosis of typhus fever is a hetrophile agglutination test. Based in the sharing of common antigen between typhus rickettsiae and some strains of proteus bacilli. Hetrophile antigen is the same or closely related antigens occurring in different species, classes or kingdoms. Reference : An...
1
Weil Felix test
Widal test
VDRL
All
Microbiology
Immunology
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multi
Which of the following sensation is preserved on the side of the lesion in Brown-Sequard syndrome: September 2005
Ans. C: Temperature The hemisection of the cord results in a lesion of each of the three main neural systems: The principal UMN pathway of the coicospinal tract One or both dorsal columns The spinothalamic tracts As a result of the injury to these three main brain pathways the patient will present with three lesions: T...
3
Vibration
Touch
Temperature
All of the above
Medicine
null
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multi