question
stringlengths
1
1.57k
exp
stringlengths
1
22.5k
cop
int64
1
4
opa
stringlengths
1
287
opb
stringlengths
1
287
opc
stringlengths
1
286
opd
stringlengths
1
301
subject_name
stringclasses
21 values
topic_name
stringlengths
3
135
id
stringlengths
36
36
choice_type
stringclasses
2 values
Which of the following is not a sign of succesfull stellate ganglion block-
Signs of successful stellate ganglion block Horner&;s syndrome Flushing of face Lacrimation/ Increased tear production Infection of tympanic membrane(Muller syndrome) Stuffy nose (Guttman&;s sign) Increased temprature of face and upper extremity on ipsilateral side of block Venodilation in the ipsilateral extremity
4
Nasal stuffness
Guttman sign
Horner's syndrome
Bradycardia
Anaesthesia
Regional anaesthesia
a43490d0-d80f-45d7-aa56-988e6d3daa04
single
Total dioptric power of the crystalline lens inside the eye is:
Diopteric power of the crystalline lens is +18 D. Total refractive power of the entire eye is +59 D; most of the refraction occurs at the anterior surface of the cornea (41 D).
2
41 D
18 D
59 D
72 D
Physiology
Special Senses
f1b5a20b-ea23-4c94-a491-bee49856814e
multi
Abbey's flap is used for reconstruction of -
null
2
Breast repair
Upper lip repair
Cheek repair
Nose repair
Medicine
null
455f9a5f-a0ef-4461-8767-a8ef2695e222
single
Which of the following is not mechanism for resistance to MRSA?
Ans. is 'c' i.e., MRSA resistance is absolutely beta-lactamase independentMechanism of Resistance of MRSA* There are three known mechanisms for which staphylococcus aureus become resistant to methicillin:(i) Presence of an acquired penicillin binding protein (PBP2a,) Most cases.(ii) Modification of normal (Intrinsic) p...
3
Resistance is chromosomally mediated
Produced mainly by alteration in PBPs
MRSA resistance is absolutely beta-lactamase independent
Intrinsic resistance is known
Microbiology
Bacteria
0d4d70b9-4538-4622-912f-26ec6eebcd2c
multi
Autosomal dominant Polycystic kidney disease is associated with aneurysm -
ADPKD- Intracranial aneurysms occur four to five times more frequent than in the general population . About 20-50%of patients may experience warning headaches preceding the index episode of subarachnoid hemorrhage due to ruptured ICA . Other vascular abnormalities in ADPKD patients include diffuse aerial dolichoectasia...
4
Fusiform aneurysm of abdominal aoa
Ascending aoa
Descending aoa
Berry aneurysm
Anatomy
Kidney
7664bdd9-510d-47d4-af66-9519abd48ae9
single
The commonest cause of primary hyperparathyroidism is -
null
2
Carcinoma parathyroid
Solitary adenoma of parathyroid
Chronic renal failure
Hyperplasia of the parathyroid
Medicine
null
c2a3ade6-679c-4615-abb6-036b8fa1bed2
single
Earliest phenotypic manifestation of Idiopathic hereditary hemochromatosis is
Investigations in Primary Haemochromatosis Serum iron studies show a greatly increased ferritin, a raised plasma iron and saturated plasma iron-binding capacity. The serum iron level and percent saturation of transferrin are elevated early in the course, but their specificity is reduced by significant false-positive an...
4
Post prandial increase in serum iron concentration
Elevated serum ferritin level
Slate grey pigmentation of skin
Increased transferrin saturation
Medicine
Immune system
79f95c02-0ddb-4b7b-9edd-081a46a6d556
single
A case of 35 week pregnancy with hydromnios and marked respiratory distress is best treated by:
As the patient has respiratory distress and the gestational age is 35 weeks -fetal maturity has not acquired our main aim is to relieve the distress continuing the pregnancy to atleast 37 weeks. This can be achieved by Amniocentesis - drainage of good amount of liquor. Ref:Dutta Obs 9e pg 203.
3
Intravenous frusemide
Saline infusion
Amniocentesis
Aificial rupture of membranes
Anatomy
General obstetrics
3de8d18c-9506-45ec-be0c-b38efc9f0cb9
single
Most impoant amino acid for formation Neutrophilic extracellular trap is ?
Answer- C. CitrullinePositively charged arginine is conveed to neutral amino acid citrulline by the enzyme peptidyl arginine deaminase (citrullination).Citrullination is an essential step of NET formation.NETs proiile for a high local concentration of antimicrobial componenk such as neutrophil elastase, cathepsin G and...
3
Leucine
Methionine
Citrulline
Valine
Pathology
null
7f6e6cd3-374f-4788-8f2e-714ccac18873
single
Halophilic vibrio which causes wound infection at sae coast is
Ans. is 'a' i.e.,Vibrio vulinificus Vibrio vulinificus is an oppounistic pathogen (Halaphilic vibrio) that is primarily associated with wound and ear infections and occasionally eye infections.
1
Vibrio vulinificus
Vibrio parahemolyticus
Vibrio mimicus
Vibrio cholerae
Microbiology
null
9ecf8de4-e81e-4590-ae8b-c6aa0619957d
single
All are contents of femoral triangle except
FEMORAL TRIANGLE:- Triangular depression on front of the upper one third of the thigh immediately below the inguinal ligament. BOUNDARIES:-1. Laterally: medial border of Saorius.2. Medially: medial border of adductor longus.3. Base: inguinal ligament.4. Apex: directed downwards.formed by the point where the medial and ...
3
Femoral aery
Femoral vein
Superficial inguinal lymph nodes
Nerve to pectineus
Anatomy
Lower limb
f234a3c9-dded-4e95-ac04-33be2d8067f2
multi
Tuohy's needle is used for
Tuohy's needle used for epidural anaesthesia has blunt bevel with 15 to 30 curve at tip.
2
Spinal block
Epidural block
Saddle block
Brachial plexus block
Pathology
All India exam
1f1f6c36-36f7-41f4-a628-2a807bfb64ba
single
The term applied when it is doubtful, according to mixed dentition analysis, whether there will be space for all the teeth is
null
3
Space maintenance
Space regarding
Space supervision
None of the above
Dental
null
33d2a606-6114-4320-ae9d-edd243e2a4dc
multi
Thiamine is not used in which of the following reactions
Ans. is 'a' i.e., lactate to pyruvate :Lactate to pyruvate or pyruvate to lactate is a reversible reaction that is catalysed by the enzyme lactate dehydrogenase. Coenzyme is Niacin or vit. B3Thiamine is used as a coenzyme in mainly two types of reactionTransketolase reaction (in HMP shunt)2) Oxidative decarboxylation o...
1
Lactate to pyruvate
Alphaketoglutarate to succinyl CoA
Glucose to pentose
Oxidative decarboxylation of alpha keto amino acids.
Biochemistry
Vitamins
f2b40ae9-f4e7-4f02-b927-944c19c18bc3
single
All are true about ICD 10 EXCEPT:
ANSWER: (B) Done by UNICEFREF: Park 20TH edition page 46, http://wwwAvho.int/dassifications/icd/en/, style="color: rgba(20, 20, 20, 1); font-family: Times New Roman, Times, serif">. int/class ifications/icdlO/browse/ 2 01 G/enNote: however park has mentioned only 21 chapters, the WHO website have mentioned 22nd chapter...
2
Revised every 10 years
Done by UNICEF
Accepted internationally and nationally
21 major chapters
Medicine
Psychiatry
696f8262-b736-4f06-8939-3e8fab24b0ca
multi
CD - 95 is a marker of -
Robbins basic pathology 6th edition. Chapter 1-cell injury. CD 95 is a marker of cell death. Fas or FasR, also known as apoptosis antigen 1 (APO-1 or APT), cluster of differentiation 95 (CD95) or tumor necrosis factor receptor superfamily member 6 (TNFRSF6) is a protein that in humans is encoded by the FAS gene.
1
Death receptor
MHC complex
T helper cells
NK cells
Pathology
General pathology
9e74ea58-e5b3-4130-b481-938796e9c93f
single
Tissue conditioning materials are
null
3
Elastomers
Elasto polymers
Polymers
Impression plaster
Dental
null
ec597976-e369-4840-8566-7b2e80acf2bf
single
A 10 year old child comes to you with exarticulation of 11. Choice of transport medium is
null
3
Patients Blood
Hot Water
Milk
None of the above
Dental
null
a6fb7f4a-ddae-45c4-a5d3-3ec07eee20bc
multi
Postoperative vomiting is uncommon with this intravenous anaesthetic agent and patients are able to ambulate sooner than those who receive other anaesthetic agents:
(Ref: KDT 6/e p375) Propofol is the most commonly used anaesthetic agent for 'day care surgery'.
3
Ketamine
Enflurane
Propofol
Remifentanil
Pharmacology
Other topics and Adverse effects
b3d0c144-0d04-4841-b9dc-26a29b39bd8b
single
| ECF K+ levels are seen in
(C) Endolymph # Endolymph is formed in the scala media by the stria vascularis and has a high concentration of K+ and a low concentrtion of Na+.> Cells in the stria vascularis have a high concentration of Na+-K+ATPase.> In addition, it appears that there is a unique electrogenic K+ pump in the stria vascularis, which a...
3
Ectolymph
Aqueous humour
Endolymph
Vitreous humour
Physiology
Special Senses: Hearing and Equilibrium
7766fae5-d6fe-4500-a011-c9050d8f2a15
single
The most common cause of sho stature is:
Physiological sho stature resulting from normal variants of growth is more common than pathological sho stature. Amongst the options provided constitutional delay is the only example of physiological sho stature and is hence the single option of choice. Ref: O P Ghai 6th Edition, Page 50
1
Constitutional
Systemic diseases
Hypothyroidism
Growth hormone deficiency
Pediatrics
null
2be2579a-5941-4233-a07d-eefba9f070bf
single
Which of the following help in distinguishing an osseous neoplasm and a cyst on an X-ray
null
4
Size
Shape
Location
Peripheral bone formation
Radiology
null
90b307a1-11d8-4fc1-8840-04fd5fa2f3f8
single
A 43 year old principal of a medical college comes for psychiatric evaluation. He repos that throughout his life he has worked hard and has lived a disciplined life. He always follows all the rules and does the 'right thing', however no one really likes him. The principal appears to have which of the following personal...
Obsessive compulsive personality disorder / Anankastic PD - Preoccupied with rules and regulation Perfectionism that slows them down Stubborn and inflexible No time for leisure and no sense of humour No obsession and compulsion seen in anankastic
3
Schizoid
Paranoid
Anankastic
Borderline
Psychiatry
Personality Disorders
15c82917-3216-41c6-8039-2f0e005ca99d
multi
Which of the following is a novel feature of RNTCP ( Revised National Tuberculosis Control Programme) –
Revised National Tuberculosis Control Programme The Government of India, WHO and World Bank together reviewed the NTP in the year 1992. Based on the findings a revised strategy for NTP was evolved. The salient features of this strategy are : - Achievement of at least 85 percent cure rate of infectious cases through ...
4
Achieving 80% BCG coverage
Achieving 85% detection rate
Achieving 70% cure rate
Involvement of NGOs
Social & Preventive Medicine
null
af7292b8-58a0-4133-a20a-3a0cb2f5b7b8
single
Patient presents with mouth breathing, recurrent serous otitis media and adenoid facies. What is the best line of management ?
Ans. is 'a' i.e., Adenoidectomy o The triad of nasal and aural symptoms w ith adenoid facies points to the diagnosis of enlarged adenoids,o For the treatment of enlarged adenoids when symptoms are not marked breathing excercise, decongenstant nasal drops and antihisfaminics are used and when symptoms are marked, adenoi...
1
Adenoidectomy
Tonsillectomy
Antibiotics
Supportive therapy
ENT
Ear
f7cf516a-2edc-4870-a6e7-6491bd47fcc2
single
A normal healthy child has a height of 100 cm and weighs 16 kg. What is his most likely age_______
Height doubles by 4 yrs .Since length at bih is 50 cm . Height becomes 100 cm by 4 yrs. Weight =2y +8 = 16 by Weech formula for 1 to 6 yrs. So y =16-8/2 = 8/2=4 yrs Reference: GHAI Essential pediatrics, 8th edition
2
3 years
4 years
5 years
6 years
Pediatrics
Growth and development
ba37e4da-4960-4a67-9f3b-5f29a15fde94
single
All of the following peptides produce vasodilation in most vascular beds EXCEPT
Endothelin is a potent vasoconstrictor peptide produced by vascular endothelial cells. Other vasoconstrictor pep tides include angiotensin H, neuropeptide Y, and vasopressin. Bradykinin, vasoactive intestinal peptide, calcitonin gene-related peptide, and substance P cause vasodilation in most vascular beds. Other vasod...
1
Endothelin
Bradykinin
Vasoactive intestinal peptide
Calcitonin gene-related peptide
Pathology
null
72a1f4dc-3f8f-4a99-93dc-c68f0e6c4dfd
multi
Gluten sensitivity is associated with?
Ans. is 'a' i.e., Celiac disease o Celiac disease is a chronic malabsorption syndrome due to intestinal hypersensitivity to gliadin, component of gluten in wheat, oat, barely and rye.o Strongest association of coeliac disease is seen with HLA-DQ2 followed by H2A-DQ8. Other HLA types (B8, DR3 and DR7) have also been ass...
1
Celiac disease
Tropicalsprue
Ulcerative colitis
Irritable bowel syndrome
Pathology
Small and Large Intestines
99491e4b-6fff-4152-bbaf-267de5d35242
single
The most - pungent inhalational agent-
Desflurane is the most pungent of the volatile anesthetics, and it administered the face mask results in Coughing, salivation, breath holding and laryngospasm. Isoflurane and desflurane can provide equal bronchodilation but are not normally used for inhalation induction. Desflurane is not used because of its pungency w...
4
Halothane
Isoflurane
Enflurane
Desflurane
Anaesthesia
Inhalational Anesthetic Agents
bcf66642-750a-425d-8314-7cb0059118d8
single
A young lady can be counselled for sterilization operation in all except:
Ans. a. A woman having no or few children may undergo sterilizationGuidelines for sterilization:Age of husband not less than 25 years and should not be over 50 yearsAge of wife: not less than 20 years or not more than 45 yearsShould be having 2 living childrenIf couple has three or more living children the lower limit ...
1
A woman having no or few children may undergo sterilization
Woman with HIV either taking or not taking A can go for sterilization
Husband consent is Present
Young lactating women more than 25 years can go for sterilization
Gynaecology & Obstetrics
null
5e8f1109-faca-4828-a131-49a30ea6e90e
multi
A 16 - year old boy presents with acute onset pain in the left testis. The following statements about his management are true except -
null
1
The patient should be prescribed antibiotics and asked to come after a week
Colour flow Doppler will be very useful in diagnosis
Scrotal exploration should be done without delay if doppler is not available
If left testis is not viable on exploration, patient should undergo left Orchidectomy and right orchidopexy
Surgery
null
bc10cee7-23d4-479c-90ba-7513bf3cea1e
multi
Radiocontrast is contraindicated in all except-
Ans. is 'd' i.e., Obesity o Renal failure and dehydration are risk factors for contrast induced nephropathy.Metformin causes increase risk of developing contrast induced nephropathy and subsequent lactic acidosis "___Genitourinary' radiologyAdverse reactions to radiocontrast agentso Two important reactions to radiocont...
4
Renal failure
Patient on metformin
Dehydration
Obesity
Radiology
Contrast agents
7a734608-5398-4531-b9ff-ae3e9d3cf273
multi
I131 is the preferred treatment for:
(Ref: KDT 6/e p253) I131 is contra-indicated in children and young adults because if hypothyroidism develops in response to radioactive iodine, it is permanent. Use of radioactive iodine is contra-indicated in pregnancy. In ischemic hea disease patients, surgery should be avoided. I131 therapy is a good alternative in ...
3
Children
Young adults with recent onset Graves' disease
Elderly patients with ischemic hea disease
Pregnant women
Anatomy
Other topics and Adverse effects
ea5b588f-184a-4725-bd23-a55709668f49
single
A 5–month old formula fed infant has been brought with complaints of watery diarrhoea of 2 days duration and irritability of one day duration.He had been receiving WHO ORS at home. Physical examination reveals a markedly irritable child with a rather doughy skin and rapid pulse.The most likely diagnosis is –
This child has ---> i)       Irritability                              ii) Doughy skin                    iii) History of ORS taken at home Irritability and doughy skin is seen in hypernatremic dehydration. Hypematremic dehydration occurs when fluid is given with more salts. This child must have taken more ORS than flu...
4
Meningitis
Encephalitis
Hyponatremic dehydration
Hypernatremic dehydration
Pediatrics
null
50acb5c8-58e3-4b90-9b76-4916bd0a3cb0
single
Lens displacement in Marfan syndrome:
Ans. C i.e. Upward & temporally
3
Upward & nasally
Downward & nasally
Upward & temporally
Downward & temporally
Ophthalmology
null
1342eb94-23eb-4079-9489-3949a532438e
multi
Axial proptosis is associated with
Ans. (a) Optic gliomaRef Kanski 7/e, chapter 3, Jakabisc 3/e, p. 2886* Space-occupying lesions within the muscle cone, such as cavernous haemangiomas and optic nerve tumours cause axial proptosis.
1
Optic glioma
Dermoid cyst
Lacrimal gland tumors
Maxillary tumors
Ophthalmology
Orbit
2490a675-6f09-4748-b632-99e8d456df56
single
Wolfe grafts is
.wolfe graft is a ful thickness graft consisiting of epidermis and full layer of dermis thiersch graft is a paial thickness graft consisiting of epidermis and variable layers of dermis
1
Full thickness skin grafts
Paial thickness skin grafts
Split-skin grafts
Pedicled flap
Surgery
General surgery
fdf194db-8fce-4f10-ae19-488a8f1e81af
single
Treatment of choice in saddle nose is?
Saddle nose The deformity can be corrected by augmentation rhinoplasty by filling the dorsum with cailage, bone or a synthetic implant. If the deformity is only cailaginous, cailage is taken from nasal septum or aicle and laid in a single or multiple layers. If deformity involves both cailage and bone, the cancellous b...
1
Augmentation Rhinoplasty
SMR
FESS
null
ENT
Nose and paranasal sinuses
eac0ffc4-05d8-4ffe-8fa3-967dd13ed761
multi
Anti LKM 3 antibody will be positive in:
Anti LKM 3 antibody will be positive in chronic hepatitis D. MUST KNOW Anti-LKM 1 - Positive In chronic HCV and autoimmune hepatitis Anti-LKM 3 - Positive in chronic HDV ANA, Anti SLA - Positive in autoimmune hepatitis {Antinuclear antibody - autoimmune hepatitis type I, Antibodies to liver-kidney microsomes type 1 - a...
1
Hepatitis D
Hepatitis B
Hepatitis C
Autoimmune hepatitis
Medicine
null
d63915f9-bacd-4eaa-98b4-b7fe53431bdf
single
All of the following are causes of hemobilia, EXCEPT:
Hemobilia presents with the triad of biliary colic, obstructive jaundice, and occult or gross intestinal bleeding. Causes are, Hepatic trauma Ductal parasitism (Ascaris lumbricoides) Oriental cholangiohepatitis Hepatic neoplasms Rupture of a hepatic aery aneurysm Hepatic abscess Choledocholithiasis The diagnosis may be...
4
Trauma to Abdomen
Malignancy
Rupture of hepatic aery aneurysm
Hepatitis
Surgery
null
b057def6-d57c-46a0-8e74-ab0ae45ef581
multi
which of the following is used to remove broken instruments in root canal:
Masserman kit or endoextractor kit is used for removal of broken instruments in root canals (MAN -98, KAR -03)
1
Masserman kit
Peizoelectric kit
Magnetorestrictive kit
Rhodes kit
Dental
null
b39907a2-a94b-4757-8e11-34864b70b72c
single
By____________years all milk teeth are erupted ?
Ans. is 'c' i.e., 2.5 o Between 20-30 months all milk (primary) teeth are erupted.
3
1.5
2
2.5
3
Pediatrics
null
3ec0c6c0-a0ba-48b0-a52f-c05a218604dc
multi
For cystic lesions in brain, investigation of choice is:
null
3
Ultrasound
Angiography
C.T. Scan
MRI scan
Medicine
null
095aa485-968b-4577-aec7-3bf2828596d5
single
All are true about glutathione except:
Ans. is 'b' i.e. it converts hemoglobin to methemoglobin Glutathione prevents oxidation of hemoglobin to methemoglobin.The heme group of hemoglobin contains iron in the ferrous state. Hemoglobin can accept and transport oxygen only when the iron atom is in its ferrous form. When hemoglobin becomes oxidized, it is conve...
2
It is a tripeptide
It converts hemoglobin to methemoglobin
It conjugates xenobiotics
It is co-factor of various enzymes
Biochemistry
Mechanisms of Enzyme Action
e89f3019-bca9-43f6-8af8-49356f91f605
multi
Fast fatigable motor unit recruited
Motor UnitEach single motor neuron and the muscle fibers it innervates constitute a motor unit.Each spinal motor neuron innervates only one kind of muscle fiber so that all the muscle fibers in a motor unit are of the same type.On the basis of the type of muscle fibers they innervate, and thus on the basis of the durat...
2
First
Last
During active pa of contraction
During relaxation
Anatomy
All India exam
7c52636d-85fc-4920-9317-dd75a8d13ed6
single
Ostmann fat pad is related to
*There are small fat bodies located inferomedial to Eustachian tube. These are called Ostmann fat pads*They are impoant in normal closure of Eustachian tube and preventing transmission of nasopharyngeal pressure to the middle ear*These fat pads are absent in patulous tube syndromeRef: PL Dhingra, Diseases of Ear, Nose ...
3
Ear lobule
Buccal mucosa
Eustachian tube
Tip of nose
ENT
Nose and paranasal sinuses
fd14fc7c-4061-4d84-9af8-6ce18c31a517
single
What will be the BMI of a male whose weight is 89 kg and height is 172cm -
BMI = weight in kg/ height in metre square = 89/1.72/1.72 =30.08. Ref-Park&;s textbook of Preventive and Social Medicine 24th edition. .
2
27
30
33
36
Social & Preventive Medicine
Non communicable diseases
78b56d5f-acb6-43a3-8436-802b2bcb9b96
single
A child is brought to the casualty with a swollen, painful knee. The child has high fever with no history of trauma. Acute osteomyelitis is suspected. Which is the earliest pa of the bone to be involved in haematogenous osteomyelitis?
Acute osteomyelitis: The metaphysis is commonly involved. The end vessels of the nutrient aery empty into much larger sinusoidal veins, causing a slow and turbulent flow of blood at this junction. Low oxygen tension in this region may compromise phagocytic activity of white blood cells. These conditions predispose bact...
1
Metaphysis
Diaphysis
Epiphysis
Area around the nutrient aery
Surgery
null
e14b9656-74d1-4ba1-aeff-d6636f50e26f
single
True about nephrogenic diabetes insipidus in children –
In nephrogenic diabetes insipidus, level of the ADH is normal. The defects lies in the distal tubule where the cells fail to respond to ADH. Diabetes inspidus is associated with wolfram syndrome or DIDMOD syndrome not wilm's tumour. Wolfram syndrome → Diabetes insidus, Diabetes mellitus, Optic atrophy, Deafness.
2
Decreased ADH secretion
Receptor insensitivity in kidney tubules
Decreased ADH
Commonly associated with WILM's tumor
Pediatrics
null
7ffd378e-9098-43dd-bfb0-a5eb03fb7588
multi
False statement regarding cholestasis in pregnancy:
Recurrence is common in subdequent pregnancies (90%)and with the use of oestrogen containing oral contraceptivr pills.Such patients are at risk for chronic liver disease and should be closely followed up aftet pregnancy. Refer page no 280 of Text book of obsteics,sheila balakrishnan,2 nd edition. OR Reccurence rate is ...
4
Recurs In subsequent pregnancy
Ursodeoxycholic acid relieves pruritus
Mild jaundice occurs in majority of patients
Pruritus may precede laboratory findings
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
cc0eda04-86df-4163-83f3-a0fc8dd9f413
multi
A 67 year old man presented initially after a single episode of gross painless haematuria. An excretory urogram demonstrated a 1.5 mm round filing defect in the right lower renal infundibulum. The best study to obtain next is -
Ans. is 'c' i.e., Ultra sonography
3
Urinary cytology
Cystoscopy
Ultrasonography
Retrograde pyelography
Surgery
null
987d994b-4236-4d69-bb38-ad8e38c4ff74
multi
Collection of urine sample of a patient of TB/kidney is done -
null
3
24 hrs urine
12 hrs urine
in early morning
Any time
Microbiology
null
de385e35-e2c5-4f21-b71a-4e2e7b178f8a
single
Glanzman's thromboasthenia is characterized by defective -
Ans is 'a' Gp IIB/IIIA Glanzman's thrombastheniao It is an autosomal recessive disorder due to deficiency/dysfunction of glycoprotein Ilb-IIla (Gp Ilb/IIIa). Thus there is defective platelet aggregation.o Platelet aggregation is normal to ristocetin(ln constant to Bernard soulier syndrome) but no aggregation occurs in ...
1
Gp IIB/IIIA
Gp IB/IX
Gp IB/IIIA
GpIIB/IX
Pathology
Bleeding Disorders
a28140cc-4542-45f8-81c8-1baf4693cac8
single
Distension of distant alveoli is seen in -
Ref: Textbook of pathology (Harsh Mohan) 6th edition, page No.481 Morphology of Individual Types of Emphysema CENTRIACINAR (CENTRILOBULAR) EMPHYSEMA. Centriacinar or centrilobular emphysema is one of the common types. It is characterised by initial involvement of respiratory bronchioles i.e. the central or proximal pa ...
2
Irregular emphysema
Paraseptal emphysema
Panacinar emphysema
Centriacinar emphysema
Pathology
Respiratory system
015711d4-086d-4da9-8ea5-80fdd9735748
single
Nocardia is stained by all, EXCEPT:
Nocardia species are Gram-positive, catalase positive, rod-shaped bacteria that show true branching both in culture and in stains from clinical lesions. The species most common in human infection (N asteroides and N brasiliensis) are weakly acid-fast. Nocardia typically exhibit varying degrees of acid fastness due to t...
3
Acid fast stain
Gram's stain
Albe's stain
Mucin stain
Microbiology
null
d9e90c29-6500-4075-91e6-d5fcc0ca0da5
multi
HLA B27 is not seen in -
Ans. is 'a' i.e., SLE HL A and Disease AssociationHLA - class 1B-27Spondyloarthropathies# Ankylosing spondylitis# Reiter's syndrome# Acute anterior uveitis# Reactive arthritis# Psoriatic arthritisB-8Hyperthyroidism (Graves' disease) Myasthenia gravisB-51Behcet's diseaseB-47Congenital adrenal hyperplasiaCW6Psoriasis vul...
1
SLE
Ankylosing spondylitis
Reiter's syndrome
Psoriotic arthritis
Pathology
Autoimmune Diseases
c2fd0b39-7ced-49f8-9812-6ad31fc26ecd
single
Benign small bowel tumors most commonly present as
Benign tumors of small intestineLeiomyomaAdenomaLipoma HamaomaHaemangioma Neurogenic Fibroma Lymphangioma Clinical presentation of small bowel benign tumoursWeight lossNo Abdominal painYes Small bowel obstruction Yes Gastrointestinal bleeding YesAbdominal mass Rare Acute abdomen (Perforation)No Obstructive jaundice No ...
2
Gastrointestinal bleeding
Incidental finding on laparotomy
Small bowel obstruction
Persistent loss of weight
Pathology
All India exam
8e9141c7-9766-4660-b3c9-23980c73e1e3
multi
Which of the following is the exact mechanism of action of NO
Nitric oxide is produced by nearly every type of cell in the human body and one of the most impoant molecules for blood vessel health. It's a vasodilator, meaning it relaxes the inner muscles of your blood vessels, causing the vessels to widen. In this way, nitric oxide increases blood flow and lowers blood pressure
2
Increase in cAMP
Increase in CGMP
Increase in PGE2
Increase in PGD4
Pharmacology
Anesthesia
a742d90f-bb3a-4ef8-831c-134ef8c406ea
single
Which of the following types of mutations generally leads to a truncated protein?
Ans. B. Frameshift mutationa. Although each type of mutation can cause protein truncation, a frameshift mutation usually introduces a stop codon very shortly after the frameshift. In coding sequences, there are three possible reading frames that can be translated, only one of which leads to synthesis of the correct pro...
2
Deletion
Frameshift mutation
Insertion
Missense mutation
Biochemistry
Molecular Genetics
9b5a262d-ea94-4733-a857-ef3c05a944f9
multi
Ovulation is primarily caused by preovulatory surge of:
B i.e. LH A surge in LH secretion triggers ovulation and ovulation normally occurs about 9 hours after the peak of the LH surge at midcycle'Q
2
Estradiol
Luteinizing hormone
Progesterone
Follicle stimulating hormone
Physiology
null
d8df14a5-a63e-4000-8b01-bb8895db5d1b
single
A normally developing 10 months old child should be able to do all of the following except -
Ans. is 'd' i.e., Build a tower of 3-4 cubes o A child stas trying to build a tower of cubes (2 cubes) by the age of 1 year. About other options o Child can stand with suppo by 9 months. o Child can play peak-a-boo game by 10 months. o Child can pick up a pellet with thumb and index finger (pincer grasp) by 9 months.
4
Stand alone
Play peak to boo
Pick up a pellet with thumb and index finger
Build a tower of 3-4 cubes
Pediatrics
null
1ed5c41f-5c66-46db-9bc3-a68a0c2bf6b6
multi
Cardiotoxicity caused by radiotherapy and chemotherapy is best detected by:
Ans. Endomyocardial biopsy
2
Echocardiography
Endomyocardial biopsy
ECG
Radionuclide scan
Radiology
null
e9fd8df9-19bb-4c82-b421-e80bec6a4674
single
Treatment of choice for cheese reaction -
Ans. is 'c' i.e., Phentolamine Cheese reactiono Certain varieties of cheese, beer, wines, picked meat and fish, yeast extract contain large quantities of tyramine, dopa.o in MAO inhibited patients these indirectly acting sympathomimetic amines escape degradation in the intestinal wall and liver - reaching into systemic...
3
Prazocin
Pentazocin
Phentolamine
Phenoxybenzamine
Pharmacology
Anti Adrenergic System
16ef5418-48f6-4bda-93e0-f2bb550c0cf8
single
Which of the following is an amide hormone?
Ans. is 'a' i.e., Thyroid releasing hormone Thyroid Releasing Hormoneo It is the hormone secreted by the nerve endings in the median eminence of hypothalamus,o It is the n transported to anterior pitutary by hypothalamohypophyseal portal system.o Thyroid releasing hormone in the pure form is a tripeptide amide - Pyrogl...
1
Thyroid releasing hormone
Melanocyte stimulating hormone
ACTH
TSH
Physiology
Endocrinology metabolism
d80600ee-e821-45af-b244-4bf1e129b886
single
Threshold level of herd immunity of Peussis is -
Park&;s texbook of Preventive and Social Medicine 23rd edition Page no: 165 The control of peussis by immunization is still an unsolved problem Even if the level of immunization reaches 100 per cent, it is possible that the disease would not be entirely eliminated because whooping cough vaccines have never been claimed...
3
80%
70%
90%
50%
Social & Preventive Medicine
Communicable diseases
6e0ba3db-f969-40c4-b345-f7834f2d5a57
single
Congenital varicella infection causes all except:
Ans. a. Macrocephaly
1
Macrocephaly
Limb hypoplasia
Coical atrophy
Cicatrix
Microbiology
null
700f8f1b-ccaa-47a6-8a54-301f51952508
multi
T. capitis (endothrix) is caused by – a) Epidermophytonb) T.tonsuransc) T.violaceumd) Microsporume) T. rubrum
Ectothric → M. canis, M. audouinii, T. mentagrophytes. Endothrix  → T tonsurans, T voilaceum, T. schoenleinii
4
a
c
ac
bc
Dental
null
e22460da-e3f5-47b1-8cf0-dfad19a542f2
single
Congenital adrenal hyperplasia is most likely a result of
.
1
Defects in adrenal steroidogenic enzymes
Addison's disease
Defects in ACTH secretion
Defects in coicosteroid-binding globulin
Gynaecology & Obstetrics
All India exam
f0b493c2-051e-42c3-83aa-fd86a6161e0c
single
Best epidemiological study is -
Ans, is 'b' i.e., Meta-analysis o Here are the different epidemiological studies with decreasing order of accuracy to test the association between risk factor and diseaseSystematic review and meta-analysis - Overall most reliableRandomized controlled trials (controlled clinical trails) - Most reliable individual study....
2
RCT
Meta-analysis
Cohort study
Case-control study
Social & Preventive Medicine
Analytical Epidemiology
e18f9613-9915-4188-aaa6-4a7c4ce3a3d1
single
Diabetes mellitus associated with -
Ref - researchgate.net
2
|HDL
|Triglycerides
|Triglycerides
|Cholesterol
Medicine
Endocrinology
1872cef9-41f0-4a57-99c9-98d8200eb4ff
single
Complications of diabetes in pregnancy Includes all except
FETAL AND NEONATAL HAZARDS Fetal Macrosomia (40-50%) due to Maternal Hyperglycemia and Elevation of maternal free fatry acids. Congenital malformation(6-10%) Bih injuries are associated with prolonged labour and shoulder dystocia due to macrosomic baby. Growth Restriction is less commonly observed and is associated wit...
3
Macrosomia
Shoulder dystocia
Hyperglycemia in newborn
lUGR
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
8f3137f5-1d14-46c3-bfa4-c26e8496338d
multi
With reference to infections with Escherichia coli the following are true except -
null
3
Enteroaggregative E. coli is associated with Persistent diarrhoea.
Enterohemorrhagic E. coli can cause haemolytic uraemic syndrome
Enteroinvasive E. coli produces a disease similar to salmonellosis.
Enterotoxigenic E. coli is a common cause of travelers' diarrhoea
Microbiology
null
182f87a1-04e6-407f-a49a-86f82be43ebe
multi
Child with recurrent mouth ulcer which usually begin as a round yellowish elevated spot surrounded by a red halo and heals within 7-10 days:
Ans.: (b) Aphthous ulcersRef.: Harrison's 19th ed. /239* Apthous ulcers are also called as canker sores/apthous stomatitis and present as round ulcer with yellowish base and surrounded by a red halo.# The usual sites are oral mucosa on the insides of lips , cheeks or below the tongue.# Most of apthous ulcers are <5mm i...
2
Gingivitis
Aphthous ulcers
Malignancy
Herpetic ulcer
Skin
General
4a2e41b9-74df-41d1-87fe-2f5b62e903e0
multi
Undeaker's fracture is seen at the level of cervical veebra: NEET 15
Ans. C6-C7
4
C1-C2
C3-C4
C5-C6
C6-C7
Forensic Medicine
null
f7813ead-f19a-4c9e-bd6c-54b7b76178e8
single
Charcot leyden crystals in stool are seen in -
null
2
Bacillary dysentery
Amoebic dysentery
Giardiasis
Cholera
Microbiology
null
2a438371-46c6-4d4f-832a-e5298b2151d3
single
A six-year-old male baby presents to a hospital with recurrent gross hematuria for 2 years. There is no h/o burning micturition or pyuria. Urine routine examination demonstrated no pus cells and urine culture was sterile. Serum C3 levels were normal.What is the most probable diagnosis?
It is a case of IgA nephropathy. About other options Normal levels of C3 levels in serum helps to differentiate it form post-streptococcal glomerulonephritis (in which C3 levels are reduced). Wilm's tumor presents with mass in the abdomen whereas UTI usually presents with dysuria and routine microscope examination of...
2
Wilm's tumor
IgA nephropathy
Post-streptococcal glomerulonephritis
Urinary tract infection
Pediatrics
null
936cb9cc-644e-4c87-b40e-8d6965f467de
single
All of the following are associated with Down syndrome except: March 2010
Ans. A: Sensory Hearing Loss Around 40 percent of children are born with a congenital hea abnormality, most commonly a atrio or ventricular septal defect. Underactive thyroid problems, diabetes and problems with the intestinal and digestive tract are also seen in people with Down's syndrome, especially duodenal atresia...
1
Sensory hearing loss
VSD
Hypothyroidism
Duodenal atresia
Pediatrics
null
2da9d068-2b4e-4727-87fd-d7cccb210865
multi
Trans fatty acids are known to form during
Trans fatty acids (TFA) are atherogenic. They lower the HDL level and elevate LDL level. TFA is present in dairy products and hydrogenated edible oils. It is widely used in the food industry since it increases the shelf life of fried food. Cooking media containing PUFA and fast food preparations have a high content of ...
1
Hydrogenation of oils
Beta oxiation of palmitate
Rancidity of fats
Prostaglandin biosynthesis
Biochemistry
Metabolism of lipid
e5053b5d-8014-4049-9701-759723430440
single
Gall stones -
Ans. is 'b' i.e. There is an increased incidence of stones in diabetics
2
Are about twice as common in men as in women
There is an increased incidence of stones in diabetics
About 80-90% of gall stones are radio-opaque
Are usually more than 50 mm in diameter
Surgery
null
8000e655-94cf-46ed-8791-066f3c044290
multi
An ideal subcenter for a rural population should cater a population of-
Ans. is 'c' i.e., 5000
3
1000
2000
5000
10000
Social & Preventive Medicine
null
d9daf3c5-2d30-4678-b2fc-46ed9405989f
single
Which of the following drug is deposited in muscle
Refer kDT 6/e p 497 Some drugs accumulate in ceain tissues (for example, digoxin accumulates in hea and skeletal muscles), which can also act as reservoirs of extra drug. These tissues slowly release the drug into the bloodstream, keeping blood levels of the drug from decreasing rapidly and thereby prolonging the effec...
2
Verapamil
Digoxin
Adenosine
Phenytoin
Pharmacology
Cardiovascular system
4334419d-4934-41d1-a5b0-9b5cda0a90fc
single
Compared to hydrocortisone maximum glucocorticoid action is found in:
null
1
Dexamethasone
Prednisolone
Methyl prednisolone
Cortisone
Pharmacology
null
b2929592-250c-4bdb-8bae-12ea0389f3d0
single
Earliest and often the only presentation of TB kidney is
Ans. is 'a' i.e., Increased frequency Urinary frequency, dysuria, nocturia, hematuria, and flank or abdominal pain is common presentations. However, patients may be asymptomatic and the disease is discovered only after severe destructive lesions of the kidneys have developed. Urinalysis gives abnormal results in 90% of...
1
Increased frequency
Colicky pain
Hematuria
Renal calculi
Medicine
null
42e55d5d-5d4b-48ed-9cad-dba534c95a9c
single
Which of the following statements is true for excitatory postsynaptic potentials (EPSP):
C i.e. Are propoional to the amount of transmitter released by the presynaptic neuron
3
Are self propagating
Show all or none response
Are propoional to the amount of transmitter released by the presynaptic neuron
Are inhibitory at presynaptic terminal
Physiology
null
2c0e7c03-e382-4404-85e3-4ab6e68a19a6
multi
Primers are removed by all except:
Primers are synthesized during DNA replication. Primer is RNA primer and RNA should not be there as a component of DNA So at the completion of replication we have to remove this RNA primer then we have to keep DNA instead of it. Enzyme of removal of primer in prokaryotes are - DNA polymerase I In Eukaryotes There are 2...
4
Delta Polymerase
RNase H1
FEN1
null
Biochemistry
Replication
7087739c-e5cd-461d-960a-29156d157c68
multi
A veically oval dilated pupil is seen in
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 239 - 240)In acute primary angle closure glaucoma-Pupil is semi-dilated, veically oval and fixed. It is non-reactive to both light and accommodation There is a strong resemblance in the pupillary shape in cases with acute congestive glaucoma and cases ...
1
Acute primary angle closure glaucoma
Wernicke's korsakoff psychosis
Neurosyphilis
Paralysis of oculomotor nerve
Ophthalmology
Glaucoma
924d2319-f8c3-49ed-b776-8d3dc065f116
multi
Human anatomical wastes arc treated,'disposed by -
Ans. is 'c' i.e., Incineration Human anatomical wastes such as human tissues, organs, and body parts are classified as Waste Category No. 1They are disposed in 'plastic bags' with a \yellow color code' and treated by 'Incineration or deep burial'.Colour codingType of containerWaste categoryTreatment options as per Sced...
3
Autoclaving
Chemical disinfection
Incineration
Microwaving
Social & Preventive Medicine
Hospital waste, disaster management and occupational health
d92c1166-7b57-43b0-95eb-3b4a6585567b
single
Maltese cross is Characteristic of
Maltese cross (ring forms arranged in tetrad) seen in Babesia.
2
Schistosomiasis
Babesiosis
Cryptococcosis
Sporotrichosis
Microbiology
null
f8e84d86-e0e8-488c-a83d-fe6bd1214362
single
Vibrations are felt by -
Ans, is 'c' i.e., Pacinian corpuscle Tactile (touch! receptorso These are general exteroreceptors for epicritic senses. These are divided into superficial and deep receptors,o Superficial receptors are present in the epidermis or papillary layer of dermis. In glabrous (non hairy) skin these receptors are Merkel's disc ...
3
Meissner's corpuscle
Merkel's disc
Pacinian corpuscle
Ruffini's end organ
Physiology
Miscellaneous Nervous System
17170a67-7fdf-4fe4-9ec0-3d04b8ea482e
single
Incubation period of HBV is:
Ans. is 'a' i.e., 45 to 180 days (Ref: Harrison, 18th/e, p. 2546; 19th/e, p. 2006) Remember:Enterically transmitted non - A, non - B (NANB) virus - HEV.Parenterally transmitted NANB - HAV.Hepatitis VirusIncubation periodHAV15 - 45 days (mean 30 days)HBV30 - 180 daysHCV15 - 160 days (mean 50 days)HDV30 - 180 daysHEV14 -...
1
45 to 180 days
6 to 60 days
10 days
10 hours
Microbiology
Hepatitis Viruses
4668d225-bbb8-4e99-824c-9cc2fe8790e9
single
Serum amyloid associated protein is found in
Ref Robbins 9/e p257;8/e 251-252;7/e pg 159 * The AA (amyloid-associated) fibril is a unique nonim- munoglobulin protein derived from a larger (12-kDa)
2
Alzheimer's disease
Chronic inflammatory state
Chronic renal failure
Malignant hypeension
Anatomy
General anatomy
b7e37472-6cf2-40fe-bd3d-21b0f8b3acb4
single
A Panel difillitasion is -
Ans. is 'c' i.e., Group approach Panel discussion is a group approach with two way communication.
3
Mass approach
Individual approach
Group approach
One way communication
Social & Preventive Medicine
null
a3573ba6-5858-4202-8541-7ecac8ff9d16
single
DOC for pregnant females travelling to areas endemic to chloroquine resistant P-falciparum:
Ans. is d, i.e MefloquineRef Williams 24/e, pg1257MalariaDOC* Chloroquine sensitive malasias treatment* Chloroquine resistant P. Falciparum treatment* Intermittent Preventive therapy* Chloroquine sensitive malaria - prophylaxis* Chloroquin resistant P. falciparum - prophylaxis* Antimalarials contraindicated during preg...
4
Primaquine
Doxycycline
Amodiaquine
Mefloquine
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
005cecd1-2130-4fa8-8dfa-466226bd8fec
single
Phocomelia is caused by which drug:
Ans. B. ThalidomidePhocomelia is teratogenic effect which was caused by thalidomide given to pregnant females for morning sickness, in this there was seal like limbs. This drug was banned due to this effect. Current status of the drug is that it is used in Lepra reaction and multiple myeloma.
2
Methotrexate
Thalidomide
Phenytoin
Carbimazole
Pharmacology
Adverse Drug Effect
f505fff0-3715-4783-a300-70447b04e10a
single
Most common site of intracranial hemorrhage is
The most common locations of hypeensive ICH are: 1) Basal ganglia (putamen or caudate), 2) Thalamus, 3) Pons and 4) Cerebellum. Within the basal ganglia region, it is rare for an ICH to specifically affect one area; Ref Harrison20th edition pg 2334
1
Basal ganglia
Brainstem
Cerebellum
Hippocampus
Medicine
C.N.S
46a9e800-f3b1-461d-a949-fea43b185a59
single
The short bowel syndrome is characterized by all of the following except -
null
2
Diarrhea
Hypogastrinemia
Weight loss
Steatorrhoea
Medicine
null
11260e75-f939-4758-9551-c778324b3b42
multi
The recommended oral dose of vitamin A to be given in a 10 month child with deficiency on each of day 1,2 and 28 is -
Ans. is 'b' i.e., 1,00,000 IU
2
50,000 IU
1,00,000 IU
2,00,0001U
6,00,000 IU
Pediatrics
null
20651ee1-bcad-4bca-9b67-16461554fd95
single
A paial development of the aoicopulmonary septum will result in which of the following?
A. Paial development of the aoicopulmonary septum due to absence of migration of neural crest cell to truncus aeriosus region will cause persistent truncus aeriosus(PTA). FIG:- PTA
1
Persistent truncus aeriosus (PTA)
Ebstein's anomaly
Transposition of the great aeries
Common ventricle
Anatomy
Embryology and Histology
8c7cd292-e797-4e61-84cd-6a1203c400b8
single
A 56-year-old woman has noticed an enlarging lump on the right side of her neck for the past 7 months. On physical examination, there is a 3-cm nodule in the right upper neck, medial to the sternocleidomastoid muscle and lateral to the trachea at the angle of the mandible. CT scan shows a circumscribed, solid mass adja...
Paragangliomas are neuroendocrine tumors that rarely produce sufficient catecholamines to affect blood pressure, in contrast to their adrenal medullary counterpart, pheochromocytoma. The microscopic appearance of these lesions does not always correlate with their biological behavior. There is a tendency for recurrence ...
4
Metastatic squamous cell carcinoma
Metastatic thyroid medullary carcinoma
Mucoepidermoid carcinoma
Paraganglioma
Pathology
Head & Neck
dc6316d9-f4cd-4db8-8b1f-d7a808b64dae
single
Water-lily sign on chest X-ray is seen in -
Ans. is 'c' i.e., Hydatid cystRadiological signs of hydatid cvst of lung1) Meniscus sign4) Rising sun sign2) Water-lilly sign5) Serpent sign3) Camalote sign6) Empty cyst sign
3
TB
Aspergillosis
Hydatidcyst
Cryptococcosis
Radiology
Abdominal Radiography
db9187c7-7e2f-4665-a0b6-b4325971aa1a
single