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In a patient with a liver disease, which maneuvers, may lead to the development of hyperammonemia? | The use of loop diuretics promotes kaliuresis and therefore may lead to hyperammonemia. Ref: Harrison; 19th edition | 3 | Protein restriction | The use of neomycin | The use of loop diuretics | A branched-chain amino acid-enriched protein mixture | Medicine | C.V.S | 1caaba4f-5395-4f3f-b849-1e72af0eda99 | single |
In wood lamp examination,Tinea versicolor looks like | Tinea versicolor is caused by Malassezia furfur. examination shows a golden yellow fluorescence under ultraviolet light of Wood&;s lamp. Reference : Anathanarayan & paniker&;s 9th edition, pg no:615 | 3 | Green | Red | Yellow | Blue | Pediatrics | Infectious disease | e928210e-eb19-40f5-ab22-2bcfdac5ffa7 | single |
True about Latissimus dorsi -a) Nerve supply from long thoracic nerveb) Inserted into bicipital groove of humerusc) Use to fill up back defectsd) Blood supply from lateral thoracic arterye) Origin from upper four ribs | Latissimus dorsi originates from T7 to T12 spines, thoracolumbar fascia, outer lip of iliac crest, lower 4 ribs and inferior angle of scapula to insert into the floor of bicipital groove. It is innervated by thoracodorsal nerve.
It is used as musculocutaneous flap to fill areas of tissue loss.
Action:
- Adductio... | 2 | a | bc | ac | ad | Anatomy | null | e5099e89-ea03-49d4-a2ae-5c741a8c21cc | multi |
A 40 years old patient came to surgery OPD with swelling in the left lateral aspect of the neck. On examination, the swelling was painless, can be moved side to side but not up and down. No history of TB. Blood workup included thyroid profile and CBC which came to be normal. Ultrasound of swelling was performed and sho... | Lyre sign- refers to the splaying of the internal and external carotid by a carotid body tumor. Fibromatosis colli is a rare form of infantile fibromatosis that occurs within the sternocleidomastoid muscle. USG is IOC. | 4 | Fibromatosis colli | Tubercular lymph node | Soft tissue sarcoma | Carotid body paraganglioma | Radiology | Cardiovascular Radiology | e2cd0d14-5598-4db8-a34b-1811136ea039 | single |
The following is not the differential diagnosis of an anterior mediastinal mass. | B i.e. Neurogenic tumor Neurogenic tumors (arising in posterior nerve structues) are the most common posterior mediastinal tumor but these do not occur in anterior mediastinumQ. And posterior mediastinum is the most common location for neurogenic tumors. | 2 | Teratoma | Neurogenic tumor | Thymoma | Lymphoma | Anaesthesia | null | 853d2b37-b798-43c2-9068-b0d6af805153 | single |
Rotation of a distal extension base around vertical axis is resisted by | It is resisted by stabilizing components, such as reciprocal clasp arms and minor connectors that are in contact with vertical tooth surfaces. Such stabilizing components are essential to any partial denture design regardless of the manner of support and the type of direct retention employed. Stabilizing components on ... | 2 | Rigidity of major connector | Reciprocal clasp arms | Retentive clasp arms | All of the above | Dental | null | 6a57d87e-9127-4efd-93af-8e1b03947238 | multi |
Soft exudates are found in : | A, B, C i.e. DM; HTN; Toxemia; Coat's disease | 4 | DM | HTN | Toxemia | All | Ophthalmology | null | b6ec5d59-c786-4a05-9a4a-34194eddcad4 | multi |
which muscle doesnot contribute to pes anserinus ? | except semimembranous rest of the msucles together is called pes ansirinus Pes anserinus ("goose foot") refers to the conjoined tendons. of three muscles that inse ont the anteromedial (front and inside) surface of the proximal sera extremity of the tibia. * The muscles are the saorius, gracilis and semitendinosus some... | 1 | semimembranosus | semitendinosus | gracilis | saorius | Anatomy | General anatomy | 924cdcad-bf3f-43e3-859e-db15349e5a34 | single |
True about GIST are all,except : | . Most common site is duodenum | 1 | Most common site is duodenum | Well circumscribed | Ulceration and necrosis common | PET useful in predicting response to therapy | Pathology | null | d4c7dbcd-88bd-4c9d-9f89-9126d87d7439 | multi |
Fasting Blood Sugar (FBS) of a population is known to be normally distributed, with a mean of 105 mg% and standard detion of 10 mg%. Thus 95% of the population will have FBS within - | Ans. is 'c' i.e., 85 and 125 o 95% of population will have FBS within 2 Standard Detion (+-2SD) of mean. o Since the mean FBS is 105 mg% and standard detion is 10 mg%, 95% of population will have FBS between 105 +-2SD i.e. 105 +- 20 i.e. 85 and 125. | 3 | 104 and 106 | 95 and 115 | 85 and 125 | 75 and 135 | Social & Preventive Medicine | null | 44700e79-2807-4180-bdc1-3e4d88e5dbb5 | multi |
Anterior choroidal artery is a branch of which of the following? | Anterior choroidal artery is a branch of the internal carotid artery. | 3 | Retinal artery | External carotid artery | Internal carotid artery | Middle meningeal artery | Anatomy | null | a8350e91-a1a4-4991-8b1a-8ddae52c18b7 | single |
All of the following statements about staphylococcus aureus are true, EXCEPT: | Carriers of staphylococcus aureus are the primary source for cross infection to individuals who do not normally have this bacterium in their commensal microflora. Individuals normally free from s.aureus may have less immunity against the lethal consequence of S.aureus infection compared with those who are persistent ca... | 1 | Most common source of infection is cross infection from infected people | About 30% of general population are healthy nasal carriers | Epidermolysin and TSS toxin are superantigens | Methicillin Resistance is chromosome mediated. | Microbiology | null | c2ea2125-8d26-49f7-bb92-4bbb79a2d3f0 | multi |
All of the following may be raised in carcinoid syndrome, Except | Answer is D (VMA): 5HIAA, 5HT, 5HTP are metabolites of Trvptophan / Serotonin that may be elevated in carcinoid tumors. Vanillvl mandilic acid (VMA) is the principal metabolite of catecholamines secreted by adrenal medulla. Elevated VMA levels in urine is a feature of increased catecholamine secreting tumors, typically... | 4 | 5HIAA | 5HT | 5HTP | VMA | Medicine | null | 863f3432-b944-49d5-aef8-4fb43c738d55 | multi |
All of the following are true about WHO growth chas EXCEPT: | WHO Growth Chas First published in 2006 Based on MGRS (Multicentre Growth reference study) 6 countries including India Exclusively breast fed babies Maternal factors like alcohol & smoking have been exluded All anthropometric parameters covered Available in various formats (S.D. based, Z-score based, percentile based) | 1 | Based on a study conducted in 6 states of United States | First published in 2006 | Chas for Body mass index and skin fold thickness are also available | Separate chas are available for boys and girls | Pediatrics | Paediatrics | 3af17d65-16aa-4710-924f-4b8c48b0b1b0 | multi |
A syndrome of multiple congenital anomalies including microcephaly, cardiac anomalies and growth retardation has been described in children of women who are heavy users of: | Teratogenecity of alcohol is the Fetal alcohol syndrome(dose related) which includes pre and post natal growth restriction,facial abnormalities like shoened palpebral fissure,low set ears,smooth philtrum,thinned upper lip, and mid facial hypoplasia CNS defects like microcephaly,mental retardation and behavioral disorde... | 4 | Amphetamines | Barbiturates | Heroin | Ethyl alcohol | Gynaecology & Obstetrics | Medical, surgical and gynaecological illness complicating pregnancy | 740d6b72-e0d3-4435-9bc1-b9cd8642d0c0 | single |
Dietary triglycerides are transported by - | Chylomicrons
Dietary (exogenous) triglycerides are transported from the intestine to various tissues by chylomicrons. In these tissues, LPL (in blood vessels) hydrolyzes TGs into fatty acids and glycerol. Fatty acids are taken up by tissues for their use. The chylomicron is converted to chylomicron remnants, which car... | 1 | Chylomicrons | VLDL | LDL | HDL | Biochemistry | null | 4a26f781-fc5c-4735-a5ca-5f4fd6f776a3 | single |
Increased bone density is seen in all except - | Increased bone density is seen in secondary hyperparathyroidism (not in Primary hyperparathyroidism). | 1 | Primary hyperparathyroidism | Osteopetrosis | Fluorosis | Hypoparathyroidism | Radiology | null | f50ef846-16c9-4dda-b1e0-a3c90c82b482 | multi |
Advantage of fibreoptic bronchoscopy over rigid bronchoscopy is - | null | 2 | Foreign body removal | Good view | Better airway control | In a sick child it can be passed through endotracheal tube | ENT | null | d1672e91-eb43-45cf-8844-db75e8a15acd | single |
Strawberry vagina and PH > 4.5 of vagina is seen in: | Ans. is 'c' i.e., Trichomonas* Trichomonas vaginalis is vaginal flagellate causes strawberry vagina and PH > 4.5 and grows on Bushley, Johnson and trussel media. | 3 | E. histolytica | Giardia | Trichomonas | Toxoplasma | Microbiology | Parasitology | e819717a-f623-4477-862d-d19888fffa39 | single |
A 50-year-old woman who has a family history of breast cancer presents with a 6-month history of increasing abdominal girth. On close questioning, she volunteers a history of vague abdominal pain dating back 1 year. She has no children and has never been pregnant. Bimanual pelvic examination reveals a 10-cm right adnex... | Malignant papillary structures and psammoma bodies (laminated calcified concretions) in a patient with ascites is most compatible with the diagnosis of papillary serous cystadenocarcinoma of the ovary. The same gene implicated in hereditary breast cancers, namely BRCA1, has been incriminated in the pathogenesis of fami... | 1 | BRCA1 | p53 | Rb | VHL | Pathology | Female Genital Tract | cb37ab58-a61c-4b5d-9666-d84c04ac357e | single |
Inheritance pattern of ABO blood group system and HLA system? | Ans. D. Codominant. (Ref. Harrison's principles of internal medicine 17th/pg. 708).Harrison's principles of internal medicine l7th/pg. 708........."The genes that determine the A and B phenotypes are found on chromosome 9p and are expressed in a Mendelian codominant manner""Pseudodominance is the sudden appearance of a... | 4 | Pseudodominance | Autosomal dominant | Autosomal recessive | Codominant | Pathology | Genetics | fd785755-0007-440f-a125-be4f9683423e | single |
Which of the following is found in the respiratory zone of the lung? | There are two zones in the lung;the conducting zone (where there is no gas exchange) and the respiratory zone (where there is gas exchange). Of all of the structures listed, only Type I epithelial cells are located in the respiratory zone. Type II epithelial cells, also located in the alveoli, are the cells that produc... | 4 | Goblet cells | Main bronchi | Mucous cells | Type I epithelial cells | Anatomy | null | d1bf41a2-1b5d-4698-9d6d-cac042ee2cda | single |
Symptoms of Epinephrine overdose following a local anesthetic injection may include all of the following except: | null | 2 | Restlessness | Hypotension | Apprehension | Palpitations | Surgery | null | da016fe8-4c50-4488-b583-e44b9f103248 | multi |
Cirrhosis of liver with poal hypeension is a complication of all ofthe following except- | Gilbe's syndrome Gilbe's syndrome is by far the most common inherited disorder of bilirubin metabolism . It is an autosomal recessive trait when caused by a mutation in the promoter region of the gene for UDP-glucuronyl transferase enzyme (UGT1A1), which leads to reduced enzyme expression. It can be inherited in a domi... | 3 | Wilson s disease | Hemochromatosi | Gilbe's syndrome | Hepatitis C | Medicine | G.I.T | 3e34f58d-afa2-4618-8948-9a6a2fd06e89 | multi |
Mononuclear phagocytes are produced by ? | Ans. is 'c' i.e., Bone marrow Mononuclear macrophage cells originate in the bone marrow from precursor cells and become monocytes in about 6 days. | 3 | Thymus | Spleen | Bone marrow | Liver | Microbiology | null | f41f8094-5373-4814-b480-d3a5fe083870 | single |
Which of the following influence the ability of osteoclast to resorb bone matrix? | null | 1 | cathepsin K and carbonic anhydrase | alkaline phosphatase | both the above | matrix metalloproteinase | Dental | null | 73399ec2-849c-4e8b-ab31-bb5fa9ddba53 | multi |
Exopthalmos not present in | null | 3 | Thyrotoxicosis | Blow in fracture | Blow out fracture | None of the above | Surgery | null | 56eb0232-51ee-4d6a-aac1-9ae1d5966e15 | multi |
A 28 weeks pregnant multigravida with preeclampsia presented with fulminant signs. Urgent C-section was planned. Best method for the diagnosis of lung maturity is: | Phosphatidylglycerol (PG) is a minor constituent of surfactant. It begins to increase appreciably in amniotic fluid several weeks after the rise in lecithin. Its presence is more indicative of fetal lung maturity because PG enhances the spread of phospholipids on the alveoli. Ref: Mehta S.H., Sokol R.J. (2007). Chapter... | 2 | L/S ratio in amniotic fluid | Phosphtidyl glycerol estimation in amniotic fluid | Bilirubin in amniotic fluid | Amniotic fluid creatinine | Gynaecology & Obstetrics | null | 5445229e-14bc-4043-9ca2-99813a42cf7f | single |
Most common phobia | Phobia is clinical condition where there is a fear of any stimulus because of which there is anxiety and distress and to avoid the distress there is avoidance and finally results in dysfunction MOST HERITABLE TYPE OF PHOBIA IS BLOOD INJECTION TYPE OF PHOBIA MOST COMMON TYPE OF PHOBIA IS SPECIFIC PHOBIA ONLY TYPE OF PHO... | 1 | Specific phobia | Social phobia | Agarophobia | Claustrophobia | Psychiatry | All India exam | 2fbff252-e345-45d1-b5be-1f6592d206e4 | single |
After coming head of breech will have difficulty in delivery in all of the following conditions except : | Ans. is b i.e. Placenta pre Entrapment of the after coming head occurs in case of: Incompletely dilated cervix Hydrocephalus Extended head I deflexed head Contracted pelvis Management : If entrapment occurs due to incompletely dialated cervix Vuhrssen's incisions' are placed over the cervix avoiding the 3 and 9'0 clock... | 2 | Hydrocephalus | Placenta pre | Incomplete dilation of cervix | Extension of head | Gynaecology & Obstetrics | null | 2d6115cb-1ee6-4acd-bae7-6e4d2c8b9263 | multi |
Which of the following is the most common pure malignant germ cell tumour of ovary : | - dysgerminoma is the most common among the malignant germ cell tumors accounting for 40%. - affects children and young women. Reference : textbook of gynaecology Sheila balakrishnan, 2nd edition, pg no: 283 | 3 | Choriocarcinoma | Gonadoblastoma | Dysgerminoma | Malignant teratoma | Gynaecology & Obstetrics | Gynaecological oncology | 271c1a75-432a-4833-8e66-d8868154762a | single |
A 65 years old patient with coronary aery disease was on Aspirin for 2 years. He now complains of black stools. Abdominal examination is normal. What is the most probable diagnosis | Peptic ulcer( 55%)- ulcer bleeding is precipitated by NSAIDs like aspirin. Reference SRB 5th edition page no. 990 | 4 | Ileocecal TB | Ca colon | Esophageal varices | Duodenel ulcer | Surgery | G.I.T | 53ddbeaf-ff9c-4a0f-8c86-771469317e9c | single |
Prophylactic surfactant therapy decreases risk of all except | Prophylactic surfactant decreases risk of pneumothorax, pulmonary interstitial Emphysema, bronchopulmonary dysplasia. | 3 | Pneumothorax | Bronchopulmonary dysplasia | Pneumonitis | Pulmonary interstitial emphysema | Gynaecology & Obstetrics | null | 9f540c8f-b276-4ed4-a5e2-68f54eff1fee | multi |
Maflucci syndrome is associated with which bone tumor? | Ans. is 'a' i.e., Enchondrome Enchondroma:* Enchondroma is a benign tumor characterized by the formation of mature hyaline cartilage. It occurs between the ageof 15-35 years with no sex predliction. The most common site is short tubular bones of hand, i.e., Phalanges (most common) and metatarsals. When tumor is located... | 1 | Enchondroma | Osteochondroma | Multiple myeloma | Chondrosarcoma | Orthopaedics | Bone Tumour | 3ff4723e-6a2d-4133-b888-ccf6ec42615f | single |
Squeeze technique is used for | (B) Premature Ejaculation[?]Specific Techniques & Exercises:Various techniques useful to treat various sexual dysfunctions.In Premature Ejaculation, useful exercise known as the squeeze technique is used to raise the threshold of penile excitability.Man or the woman stimulates the erect penis until the earliest sensati... | 2 | Erectile dysfunction | Premature ejaculation | Retrograde ejaculation | Antegrade ejaculation | Psychiatry | Sexual Disorders | 600467aa-d832-4f81-b331-d335e8fe45a7 | single |
All are true about the effect of thymectomy, EXCEPT: | FACTS about thymectomy: Patients with myasthenia gravis have a ove thymoma is present in 10-15% of patients The course of myasthenia gravis is not significantly different in patients with or without thymoma. Thymectomy produces at least some symptomatic improvement in 65% of patients with myasthenia gravis. Thymoma pat... | 2 | Thymectomy results in the resolution of pure red cell aplasia in ~30% of patients | Hypogammaglobulinemia usually responds to thymectomy | Patients with myasthenia gravis have a ove thymoma is present in 10-15% of patients | The course of myasthenia gravis is not significantly different in patients with or without thymoma | Medicine | null | dae9ebc7-03cc-459f-8c94-2306a5ad621b | multi |
Which of the fontanelle is last to close? | Time of closure of different fontanelle: Posterior fontanelle- 2 to 3 months after bih Anterior fontanelle- 10-24 months after bih Mastoid fontanelle- 6- 18 months after bih Sphenoidal fontanelle- 6months after bih Ref: Nelson's 20th edition, page 2793 | 2 | Posterior fontanelle | Anterior fontanelle | Mastoid fontanelle | Sphenoidal fontanelle | Anatomy | General anatomy | ff37f1ce-85f6-43b3-b0a6-defa042b44a3 | single |
The procedure done in cases of clinical suspicion of amyloidosis is | The diagnosis of amyloidosis is confirmed by the presence of amyloid deposition in tissue biopsy specimen. A skin punch biopsy from the lesion is the preferred confirmatory procedure. The next best choice is needle biopsy from the abdominal subcutaneous fat from the clinically normal-appearing skin may be performed. Th... | 1 | Congo red staining of abdominal fat | Renal biopsy | Urine electrophoresis | Serum immunoelectrophoresis | Pathology | General pathology | bc938929-be2c-4f6e-8dd7-2d6a0ea745ae | single |
An 8-year-old boy presented with altered sensorium, nausea, vomiting, severe headache and right sided weakness. There was no history of trauma. On fuher examination, it was observed that the joints of the child were tender and stiff. Mother gave history of easy bruising along with frequent episodes of epistaxis and hem... | This is a case of Hemophilia A. NCcT head reveals an intraparenchymal hemorrhage - suggestive of hemophilia in absence of history of trauma or hypeension. Desmopressin vasopressin analog, or 1-deamino-8-d-arginine vasopressin (DDAVP), is considered the treatment of choice for mild and moderate hemophilia A. It is not e... | 1 | Desmopressin | Octreotide | Conivaptan | Sacubitril | Unknown | Integrated QBank | 3d8730c2-37f0-4de5-8b1e-86f94e6226d9 | multi |
Allantoin is the end product of metabolism of ? | In non-primate mammals, end product of purine metabolism is allantoin due to presence of enzyme uricase. Uricase convees uric acid to allantoin. Humans lack the enzyme uricase. Therefore, end product of purine catabolism in humans is uric acid REF: Lippincott book of biochemistry 6th ed. | 2 | Glycogen | Purine | Pyrimidine | Histidine | Biochemistry | All India exam | 1b708947-1cec-4706-8afc-8e3bbbc5b37c | multi |
Which one of the following anaesthetic agents does not trigger malignant hypehermia ? | Ans. is 'd' i.e., Thiopentone Drugs causing Malignant hypehermia Succinylcholine Enflurane Methoxyflurane Phenothiazines Halothane Sevoflurane MAO inhibitors Lignocaine Isoflurane Destlurane TCA o Succinylcholine is the most common cause of MH. o Amongst anaesthetics, halothane is most common cause. o Combination of Sc... | 4 | Halothane | Isotlurane | Suxamethonium | Thiopentone | Pharmacology | null | 69066e57-6a7c-434b-8ba4-c80aa26480c6 | single |
Asherman's syndrome can be diagnosed by all except: | Ans. is c, i.e. Endometrial cultureRef: Williams Gynae 1st/ed, p420; Leon Speroff 7th/ed, p419Asherman's syndrome:* It is an acquired uterine defect characterized by the presence of uterine synechiaes and subsequent destruction of the lining endometrium.* M/C cause for asherman syndrome -Postpartum curettage* 2nd M/C c... | 3 | Hysterosalpingography | Saline sonography | Endometrial culture | Hysteroscopy | Gynaecology & Obstetrics | Gynaecological Diagnosis | 84e5cf18-3303-4b9f-842d-211d079fc460 | multi |
Isotretinoin embryopathy is characterized by all except | Isotretinoin embryopathy is characterized by thymic hypoplasia or aplasia. | 4 | Venticulomegaly | Microtia | Conotruncal heart defects | Thymic hyperplasia | Gynaecology & Obstetrics | null | 44137a1e-9b8d-4d1b-abea-bb3414f6f599 | multi |
All of the following are essential features of attention deficit hyperactive disease (AD ) except – | null | 3 | Lack of concentration | Impulsivity | Mental retardation | Hyperactivity | Pediatrics | null | 67a42c2e-6041-4bab-a130-ec65a59098a6 | multi |
A man feels his neighbor is following him and planning to kill him. This history is suggestive of : | Delusion of persecution : Patient believes that someone is going to harm him, his family or his property. It is the most common type of delusion. | 2 | Delusion of reference | Delusion of persecution | Delusion of infidelity | Delusion of guilt | Psychiatry | null | 5b5591fd-1cee-4405-a7fa-ce0afdd3d55e | single |
Middle meningeal aery passes from ? | Foramen spinosum | 2 | Foramen ovale | Foramen spinosum | Foramen lacerum | Incisive foramen | Anatomy | null | 5b6954a2-1406-4003-86a0-3ae48e2fae0c | single |
About peptidyl transferase true is | null | 1 | Used in elongation & cause attachment of peptide chain to A-site of t-RNA | Used in elongation & cause attachment of peptide chain to P-site | Used in initiation and cause 43S complex formation | Used in initiation and cause 48S complex formation | Biochemistry | null | 7d25adcb-a2a5-4f54-a0be-be556cd18055 | multi |
Which of the following is material of choice in class V
cavity with abfraction? | null | 3 | GIC | Hybrid composite | Microfilled composite | Compomer | Dental | null | 2bb55ddd-6e69-484d-8948-1d7d878acb82 | single |
Find out chronaxie and rheobase from the graph given below | Rheobase is the minimum stimulus strength that will produce a response. It corresponds to 0.3V Chronaxie is the minimum time duration for which a stimulus doubles the rheobase. Double the rheobase is 0.6V which corresponds to 0.2 msec. | 1 | Chronaxie 0.2 msec; rheobas 0.3V | Chronaxie 0.3V; rheobase 0.2 msec | Chronaxie 0.3V; rheobase 0.6V | Chronaxie 0.2 msec; rheobase 0.6V | Physiology | null | 648f490e-d030-4e4c-97ae-8aa32d40c026 | single |
Gands of Blandin and Nuhn are | null | 1 | Mucous | Serous | Mixed | Any of the above | Dental | null | 9d69c220-4c4f-4683-a627-fe0880c5d8da | multi |
Age of a person from study of characteristics of teeth can be made by all of the following methods except - | Ans. is 'd' i.e., Frame method Age from teeth after 20 yearso Teeth eruption is useful for age estimation upto about 18 years, beyond which it is just a guess work. The methods used areGustafson's method : Useful only in persons older than 21 years of age, depending on the physiological changes in each of the dental ti... | 4 | Gustafson method | Mile method | Boyde method | Frame method | Forensic Medicine | Identification - Medicolegal aspects | bcff40e0-d316-4d2f-8624-712eebeab122 | multi |
Mechanism of action of imatinib mesylate is : | null | 3 | Increase in metabolism of P glycoprotein | Blocking the action of P glycoprotein | Blocks the action of chimeric fusion protein of bcr–abl | Non–competitive inhibition of ATP binding site | Pharmacology | null | c48d0a54-519f-4496-8e37-b935913985e3 | single |
The intricately and prodigiously looped system of veins and aeries that lie on the surface of the epididymis is known as? | The pampiniform plexus of veins refers to the plexus of veins emerging from the testis, it drains the venous blood from the testis. This plexus ascends up and at the superficial inguinal ring condenses to form four veins, and pass through the inguinal canal within the spermatic cord. At the level of deep inguinal ring,... | 3 | Choroid plexus | Tuberal plexus | Pampiniform plexus | Pterygoid plexus | Anatomy | null | 5829ac4a-97f3-4219-bd05-e852b3a5647e | single |
Which is the most common cytogenetic abnormality in adult Myelodysplastic syndrome (MDS) ? | null | 1 | Trisomy 8 | 20q | 5q | Monosomy 7 | Medicine | null | aa6cce17-7a76-4969-8ae8-1da2becdbccb | single |
Common cause of childhood blindness are all EXCEPT | (Dacrocystitis): (546-48- Parson 21st/ edition; 514-Nema 6th/ed; 477-Khurana 5th/ed)Causes of childhood blindness* Vitamin A deficiency* Measles* Conjunctivitis* Ophthalmia- neonatorum* Congenital cataract* Retinopathy of prematurity (ROP)* Common causes of childhood blindness in India include corneal scar (26%). Conge... | 2 | Malnutrition | Dacrocystits | Vit A deficiency | Measles | Ophthalmology | Systemic Disease | 611cc7e8-a540-48fb-865a-78fc5bb21984 | multi |
Female pseudoherm aphroditism M.C. cause - | Ans. is 'a' i.e., CAHo Female pseudo hermaphroditism n Have internal genitalia female typeKaryo type XXMasculinisation of external genitaliaMost common - CAHCongenital adrenal hyperplasiao M-C. 21 hydroxylase deficiencyOther cause excess maternal androgen due to -Maternal ovarian tumor.Maternal drug intake.TreatmentHor... | 1 | CAH | Maternal ovarian tumor | Maternal drug intake | Chromosomal abnormalities | Pediatrics | Gonads | 16e6ba00-ac07-4474-a4ae-2ac400545887 | single |
Vitamin B12 deficiency has A/E | B i.e. Decreased methylmalonyl CoA | 2 | Folate trap | Decreased methyl malonyl CoA | SACD | Megaloblastic anemia | Biochemistry | null | 641ae693-a45a-4bc2-bd98-3cfb5eadfe36 | single |
Stratified cuboidal epithelium is seen in? | Stratified cuboidal epithelium is seen in large ducts of exocrine glands like sweat glands ,pancreas and salivary glands Inderbir Singh&;s textbook of Human Histology Seventh edition Pg no;48 | 3 | Ovaries | Cervix | Ovarian follicles | Larynx | Anatomy | General anatomy | bfc77361-508e-499b-96a4-d604f2c3bd7d | single |
Diagnostic test for CSF rhinorrhea is ? | Ans. is 'b' i.e., Beta-2 transferrin Beta-2 transferrin is a CSF-specific variant of transferrin and is used as an endogenous marker of CSF leakage. Beta-2 transferrin is formed by loss of sialic acid due to the presence of neuraminidase in the central nervous system. Beta-2 transferrin has also been called CSF-specifi... | 2 | Beta - 2 microglobulin | Beta - 2 transferrin | Thyroglobulin | Transthyretin | ENT | null | dde96930-1192-4a3c-a685-925d43ac547f | single |
The most common cause of severe obstructive uropathy in children is | Posterior Urethral ValvesThe most common cause of severe obstructive uropathy in children is posterior urethral valves, affecting 1 in 8,000 boys. The urethral valves are tissue leaflets fanning distally from the prostatic urethra to the external urinary sphincter.Valves are of unclear embryologic origin and cause vary... | 1 | Posterior urethral valves | Phimosis | Urethral atresia | Bladder neck obstruction | Pediatrics | Miscellaneous | 36fd3187-0ae3-47e8-80e8-f0836db3fe90 | single |
A 6 months old infant had itchy erythematous papules and exudative lesions on the scalp, face, groin and axillae for one month. She also had vesicular lesions on the palms. What is the most likely diagnosis | Scabies * Female itch mite, Sarcoptes scabiei var. hominis * Presents with intense pruritus (worse at night) with symmetric papules, vesicles or indurated nodules typically involving interdigital web spaces, volar wrists, axillae, postauricular areas, ankles, waist, buttocks, waistband area, and genital area; +- visibl... | 2 | Psoriasis | Scabies | Congenital syphilis | Seborrheic dermatitis | Dental | Fungal infections, Scabies, Pediculosis | c9333b2a-f065-4db9-a00e-bf67c634b84c | single |
True statement regarding 'prone position' ventilation in a polytrauma patient with ARDS: | - Prone ventilation is not a mode of ventilation - Means patient put on prone position and ventilated Prone position ventilation- Has improved oxygenation of patient- Cannot be tried for long hours- Practiced when moderate or severe ARDS is suspected in patient- When patient put in prone way the dorsal surface of the l... | 1 | Should be tried for 6 -8 hours | Current evidence shows no improvement in outcome | Suited for patients with high PaO2/FiO2 ratio only | Definite improvement in PaO2 | Anaesthesia | JIPMER 2017 | 91bc57dd-42e9-4d5c-90f2-bb4d7083edc5 | multi |
Which of the follow ingstatement about atheroscelerosis is true? | Ans. a. Intake of polyunsaturated fatty acid is associated with decreased risk 'Med Essentials '{Kaplan Publishing} 2007/249; "Pan Vascular Medicine ' by Topal (2002//90)Intake of unsaturated fatty acids (PUFA > SI UFA) is associated with decreased risk of atherosclerosis."Intake of unsaturated fatty acids (PUFA > MU F... | 1 | Intake of polyunsaturated fatty acid is associated with decreased risk | Thoracic aorta involvement is more severe than abdominal aorta involvement | Extent of lesion in veins is same as that in arteries | Hypercholesterolemia does not always increase the risk of atherosclerosis perse | Medicine | Peripheral Vascular Disease | 70bbbddf-bd84-470a-bf29-595fdc9a422f | multi |
Carbohydrate reserve of human adult is: | Carbohydrate reserve of human adult is 500 g. This reserve is rapidly exhausted while fasting. Ref: Park 22nd edition, page 568 | 3 | 100 g | 200 g | 500 g | 1100 g | Social & Preventive Medicine | null | f07571ba-ac02-484a-8f55-e1edb3246dbb | single |
Immediate reaction after death is: Kerala 08; Punjab 09 | Ans. Cadaveric spasm | 1 | Cadaveric spasm | Pugilistic attitude | Rigor mois | Algor mois | Forensic Medicine | null | 5e907f36-a8eb-473b-9120-8432dcb7193b | single |
Cell most sensitive to radiation: | Ans. Lymphocyte | 1 | Lymphocyte | Neurotrophil | Basophil | Platelets | Radiology | null | 7cfe63d5-d390-4f24-a4ea-4af7587f4213 | single |
What is defined as recovery index of the neuromuscular blocker (NMB):- | Duration of action is the time from injection of the neuromuscular blocking agent to return of 25% twitch height. Recovery index is the time interval between 25% and 75% twitch height. | 1 | It is time interval between 25% and 75% twitch height of the NMB | It is time interval between 25% and 50% twitch height of the NMB | It is time interval between 50% and 75% twitch height of the NMB | It is time interval to reach 100% of twitch height of the NMB | Anaesthesia | Neuromuscular Blocker | 0ca2dda2-338c-4663-97fb-eec21e25e0f3 | single |
Which of the following will not cause pupillary white reflex? | Glaucoma is not a cause of white pupillary reflex (cat's eye reflex). The patient should be evaluated immediately as an impoant differential diagnosis is retinoblastoma. Ref: A.K KHURANA (2005), In the book, "Opthalmology", 3rd Edition, Newdelhi, Page 23, 170, 269 | 2 | Retinoblastoma | Glaucoma | Cataract | Retrolental fibroplasia | Ophthalmology | null | 9945e721-c3c1-4972-ab54-e29d7c26473e | single |
The major purpose of randomization in a clinical trails is to - | null | 4 | Facilitate double blinding | Help ensure the study subjects are representative of general population | Ensure the groups are comparable on base line characteristics | Reduce selection bias in allocation to treatment | Social & Preventive Medicine | null | 3eb091e0-dad0-4d04-b020-d02e16f17166 | multi |
Submucosal fibroid is detected by | USG: Ultrasound is the most readily available, least costly imaging technique to diagnose fibroid. It checks the number, location, and size of fibroids and helps to reduce overlooking small fibroids during surgery (which might lead to persistence or recurrence of symptoms).
Sonohysterography – is instillation of saline... | 1 | Hysteroscopy | Hysterosalpingography | USG(Transabdominal) | Laparoscopy | Gynaecology & Obstetrics | null | b254244b-6bf2-4e11-a60e-431733236034 | single |
A 38-year -old man presents with pain and shormess of breath.His pulse rate is 85 per minute, blood pressue is 180/H8 mmHg, and the cardiac Station reveals an ejection systolic murmur.The ECG show LVH pattern and ST depression in the anterior leads.His Troponin T test Is positive.The echocardiogram of the person is lik... | aoic regurgitation R ALAGAPPAN TEXT BOOK.OF GENERAL MEDICAL PRACTICE PAGE.156 | 1 | Aoic regurgitation | Aoic stenosis | Mitral regurgitation | Mial valve prolapsed | Medicine | C.V.S | 9b5e31eb-2474-4afc-a9c1-3f2fedf06875 | single |
Small pox eradication was successful because of all except - | <p> Cross-resistance existed with animal pox. Epidemiological reason for smallpox eradication are No known animal reservoir, no long term carrier state,infection provides life long immunity,case detection simple due to characteristic rash,subcliical cases did not transmit the disease,a highly effective vaccine was avai... | 4 | Subclinical cases don't transit disease | Highly effective vaccine | Lifelong immunity | Cross resistance with animal pox | Social & Preventive Medicine | Communicable diseases | c00f5421-7d3e-4179-8b6d-8f7446616b3f | multi |
A 10-year-old child presented with a swelling and mild pain around knee joint along with muscle wasting. X ray: there was a lesion arising from epiphysis. Biopsy was done from the lesion and HPE examination was done. What is the diagnosis? | The age being less than 18yrs (age of skeletal fusion), epiphyseal lesion with internal speckled calcification, chicken wire calcification and giant cells suggest chondroblastoma. Chondrosarcoma is seen in adults arising from flat bones like pelvis. It shows speckled or popcorn or arc and ring calcification. Osteosarco... | 2 | Chondrosarcoma | Codman's Tumour | Osteosarcoma | Osteoblastoma | Unknown | Integrated QBank | e0f248e6-9cc7-4973-819d-40f8b0433088 | single |
Presentation, when the engaging diameter is Mentovertical, is? | Ans-ARef.: Dutta 6th edp-393 | 1 | Brow | Face | Vertex | Breech | Unknown | null | f426ebbd-8a80-445a-b3a6-54cf74e37888 | single |
In a child of Rett syndrome, all of the following are seen except: | Ans. a. Macrocephaly Microcephaly, not the macrocephaly is seen in Rett syndrome.Rett SyndromeRett syndrome, originally termed as cerebroatrophic hyperammonemiaA neurodevelopmental disorder of the grey matter of the brainExclusively affects femalesCause:Caused by mutations in the gene MECP2 located on the X chromosomeC... | 1 | Macrocephaly | Mental retardation | Abnormal dendritic connections | Seizures | Psychiatry | null | 116d8d8c-0ac0-4746-a927-704f563e10b3 | multi |
A 20 yr old patient presented with early pregnancy for Medical termination of Pregnancy in day care facility. What will be the anesthetic induction agent of choice? | Propofol is the single best agent for daycare surgeries. rapid metabolism no residual effect low incidence of nausea and vomiting | 3 | Thiopentone | Ketamine | Propofol | Diazepam | Anaesthesia | General anaesthesia | fe2d3782-e694-4285-8404-02a4615b0e6a | single |
Treponema pallidum crosses placenta: | Transmission of Treponema pallidum from an infected woman to her fetus across the placenta may occur at any stage of pregnancy, but the lesions of congenital syphilis usually develop after-the 4th month of gestation, when "fetal immunologic" competence begins to develop. | 4 | After 36 weeks | After 28 weeks | After 2nd trimester | At any stage of pregnancy | Unknown | null | e8e25354-9944-46a2-bd67-8aca57ff6b1c | multi |
Polio vaccine is which type of prevention: | Ans. (a) PrimaryRef.: K. Park 23rd ed. 141, 370-74 | 1 | Primary | Secondary | Tertiary | Primordial | Social & Preventive Medicine | Concept of Control | 357e65d6-6d3a-40b6-8b88-b91467721627 | single |
Which of the following is the most common type of congenital cardiac cyanotic anomaly? | TOF is the commonest cyanotic congenital hea disease(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2213 - 2214) | 1 | Tetralogy of Fallot | TAPVC | Transposition of great vessels | Ebstein's anamoly | Pediatrics | All India exam | 425e4afc-64d2-4dad-9642-b1e810623fda | multi |
Internal spermatic fascia is derived from - | Ans. is 'c' i.e., Fascia transversalis o The layers of scrotum from outside to inside are:-i) Skinii) Dartos muscle (smooth muscle layer) continous with Code's fascia of perineum posteriorly and Scarpa's fascia and Camper's fascia anteriorly.iii) The external spermatic fascia, extension from external oblique.iv) The cr... | 3 | External oblique muscle | Internal oblique muscle | Fascia transversalis | Colie's fascia | Anatomy | Abdominal Wall | e20227d9-5738-48d0-bb3a-167e5810fe1c | single |
Acute PID is treated by:a) IV antibiotics (broad spectrum)b) Drainage of TO massc) Abdominal hysterectomyd) Laparoscopic exploration | Management of PID
• Broad-spectrum antibiotics (oral or IV)
• If tubo-ovarian mass/abscess is present – it should be treated medically but, if there is no response drainage should be done.
• Drainage of a pelvic abscess by colpotomy may occasionally be needed
Place of surgery in acute PID: Surgery can range from laparo... | 3 | acd | bcd | abd | ab | Gynaecology & Obstetrics | null | 516625ee-be2a-46c8-b2a6-bbcc267b42a7 | single |
A young female complains of genital wa, the agent implicated is: | Human papilloma virus | 3 | Treponema pallidum | Adenovirus | Human papilloma virus | Pox virus | Skin | null | 2db03389-d026-4410-b126-bc6a37ce0fa8 | multi |
Which is most comonly implicated in genital (vulval) warts ? | null | 4 | HPV 16 | HPV 18 | HPV 31 | HPV 6 | Gynaecology & Obstetrics | null | e7ed6d46-71a1-44cb-b8c1-725d05c46fb1 | single |
False regarding Cytochrome P450 is: | Ref: Goodman and Gilmans "Pharmacological basis of therapeutics" 12th edExplanation:The cytochrome P450 superfamily (CYP) is a large and diverse group of enzymes that catalyze the oxidation of organic substances.The cytochrome P450 (CYP) mixed function monooxygenases are located on the smooth endoplasmic reticulum of c... | 1 | Found only in bone marrow | CYP3A4 is the most common isoform | Participate in Phase 1 Xenobiotic reactions | They are present in Smooth Endoplasmic reticulum within cells | Pharmacology | Pharmacokinetics | b48c7bf9-b959-4e01-a7bf-1eb595b8a100 | multi |
Largest carpal bone is(25-BDC-l4th) (Poddar osteology) | (Scaphoid) (Poddar- osteology) (25- BDC- 14th)* CARPAL - BONES - (8 in number) in 2 rows* Proximal row (from lateral to medial side) - 1- Scaphoid 2- Lunate 3- Triquetral 4- Pisiform bonesDistal row (from lateral to medial side) 1. Trapezium 2. Trapezoid 3. Capitate 4. Hamate Scaphoid is boat shaped and is the largest ... | 1 | Scaphoid | Lunate | Hamate | Triquetral | Orthopaedics | Bone | c13f732d-4e9f-4516-b404-3bcf10e10552 | single |
Acute mesenteric lymphadenitis is caused by - | Acute mesenteric lymphadenitis is the diagnosis usually given when enlarged, slightly reddened lymph nodes are encountered at the root of mesentery along with normal appendix when a pt. suspected of appendicitis is opened. "Whether this is a single, discrete entity is unclear, since the causative factor is not known.
S... | 4 | E. coli | α-hemolytic streptococci | Hemophilus | Yersinia | Surgery | null | cc1f09e6-417f-442e-8aab-6e664fd06af7 | single |
Intracapsular articular disc is present in which joint- | Articular disc is present in temporomandibular and sternoclavicular joints. | 1 | Sternoclavicular joint | Elbow | Hip joint | Knee joint | Anatomy | null | df344300-026f-489c-8044-7aa066b10136 | single |
All are seen in 3
rd
nerve palsy except- | 3rd nerve paralysis causes mydriasis (not miosis).
There is ptosis (due paralysis of levator palpabrae superioris), diplopia (due to extraocular muscle paralysis), and outward deviation of eye (due to active lateral rectus). | 3 | Ptosis | Diplopia | Miosis | Outward deviation of eye | Ophthalmology | null | 9e7c7450-7462-466c-ba55-a56269493f15 | multi |
Simple paial seizures DOC | CBZ is used for simple paial seizures | 4 | Phenytoin | Valproate | Barbiturate | Carbamazepine | Pharmacology | Central Nervous system | 6ee7aa9f-4bb4-4ca7-ab1f-fa1ac5d9bb71 | single |
Most common cause of congestive splenomegaly is? | Congestive splenomegaly is common in patients with severe poal hypeension. Poal hypeension is the major complication of cirrhosis. | 2 | Chronic congestive cardiac failure | Cirrhosis | Hepatic vein occlusion | Stenosis of splenic vein | Medicine | Cirrhosis | 6d73e146-53cb-45c2-8776-24ff700da926 | single |
One mg. of Niacin is produced by _______ mg. of Trytophan - | p> - niacin is essential for the metabolism of carbohydrate, fat and protein. It is also essential for the normal functioning of skin , intestinal and nervous system. - it differs from other other B complex vitamins that an essential amino acid tryptophan serves as its precursor. - about 60 mg of tryptophan is required... | 4 | 22 | 37 | 55 | 60 | Social & Preventive Medicine | Nutrition and health | 8a44353a-a736-4f77-b3e3-9f83ebba7967 | single |
Maximum score of APACHE | Answer- D. 71APACHE II ('Acute Physiology and Chronic Health Evaluation II") is a severity-of-disease classification system.The APACHE II system is the most commonly used SOI scoring system in Noh America.APACHE IV uses a modified statistical model of logistic regression; it is the most recently released version of thi... | 4 | 41 | 51 | 61 | 71 | Surgery | null | e094c607-9d45-476a-a617-19e62ed499ed | single |
A 60 year old female is suffereing from renal failure and is on hemodialysis since last 8 years. She developed carpal tunnel syndrome. Which of the following will be associated? - | Reference :Robbins basic pathology 9th edition page no 158:Deposition of beta2 microglobulin amyloid in patients receivi g long term dialysis occurs most commonly in the carpal ligaments of the wrist resulting in compression of the median nerve leading to carpal tunnel syndrome | 4 | AL | AA | ATTR | Beta 2 microglobulin | Pathology | General pathology | a4f069c4-5575-4fdd-b444-1cd9ea59075e | single |
Raja Devi 45 years old women present with history of poly-menorrhea for last six months. The first line of management is: | null | 3 | Hysterectomy | Progesterone for 3 cycles | Dilatation & curettage | Oral contraceptive for 3 cycles | Gynaecology & Obstetrics | null | d7ec73fd-c7e5-4ab2-b177-126f0c5c5c13 | single |
The protocal's enucleation of the eye transplant are all EXCEPT: | (Transplant within 6 hours) (206-Parson 20th) (457-KH)CORNEAL GRAFTING - Donor corneas are harvested from cadaveric donors within 6 hours after death, sometimes upto 12 hours in countries with cold climates.They can be transplanted immediately or preserved in eye bank by various preservation techniques for varying inte... | 4 | The eye is packed with ice & closed | No malignancy | Sterile procedure | Transplant within 6 hours | Ophthalmology | Miscellaneous | b02bd220-f7e8-4257-b1c9-238eb2dd40e7 | multi |
Food poisoning is seen with | Enterotoxin is responsible for the manifestations of staphylococcal food poisoning - nausea, vomiting, and diarrhea 2-6 hour after consuming food contaminated by the preformed toxin. The toxin is a relatively heated stable, resisting 100deg C for 10 to 40 minutes depending on the concentration of toxin and nature of th... | 1 | Staph aureus | Staph. epidermidis | Strep. pyogenes | Staph saprophyticus | Microbiology | miscellaneous | 69915f28-e5e6-4485-b58a-5df9b10ef866 | single |
An intrauterine pregnancy of approximately 10 weeks gestation is confirmed in a 30-year-old gravida 5, para 4 woman with an IUD in place. The patient expresses a strong desire for the pregnancy to be continued. On examination, the string of the IUD is noted to be protruding from the cervical os. The most appropriate co... | Although there is an increased risk of spontaneous abortion, and a small risk of infection, an intrauterine pregnancy can occur and continue successfully to term with an IUD in place. However, if the patient wishes to keep the pregnancy and if the string is visible, the IUD should be removed in an attempt to reduce the... | 3 | Leave the IUD in place without any other treatment | Leave the IUD in place and continue prophylactic antibiotics throughout pregnancy | Remove the IUD immediately | Terminate the pregnancy because of the high risk of infection | Gynaecology & Obstetrics | Contraceptives | 0ee78a3a-d3de-4a46-a51e-7846de72c2f3 | single |
Pregnant woman is on valproate for juvenile myoclonic epilepsy. Alternative monotherapy of choice: | Ref: Lecture Notes: Clinical Pharmacology and Therapeutics, Gerard A. McKay, 8th edition, Page 90 and Atlas of Epilepsies, Volume 3, C. P. Panayiotopoulos et al., Page 1039Explanation:"The largest studies have confirmed sodium valproate as the first choice for generalized epilepsies such as juvenile myoclonic epilepsy ... | 3 | Carbamazepine | Phenytoin | Leviteracitam | Lacasomide | Pharmacology | Epilepsy | 9fa20a8b-d1b8-4017-ace2-b731fe94b949 | single |
A 30-year-old woman repos to the clinic for a routine physical examination. The examination reveals she is pregnant. Her plasma levels of TSH are high, but her total thyroid hormone concentration is normal. Which of the following best reflects the patient's clinical state? | As a result of negative feedback, plasma levels of TSH are a sensitive index of circulating levels of unbound (free) thyroid hormones. High plasma levels of TSH indicate inappropriately low levels of free thyroid hormones in the circulation, such as are present with autoimmune destruction of the thyroid gland in person... | 2 | Graves' disease | Hashimoto's disease | A pituitary tumor secreting TSH | A hypothalamic tumor secreting thyrotropin-releasing hormone (TRH) | Physiology | Endocrine System | 832cb567-cadc-4e1d-b656-aaa0767c8c9a | single |
Contact bleeding is seen in all EXCEPT | (Mucinous cyst of ovary): (575- Shows 15th edition)Contact bleeding (Bleeds on touch) is seen in* Cervical cancer* Erosion of the cervical mucous* Contact ulcer of the cervixMucinous cvstadenoma of the ovary - multiloculated cysts lined by epithelium resembling the endocervix* Mucinous ovarian cyst is often unilateral*... | 4 | Cervical cancer | Erosion of the cervical mucous | Contact ulcer of the cervix | Mucinous cyst of the overy | Gynaecology & Obstetrics | Miscellaneous (Gynae) | 060f790a-dd78-487e-8cc8-6b893e5413f7 | multi |
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