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
In drug metabolism, hepatic cytochrome P–450 system is responsible for:
null
1
Phase I reactions (hydrolysis, oxidation, reduction etc.) only
Phase II reactions (conjugation, synthesis etc.) only
Both phase I and II reactions
Converting hydrophilic metabolites to lipophilic metabolites
Pharmacology
null
f7810a51-dcee-40f2-96e5-bf082e70f3ad
multi
In Pseudomyxema Peritonei, mucinous cyst - adenocarcinoma of which of the following organ is involved?
In Pseudomyxema Peritonei, Ovarian mucinous cyst - adenocarcinoma occurs.
3
Pancreas
Kidney
Ovary
Abdominal testis
Surgery
null
a0bcab88-f1f2-4ed1-86dc-09473bfaea45
single
Which of the following tests are helpful in diagnosing neural tube defect?
Ans. (a) Acetyl choline esterase in the amniotic fluidRef.: Nelson 18th ed. / ch. 592* Failure of closure of the neural tube allows excretion of fetal substances (I+- - fetoprotein , acetylcholinesterase) into the amniotic fluid, serving as biochemical markers for a neural tube defect. Prenatal screening of maternal se...
1
Acetyl choline esterase in the amniotic fluid
Alpha-ketoglutarate in the amniotic fluid
Glutamate in the amniotic fluid
Beta hydroxyl butyrate in the amniotic fluid
Medicine
Gynae & OBS
f0ef11d9-28d7-459e-aff1-11cc380cde78
single
Innermost layer of retina is composed of
null
4
Bipolar cells
Amacrine cells
Rods and cones
Ganglionic cells
Anatomy
null
a6f14806-ad0b-411e-a270-e8239be6c7f9
single
Which of the following tumors would most likely be associated with either hyponatremia or diffuse pigmentation of skin? <img src=" />
Small cell carcinomas of the lung can ectopically secrete antidiuretic hormone (ADH) and adrenocoicotropic hormone (ACTH) or ACTH-like peptide to produce hyponatremia and Cushing syndrome, respectively. Ectopic production of hormones is one of the paraneoplastic syndromes that frequently can predate or accompany cancer...
2
Renal adenocarcinoma
Small cell carcinoma of the lung
Hepatocellular carcinoma
Primary squamous cell carcinoma of the lung
Medicine
Oncology
0dc0decb-8c2d-447d-bb66-4a813578db59
multi
Interferon-gamma release assay is used in the diagnosis of
Recently, two in vitro assays that measure T cell release of IFN-gamma in response to stimulation with the highly tuberculosis-specific antigens ESAT-6 and CFP-10 have become commercially available
4
HIV
Malaria
Typhoid
TB
Anatomy
All India exam
5130211b-7cfc-4b83-a3a9-132cfb786181
single
Weight transmission from upper limb to axial skeleton is done by
Ligaments involved in weight transmission connect one bone with the next bone, in line of weight transmission. Costoclavicular ligament transfers the weight of upper limb to axial skeleton.Coracoclavicular ligament transfer the weight of upper limb to clavicle bone.Note: Coracoacromial ligaments attach to bone scapula ...
1
Costoclavicular ligament
Coracoacromial ligament
Coracoclavicular ligament
Interclavicular ligament
Anatomy
Upper limb bones and muscles (proximal region) & Scapular movements
0c22812c-62c7-4628-8ce6-281538ab4f0e
single
A 16-year-old boy is found to have hypertension on routine evaluation. He has no symptoms of shortness of breath or chest discomfort, but occasionally on exertion notes that his legs get tired easily. He has no other past medical history.On physical examination, the blood pressure in his arms is 140/90 mm Hg (bilateral...
Coarctation is the third most common form of congenital cardiac disease. One-third of the patients will be hypertensive. The femoral pulses are weak, delayed, and even absent. Besides coarctation of the aorta, aortic occlusive disease, dissection of the aorta, and abdominal aneurysm may lead to differential blood press...
2
aortic insufficiency
coarctation of the aorta
normal variant
ventricular aneurysm
Medicine
C.V.S.
4ce10ad0-ae71-4a60-89bd-2104c8e79c01
multi
Hypercoagulability due to defective factor V gene is called:
Mutation in factor V gene is caused by the substitution of glutamine for the normal arginine residue at position 506. It is known as Leiden mutation and it is the most common inherited cause of hypercoagulability.
2
Lisbon mutation
Leiden mutation
Antiphospholipid syndrome
Inducible thrombocytopenia syndrome
Pathology
null
93ebd034-a44e-4d10-a0d1-54fddc01c284
multi
Midyear population is considered as that on
The mid-year population is used to calculate bih and death rates. The mid-point refers to the population estimated as on first of July of a year.Park 23e pg: 55
3
1st June
30th June
1st July
15th July
Social & Preventive Medicine
Epidemiology
385555f1-a04d-45d8-8da8-5506f0542d9f
single
Renal lesion in chronic use of lithium is
(C) Chronic interstitial nephritis # "Nephrogenic Diabetes Insipidus and Other Renal Adverse Effects> Polydipsia and polyuria are common but reversible concomitants of lithium treatment, occurring at therapeutic serum concentrations. The principal physiologic lesion involved is loss of responsiveness to antidiuretic ho...
3
Acute tubular necrosis
Membranous glomerulopathy
Chronic interstitial nephritis
Crystal formation
Pharmacology
Miscellaneous (Pharmacology)
ab006848-7878-46a8-8135-274cabc7ca09
single
Sacroccygeal teratoma is embryological remnant of:-
Sacrococcygeal teratoma Teratomas occur most frequently in the neonatal period, sacrococcygeal region is the MC site More common in females Thought to be a derivative of the primitive streak Most often an obvious external presacral mass. Most of the tumor is usually external, with a minimal intrapelvic presacral compon...
4
Neural tube
Allantois
Notochord
Primitive streak
Surgery
Pediatric Surgery
897e7481-8195-40cf-8cae-7c44325b5043
multi
Most common cause of post-operative shock is
null
1
Hypokataemia
Cardiogenic
Septic
Air embolism
Surgery
null
be286fe9-0ea7-4293-ac93-492dea6deeac
single
cGMP acts as second massenger for ?
Ans. is 'a' i.e., Nitric acidActivation of GC (Guanylyl cyclase) results in increased synthesis and intracellular accumulation of cGMP.cGMP acts through cGMP dependent protein kinase.Hormone acting through cGMP are atrial natriuretic peptide and nitric oxide.
1
Nitric acid
FSH
Dopamine
Calcitonin
Physiology
null
03efc0c9-1e94-4920-a6ba-40381f445a7f
single
Sistrunk operation is done for
Treatment must include excision of the whole thyroglossal tract, which involves removal of the body of the hyoid bone and the suprahyoid tract through the tongue base to the vallecula at the site of the primitive foramen caecum, together with a core of tissue on either side. This operation is known as Sistrunk's operat...
1
Throglossal fistula
Branchial cyst
Parotid tumor
Lateral abarrent thyroid
Surgery
Head and neck
5b459acb-0bd8-48b8-ab1f-8b9fa9188b8c
single
Which of the following is TRUE regarding excitation contraction coupling mechanism in smooth muscles?
Depending on the activating stimulus, Ca2+ increase can be due to influx through voltage- or ligand-gated plasma membrane channels, efflux from intracellular stores through the RyR receptors, efflux from intracellular stores through the inositol trisphosphate receptor (IP3R) Ca2+ channel, or a combination of these chan...
4
Presence of troponin is essential
Sustained contraction occurs with high calcium concentration
Phosphorylation of actin is required for contraction
Presence of cellular calcium is essential to cause muscle contraction
Physiology
null
a1a63325-2953-4387-9a7f-69b10a9d76d3
multi
Neurofibrillary tangles with senile plaques are seen in :
B i.e. Alzheimer's disease
2
Parkinson's disease
Alzheimer's disease
Schizophrenia
Tuberous sclerosis
Psychiatry
null
12c491a5-ddf3-4ad5-a1b5-4f59e00e3f23
single
True about nasopharyngeal angiofibroma are all except
NASOPHARYNGEAL FIBROMA (JUVENILE NASOPHARYNGEAL ANGIOFIBROMA) CLINICAL FEATURES :- 1. Age and sex:- Tumour is seen almost exclusively in males in the age group of 10-20 years. Rarely, it may be seen in older people and females. 2. Profuse, recurrent and spontaneous epistaxis. This is the most common presentation. Patie...
1
Commonly seen in girls
Hormonal etiology
Miller's sign positive
Radiotherapy can be given
ENT
Pharynx
09d5da41-651c-4526-acba-21e9756671e8
multi
Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?
Phenytoin inhibits the enzyme intestinal conjugase, an impoant enzyme in folic A. Metabolism. Folate is present in food in a polyglutamate form. This is conveed into monoglutamates by intestinal conjugase to be absorbed in the jejunum. Phenytoin acts by inhibiting this enzyme thereby causing folate deficiency and thus ...
4
Vitamin B6
Vitamin B12
Vitamin A
Folic acid
Gynaecology & Obstetrics
Medical Illness Complicating Pregnancy
308f7f52-6443-4953-8822-775f388e29c9
single
Which of the following pathways is activated by insulin?
Insulin activates all anabolic pathways and also Glycolysis and PDH complex reaction. Insulinacts by dephosphorylation. Glycagon acts by phosphorylation.
2
Ketone body synthesis
Gluconeogenesis
Glycolysis
β oxidation
Biochemistry
null
185eabeb-a945-4e11-b99c-8e6e57f25146
single
All of the following are primary cutaneous disorder except-
Reiter's syndrome is a multisystem disease characterized classically as a triad of nongonococcal urethritis, conjunctivitis, and ahritis in association with the mucocutaneous lesions of keratoderma blenorrhagica and balanitis circinata. it is reactive pattern of disease after an episode of infection presenting as cervi...
2
Psoriasis
Reiter's disease
Lichen planus
Icthiosis
Dental
miscellaneous
eaa8e0f2-8ce1-4be5-a8ae-c26b0406fd21
multi
Action of a-subunit of G protein is:
Ans. is 'a' i.e. Breakdown of GTP to GDP This question is an indirect repetition from May 08 (q no. 22 of biochemistry). a-subunit of G protein has inherent GTPase activity which converts GTP into GDP.G proteinsG proteins are so-called because they bind the guanine nucleotidesGDP and GTP. They are heterotrimers (i.e., ...
1
Breakdown of GTP to GDP
Conversion of GDP to GTP
Internalization of receptors
Binding of agonist
Biochemistry
Mechanisms of Enzyme Action
96676b4a-9e5d-4633-8864-e96c9f641e7b
single
Chain initiation in protein synthesis is by?
A i.e. AUG
1
AUG
GLA
UGA
UAG
Biochemistry
null
75d6d921-21ae-46f2-b1d7-4661873561da
single
ACTH secretion is highest during
High levels of ACTH are detected by the adrenal gland receptors which stimulate the secretion of coisol, causing blood levels of coisol to rise. As the coisol levels rise, they sta to slow down the release of coicotrophin-releasing hormone from the hypothalamus and ACTH from the pituitary gland. Ref : Nelson
3
Noon
Evening
Morning
Night
Pediatrics
Growth and development
0dffe44f-2574-4138-87f6-b6d902e69964
single
Surfactants are synthesized by-
Ans. is 'b' i.e., Type-2 cells * Surfactant is produced by type II pneumocytes.
2
Type 1 cells
Type-2 cells
Epithelial cells
Endothelial cells
Physiology
Respiratory System
2d2b77ff-cfbf-417c-9009-6439a71573df
single
Surface marking of internal jugular vein by joining two points between?
Internal jugular vein is marked by a broad line by joining these two points. a. The first point on the neck medial to the lobule of the ear. b. The second point at the medial end of the clavicle. The lower bulb of the vein lies beneath the lesser supraclavicular fossa between the sternal and clavicular heads of the ste...
1
Medial end of clavicle to point on neck medial to lobule of ear
Upper pa of the sternal end of the clavicle to a point midway between the tip of the mastoid process and the angle of the mandible
Sternoclavicular aiculation to the middle of the clavicle
Angle of the mandible to the middle of the clavivel
Anatomy
Head and neck
48a3d858-82a9-4ff3-8a17-47f4159f3435
single
High HDL cholesterol is seen in?
Hyperalphalipoproteinemia Elevated Apo-A-I and Apo-A-II -Elevated HDL. Paradoxically have a higher incidence of hea disease. Abetalipoproteinemia Low cholesterol and triglycerides. Present in infancy with diarrhea and fat malabsorption. Neurological features develop with loss of DTR, reduced vibration and proprioceptio...
2
Abetalipoproteinemia
Hyperalphalipoproteinemia
Sitosterolemia
Dysbetalipoproteinemia
Medicine
Acute coronary syndrome
5b627914-216b-4731-baa8-df99466a0406
single
In LVE ,the drug which can be administered is
Ref-KDT 6/e p461 Morphine is the drug which can be administered in LVE
2
Propanonol
Morphine
Epinephrine
Amlodipine
Pharmacology
Cardiovascular system
038e0d48-6def-440d-b6ba-36a1e063fbe6
single
A 16-year-old boy is found to have hypertension on routine evaluation. On examination, the blood pressure in his arms is higher than in his legs by more than 10 mm Hg. Which of the following is the most likely diagnosis?
Besides coarctation of the aorta, aortic occlusive disease, dissection of the aorta, and abdominal aneurysm may lead to differential blood pressure in arms and legs. Coarctation is the third most common form of congenital cardiac disease. One-third of the patients will be hypertensive. The femoral pulses are weak, dela...
2
aortic insufficiency
coarctation of the aorta
normal variant
ventricular aneurysm
Medicine
C.V.S.
4caab4ac-427c-4755-8b80-e926b31bfb94
single
Poal circulation is seen in which of the following endocrine gland :
B i.e. Hypophysis cerebri
2
Pineal gland
Hypophysis cerebri
Pancreas
Ovary
Anatomy
null
27be8ab8-3216-4063-8fee-135eaec8fbad
single
The active principles of Dhatura are all of the following except :
A i.e. Pyricatachol
1
Pyricatachol
Hyoscyamine
Atropine
Hyoscine
Forensic Medicine
null
2f8e3c35-c65e-4635-93cd-45eb88365ad2
multi
A 7-year old patient p. its with headache, paralysis of upward gaze, loss of ilOtt perception and accommodation, nystagmus and failure of convergence. CT scan showed homogenous hyperdense lesion above the sella and in the posterior pa of the third ventricle. MRI showed that the lesions were homogenous and isointense on...
Ans. b. Germinoma
2
Teratoma
Germinoma
Dermoid
Choroid plexus carcinoma
Radiology
null
3335b4db-be33-4d43-970f-83e4adec5ebb
multi
Which of the following diuretic is contraindicated in Hepatic coma?
Acetazolamide is a carbonic anhydrase inhibitor contraindicated in hepatic coma, as it leads to ammonia retention.
3
Flurosemide
Bumetanide
Acetazolamide
Spironolactone
Pharmacology
null
82cf3d55-da79-4f33-9685-ad2220ba1646
single
Which of the following is NOT a constituent of Embalming fluid?
The usual constituents of embalming fluids are: Formalin 10% and Methanol 55% as preservatives Glycerine 20% as wetting agent Phenol 5% as germicide Water 10% as vehicle Embalming is the process of treating a dead body to achieve an antiseptic condition and preservation. Methods of embalming are : aerial embalming, cav...
1
Ethanol
Phenol
Glycerine
Formalin
Forensic Medicine
null
8d190c8d-7b1b-4180-bde4-0eeffb90047c
single
"8 stages of psychosocial development" were given by
Erik erikson gave 8 stages of psychosocial / personality development where an individual experience psychological conflict in each stage. Roger Sperry: Gave concept of "Split - brain".
3
Sigmond Freud
Carl Jung
Erik erikson
Roger Sperry
Psychiatry
null
bb82d5b5-922b-4ac3-8019-2f6b8caabbef
single
All of the following are seen in cerebral malaria except -
null
1
Hyperglycaemia
Thrombocytopaenia
Acute respiratory distress syndrome
Heavy parasitemia
Medicine
null
d3b0a374-6831-4a81-97ca-f7d79c00d2a5
multi
Pick's body in pick's disease is:
Answer is A (Tau protein) : Classic Pick's bodies stain positive with silver and tau-Harrison Classification of Neuro degenerative disorders based on the major type of Protein Aggregations (inclusions) Type of Protein Aggregate Tau Protein (Tauopathies) Pick's disease (Pick's bodies) Progressive supranuclear palsy (Tuf...
1
Tau protein
Alpha synuclein
Beta synuclein
A amyloid
Medicine
null
6889fdf1-12f5-48ca-b630-0ec4bba6da8a
single
The most common cause of Addison's disease is:~
. Autoimmune adrenalitis
1
Autoimmune adrenalitis
Meningococcal septicemia
Malignancy
Tuberculosis
Pathology
null
2e529ef8-1785-470f-9552-f5fc27769ca7
single
Physical examination of a two year old child reveals a large abdominal mass. CT studies show that the mass arises in the kidney. Which of the following is most likely a distinctive feature of this lesion?
A two-year-old with a tumor of the kidney most likely has Wilms tumor. This aggressive lesion (now with a 90% survival rate ) is microscopically interesting because it contains embryonic glomerular and tubular structures embedded in a spindle cell stroma which may also contain smooth muscle, striated muscle, bone, cail...
2
Abundant clear cells
Embryonic glomerular structures
Eosinophilic cells packed with mitochondria
Hamaomatous blood vessels
Pediatrics
null
f9770ca2-5bed-4ac5-beb6-fde7eef3af58
single
Endolymphatic hydrops is seen in
Normally endolymph is carried by the endolymphatic duct to the sac where it is absorbed. Defective absorption is by the sac maybe responsible for raised endolymph pressure. Experimental obstruction of the endolymphatic sac and its duct produces endolymphatic hydrops in Meniere's disease. Ref: Diseases of EAR, NOSE and ...
1
Meniere's disease
Otosclerosis
Acoustic neuroma
Glomus tumor
ENT
Ear
c288746a-20ee-4a55-8025-806fa34f99aa
single
Guy's aprosexia is seen in -
Adenoiditis is an inflammation of the adenoids caused by infection. Adenoids are masses of lymphatic tissue that help the body fight infection. Adenoids are found in the throat, also called the pharynx, just behind the nose. Along with the tonsils, adenoids are the first line of defence against bacteria and viruses.
2
Chronic laryngitis
Chronic adenoiditis
Allergic rhinitis
Acute tonsillitis
ENT
null
9065cdca-564b-41a7-a58d-2648a12a390a
multi
Pulmonary edema associated with normal PCWP is observed. Which of these is not a cause:
Answer is D (Bilateral Renal Aery Stenosis) Bilateral Renal Aery Stenosis is not a cause for pulmonary edema with normal PCWP High Altitude, narcotic overdose (Cocaine overdose),and cardiopulmonary bypass are all know causes for pulmonary edema with normal PCWP.
4
High altitude
Cocaine overdose
Post cardiopulmonary bypass
Bilateral renal aery stenosis
Medicine
null
dc09c2f8-7832-4e8c-9470-211b8197dab3
single
Which of the following technique minimizes distortion?
The paralleling technique is the preferred method for making intraoral radiographs. It derives its name as the result of placing the image receptor parallel to the long axis of the tooth. This procedure minimizes image distortion. Ref: ORAL RADIOLOGY Principles and Interpretation,Stuart C. White,Michael J. Pharoah Edit...
1
Paralleling technique
Bisecting angle technique
Occlusal radiography
None of the above
Radiology
null
fe72e06f-f3ae-4043-8fb1-a6087ae9ba63
multi
Pathognomic sign of Acute Iridocyclitis is -
Keratic precipitates is pathognomic sign of acute iridocyclitis.
2
Aquous flare
Keratic precipitates
Small pupil
All of the above
Ophthalmology
Uveal tract
b47ebf4a-a9f0-41d8-98f7-e6e4e7cddec6
multi
Mallory Hyaline is characteristically seen with
ALCOHOLIC HEPATITIS. Alcoholic hepatitis develops acutely, usually following a bout of heavy drinking. Repeated episodes of alcoholic hepatitis superimposed on pre-existing fatty liver are almost ceainly a forerunner of alcoholic cirrhosis. Histologically, the features of alcoholic hepatitis are as follows : i)Hepatoce...
3
Yellow fever
Hepatitis B infection
Alcoholic hepatitis
Primary sclerosing cholangitis
Pathology
G.I.T
82f6baf6-634a-4ee8-9e77-a063b06109a9
multi
Mucocele are rarely seen in the:
The mucous retention phenomenon is restricted almost entirely to the lower lip, seldom found on the upper lip, while accessory salivary gland neoplasms of the lips are almost universally found on the upper lip and only rarely on the lower lip. This could imply that trauma plays no role in the development of salivary gl...
2
Lower lip
Upper lip
Buccal mucosa
Floor of the mouth
Pathology
null
60ee05fd-02a9-4a1a-9145-45b0662fb94e
single
Calcification is pathognomonic feature of –
In retinoblastoma, there are areas of necrosis and calcification.
3
Malignant melanoma of choroid
Retinocytoma
Retinoblastoma
Angiomatosis retinae
Ophthalmology
null
49f9361c-e6a6-40ad-8be2-e88c0927dee9
single
Cystic medial necrosis responsible for aortic dilatation and rupture is seen in
In Marfan syndrome, a connective tissue disorder of autosomal dominant inheritance, the basic biochemical abnormality is a mutation affecting fibrillin. Most serious, however, is the involvement of the cardiovascular system. Fragmentation of the elastic fibers in the tunica media of the aorta predisposes affected patie...
4
Syphilitic aneurysm
Takayasu arteritis
Atherosclerosis
Marfan syndrome
Pathology
null
afafa2f0-2fef-4458-9961-874b59d9c322
single
Most common site for nasopharyngeal carcinoma
NASOPHARYNX (EPIPHARYNX) Lateral wall:- Each lateral wall presents the pharyngeal opening of eustachian tube situated 1.25 cm behind the posterior end of inferior turbinate. It is bounded above and behind by an elevation called torus tubarius raised by the cailage of the tube. Above and behind the tubal elevation is a ...
4
Anterosuperior wall
Nasal septum
Vault of nasopharynx
Fossa of Rosenmuller
ENT
Pharynx
c3036c0d-6893-4bbd-9bdc-a47b63bdaa7f
multi
Antidote for strychnine poisoning is: NEET 13
Ans. Barbiturates
3
Fomepizole
Physotigmine
Barbiturates
Naloxone
Forensic Medicine
null
9b497ca2-bfd6-4b3d-9b2e-afad6935af25
single
An 85-year-old patient was brought to the ER, BP: 180/100, right hemiparesis was seen. What is the next best step in management?
As given clinical features point towards stroke, doing NCCT is the next best step to confirm diagnosis & do appropriate management. If CT Scan shows: Hypodense lesion, point towards Acute ischemic stroke- Hyperdense lesion, point towards Hemorrhagic stroke Causes: Embolic stroke > cerebral thrombosis Causes: Hypeension...
2
Reduce BP
NCCT
MRI
Aspirin 300mg and anticoagulants
Anatomy
FMGE 2019
85060dcb-efce-40df-ba0d-34f988ffa007
multi
Large for date baby is a baby whose bih weight is:
Large for date baby is a neonate, whose bih weight is >90th percentile of expected, for the gestational age.
1
>90th percentile for the gestational age
>50th percentile for gestational age
>3 kg
>3.5 kg
Pediatrics
Impoant Terminologies and Primitive Neonatal reflexes
7f9b60f7-f999-48c6-80d2-b123e4773607
single
Which of these hormones activate catalytic receptors?
Catalytic receptors are those receptors that directly act as enzymes when the hormone binds to them. E.g. tyrosine kinase receptors Hormones That Use Receptor Tyrosine Kinase Signaling Growth hormone Insulin Leptin Prolactin Growth factors
4
GH
IGF1
Leptin
All of these
Physiology
Endocrine System
3c5ebd1c-06d8-429e-a1bb-86ef72e1cf90
multi
Most common benign tumor of paranasal sinuses?
Ans. is 'b' i.e., Osteoma * Osteoma of the frontal sinus - Most common benign tumour arising in the nasal sinuses.* The osteoma arises from the floor of the frontal sinus near the midline.
2
Papilloma
Osteoma
Warts
Fibroma
ENT
Nose and PNS
bf86d765-c8eb-4a38-92fc-50defa0e9eb8
single
Fluoride safe dose is
null
1
8-16 mg F/kg body weight
16-32 mg F/kg body weight
30-64 mg F/kg body weight
12-30 mg F/kg body weight
Dental
null
140b84e8-e9ca-4820-84cb-e780d2d6e74c
single
Father of Evidence Based Medicine is
Wrote the following books: 1. Clinical Epidemiology 2. Evidence Based Medicine
1
Sackett
Da vinci
Hippocrates
Tolstoy
Social & Preventive Medicine
null
2e1dcd8e-45b3-4f8e-9352-ed0812e349c9
single
Cow's milk contains what % proteins -
Cow milk contain 3.2%of proteinREF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 582
2
1.1
3.2
3.5
4.1
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
8c6daaec-c309-4c2f-8e1e-28d7377bfc57
single
The normal myeloid erythroid ratio is -
null
3
2:01
1:01
3:01
4:01
Pathology
null
3933756e-2b05-42ed-82d8-6c80f256d690
single
Wegeners Granulomatosis
All options are Crct Refer Robbins page no 511 Wegeners Granulomatosis is treated with steroids and cycloohosphamide. They dramatically ameliorate glomerular injury in pauci immune glomerulonephritis
1
Involves lungs
Involves nose
Involves kidney
Treated with cytotoxic agent /steroids
Anatomy
Cardiovascular system
9cadeed3-34f0-4e05-8f95-edddb559bb84
single
Pap smear test for detection of carcinoma of cervix is which level of prevention?
null
3
Primordial
Primary
Secondary
Tertiary
Social & Preventive Medicine
null
df4f4f88-227e-41c2-85fe-302239cbfb5c
single
according to baskets classification of hemorhagic shock , a patient with decreased blood pressure , decreased urine output and decreased circulatory volume of 30-40% is managed by ?
this is class 3 of baskets hemorrhagic classification which ned to be treated with both blood transfusion and crystalloid management . class 1& 2 are treated with crystalloids . class 3 & 4 are treated with blood transfusion and crystalloids ref : bailey and love 27th ed
3
crytalloids infusion
plasma therapy
crystalloids+blood transfusion
blood transfusion alone
Surgery
All India exam
d954bfcd-4090-4cd6-ae09-c1fcbbbd439f
multi
D-dimer is the most sensitive diagnostic test for
The quantitative plasma D-dimer ELISA rises in the presence of DVT or pulmonary embolism because of the breakdown of fibrin by plasmin.The sensitivity of the D-dimer is >95% for pulmonary embolism.This test is less sensitive for DVT(80%) than for PE because the DVT thrombus size is smaller.But this assay is not specifi...
1
Pulmonary embolism
Acute pulmonary oedema
Cardiac tamponade
Idiopathic pulmonary fibrosis
Medicine
Respiratory system
a8d226b7-a401-4ebb-9daa-43c30cf55546
single
A 21-year-old college student complained of malaise, low-grade fever, and a harsh cough, but not of muscle aches and pains. An x-ray revealed a diffuse interstitial pneumonia in the left lobes of the lung. The WBC count was normal. The student has been ill for a week. Based on the information given, the most likely dia...
Mycoplasma pneumoniae causes a respiratory infection known as primary atypical pneumonia or walking pneumonia. Although disease caused by M. pneumoniae can be contracted year-round, thousands of cases occur during the winter months in all age groups. The disease, if untreated, will persist for 2 weeks or longer. Rare b...
1
Mycoplasma pneumonia
Pneumococcal pneumonia
Staphylococcal pneumonia
Influenza
Microbiology
Bacteriology
cefa7c76-3996-4f07-a66c-c2f58fbf87ad
single
Schiller duval bodies seen in: (REPEAT 2013)
Ans: A (Endodermal sinus tumour) Ref: Dm to Textbook of Gynecology 5th edition pg.368Explanation:* Schiller duval bodies are characteristic histological feature of endodermal sinus tumour.They are tuft of vascular tissue inside cystic spaces lined by flattened epithelium.ENDODERMAL SINUS TUMOUROriginate from multipoten...
1
Endodermal sinus tumour
Embryonal carcinoma
Dermoid cyst
Brenner tumour
Gynaecology & Obstetrics
Pathology (Carcinoma Ovary)
116e83ea-aea3-455c-8394-ad47b30c7953
single
A girl aged 8 years has been admitted for dialysis. Her serum potassium level is 7.5 meq/1, which of the following treatment modality is the fastest way to reduce her hyperkalemia?
Rapid way of reducing serum potassium is by intravenous administration of insulin which acts by redistributing glucose into cells. The recommended dose is 10 units of IV regular insulin followed immediately by 50 mL of 50% dextrose. Other treatment modalities include: ? Intravenous calcium gluconate or chloride: it is ...
4
IV NaHC03
Kayexalate enema
IV Calcium gluconate
Infusion of insulin + glucose
Medicine
null
4f27a6df-c267-474f-be84-dff45fa733dc
single
Term cafe coronary was coined by: NEET 14
Ans. Roger Haugen
1
Roger Haugen
Marie FX Bichat
Alphonse Beillon
Joseph Bell
Forensic Medicine
null
70d28490-3933-4983-b716-c835685f04f3
single
Symptoms of secondary syphilis are all except: March 2010
Ans. B: Generalized and tender lymphadenopathy Secondary syphilis can often occur several weeks after the chancre heals, once the bacteria have spread through the body. The protean manifestations of the secondary stage usually involves localized or generalized mucocutaneous lesion and generalized nontender lymphadenopa...
2
Localized or diffuse mucocutaneous lesion
Generalized and tender lymphadenopathy
Self resolving
Condyloma lata is seen
Medicine
null
0cde75b4-4620-4d8c-9faf-df55418b5d75
multi
A 29-year-old man who has had no major illnesses experiences acute onset of hemoptysis. On physical examination, he has a temperature of 37deg C, pulse of 83/min, respirations of 28/min, and blood pressure of 150/95 mm Hg. A chest radiograph shows bilateral fluffy infiltrates. A transbronchial lung biopsy on microscopi...
Goodpasture syndrome leads to renal and pulmonary lesions produced by an antibody directed against an antigen common to the basement membrane in glomerulus and alveolus. This leads to a type II hypersensitivity reaction. The anti-DNA topoisomerase I antibody is a marker for scleroderma. Antimitochondrial antibody is as...
2
Anti-DNA topoisomerase I antibody
Anti-glomerular basement membrane antibody
Antimitochondrial antibody
Anti-neutrophil cytoplasmic antibody
Pathology
Respiration
a92925d6-f32c-4d48-94ea-66d7e9283007
multi
Which of the following metabolic abnormality it seen in multiple myelona -
Multiple myeloma is a plasma cell neoplasm commonly associated with lytic bone lesions, hypercalcemia, renal failure and acquired immune abnormalities. Bone resorption leads to hypercalcemia and Pathologic fractures. Reference : Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1.page no. 599
3
Hyponatremia
Hypokalemia
Hypercalcemia
Hyperphosphatemia
Pathology
Haematology
5a21d9e5-f8c9-4ddf-a3e2-27f5b6836741
single
Keshan's cardiomyopathy due to deficiency of:
Selenium Selenium as selenocysteine is an essential component of the enzyme glutathione peroxidase Selenium containing enzyme 5'-deiodinase conves thyroxine (T4) to triiodothyronine in the thyroid gland. Thioredoxin reductase, involved in purine nucleotide metabolism Sources- seafood and meat, nuts Deficiency - Keshan'...
2
Chromium
Selenium
Magnesium
Copper
Biochemistry
JIPMER 2017
2aae9a7c-af57-4759-81c1-8822199858a1
single
All of the following are true about anterior choroidal aery syndrome except:
Answer is D (Involvement of anterior limb of internal capsule): Anterior choroidal aery supplies the posterior limb of Internal capsule (and not anterior limb of internal capsule). Anterior choroidal aery arises from the internal carotid aery and supplies the posterior limb of internal capsule. The complete syndrome of...
4
Hemiparesis
Hemisensory loss
Homonymous Hemianopia
Involvement of anterior limb of internal capsule
Medicine
null
f3a6cc81-d21a-431a-a1ae-647efc8acc41
multi
Neurologic examination of a patient showed that he had loss of proprioception and sense of vibration, with preservation of all other sensations. Which of the following area of spinal cord is most likely to be damaged in this patient?
This patient is showing features of involvement of fibers in the dorsal column of spinal cord. Dorsal column medial lemniscal system mediates impulses concerned with position sense, vibration sense and discriminative touch. Fibers in the dorsal column ascend ipsilaterally and decussate in the caudal medulla. Lesion of ...
2
Central canal
Dorsal column
Ventral horn
Dorsal root
Anatomy
null
8c5cd16d-3575-4893-8062-2edaa4488f12
multi
When are the crowns of the primary maxillary second molars completed?
null
1
11 months.
10 months.
9 months.
8 months.
Dental
null
e9af3b66-7741-468f-a681-70b262138ee2
single
ACNA is sensitive and specific for:
Answer is B (Idiopathic crecentric glomerulonephritis) Crescentric glomerulonephritis is associated with antimyeloperoxidase antibodies. The major target for perinuclear ANCA (p-ANCA) is the enzyme myeloperoxidase
2
Post streptococcal glomerulonephritis
Idiopathic cresentic glomerulonephritis
Diffuse glomerulosclerosis
Henoch's schonlein_purpura
Medicine
null
016fc43a-9941-48b0-83f4-2fd9d8bbbd4f
single
Patients comes with fracture femur in an acute accident, the first things to do is
A i.e. Secure airway
1
Secure airway and treat the shock
Splinting
Physical examination
X-rays
Surgery
null
c8ce9686-4f7d-4aaf-8c34-b30de0179175
single
Gluten sensitive enteropathy is most strongly associated with which of the following?
95% of patients with gluten sensitive enteropathy express HLA DQ2 histocompatibility antigen on chromosome 6. In celiac sprue, the fundamental disorder is a sensitivity to gluten. When small intestinal mucosa is exposed to gluten, there is intraepithelial accumulation of cytotoxic T cells and helper T cell in the lamin...
1
HLA DQ2
HLA DR4
HLA DQ3
Blood group 'B'
Pathology
null
b8e99ecf-4fb3-4442-b3af-709310a4bdd4
single
A 22-year-old primigravid woman at term comes to the labor room because of painful contractions every 2 minutes. She has had no gush of fluid and no bleeding from the vaginA. Her prenatal course was unremarkable. She takes no medications and has no allergies to medications. Examination shows that her cervix is 6 cm dil...
Aspiration pneumonitis is a major cause of anesthesia-related death in obstetrics. Most often, these aspiration events occur with the use of general anesthesia. Pregnant patients are at greater risk for aspiration because of the delayed gastric emptying that occurs during pregnancy and labor. Pregnancy is associated wi...
1
Antacid
Antibiotic
Aspirin
Clear liquid meal
Surgery
null
77b63f32-eebf-4915-9685-7d7fc9778257
multi
Treatment for First degree angle closure glaucoma is
C i.e. Laser Irodotomy Laser Irodotomy is the treatment of choice for PACG, but is successful only if less than 180deg (50% )of the angle is closed. So it is effective in first degree angle closure glaucoma. But it may be difficult until the corneal thickening & iris congestion have settled (usually 48 hours). The Shaf...
3
Trabeculectomy
Pilocarpine
Laser Irodotomy
Timolol
Ophthalmology
null
d6f65632-ebbd-4d5f-98f8-d6aa85477bfe
single
Which one of the following benign tumors can metastasize to the lung?
Ans. D. Chondroblastoma.Benign skeletal tumors rarely if ever metastasize to lung. The two exceptions to this rule are giant cell tumor (up to 10% metastasize to lung) and chondroblastoma
4
Osteoid osteoma.
Non-ossifying fibroma.
Hemangioma.
Chondroblastoma
Orthopaedics
Bone Tumour
f237d489-2df7-41cc-a31f-efd1b4325db7
single
Most Commonly done screening test for diagnosing Acute Pancreatitis
Ans. (a) Serum AmylaseRef: Bailey and Love 27th ed. pg. 1214* Most common used to diagnose Acute pancreatitis - Serum amylase (will be elevated for first 3 days and declines in 4-8 days)* Serum Lipase though more sensitive is not widely available.
1
Serum amylase
Serum lipase
Serum trypsin
NBT PABA
Surgery
Pancreas
1b1ebf50-8c6e-4b81-a90c-057c9c295f8e
single
Holding time for Hot air oven with temperature of 1800C
.
2
15 min
30 min
60 min
120 min
Social & Preventive Medicine
All India exam
b0ad169d-f946-4ab3-9943-0c5718258a91
single
40 year old male patient sustained head injury due hit by car, brought to casuality. On examination patient is drowsy, aphasic, opening eyes on giving deep pain stimulus and throwing examiners hands while giving pain stimulus. what is his GCS..?
Here patient shows eye opening to painful stimulus ,, so E2 He is aphasic, means no verbal response at all, so it will be - V1 Patient throwing hands of examiner, that means withdrawl response , M4 Therefore total GCS score is 2+1+4= 7 Glasgow coma scale EYE OPENING spontaneous -4 to speech -3 to pain -2 no response -1...
2
A.8
B.7
C.6
D.10
Surgery
Trauma
b6736a77-51ee-4728-86b4-06c7b181f9ac
single
Carpometacarpal joint of thumb is_____ type of joint
Ans. d (Saddle joint) (Ref BDC vol. l/ 4th/ 154)Classification of jointsA.Svnovial joints TypeExampleType of Movements permitted1Ball-and-Socket# Hip joint, Shoulder, Calcaneo-cuboid, Incudostapedial.Movement in all planes, as well as rotational movement around a central axis.2Condyloid# Knee and TM jointVariety of mov...
4
Ball and socket
Hinge
Plane
Saddle
Anatomy
Joints
70fc916b-ac4b-474b-99f4-83e06c9ce9ba
multi
Picket-fence graph of temperature is seen in:
Diurnal spikes of fever of 104deg or 105deg F are typical of lateral sinus thrombosis. Due to use of antibiotics, this picture is not seen in all patients of sinus thrombosis these days. There is fever in meningitis and extradural abscess but it does not show diurnal spikes.
2
Otitic hydrocephalous
Lateral sinus thrombosis
Extradural abscess
Meningitis
ENT
Ear
db35a09b-7454-4706-8d11-cfe770a495bf
single
A patient with the complaint of sore throat, dysphagia, and ulcers over the palate since 1 week, comes to OPD. On examination, you found vesicles over the soft palate and tonsillar pillar. The ulcers have a gray base and inflamed periphery. What could be the possible diagnosis?
Differential Diagnosis Tonsillitis / pharyngitis : No vesicles / ulcers, purulent exudate, culture. Chickenpox : Skin lesions Primary herpetic gingivostomatitis : Generalised acute marginal gingivitis, not epidemic, in anterior part of oral cavity.
1
Herpangina
Pharyngitis
Chickenpox
Primary herpetic gingivostomatitis
Pathology
null
67787c9d-8765-4e51-9461-8e1316689899
single
Most common affected tendon in the Swimmer's shoulder?
Swimmer's shoulder /supraspinatus syndrome/ Painful arc syndrome/Shoulder impingement syndrome. Causes of swimmer's shoulder: Supraspinatus tendinitis - Most common cause Complete or paial rupture of the rotator cuff Osteoahritis of the acromioclavicular joint
2
Infraspinatus
Supraspinatus
Teres minor
Teres major
Orthopaedics
Upper Limb Traumatology
fe7ef5e8-0ebc-4179-bb3b-a5a2f98d966f
single
All the following statements regarding Hepatitis B are true except -
null
3
Delta hepatitis can occur as a co-infection or superinfection
Hepatitis e antigen indicates that avtive viral replication
Steroids are the drug of choice in chronic Hepatits B
Can lead to Hepato Cellular Carcinoma
Medicine
null
9b4cb93c-71fa-4f38-8633-d69a03bf3afa
multi
IPC 201
Ans. is 'a' i.e., Evidence disappearance o IPC 201 is for causing disappearance of evidenceOther optionso Perjury (fabricating false evidence) - IPC 192o Voluntary causing grievous hurt - IPC 322o Kidnapping-IPC 361-369
1
Evidence disappearance
Peijury
Voluntary causing grievous hurt
Kidnapping
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
83ee9fe3-b15c-4fb4-a85a-84d054ad7815
single
Exocrine pancreatic insufficiency is seen in:
Disorders associated with pancreatic insufficiency include: Cystic fibrosis Shwachman-Diamond syndrome Pearson syndrome Johanson-Blizzard syndrome Chronic pancreatitis & protein-calorie malnutrition . Shwachman-Diamond syndrome- autosomal recessive syndrome with pancreatic insufficiency, neutropenia, neutrophil chemota...
1
Shwachman-Diamond syndrome
Diamond-Blackfan syndrome
Rubinstein-Taybi syndrome
Seckel syndrome
Pediatrics
Disorders of Gastrointestinal System Including Diarrhea
cf369b6e-a7fc-46cb-936d-6248cac19a2a
single
During appendectomy if it is noticed that base of appendix is inflamed then further line of treatment is
The following steps are usually followed in appendectomy The base of the appendix is crushed with an artery forceps (No longer recommended). The base is then ligated with an absorbable suture. Distal to the ligature the appendix is divided. A purse string suture is applied in the cecal wall around the base of the appe...
2
No appendicectomy
No burrying of stump
Hemicolectomy
Cecal resection
Surgery
null
72597fcd-f3e9-4627-81f5-db26cdae1e3e
single
Not diagnostic of schizophrenia: WB 10
Ans. Suicidal attempt
2
Disorganized behavior
Suicidal attempt
Delusions
Catatonia
Forensic Medicine
null
aec354eb-9113-46d5-9d38-eb2d718d82be
single
Most common intraorbital tumour in children is
M/c intraorbital tumour in adults - Cavernous hemangioma. M/c intraorbital tumour in children - Rhabdomyosarcoma.
2
Cavernous haemangioma
Rhabdomyosarcoma
Malignant melanoma
Retinoblastoma
Ophthalmology
null
82e058d7-b1d3-4194-adb6-25f1b5a24da1
single
Which of the following is not nephrotoxic ?
null
3
Tobramycin
Kanamycin
Ampicillin
Amphotericin B
Pharmacology
null
e64ef0c5-3db6-4f12-b4f9-13e9ac7f7412
single
In case a small stimulus causes more pain, it is called:
- Increase in sensitivity of pain receptors is called hyperalgesia (mostly due to inflammatory mediators) - Small Noxious stimulus giving exaggerated pain sensation - Causes Excessive sensitivity of pain receptors => primary hyperalgesia Facilitation of sensory transmission => secondary hyperalgesia (mainly due to lesi...
3
Hypersensitivity
Causalgia
Hyperalgesia
Allodynia
Physiology
FMGE 2018
96911c68-6fbb-41ba-8e79-3ab00d2f4136
multi
A 33-years-old woman presents to accident and emergency with severe right flank plain. The pain staed 3 hours ago and is not constant, occasionally moving towards her right iliac fossa. The patient also feels nauseous and has a low-grade fever. The most appropriate investigation is:
This patent has a suspected renal stone, the most useful investigation would be an abdominal ultrasound scan (D) specifically of the kidneys, ureters and bladder (KUB). The differential diagnosis should include other causes of abdominal pain, such as acute appendicitis. The most common stone consists of calcium oxalate...
4
Abdominal x-ray
Magnetic resonance imaging (MRI) scan
Intravenous urography
Abdominal ultrasound (US) scan
Surgery
null
15b8b4ce-f3ae-46d2-a764-f632afa08ca2
multi
All are True about endometrial carcinoma in clinical stage III except :
Endometrial cancer stage III: Stage IIIA: Involvement of uterine serosa and/ or adnexa Stage IIIB: Involvement of vagina and/or parametrium Stage IIIC: IIIC1: Positive Pelvic nodes IIIC2: Positive Paraaoic nodes with or without positive pelvic nodes Ref: FIGO SURGICAL STAGING 2014
4
Vaginal metastasis
Para aoic lymph node involvement
Pelvic lymph node involvement
Peritoneal involvement
Gynaecology & Obstetrics
Gynaecological oncology
cf2bd38c-3ffb-480b-a393-0474702bcb22
multi
What is true in a case of chronic pancreatitis
There is irreversible destruction of the pancreatic tissue Alcohol consumption is the most frequent cause of chronic pancreatitis .Gene mutation is only in some cases Bailey & Love,26th,1134
2
Pseudocyst lined with gastric epithelium
Complete destruction of pancreatic tissue
Most common cause is biliary
Gene mutation is seen
Surgery
G.I.T
dc8ed09d-0fc9-4f93-9ea0-518a56621a99
multi
The receptor through which M-tropic HIV strains bind -
HIV-1 most commonly uses the chemokine receptors CCR5 and/or CXCR4 as co-receptors to enter target immunological cells. Option 1: Macrophage (M-tropic) strains of HIV-1, or non-syncitia-inducing strains (NSI) use the beta-chemokine receptor CCR5 for entry and are thus able to replicate in macrophages and CD4+ T-cells. ...
1
CCR5
CXCR4
CXCR5
Any of the above
Microbiology
Virology Pa-2 (RNA Virus Pa-1,2 & Miscellaneous Viruses)
b162281d-e5c0-4bff-8ef5-af2b89e39c03
multi
Hypertrophic pyloric stenosis is best diagnosed by -
Ans. is 'a' i.e., USG Hypertophic pyloric stenosiso Most common cause of nonbilious vomiting is Hypertrophic pyloric stenosis,o Male > female.o Vomiting starts with 3 week of age.o Palpable mass is seen in epigastric region,o Visible peristalsis is seen soon after feeding,o Confirmed by USG abdomen,o Contrast study sho...
1
USG
CT SCAN
X-ray abdo supine
MRI
Surgery
Benign Gastric Disease
3572df9f-4023-45c7-9936-7589477d5f5a
single
EBV is associated with all except
Epstein Barr Virus has oncogenic potential and may cause Burkitts Lymphoma and nasopharyngeal carcinoma.  Infectious mononucleosis also known as glandular fever is one of the main clinical manifestation of the EBV which is a self limiting disease seen in children and young adults characterised by fever,sore throat, lym...
3
Ca tonsil
Nasopharyngeal Ca
Anal Ca
Infectious mononucleosis
Microbiology
null
bdabeab8-2dfb-4970-9a7b-9898e0b4a3df
multi