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Most common Site of tongue Cancer
Ans. (c) Lateral margin of tongueRef.: SRB Manual of Surgery 4th ed. /1310Squamous cell cancer of the tongue is the commonest cancer. The location is at the following sites* Lateral margin -50%* Posterior 1/3 rd tongue-20%* Dorsum-6.5%* Ventral surface- 6%* Tip-10%
3
Base of tongue
Tip of tongue
Lateral margin of tongue
Posterior attachment of tongue
Surgery
Oral Cavity
db9c2f9e-49fa-4c05-b3c8-9675e3cc7811
single
Out of 11 bihs in a hospital, 5 babies weighed over 2.5 kg and 5 weighed less than 2.5 kg. What value dose 2.5 represent -
Ans. is 'c' i.e., Median average Median o Is an average, to obtain it the data is first arranged in an ascending or descending order of magnitude and then the value of the middle observation is located which is called median. o In the question 5 value are below 2.5 and 5 value are above 2.5, so if we arrange the data i...
3
Geometric average
Arithmetic average
Median average
Mode
Social & Preventive Medicine
null
ff90e3d6-9866-4280-8479-06e207b25582
single
Which of the following is not an inotropic drug:
null
3
Amrinone
Isoprenaline
Amiodarone
Dopamine
Pharmacology
null
1dbd3890-4120-440b-a917-4aab5dc36865
multi
Which serum is used for testing streptococcal pyrogenic toxin-
Ans. is 'a' i.e.. Convalescent human serum Tests related to pyrogenic toxin (erythrogenic /Dick toxin) of streptococcuso There were two historical tests which were used :Dick test: Intraderma] Injection of toxin in a child produces erythematous reaction if he/she is susceptible to scarlet fever.Schultz scharlton reacti...
1
Convalescent human serum
Serum from patient of acute scarlet fever
Horse serum
None of the above
Microbiology
Bacteria
e5918699-5062-4afc-9a19-3936d14c73f8
multi
Senear usher syndrome is associated with
Senear usher syndrome is associated with pemphigus erythematous Pemphigus erythematosus is a localized variant of PF, originally described by Senear and Usher. Patients have immunological features of both lupus erythematosus and pemphigus, with granular IgG and C3 at the basement membrane zone, intercellular IgG and C3...
3
Pemphigus vulgaris
Pemphigus foliaceous
Pemphigus erythematous
Paraneoplastic pemphigus
Dental
All India exam
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single
Drugs implicated in development of heart block include which of the following?
Ans. is 'd' i.e., All the above * From the following table it is clear that all the given drugs are implicated in the development of Atrioventricular heart block.Drugs causing AV blockBeta blockers AdnosineClacium channel blockers Antiarrhythmics (class I and III)Digitalis Lithium
4
Beta blockers
Lithium
Adenosine
All the above
Pharmacology
C.V.S
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multi
A 25 years old basket ballplayer suddenly collapsed while undergoing an athletic event and died. At autopsy the septum was hypertrophied. The most probable diagnosis is -
null
1
HOCM
Right ventricular conduction Abnormality
Epilepsy
Snake bite
Medicine
null
f8bf826c-6579-4114-b7b0-df4fbad665e1
multi
Incisura terminalis is between
There is no cartilage between tragus and crus of the helix and an incision made in this area will not cut through the cartilage and is used for the endaural approach in surgery of external auditory canal and mastoid.
1
Tragus and crux of helix
Ear lobule and antihelix
Antihelix and external auditory meatus
Tragus and ear lobule
ENT
null
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single
Net secretion of K+ occurs in the:-
Small intestine Colon Reabsorption of Na+, Cl-, K+, watersecretion of HCO-3 Reabsorption of Na+, Cl-, water secretion of K+, HCO-3
4
Duodenum
Jejunum
Ileum
Colon
Physiology
Gastrointestinal System
4ad9ee35-b50e-47bb-b68b-d6c47e967317
single
Not a sign of Right atrial enlargement:
Haffman-Rigler sign - Horizontal distance of greater than 1.8cm between posterior aspect of IVC and Posterior border of heart - Sign of Left Ventricular enlargement.
4
Prominent right heart border with increased convexity (PA view)
Prominent anterosuperior part of cardiac shadow (lateral view)
Obliteration of retrosternal clear space (Lateral view)
Haffman-Rigler Sign (Lateral view)
Radiology
null
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single
Anterior dislocation of shoulder is most commonly complicated by :
B i.e. Circumflex nerve
2
Axillary aery injury
Circumflex nerve injury
Recurrent dislocation
Axillary nerve injury
Surgery
null
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single
A patient with enlarged cervical lymph nodes has a malignant tumor of the cecum. Which of the following lymph nodes of the neck is most frequently associated with malignant tumors of the gastrointestinal tract?
The supraclavicular lymph node on the left side is associated with the thoracic duct. The thoracic duct receives lymph from below the diaphragm, including the gastrointestinal tract. Malignant cells that travel up the thoracic duct are known to involve the left supraclavicular lymph node.
2
Left inferior deep cervical
Left supraclavicular
Right inferior deep cervical
Right supraclavicular
Anatomy
Head & Neck
4beb1571-8efc-4b22-8e8a-45f6ab218808
single
A patient presented with normal eyesight and absence of direct and consensual light reflexes. Which of the following cranial nerves is suspected to be lesioned?
When light is shone to one (e.g. left) eye, left optic nerve carries afferent impulse to brain and from brain efferent impulse to ipsiplateral (left) eye comes through ipsilateral (left) occulomotor nerve (for direct light reflex) and efferent for contralatcral (right) eye comes through contralateral (right) occulmotor...
1
Occulomotor
Trochlear
Optic
Abducent
Ophthalmology
null
95541f2e-90f9-42a0-a3bd-feff6daf5b14
single
which of the following is a cluster B personality disorder
his is the most repeated question personality disorder are divided into several types and the knowledge of the classification of these disorders helps in answering a lot of questions CLUSTER A=== schizoid, paranoid, schizotypal CLUSTER B====histirionic, narcisstic, borderline, anti social CLUSTER C====anxious, anakasti...
4
paranoid
anakastic
dependent
histirionic
Psychiatry
Personality disorders
3323436a-4fae-4409-97a3-6517d2d87aac
single
Neutrophil count below which infection is predisposed
Answer- A. < 2000"At neutrophil counts of < 1000/L of blood, individuals are at risk from infection (with the risk of infection inversely propoional to the neutrophil count.
1
< 2000
< 1500
< 1000
null
Pathology
null
7f8b5f46-c3e4-4267-a64d-7a4afb4a6207
multi
Which of the following concerned with pain and temperature -
Lateral spinothalamic tract - carry pain and temperature sensation of body. Pyramidal tract(coicospinal tract) - carry motor sensation of body from brain to muscles of limbs. Anterior spinothalamic tract - carry crude touch and pressure sensation. Dorsal column is for conscious proprioception, fine touch and vibaration...
3
Pyramidal tract
Anterior spinothalamic tract
Lateral spinothalamic tract
Dorsal column
Anatomy
Neuroanatomy 3
b946dbe5-80ae-4d36-aa7d-47c409cde797
single
Painful arc syndrome is caused by impingement of ?
Ans. is 'c' i.e., Rotator cuff tendon Painful arc syndrome Pain in the shoulder and upper arm during mid range of glenohumeral abduction. Causes - supraspinatus tendon tear or tendinitis, subacromial bursitis, fracture of greater tuberosity. The space between the upper end of humerus and the acromion gets compromised s...
3
Sub acromial bursa
Sub deltoid bursa
Rotator cuff tendon
Biceps tendon
Surgery
null
5685a427-e85e-4f70-b237-edde5e90613a
single
A 25 year old male is diagnosed to have osteosarcoma involving his right femur. Mutation of which of the following gene can be related to the development of osteosarcoma?
Mutation of the Rb gene can result in retinoblastoma, osteosarcoma, breast cancer and small cell carcinoma. Mutation of APC gene is found in 70-80% of non familial colon carcinomas, 50% of hepatoblastomas and 20% of hepatocellular carcinomas. Mutation of Bcl 2 gene is associated with the development of follicular lymph...
3
APC gene
Bcl 2 gene
RB gene
C myc gene
Pathology
null
b04dce57-062f-4aeb-9fd9-9ea60d222ed9
single
True about exotoxin ?
Ans. is 'b' i.e., Enzymatic
2
Non-antigenic
Enzymatic
Non-protein
Heat stable
Microbiology
null
bbb2335d-b0fd-46f3-8f7c-d897b45c939f
multi
Which of the following IPC section makes the printing or publication of the identity of the rape victim punishable?
According to Indian Penal Code (Section 228-A) disclosing identity of rape victim has been made punishable. Law states : Whoever prints or publishes the name or any matter which may make known the identity of any person against whom an offence under section 376, section 376A, section 376B, section 376C or section 376D ...
2
Section 300 A
Section 228 A
Section 224 A
Section 227 A
Forensic Medicine
null
5f7bcc92-34cc-4a83-8588-7151189fdf5d
single
Simple hyperplasia of the endometrium is treated with progesterone for -- days :
21
2
14
21
5
10
Gynaecology & Obstetrics
null
631c0d30-8e17-48ba-a5e1-5b483366b96a
single
Which of the following drugs has been recently approved for treatment of prostate cancer?(REPEAT)
Degarelix is used in men to treat advanced prostate cancer. Degarelix is a type of medicine called a gonadotropin-releasing hormone (GnRH) antagonist. It helps treat prostate cancer by lowering the amount of testosterone hormone in the blood. In some patients, testosterone will cause prostate cancer to grow larger. REF...
4
Leuprolide
Goserelin
Abarelix
Degarelix
Pharmacology
Chemotherapy
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single
Endometrium regeneration stas on which day of menstrual cycle?
Proliferation phase of endometrium stas from 5th day of menstrual cycle and lasts for 14 days. Proliferative growth of endometrium is influenced by and controlled by estrogen hormone. Also Know: 3 phases of menstrual cycle are: Bleeding phase upto the 4th day Proliferative phase 5th to 14th day Secretory phase 15th to ...
1
5th day
7th day
14th day
28th day
Physiology
null
39e3665d-89bf-42dc-9cac-711546774c1e
single
The half life of plasma albumin is approximately
null
2
7 days
20 days
60 days
90 days
Physiology
null
c1fbcdc9-13e4-4560-aeca-33e03a45b05b
single
AVN of the hip may occur following which of the following fractures?
Ans. is 'c' i.e., Transcervical fracture of the neck of femur Fractures causing post traumatic AVN (Osteonecrosis)o Fracture of the neck of femuro Fracture of the Scaphoid (Proximal pole> Waist)o Fracture neck of taluso Posterior dislocation of the hip
3
Intertochanteric fracture of the hip
Subtrochanteric fracture
Transcervical fracture of the neck of femur
Fracture of posterior lip of the acetabulum
Orthopaedics
Injuries Around the Thigh & Knee
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single
Hot water bottle relieves pain of abdominal spasm by:
Hot water bottle relieves abdominal pain through stimulation of adrenergically activated A delta and C fibres, there by blocking pain impulses transmitted through visceral C fibers. Ref: The Journey to Pain Relief : A Hands-On Guide to Breakthroughs in Pain Treatment By Phyllis Berger, Page 76; The Neurobiology of Pain...
1
Stimulation of adrenergic fibers
Stimulation of cholinergic fibers
Inhibition of cold receptors
Inhibition of heat receptors
Physiology
null
df924b4b-b545-4a16-a9fc-bfd867cfcda4
single
The best radiographic projection for viewing maxillary sinus :
null
3
Submentovertex
PA view
Waters view
Towne's projection
Radiology
null
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single
Denominator for maternal moality rate is: September 2005, 2010, March 2013 (d, e, h)
Ans. B: 100,000 live bihs The maternal moality rate is the number of maternal deaths due to childbearing per 100,000 live bihs. The crude death rate is the total number of deaths per year per 1000 people. The perinatal moality rate is the sum of neonatal deaths and fetal deaths (stillbihs) per 1000 bihs. The infant moa...
2
100,000 pregnancies
100,000 live bihs
100,000 bihs
100,000 population
Social & Preventive Medicine
null
5c79613f-3e23-4872-ab61-4b8ef58cf02f
single
25 year old weight lifter experienced sever headache during training. CSF tap done on the medical ward showed blood stains. What is the likely diagnosis?
The diagnosis is subarachnoid hemorrhage due to ruptured aneurysm. The term subarachnoid hemorrhage (SAH) refers to extravasation of blood into the subarachnoid space between the pial and arachnoid membranes. Intracranial saccular aneurysms ("berry aneurysms") represent the most common etiology of nontraumatic SAH; abo...
2
Cluster headache
Rupture aneurysm
Embolism
Migraine
Medicine
null
1e2ce55f-6400-41a4-8e23-1d60697972a7
single
Occlusion of the ant descending branch of LAD will lead to infarction of which area?
B i.e. Anterior wall of left ventricle
2
Posterior pa of the interventricular septum
Anterior wall of the left ventricle
Lateral pa of the hea
Inferior surface of right ventricle
Anatomy
null
c1a09af1-1404-4a42-80d8-6eafcd4b3560
multi
Tetracyclines can be given in all forms except :
null
4
Oral
Intravenous
Topical in eye
Topical in open wound
Pharmacology
null
5756f863-2c59-419f-bec1-8c1ccfbc72d6
multi
Black necrotic mass seen in the nose of a elderly diabetic patient. Most probable diagnosis -
Ans. is 'c' i.e., Mucormycosis o Mucormycosis is fungal infection of nose and paranasal sinuses which may prove rapidly fatal if untreated.o It is seen in uncontrolled diabetics or in those taking immunosuppressive drugs.o From the nose and sinuses, infection can spread to orbit, cribriform plate, meninges and brain.o ...
3
Lupus vulgaris
Aspergillosis
Mucormycosis
Pseudomonas infection
ENT
Nose and PNS
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single
All are constituents of soda-lime except
Sodalime constitutes a mixture of 95% Ca(OH)2, 5%NaOH, 1% KOH. Ba(OH)2 is a component of Beralime.
2
Ca(OH)2
Ba(OH)2
Silica
Moisture
Anaesthesia
Anaesthetic equipments
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multi
Blockage of internal upper respiratory tract by some solid or semisolid material refers to
CHOKING This term refers to the blockage of internal upper respiratory tract by some solid or semisolid material. The common agents may be piece of food, lump of meat, coins, buttons, set of false teeth, marbles, corns, etc Ref: TEXTBOOK OF FORENSIC MEDICINE AND TOXICOLOGY KRISHNAN VIJ FIFTH EDITION PAGE 117
2
Gagging
Choking
Smothering
Traumatic asphyxia
Forensic Medicine
Asphyxia
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single
Fibroid causes all the following except:
Ans. B. AmenorrheaSymptoms of fibroid are:a. Menorrhagia, polymenorrhea and metrorrhagiab. Infertility, recurrent abortionsc. Paind. Abdominal lumpe. Pressure symptomsf. Vaginal dischargeAround 50% women are asymptomatic.Important points:a. These are benign neoplasms occurring in 5-20% of women in reproductive age grou...
2
Infertility
Amenorrhea
Pelvic mass
Menorrhagia
Gynaecology & Obstetrics
Gynaecological Disorders in Obs.
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multi
Which is true regarding shoulder dislocation?
D i.e. All of the above
4
Posterior dislocation is often over-looked
Pain is severe in anterior dislocation
Radiography may be misleading in posterior dislocation
All of the above
Surgery
null
52f49116-3e8f-4f78-8906-f76cc3eec2cb
multi
The occurrence of keratinization on the human gingiva is
null
4
Dependent upon the functional stimulation the attached gingival receives
A reflection of inflammation in the underlying gingival connective tissue
A variable factor directly related to age
Lacking in the gingival crevice
Dental
null
63a491d1-d096-4fdd-b74e-60a5d062cd1a
single
Not a factor impoant for substance dependence?
D i.e. Intelligence Substance abuse and dependence depends on genetic predisposition, family interactions & history of substance abuse disorder, peer pressure and personality (antisocial personality disorder, anxiety disorder, depressive disorder). But it has nothing to do with intelligenceQ. In other words, under peer...
4
Personality
Family history
Peer pressure
Intelligence
Psychiatry
null
5b00add5-6538-4f82-8d7e-23a2916f5675
single
Which of the following is false as physiological change in pregnancy
Ref:- Williams obstetrics 25th Edition; Pg num:- 22/44
4
Increase cardiac output
Increase GFR
Increase total protein
Increase residual volume
Gynaecology & Obstetrics
recent papers obst
d8299e3c-b87f-49ed-8c00-fc62f3ab8027
multi
Modified radical neck dissection type II
null
2
Removal of level I - V lymph nodes with only spinal accessory nerve
Removal of level I - V lymph nodes with sternocleidomastoid muscle
Removal of level I - V lymph nodes with spinal accessory nerve and internal jugular vein
Removal of level I - V lymph nodes with sternocleidomastoid muscle and internal jugular vein
ENT
null
1df72097-53c9-41dc-b085-fe0ef119d3b1
single
Metanephros develops during which week of embryonic development?
The third urinary organ, the metanephros, or permanent kidney, appears in the fifth week. Its excretory units develop from metanephric mesoderm in the same manner as in the mesonephric system. Ref: Langman's embryology 11th edition Chapter 15.
2
4th
5th
6th
None of the above
Anatomy
null
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multi
In leprosy nerves commonly involved –
Involvement is high ulnar (at or above the elbow) and low median (at the wrist).
1
High ulnar, low median
High median, low ulnar
Triple nerve palsy
High radial, low median
Dental
null
c20a65a0-62b9-453c-b1c8-19df5a98951b
single
Which one of the following is a common side effect of inhaled beclomethasone dipropionate
Most common adverse effect of inhaled corticosteroids is oropharyngeal candidiasis. Pituitary-adrenal suppression is less likely with the inhalational route of corticosteroids .
2
Pneumonia
Oropharyngeal candidiasis
Atrophic rhinitis
Pituitary adrenal suppression
Pharmacology
null
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single
A newborn suffering from perforated necrotizing enterocolitis is having very poor general condition. He is currently stabilized on ventilator. Which of the following should be done in the management of this patient -
Ans. is 'd' i.e., Peritoneal drainage by putting drains in the flanks o Necrotizing enterocolitis (NEC) is the most common life-threatening emergency of the GIT in the newborn period. Management of necrotizing enterocolitis Medical treatment of NEC include Cessation of feeding Nasogastric decompression Administration o...
4
Conservative treatment
Resection and anastomosis
Stabilization with membrane oxygenator and defer surgery
Peritoneal drainage by putting drains in the flanks
Pediatrics
null
b7f7acfe-67c8-4489-92c0-e1fab63fb7aa
single
Which of the following monoclonal antibody is used in the treatment of Atopic dermatitis?
Dupilumab is a antibody against IL-4 receptor, used in the treatment of Atopic dermatitis.
2
Ipilimumab
Dupilumab
Durvalumab
Reslizumab
Pharmacology
null
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single
Angular vein infection may cause thrombosis of:
(a) Cavernous sinus(Ref. Scott Brown, 8th ed., Vol 1; 965)Angular vein (from the medial angle of the eye) continues as the facial vein which through the deep facial vein communicates with the cavernous sinus through the pterygoid plexus of veins.
1
Cavernous sinus
Sphenoidal sinus
Petrosal sinus
Sigmoid sinus
ENT
Nose and PNS
d0844dc2-6982-4ac5-97ef-de2742574260
single
Which of the following is used for management of this 65 year-old patient with respiratory distress. Bedside Echo shows an Ejection fraction of 45%.
The CXR shows evidence of bat wing oedema which is seen with Acute decompensated CHF which is managed by: L--> Lasix M-->Morphine N-->Nitrates O-->Oxygen P-->Positioning of the patient.
3
Lasix, Nitrates and Sacubitril- Valsaan
Lasix, Norepinephrine and Sacubitril- Valsaan
Lasix, Nitrates and morphine
Lasix, ACEI and digoxin
Medicine
Hea failure
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single
All are the predisposing factors of osteogenic sarcoma except -
Causes of secondary osteosarcoma :  Paget disease  Fibrous dysplasia Multiple osteochondroma Chronic osteomyelitis Radiation   Enchondromatosis   Bone infarction
3
Paget's disease of bone
Radiation
Viral infection
Bone infarction
Orthopaedics
null
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multi
A patient with ptosis presents with retraction of the ptotic eye lid on chewing. This represents -
Also known as Congenital synkinetic ptosis retraction of the ptotic eye lid on chewing with stimulation of ipsilateral pterygoid muscle. Ref : Ak khurana 6th edition pg no 379
1
Marcus Gunn Jaw winking sydrome
Third nerve misdirection syndrome
Abducent palsy
Occulomotor palsy
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
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single
Surgery for single perforation due to typhoid is:
Ans. (c) Primary closureRef: Sabiston 20th edition, Page 1267Typhoid perforation:* Occurs in 2% cases* Due to ulceration of Peyer's patches perforation commonly occurs at terminal ileum and usually it is a single perforation* Simple closure is treatment of choice* If perforation is multiple (25%) resection and anastomo...
3
Resection with end to end anastomosis
Resection with side to side anastomosis
Primary closure
Diversion
Surgery
Small & Large Intestine
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single
Extensive abrasions are found on the body of a pedestrian. The cause is: AI 09
Ans. Secondary injury
3
Primary impact injury
Secondary impact injury
Secondary injury
Postmoem aifact
Forensic Medicine
null
4db187bd-6ff5-417d-9078-38ced61e8099
single
Schizophrenia can be treated with all the following EXCEPT:
Medications Antipsychotic Reduces or improves the symptoms of ceain psychiatric conditions. Anti-Tremor Helps control tremor, shaking and unsteadiness. Ref; KD Tripati 8th ed.
1
Pemoline
Olanzapine
Sulpiride
Chlorpromazine
Pharmacology
Central Nervous system
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multi
All are true about cadaveric spasm, except: PGI 12; NEET 14
Ans. Involves involuntary muscles
4
Some paicular group of muscles are involved
Disappears with rigor mois
Occurs 2-3 h after death
Involves involuntary muscles
Forensic Medicine
null
99d1876e-a66a-473d-8b66-731a6806e14b
multi
A neonate presents with colicky pain and vomiting with sausage -shaped lump in the abdomen, Diagnosis is
C. i.e. (Intussusception) (80-B & L 25th)INTUSSUSCEPTION* Typically causes a strangulating bowel obstruction, which can progress to gangrene and perforation* Commonest site is ileocolic** (80%)* Majority of affected infants - intussusception is caused by (Hypertrophy of Peyer's patches) hyperplasia of gut lymphoid tiss...
3
Enterocolitis
Perforation of the abdomen
Intussusception
Acute appendicitis
Surgery
Small & Large Intestine
a4f94942-2b95-40d5-8dbc-d17832ddfa27
single
Severe wasting is –
null
2
< 60%
< 70%
< 80%
< 90%
Social & Preventive Medicine
null
42cfb00b-a6f3-4993-a63c-fd472fbb2682
single
A 62-year-old farmer presented with a way plaque on the sole of the right foot since a year. Examination revealed a large, way, hyperpigmented plaque on the sole of the involved foot. What is the probable diagnosis?
History suggestive of Tuberculosis verrucosa cutis / Anatomist's wa - Tuberculosis verrucosa cutis - Caused by exogenous inoculation of tubercle bacilli into skin of individuals with good immunity. Affects children/young adults who contract the bacteria by walking barefoot--> way plaque on the sole of the foot Sitting ...
1
Tuberculosis verrucosa cutis
Verruca vulgaris
Mycetoma foot
Lichen simplex Chronicus
Dental
Mycobacterial Infections
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single
Topical mitomycin-C is used in: (REPEAT)
Mitomycin-C is an antineoplastic antibiotic that acts as an alkylating agent by inhibiting DNA and protein synthesis. It can inhibit cell division, protein synthesis, and fibroblast proliferation. Topical application of mitomycin-C (0.4 mg/mL) was used as an adjuvant treatment in the endoscopic laser management of lary...
2
Sturge-Weber syndrome
Laryngotracheal stenosis
Endoscopic angiofibroma
Skull base osteomyelitis
Pharmacology
Chemotherapy
a9a35e32-9609-4718-bee6-9f959d739f6b
single
Rigid esophagoscopy is not done in -a) Cervical spine rigidity b) Aortic aneurysmc) Carcinoma esophagus d) Esophageal webe) Lung abscess
Contraindications of esophagoscopy (rigid type): Trismus Aneurysm of aorta Receding mandible Advanced heart, liver, kidney diseases (relative contraindication). Diseases of cervical spine, e.g. cervical trauma, spondylitis, TB, osteophytes, kyphosis, etc.
2
ac
ab
ad
bc
ENT
null
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single
F plasmid of high frequency recombination is a
Characters of Plasmids: 1.Plasmids are circular DNA molecules. 2.Can replicate independently. 3.Plasmids or episomes are not essential for bacteria. 4.They may carry propeies of a)Drug resistance b)Toxigenicity Eg:E.coli,Klebsiella Salmonella Shigella ,Proteus Types of plasmids : 1.R plasmids. 2.Col factors (Colicinoge...
1
Extrachromosomal
Chromosomal
Mesosome
Ribosomes
Microbiology
Immunology Pa 2 ( Hybridoma Technology, Complement Pathways, Interferon, Structure and Functions of Immune Cells )
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single
In the lungs bronchial arteries supply the bornchopulmonary tree -
Bronchial arteries supply till respiratory bronchiole.
3
Till tertiary bronchi
Till segmental bronchi
Till respiratory bronchioles
Till alveolar sacs
Anatomy
null
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single
Which is false regarding post dural puncture headache?
predisposing factors for PDPH Age: Younger, more frequent Sex: Females > males Needle size: Larger > smaller Needle bevel: Less when the needle bevel is placed in the long axis of the neuraxis Orienting a needle bevel parallel with the axis of the spine, such that the longitudinal fibers of the dura would more likely b...
4
Incidence is reduced by pencil point spinal needles
Definitive cure is obtained with epidural blood patch
Head ache is aggravated by sitting and relieved by lying down
Longer the duration anesthesia , greater will be the chance of developing PDPH
Anaesthesia
Central Neuraxial Blockade
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multi
Third-nerve palsy can result from pathology at all of the following, EXCEPT:
A third-nerve palsy can result from pathology anywhere along its anatomic pathway, beginning with the brainstem, continuing within the subarachnoid space, traversing the cavernous sinus, and terminating within the orbit. Impoant: Contralateral hemiplegia suggests brainstem involvement. In cases of isolated oculomotor p...
4
Brainstem
Subarachnoid space
Cavernous sinus
None of the above
Ophthalmology
null
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multi
First manifestation in cell injury
Ans. (b) Cell swelling(Ref: Robbins 9th/pg 46; 8th/pg 12)Cloudy swellingQ - earliest morphological change in reversible cell injuryQ due to accumulation of water intracellularly
2
Pyknosis
Cell swelling
Nuclear fragmentation
Nuclear lysis
Pathology
Cellular Pathology
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single
A/E are true regarding Alzheimer's disease.
B i.e. Abrupt onset acute exacerbation
2
Gradually progressive
Abrupt onset acute exacerbation
Episodic memory
All
Psychiatry
null
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multi
A non-caseating granuloma is seen in?
granuloma- distinctive type of chronic inflammation characterized by microscopic aggregation of activated macrophages (epithelioid cells) with scattered lymphocytes sometimes granulomas are associated with central necrosis caseating granuloma tuberculosis histoplasmosis non-caseating granulomas have no necrotic center ...
4
Tropical sprue
Celiac sprue
Ulcerative colitis
Crohn's disease
Pathology
General pathology
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The Tensor Tympani is a derivative of:
1st arch
1
1st arch
2nd arch
3rd arch
4th arch
Anatomy
null
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single
The superficial external pudendal artery is a branch of -
Femoral artery branches -        Superficial Superficial external pudendal Superficial epigastric Superficial circumflex iliac -        Deep Profunda femoris Deep external pudendal Muscular branches Descending genicular branch
1
Femoral artery
External iliac artery
Internal iliac artery
Aorta
Anatomy
null
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single
Which proton pump inhibitor can be used IV?
Ans. is 'c' i.e., Pantoprazole o Pantaprazole is more acid stable and has higher oral bioavailability. It is also available for i.v. administration; paicularly employed in bleeding peptic ulcer and for prophylaxis of acute stress ulcers.
3
Omeprazole
Rabeprazole
Pantoprazole
Fomeprazole
Pharmacology
null
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single
Ivabradine is indicated in the management of
Ivabradine This 'pure' hea rate lowering antianginal drug has been introduced recently. mech of action:- The only significant action of ivabradine is blockade of cardiac pacemaker (sino-atrial) cell 'f' channels, which are 'funny' cation channels that open during early pa of slow diastolic (phase 4) depolarization. The...
3
Congestive hea failure
Cardiomyopathy
Angina pectoris
Irritable bowel syndrome
Pharmacology
Cardiovascular system
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Dose of Oseltamavir (Tamiflu) for Chemoprophylaxis against H1N1 Influenza is:-
H1N1 Risk factors : Child < 2yrs ; pregnancy ; old aged > 65yrs ; COPD; Chronic hea/ hepatic/ kidney disease; Pts on Aspirin therapy; Morbid obesity Lab diagnosis : -PCR Sample used : Nasopharyngeal swabs Chemoprophlaxis for H1N1 Swine flue: Oseltamivir 75 mg OD X 10 days Therapy/DOC for H1N1 Swine Flu : Oseltamivir 75...
3
75mg OD for 5 days
75 mg OD for 7 days
75 mg OD for 10 days
75 mg OD for 6 weeks
Social & Preventive Medicine
Respiratory Infections
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single
All of the following statements are true about Hemolytic uramic syndrome except-
Answer is D (Positive Coomb's test) Comb's test is characteristically negative in patients with HUS. Hemolytic Uremic Syndrome is characterised by a microangiopathic hemolytic anemia, and thrombocvtopenia. The LDH is usually elevated out of propoion to degree of hemolvsis, and the coomb's test is negative. Coagulation ...
4
Uraemia
Hypofibhrinogenemia
Thrombocytopenia
Positive coomb's test
Medicine
null
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multi
Most biocompatible material in oral cavity is:
null
3
Platinum
Palladium
Titanium
Gold
Dental
null
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multi
Which of the following is not a complication of EALE's disease?
Eale's diseaseis a nonspecific inflammation of veins of the peripheral retina. Optic neuritis does not occur as a complication of Eale's disease. Common eye manifestations includes retinal hemorrhage, vitreous hemorrhage, retinal detachment, rubeosis iridis, complicated cataract and neovascular glaucoma. Reference: Tex...
4
Rubeosis iridis
Retinal detachment
Neurovascular glaucoma
Optic neuritis
Ophthalmology
null
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single
Side-effects of the cis-platinum include all of the following except -
Ans. is 'c' i.e., Blindness Side effects of Cisplatin o Vomiting o Ototoxicity o Hyperuricemia o Nephrotoxicity o Neuropathy
3
Nausea and vomitting
Nephrotoxicity
Blindness
Ototox icity
Pharmacology
null
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multi
During preanaesthetic evaluation Anaesthetist wrote Mallampati grade 3 what it signifies:-
other predictors of difficult intubation. Thyromental distance <6.5 cm with head in maximum extension Sterno-mental distance <12 cmwith head in maximum extension Increased neck circumference (>17 inches in men or >16 inches in women) Upper lip bite test :Inability to protrude the mandible or lower teeth in front of the...
1
A large tongue
Decreased neck movement
A big epiglottis
Trismus
Anaesthesia
Pre Anesthetic Evaluation
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multi
RAS gene codes for:
RAS is the most common oncogene mutation involved in human cancer. It codes for signal transduction protein. BRAF, ABL, JAK/STAT are other signal transduction proteins involved in neoplasia.
3
Growth factor receptor
Cell cycle regulator
Signal transduction protein
Nuclear transcription factor
Pathology
null
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single
Deep white matter lesion with bilateral deep bright thalamic appearance is suggestive of which disease?
Deep white matter lesion along with the involvement of thalamus suggests Krabbe's disease. The deficient lysosomal enzyme in Krabbe disease is galactocerebrosidase (GALC; also called galactosylceramide beta-galactosidase); it normally degrades galactocerebroside to ceramide and galactose. The deficiency results in the ...
3
Alexander disease
Canavan's diseases
Krabbe's disease
Metachromatic leukodystrophy
Pediatrics
null
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single
Human brain is more intelligent than monkey's brain due to
Association areas, which are related to intelligence and higher functions, are about 85% of the human brain. These are smaller in other animals.
1
Larger brain
Increased convulations
Increased brain area compared to body surface area
More blood supply
Physiology
null
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single
First investigation for solitary thyroid nodules is: (Or) Investigation of choice in discrete thyroid swelling is
null
4
Thyroid scan
CT scan
MRI
FNAC
Surgery
null
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single
Investigation of choice for congenital hypertrophic pyloric stenosis is?
b. Ultrasound(Ref: Nelson's 20/e p 1797-1799, Ghai 8/e p 279-280)USG confirms the diagnosis of congenital hypertrophic pyloric stenosis
2
Barium meal
Ultrasound
CT scan
MRI
Pediatrics
Gastro Intestinal System
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single
Ketamine is preferred anaesthetic agent in the following cases except
Since ketamine stimulates sympathetic nervous system, it causes hypertension and tachycardia.
2
Cyanotic congenital heart disease
Hypertension
Shock
Asthmatic patients
Anaesthesia
null
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multi
The neuromuscular blocker that does not need reversal of action by neostigmine at the end of the operation is:
* Long acting non-depolarizing (competitive) NM blocking agents require reversal with neostigmine. * Mivacurium is the shoest acting NDMR. It does not require reversal due to its sho duration of action. * Mivacurium can be used in day care surgery.
4
d-Tubocurarine
Doxacurium
Pipecuronium
Mivacurium
Pharmacology
Anaesthesia
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single
Recent hepatitis infection is best diagnosed by:
Ans. is 'd' i.e., IgM anti HBc abs(Ref: Ananthanarayan, 9th/e, p. 548 and 8th/e, p. 544)* HBsAg is the first marker to be elevated and Anti HBc.- IgM appears within 1 - 2 weeks after the appearance of HBsAg and lasts for 3 - 6 months.* Diagnostic tests in recent hepatitis B infection are HBsAg detection and HBc.- IgM a...
4
HBsAg
IgG Anti HBe abs
Anti HBsAg abs
IgM anti HBc abs
Microbiology
Hepatitis Viruses
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single
Staphylococcus can cause
Staphylococcal infections are the most common bacterial infections and range from tril to fatal. The common pyogenic staphylococcal infections are: Skin and soft tissue infections: Folliculitis, furuncle, abscess, wound infections, carbuncle, impetigo, paronychia and less often cellulitis. 2. Musculoskeletal: Osteomyel...
1
Pharyngitis
Tuberculosis
Migraine
Dermatitis
Microbiology
Bacteriology
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single
Which of the following disease occurs due to the deficiency of glucocerebroside?
Ans: a (Gaucher disease) Ref: Vasudevan and Sreekumari, 4th ed.Gaucher disease is due to lack of glucocerebroside and substance accumulating is glucosyl ceramide.Lysosomal storage disorders/ sphingolipidosis/ lipid storage diseases:Disease Enzyme deficientSubstance accumulating * Pompe diseasea glucosidase (acid maltas...
1
Gaucher disease
Pompe disease
Fabry disease
Krabbe disease
Biochemistry
Carbohydrates
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single
In a patient of orbital cellulitis, micro organism on culture show greenish colonies and optochin sensitivity. The most likely organism is -
null
4
Strep. viridans
Staphylococcus
Pseudomonas
Pneumococcus
Microbiology
null
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single
Alpha -1 antitrypsin deficiency occurs in
Emphysema:*Irreversible enlargement of airspaces distal to terminal bronchioles accompanied by destruction of their walls.*Types: Centriacinar (Common), panacinar, paraseptal and irregular.*Panacinar emphysema is associated with a1-antitrypsin deficiency, which is an inhibitor of proteases secreted by neutrophils durin...
1
Emphysema
Bronchiectasis
Empyema
Brochogenic carcinoma
Pathology
Respiratory system
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single
Nerve supply for external ear are all Except
The greater auricular nerve supplies medial surface of the pinna and posterior pa of the lateral surface. lesser occipital supply upper pa of the medial surface and auriculotemporal supplies tragus, crus of the helix and adjacent pa of the helix.Reference: Dhingra 6th edition.
1
Greater occipital nerve
Greater auricular nerve
Auriculotemporal nerve
Lesser occipital nerve
ENT
Ear
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multi
The most common cause of death in carcinoma is :
Uraemia
2
Haemorrhage
Uraemia
Infection
Metastasis
Gynaecology & Obstetrics
null
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single
A study under Australian collaborative trial on steroids use in neonates was done. Which of the following is true -
Ans is 'b' i.e., Coicosteroid to children causes behavioural worsening o The Australian Collaborative Trial of Repeat Dose of Steroids (ACTORDS) conducted as multicentric RCT, in Australia and New Zealand by Crowtheriv, v and colleagues enrolled 982 pregnant women less than 32 weeks to receive either single dose of int...
2
No difference between placebo & coicosteroid
Coicosteroid to children causes behavioural worsening
Coicosteroid to children causes reduction in head circumference
Coicosteroid to children causes neuro sensitivity degradation
Pediatrics
null
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multi
A 2 – year – old child comes with discharge, seborrheic dermatitis, polyuria and hepatosplenomegaly. Which of the following is the most likely diagnosis :
Seborrheic dermatitis, polyuria, hepatosplenomegaly and discharge suggest the diagnosis of Langerhans cell histiocytosis. Clinical manifestations of Langerhans cell histiocytosis : It has diverse clinical features. These are 1. Skeletal involvement : It is seen in 80% of cases (75% cases present with solitary lytic ...
3
Leukemia
Lymphoma
Langerhan's cell histiocytosis
Germ cell tumour
Pediatrics
null
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single
All of the following red cell abnormality provides protection against malaria Except
Acanthocytes have coarse, weirdly spaced, variably sized crenations, resembling many-pointed stars. They are seen on blood films in, among others abetalipoproteinemia, liver disease, chorea acanthocytosis, McLeod syndrome, and several inherited neurological and other disorders, such as neuroacanthocytosis, anorexia ner...
4
G6PD deficiency
Thalassemia
Sickle cell anaemia
Acanthocytosis
Pathology
Haematology
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multi
An example of chromoprotein is
Chromoproteins: These are proteins with coloured prosthetic groups. Hemoglobin (Heme, red); Flavoproteins (Riboflavin, yellow), Visual purple (Vitamin A, purple) are some examples of chromoproteins. Reference: Vasudevan 7th  ed, pg 43
1
Hemoglobin
Sturine
Nuclein
Gliadin
Biochemistry
null
36f63419-5752-4c61-8c73-45288cf9c174
single
High-altitude acclimatization may be facilitated by all except?
Erythropoietin secretion increases promptly on ascent to high altitude and then falls somewhat over the following 4 days as the ventilatory response increases and the aerial PO2 rises. The increase in circulating red blood cells triggered by the erythropoietin begins in 2-3 days and is sustained as long as the individu...
4
Increased production of red blood cells
Increased alveolar ventilation
Growth of new blood vessels
Growth of new skeletal muscle fibers
Physiology
null
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multi
Most common cause of subarachnoid hemorrhage IS
*Commonly result from rupture of congenital berry aneurysms in the interpeduncular cistern Ref Harrison20th edition pg 2344
3
AV malformation
Cavernous angioma
Aneurysm
Hypeension
Medicine
C.N.S
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single
Jumping gene is -
Ans. is 'a' i.e., Transposon Transposon . Also known as jumping genes. . Transposon is a segment of DNA with one or more genes in the centre. . It has ability to move around in a 'cut-and-paste' manner between chromosomal and extrachromosomal DNA. . Transposons attach at ceain regions of chromosomal, plasmid or phage D...
1
Transposon
Episome
Cosmid
Plasmid
Microbiology
null
d8b89a0c-1dd6-48e0-8e26-d140902f44d1
single
Which organ is involved in Goodpasture syndrome?
Good pasture syndrome Type II Hypersensitivity reaction. Auto Ab against glomerular basement membrane - type IV collagen Affects kidneys & lung causing hematuria & hemoptysis Characterized by linear deposits.
3
Liver
Adrenals
Kidney
Brain
Pathology
FMGE 2018
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single
Short gastric arteries reach the stomach via
(B) (Gastrosplenic ligament) (172-snell 7th)* Short gastric arteries- arises from the splenic artery ** at the hilum of the spleen and passes forward in the gastrosplenic omentum (ligament) to supply fundus1. Gastrosplenic ligamentContains short gastric vessels *2. Lino renal ligamentContains splenic vessels and tail o...
2
Linorenal ligament
Gastrosplenic ligament
Gastrophrenic ligament
Ligament of treitz
Anatomy
Abdomen & Pelvis
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single
Which intrinsic ocular muscle is supplied by parasympathetic innervation -
Ans. is 'c' i.e., Constrictor pupillae Intrinsic ocular muscles (intraocular muscles)o Intraocular muscles are -A) Muscles of iris# There are two types of muscles in iris that control the size of pupili) The iris sphinctor or constrictor pupillae (circular muscles):- These muscles are innervated by the postganglionic p...
3
Superior rectus
Superior oblique
Constrictor papillae
Dilator pupillae
Anatomy
Orbit
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single
Bagassosis is due to inhalation of:(1987)
Ans: bRef: Park, 17th ed, p. 576 & 18th ed, p. 608
2
Cotton dust
Sugarcane dust
Silica dust
Coal dust
Social & Preventive Medicine
Occupational Health
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single