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Fibrous scar in myocardial infection in well established by -
null
1
6 weeks
6 months
6 days
30 days
Medicine
null
b8f461e0-bbbb-43cc-8a1f-7c8319481cd6
single
Which of the following is not true about silver sulfadiazine
Silver sulfadiazine is the most common dressing used for burns.
3
Used in burns dressings
Antibacterial action against Pseudomonas
Has immunomodulatory action
Side effect is hypersensitivity reaction
Surgery
null
771b49e3-435d-40d3-ae4a-0323b692936e
multi
The main advantage of composites over unfilled direct filling resin is their:
null
4
Higher solubility in saliva
Lower modulus of elasticity
Esthetic excellence
Lower thermal co-efficient of expansion
Dental
null
c8e0a181-3699-4cc0-a327-63d19e842a58
single
Fletcher's medium containing Rabbit serum is used for-
Ans. is 'c' i.e., Leptospira o Media for the culture of leptospirae usually contain either rabbit serum (Fletcher medium, Stuart broth) or bovine serum albumin (EMJH medium plus long - chain fatty acids and vitamins (B1 & B12)
3
Streptococcus
Bacillus anthracis
Leptospira
Borrelia
Unknown
null
c305378a-ad2c-494c-9f17-4555cc5e11b9
single
Human retina consists about
(A) 100 million Rods & 5 million Cones # Total number of cones in fovea:> Approximately 200,000. There are 17,500 cones/degree> Rod free area is approximately 10 thus there are 17,500 cones in the central rod-free fovea.> Total number of cones in the retina. - 6,400,000> Total number of rods in the retina. - 110,000,00...
1
100 million Rods & 5 million Cones
5 million Rods & 100 million Cones
100 million Rods & 100 million Cones
5 million Rods & 5 million Cones
Ophthalmology
Miscellaneous
eb558050-7507-4cd2-88dd-a61bac149c0f
single
GLUT-5 is transpoer for
GLUT5 is a fructose transpoer expressed on the apical border of enterocytes in the small intestine.GLUT5 allows for fructose to be transpoed from the intestinal lumen into the enterocyte by facilitated diffusion due to fructose&;s high concentration in the intestinal lumen.GLUT5 is also expressed in skeletal muscle, te...
2
Glucose
Fructose
Mannose
Galactose
Biochemistry
Endocrinology
ec07c038-440f-4035-80a2-f37f4c7fb0b5
single
Fibroma belongs to ?
Ans. is 'b' i.e., Sex cord stromal tumor
2
Germ cell tumor
Sex cord stromal tumor
Surface epithelial stromal tumors
Metastatic tumors from non ovarian primary
Pathology
null
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single
A biopsy was performed for a patient with recurrent chalazion involving the upper lid. The most likely diagnosis on histopathology is:
Ans. (a) Sebaceous cell carcinomaRef: Kanski 7/e, p. 21, 4Sebaceous Gland Carcinoma* Typically arises from meibomian glands or glands of ZeisQ* Most frequently arises from the upper eyelids[?] where meibomian gland are most frequent (in contrast to basal cell and squamous cell carcinoma)* Highly malignant with mortalit...
1
Sebaceous cell carcinoma
Basal cell carcinoma
Squamous cell carcinoma
Malignant Melanoma
Ophthalmology
Orbit
fe72d339-ca2e-4ce4-b562-d4379edbadc0
single
In a patient taking oral contraceptive, the chance of pregnancy increases after taking any of the following drugs, EXCEPT:
Cimetidine inhibits cytochrome P450 and reduces hepatic blood flow. As a result it inhibits the metabolism of OCP's and enhance their blood levels and increases their effectiveness. Phenytoin and Griseofulvin induces cytochrome P450 enzymes and thereby enhance the metabolism of oral contraceptive pills. Ampicillin supp...
4
Phenytoin
Griseofulvin
Ampicillin
Cimetidine
Pharmacology
null
d8467002-faea-4841-83fa-33da2eaad0aa
multi
Wahin-Finkelday giant cells in lymphoid tissue are characteristic of which of the following infections?
. A Wahin-Finkeldey cell is a type of giant multinucleate cell found in hyperplastic lymph nodes early in the course of measles and also in HIV-infected individuals, as well as in Kimura disease, and more rarely in a number of neoplastic (e.g. lymphoma) and non-neoplastic lymph node disorders. Ref Harrison20th edition ...
2
Mumps
Measles
Congenital cytomegalovirus infection
HIV infection
Medicine
Infection
81a75562-1d4b-4c33-8496-be3ca6c0f4cc
single
Which of the following has impoant role in initiation and maintenance of primitive streak
D i.e. Nodal gene The primitive streak is initiated and maintained by expression of nodal, a member of transforming growth factor /3 (TGF - 13) superfamilyQ.
4
FGF-8
BMP-4
EGRF
Nodal gene
Anatomy
null
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All are true about nasopharyngeal angiofibroma except:
Ans: D (X...) NASOPHARYNGEAL ANGIOFIBROMA P.LDhingra 6th/246-50As the tumour is predominantly seen in adolescent males in the second decade of life, it is thought to be testosterone dependentAge & sex: Tumour is seen exclusively in males in age group of 10-20 yearsProfuse, recurrent & spontaneous epistaxis is the most ...
4
Seen exclusively in age group of 10-20 years
Seen exclusively in males
Recurrent bleeding is most common presentation
X-ray is IOC
ENT
Nasopharyngeal Angiofibroma
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Rate of newly synthesized osteoid mineralization can be best estimated by
Rate of mineralisation is determined by Labelled Tetracycline. ref:maheswari,5th edition page no.12
1
Tetracycline labeling
Alizarin red stain
Calcein stain
Van kossa stain
Orthopaedics
Anatomy and physiology of bone and fracture healing
9907a15e-0332-4c5c-87de-7dce3b758bcc
single
A patient with carbon monoxide poisoning is treated with hyperbaric oxygen that increases the aerial PO2 to 2000 mm Hg. The amount of oxygen dissolved in the aerial blood (in ml/100 ml) is:
Since the solubility of oxygen is 0.003 ml O2/100 ml blood, an aerial PO2 of 2000 mm Hg will increase the concentration of the dissolved oxygen to 6 ml O2/100 ml blood. Note that this actually exceeds the normal aerial-venous difference for the oxygen concentration.
4
2
3
4
6
Physiology
Respiratory System Pa 2
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single
Enthesopathy is commonly found in -
Enthesopathy Enthesopathy is any abnormality of the site where the tendons and ligaments join the bone. Abnormalities that can occur include inflammation (enthesitis) and calcification. Important causes are:- Ankylosing spondylitis       Plantar fascitis Other seronegative spondyloarthropaties    Golfer's elbow Reit...
3
Rheumatoid arthritis
Rheumatic fever
Ankylosing spondylitis
Osteoarthritis
Orthopaedics
null
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The least common type of intussuception is
Ans. is 'a' i.e., Multiple
1
Multiple
Colocolic
Ileoileal
Ileoilecolic
Surgery
null
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single
Substance responsible for erection of penis -
Ans. is 'b' i.e., Papaverine Papaverineo It is a nonspecific phosphodiesterase inhibitor.o Injection of papaverine with or without phentolamine into corpus cavemosum produces penile tumiscence to permit intercourse.o Repeated injection can cause penile fibrosis.
2
Clomipramine
Papaverine
Buspirone
Amitriptyline
Psychiatry
Anxiety & Stress
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The nucleus involved in Papez circuit is:
Nucleus involved in Papez circuit is anterior nucleus of thalamus. Ref: Review of Medical Physiology by William ganong, 22nd Edition, Page 256
4
Pulvinar
Intralaminar
VPL nucleus
Anterior nucleus of Thalamus
Physiology
null
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single
All known effects of cyclic AMP in eukaryotic cells results from:
Cyclic AMP exerts most of its effects by stimulating cAMP-dependent protein kinases. These phosphorylate enzymes resulting in their activation or inhibition.
3
Activation of the catalytic unit of adenylate cyclase
Activation of synthetase
Activation of protein kinase
Phosphorylation of G protein
Pharmacology
null
a83ea158-6b46-4f41-be24-5c2e86c17cb8
multi
Which is best used for sex differentiation
The pelvis is the bone best used for sex determination. There are many differences between male and female pelvis. Listed below are some of the important points.
3
Skull
Femur
Pelvis
Humerus
Forensic Medicine
null
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single
Dilated pupil, dry mouth is a feature of poisoning due to
null
3
Morphine
Organophosphorus
Dhatura
Phenothiazines
Forensic Medicine
null
d4b6d46c-3f59-4e36-8f68-519d3b66fea8
single
The following are characteristic of autism except -
Ans. is 'a' i.e., Onset after 6 years of age
1
Onset after 6 years of age
Repetitive behaviour
Delayed language development
Severe deficit in social interaction
Pediatrics
null
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multi
The commonest prostaglandin used for the termination of 2nd trimester pregnancy:
Methods of termination of pregnancy: Second Trimester (13-20 weeks): Intrauterine instillation of hypertonic solutions Intra amniotic à 20% saline, 40% urea mannitol Extra amniotic à Ethacrydine lactate Prostaglandins F2a and E2 Oxytocin infusion Hysterotomy
4
PGE1
PGI2
PGA2
15 methyl PGF2
Unknown
null
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Drug of choice for treatment of neuroleptic malignant syndrome is -
Ans. is 'a' i.e., DantroleneNeurological side effects of Neuroleptic DrugsReactionFeaturesTime of Maximal RiskProposedMechanismTreatmentAcute dystoniaSpasm of muscles of tongue, face, neck, back, may mimic seizures; not hysteria1 to 5 daysUnknownAntiparkinsonian ages are diagnostic and curativeAkathisiaMotor restlessne...
1
Dantrolene
Beta blocker
Central anticholiergic
None of the above
Psychiatry
Symptoms & Signs
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multi
A newly married couple, the woman is having irregular menstruation. What is the contraceptive of choice?
- Contraceptive of choice in above case is OCP Non contraceptive benefits of use of oral contraceptives Help in treating Menstrual disturbances: irregularity, dysmenorrhea, menorrhagia, ovulation pain Cancers: protective for endometrial and ovarian cancers and choriocarcinoma Reduction in Benign tumors: benign breast d...
2
Barrier method
OCP
Calendar method
Progesterone only pills
Gynaecology & Obstetrics
FMGE 2019
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single
A 32 yr old male is known hypeensive and is being planned for cholecystectomy. Which of the following anesthetic agents is contraindicated in this person
Refer Katzung 11/e p437 Ketamine increases all pressures in the body It is therefore intravenous anesthetic of choice for shock and should be avoided in hypeensive patients. Fuher it is contraindicated in glaucoma and Head and injuries
2
Propofol
Ketamine
Midazolam
Etomidate
Pharmacology
Anesthesia
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Skeletal muscle relaxant of choke in the liver and renal disease is?
ANSWER: (B) AtracuriumREF: Lee synopsis of anesthesia 12th ep. 215Repeat from December 2010, June 2011Muscle relaxantRoute of eliminationPancuronium, Vecuronium ,, RapacuroniumLiverVecuronium, RocuroniumBiliarySch, MivacuriumPseudocholinesteraseGallamine, MetocurineRenalAtracurium t ds-atracuriumHoffman's elimination
2
Mivacurium
Atracurium
Gallium
Vecuronium
Unknown
null
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multi
Sterilization is defined as ?
Ans. is 'b' i.e., Complete destruction of all microorganisms Sterilization The process by which an aicle surface or medium is freed of all living microorganisms either in the vegetative or spore state Complete absence of microorganism. Disinfection Destruction or removal of all pathogenic organisms capable of giving ri...
2
Disinfection of skin
Complete destruction of all microorganisms
Destruction of pathogenic organisms
Decrease bacterial count from objects
Microbiology
null
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multi
Intractable secondary galucoma is seen in:
Diffuse iris melanomas are associated with intractable secondary glaucomas. 'Iris melanomas are usually nodular, but diffuse tumors can involve the iris stroma extensively and infiltrate the out flow system to cause intractable secondary glaucoma'. Ref: The Wills Eye Hospital Atlas of Clinical Ophthalmology, By William...
1
Diffuse iris melanoma
Nodular iris melanoma
Melanocyte deposits in anterior pa of iris
Melanocyte proliferation in posterior uveal tissue
Ophthalmology
null
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single
Wing beating tremor is seen in
null
2
Huntington disease
Wilson disease
Parkinsonism
Thyrotoxicosis
Medicine
null
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single
All of the following are considered microskeletal units of the mandible as per the matrix theory EXCEPT:
null
2
Chin
Glenoid fossa
Coronoid process
Angle of the mandible
Dental
null
fe38ee0b-316d-4f60-bb7a-043b254df06a
multi
The second heart sound is caused by
The second is a shorter, high-pitched “dup” (second sound), caused by vibrations associated with closure of the aortic and pulmonary valves just after the end of ventricular systole.
1
Closure of the aortic and pulmonary valves.
Vibrations in the ventricular wall during systole.
Ventricular filling.
Closure of the mitral and tricuspid valves.
Physiology
null
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multi
What is not a part of triad of Renal Cell Carcinoma?
Ans. is 'd' i.e., Oliguria o The three classical diagnostic features (classical triad) of renal cell carcinoma are costovertebral pain, palpable mass and hematuria. The most reliable of three is hematuria.Signs and Symptoms of Renal Cell Carcinoma (In decreasing order of frequency)o Hematuriao Flank Masso Anaemiao Hype...
4
Loin Mass
Hematuria
Loin Pain
Oliguria
Surgery
Renal Tumors
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Cytosolic Cytochrome C mediates
A i.e. Apoptosis Cytochrome C has two very opposite roles. Within the mitochondrial membrane it serves as electron carrier in oxidative phosphorylation. But when it leaks out into cytosol it combines with Apaf I and activates caspase-9 to mediate apoptosisQ. This dual functioning is known as moonlighting.
1
Apoptosis
Electron transpo
Krebs cycle
Glycolysis
Biochemistry
null
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single
Malampatti grading is for
D i.e. Inspection of oral cavity before intubation Malampatti grading is for assessment of difficult air way (inspection of oral cavity for intubation)Q
4
Mobility of cervical spine
Mobility of atlanto axial joint
Assessment of free rotation of neck before intubation
Inspection of oral cavity before intubation
Anaesthesia
null
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The first step for lymphatic vessels to remove excess fluid from interstitial tissue spaces is by:
Ans. A. Generating a lower intravascular than tissue hydrostatic pressureAlthough all of the choices are events that happen in lymph vessels, the first key event is lowering the lymphatic hydrostatic pressure to enable tissue fluid to enter the lymphatic vessel.
1
Generating a lower intravascular than tissue hydrostatic pressure
Contracting and forcing lymph into larger lymphatics
Opening and closing one-way valves in the lymph vessels
Lowering the colloid osmotic pressure inside the lymph vessel
Physiology
Heart, Circulation, and Blood
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Low and fixed specific gravity of urine is seen in
Normal specific gravity of urine is 1.015 - 1.025. Theoretical extremes are 1.003 to 1.032. The specific gravity will be decreased(hyposthenuria) in excessive water intake, in chronic nephritis, in acute glomerulonephritis, in pyelonephritis and in diabetes insipidus. It is increased(hypersthenuria) in diabetes mellitu...
3
Diabetes mellitus
Diabates insipidus
Chronic renal failure
Acute glomerulonephritis
Surgery
Urology
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Initial treatment for perforated corneal ulcer is:March 2009
Ans. B: Tissue adhesive glueBacterial corneal ulcer requires intensive foified antibiotic therapy to treat the infection.Fungal corneal ulcers require intensive application of topical anti-fungal agents.Viral corneal ulceration caused by herpes virus may respond to antivirals like topical acyclovir ointment instilled a...
2
Conjuctival flap grafting
Tissue adhesive glue
Contact lens
Local anesthetics drops instillation
Ophthalmology
null
552375c7-2f6f-4c53-91c7-d3a91c13b8aa
single
A 7-days-old neonate present with recurrent seizures. On examination, tachycardia and S3 gallop, bruit in anterior fontanelle. Blood investigations are normal. Neurosonogram shows a hypoechoic lesion. What is the diagnosis?
b. Vein of Galen malformation(Ref: Nelson's 20/e p 1193)Newborn presenting with features of heart failure and cranial bruit with a hypoechoic lesion seen on cranial ultrasound suggests Vein of Galen malformationVein of Galen malformation is an arteriovenous connection between primitive choroidal vessels & median prosen...
2
Arachoid cyst
Vein of Galen malformation
Dilated ventricles
Intraventricular hemorrhage
Pediatrics
Central Nervous System
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Yoyo Reflex is a feature of:
Ans. (a) Duplicated ureterRef. Bailey and Love 27th Edition, Page 1401 and Internet SourcesDuplex Renal Pelvis and Ureter:* Incidence 1:150 Live births* Most common congenital anomaly of upper urinary system* Unilateral duplication is more common than bilateral.* Most common on left side* Most common in girls.* Increas...
1
Duplicated ureter
PCKD
Medullary Spongy kidney
Pseudo kidney
Surgery
Kidney & Ureturs
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single
Lymphatic drainage of the outer upper quadrant of the breast is mainly to:
Ans: a (Anterior axillary nodes) Ref: BDC Vol. I, 4th ed, p. 42About 75% of the lymphatics from the breast drain into the axillary nodes. Among the axillary nodes, the lymphatics mostly end in the anterior group (pectoral group), closely related to the axillary tail of the breast.
1
Anterior axillary group
Internal mammary group
Posterior axillary group
Apical nodes
Anatomy
Thorax
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Umami taste sensation is due to-
Ans. is 'b' i.e., Glutamic acid o The umami taste is the fifth taste which is unique. The proposed mechanism of umami taste is through glutamate taste sensors (glutamate receptors) with release of neuronal glutamic acid.o Umami taste sensation is the most recent one, discovered in early 1900s.Taste sensationso There ar...
2
Glucose
Glutamic acid
Quinine
Sodium chloride
Physiology
General Principles of Gastrointestinal Function
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single
Most sensitive test for the diagnosis of herpes simplex (HSV) encephalitis is?
Ans. D. HSV polymerase chain reactiona. HSV encephalitis is the most common cause of acute sporadic encephalitis in the world.b. 95% of cases are due to HSV1.c. Age distribution appears to be biphasic, with peaks at ages 5 to 30 years and more than 50 years of age.d. It may follow a primary infection/reactivation of la...
4
Cerebrospinal fluid (CSF) protein analysis
HSV culture
HSV IgG antibody
HSV polymerase chain reaction
Microbiology
Virology
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The preferred bypass procedure in case of non resectable carcinoma of head of pancreas is-
Surgery for advanced, non-resectable pancreatic adenocarcinoma can palliate obstruction of CBD or duodenum, as well as control visceral pain. Hepaticojejunostomy, choledochojejunostomy or choledochoduodenostomy offers durable drainage of an obstructed bile duct. Cholecystojejunostomy is less reliable but can be employe...
1
Cholecystojejunostomy
Cholecystogastrostomy
Choledochoduodenostomy
Choledochojejunostomy
Surgery
null
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In which of the following conditions " Onion Skin" fibrosis of bileduct is seen
Concentric periductal fibrosis is known as onion skin fibrosis and is classical of Primary sclerosing cholangitis.
2
Ulcerative collitis
Primary sclerosing cholangitis
Primary biliary cirrhosis
Cholangiocarcinoma
Pathology
null
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Goat milk anemia is because of deficiency of
For cultural and other reasons, such as parental preference, goat milk is sometimes given in place of formula although this is not recommended. Goat milk has been shown to cause significant electrolyte disturbances and anemia because it has low folic acid concentrations.Ref: Nelson Textbook of Pediatrics; 20th edition;...
2
Iron deficiency
Folate deficiency
Vitamin B12 deficiency
None of the above
Social & Preventive Medicine
Concept of health and disease
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Chloride responsive alkalosis, causes are -a) Severe vomitingb) Bartter's syndromec) Milk alkali syndromed) Frusemide therapy
null
1
acd
bcd
abc
ab
Medicine
null
060fe5ba-2c51-4767-bef3-f774100bf25e
single
Triple helix is found in -
Ans is 'b' i.e., Collagen Collageno Collegen is the most common protein in the animal world,o It is a component of ECM.o The collegens are composed of a triple helix of three polypeptide a-chains.o It provides tensile strength to tissues.o Collegen type IV with laminin is the main component of basement membrane.o Fibri...
2
Cystine
Collagen
Pectin
DNA
Pathology
Cellular Pathology
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Functional impression technique can be applied in:
Functional impression using tissue conditioners is a closed mouth, patient-driven impression technique, indicated for well-formed and firm ridges in patients with good dexterity and neuromuscular control.
1
Uniformly firm ridge consistency
All variety of residual ridges
Knife edge ridge
Displaceable alveolar ridge
Dental
null
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multi
Hemolytic disease of new born is commonly due to incompatibility of which antigen?
Ans. is 'b' i.e., D antigen in Rh group o Repeat from previous sessions
2
C antigen in Rh group
D antigen in Rh group
E antigen in Rh group
Lewis antigen
Pediatrics
Blood Disorders
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single
According to Sigmund Freud, which of the following best describes primary processes?
Primary process thinking is primitive, nonlogical, and timeless. Primary processes characterize the operational style of the id and are manifested in dreams. According to Freud's theory; condensation, displacement, and symbolic representation are forms of primary processes.
3
Typically conscious
Absent during dreaming
Nonlogical and primitive
Characteristic of the neuroses
Pathology
All India exam
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multi
Which of the following structure DO NOT develop in dorsal mesentery
The gut tube is suspended by ventral mesentery - Anteriorly Dorsal mesentery - Posteriorly Ventral mesentery: Liver Ventral pancreatic bud Right & Left triangular ligaments Coronary ligaments of liver Falciform ligament of liver Lesser omentum Dorsal mesentery: Spleen Dorsal pancreatic bud Gastrophrenic ligament Gastro...
3
Greater omentum
Head of pancreas
Uncinate process of pancreas
Lienorenal ligament
Anatomy
Mesentry, neurovascular bundle
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Bone dysplasia is invariably seen in:
Ans. d. Developmental defect Bone dysplasia is invariably seen in developmental defect. Developmental abnormalities of the skeleton are complex, variable, frequently genetically based, and first become manifest during the earliest stages of bone formation. They can be of two types-Dysostoses or Dysplasias.'-Robbins 8/e...
4
Hyperparathyroidism
Osteosarcoma
Osteomalacia
Developmental defect
Gynaecology & Obstetrics
null
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Gradcnigo's syndrome is characterized by a/e
Ans. a (Conductive deafness). (Ref. PL Dhingra, ENT, 2nd ed., 78)GRADENIGO'S SYNDROME# Petrositis, a complication of otitis media classically presents with a triad of symptoms, known as Gradenigo's syndrome characterized by:- Abducent nerve (lateral rectus) palsy.- Deep seated ear or retro-orbital pain (Vth nerve invol...
1
Conductive deafness
Retroorbital pain
Ear discharge
Diplopia
ENT
CSOM and its Complications
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single
According to Ann Arbor staging Hodgkins lymphoma, stage III includes?
null
3
Involvement of the nodes of same side
Liver infiltration
Involvement of Lymph node region on lymphoid structure on both sides of the diaphragm
Disseminated involvement of the extralymphatic sites including the bone marrow and bronchial infiltration.
Medicine
null
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Flexor of hip joints are all except -
Ans. is 'c' i.e., Gluteus maximus Muscles producing movements at the hip jointMovementChief musclesAccessory muscles1. FlexionPsoas major and illiacusPectineus, rectus femoris, and sartorius; adductors (mainly adductor longus) participate in early stages2 ExtensionGluteus maximus and hamstrings--3. AdductionAdductor lo...
3
Psoas major
Sartorius
Gluteusmaximus
Rectusfemoris
Anatomy
Gluteal Region
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A 30year old male with past history of otitis media and mastoiditis presented with severe throbbing headache , high grade fever ,nausea, vomiting, confusion, gait disturbance. On examination he was febrile, ataxic with nystagmus and there was no neck rigidity. Mri brain with contrast revealed a brain abscess. Which of ...
Approximately one-third of brain abscesses are associated with otitis media and mastoiditis, often with an associated cholesteatoma. Otogenic abscesses occur predominantly in the temporal lobe (55-75%) and cerebellum (20-30%). In some series, up to 90% of cerebellar abscesses are otogenic. The clinical presentation of ...
4
Temporal lobe
Frontal lobe
Midbrain
Cerebellum
Medicine
C.N.S
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single
Drug used for treatment of methicillin resistant staphylococcus aureus is :
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3
Teicoplanin
Vancomycin
Both
null
Pharmacology
null
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All are features of catatonia except :
B. i.e. Cataplexy
2
Automatic obedience
Cataplexy
Catalepsy
Negativism
Psychiatry
null
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Hemophilia A has increased:
PTT (Ref: Robbin's 7th Ed/Pg 656) "Patients with hemophilia, typically have a normal BT, platelet count & PT & a prolonged PTT." Remember these, BT is prolonged in: 1.Thrombocytopenic purpura 2. Von willebrand's disease CT is prolonged in Hemophilia PT: normal =10-14 sec Prolonged in deficiency of: 1. Factors I, II, V,...
2
PT
PTT
PT & PTT
null
Surgery
null
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Which of the following is called "flipping effect"?
Option A = LDH 1>LDH 2 In Normal person, LDH2>LDH1 LDH 1 is present in cardiac Myocyte. If MI occurs, LDH1 levels | Lactate dehydrogenase (LDH): Tetrameric enzyme formed by combination of 2 subunits: H (Hea) and M (Muscle): Type Subunit Tissues of origin LDH-1 H4 Hea muscle LDH-2 H3M1 RBCs LDH-3 H2M2 lungs LDH-4 H1M3 L...
1
LDH 1 >LDH 2
LDH 2 > LDH 1
LDH 2 > LDH 3
LDH 3 > LDH 2
Medicine
Acute coronary syndrome
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A 40-year-old male presented with rapidly progressive dementia for 3 weeks along with rigidity, mask-like facies and mild choreoathetoid movements along with fatigue, sleep disturbance, weight loss, headache, anxiety, veigo, malaise, and ill-defined pain. There is no history of fever. O/E, Visual disturbances Cerebella...
This is a case of Creutzfeldt Jacob disease as there is rapid and progressive sho-term memory loss along with classical MRI signs and CSF finding of stress protein 14-14-3. The other conditions can be easily ruled as MRI will show specific abnormalities in these conditions. EEG shows slowing and periodic lateralized di...
1
Creutzfeldt-Jacob disease
Dementia with Lewy bodies
Alzheimer's disease
Frontotemporal dementia
Unknown
Integrated QBank
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multi
All dentists must take a prophylaxis for hepatitis B by vaccinating themselves at
null
4
0,1 and 6 months intervals
0 and 6 months intervals
0,1 and 2 months intervals
0,1,2 and 12 months intervals
Microbiology
null
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multi
Reflex nephropathy is diagnosed mainly by: September 2005, September 2012
Ans. B: Micturating cysto urethrogram
2
X-ray KUB
Micturating cysto urethrogram
CT scan
MRI scan
Surgery
null
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single
The drug used to treat acyclovir resistant Herpes Simplex Virus (HSV) and Varicella Zoster Virus (VZV) infection is :
null
1
Foscarnet
Valacyclovir
Abacavir
Ganciclovir
Pharmacology
null
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Commonest site of Atopic dermatitis is:
Ans:C.)Antecubital Fossa. Atopic dermatitis It is a chronic, pruritic inflammatory skin disease (see image below) of unknown origin that usually stas in early infancy, but also affects a substantial number of adults. AD is commonly associated with elevated levels of immunoglobulin E (IgE). That it is the first disease ...
3
Scalp
Elbow
Ante-cubital fossa
Trunk
Skin
null
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Wandering acetabulum is seen in -
Wandering acetabulum is seen in tuberculosis of hip when destroyed head dislocates from the acetabulum.
4
Fracture acetabulum
Dislocation of femur
CDH
Tubeculosis of hip
Orthopaedics
null
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single
Malignantchangeinachoroidalnevusisevidenced by:
Ans. All of the above
4
Increased pigmentation or height of the nevus
Appearance of orange patches of lipofusin over the surface
Appearance of serous detachment in the area of nevus
All of the above
Ophthalmology
null
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multi
A 55-year-old diabetic man has a long history of renal failure. He is currently waiting for an organ for transplant and has been on hemodialysis in the interim. If this man develops amyloid deposits around his joints, they are likely to be composed of which of the following substances?
Amyloid deposits appear similar by light and electron microscopy, but actually represent a heterogeneous population of proteins that have a common teiary structure forming a beta-pleated sheet. Questions about the type of amyloid seen in different disease states are orites on examinations. Here are two tables to help y...
3
Amyloid-associated protein
Amyloid light chains
Beta2 microglobulin
Calcitonin precursors
Pathology
null
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Next to HBV, virus implicated in hepatocellular Ca is
Ans. is 'a' i.e. HCV Hepatitis B and Hepatitis C viruses can cause hepatocellular carcinoma.
1
HCV
Herpes
HAV
HEV
Microbiology
null
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On blood agar target appearance of Cl. perfringens is due to which toxin -
Ans. is 'd' i.e., All of the above * Two important characteristic feature of Cl. perfringens are1) Target hemolysis (double zone hemolysis) on blood agar. It is a narrow zone of complete hemolysis by theta toxin which is surrounded by a wider incomplete hemolysis by alpha-toxin.2) Naegler's reaction detects alpha toxin...
4
Lecithinase
Phospholipase
a-toxin
All of the above
Microbiology
Bacteria
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Which of the following is not a co-factor for pyruvate dehydrogenase complex?
Co-factor for PDH complex are: Thiamine pyrophosphate (vit B1), FAD (vit B2), NAD (vit B3), coA (vit B5), Lipoic acid.
4
Thiamine pyrophosphate
FAD
NAD
Biotin
Biochemistry
null
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single
Toxic shock syyndrome caused by staphylococcus is due to -
The pyrogenic toxin superantigens are a family of small-molecular-size, structurally similar proteins that are responsible for two diseases: TSS and food poisoning. TSS results from the ability of enterotoxins and TSST-1 to function as T cell mitogens. Enterotoxins bind directly to the invariant region of MHC--outside ...
2
Hemolytic antigen
Super antigens
Hyaluronidase
Coagulase
Medicine
Infection
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The retention for class 5 restoration are placed:
null
2
In mesial and distal areas
Occlusal and gingival area
In all except the axial wall
At expense of axial wall
Dental
null
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multi
A fetus was found to have congenital heart block what should be evaluated in the mother?
Ans. (c) SLERef- Williams Obstetrics 25th Ed; Page No-1139-42* Congenital heart block develops almost exclusively in fetuses of women with antibodies to the SS-A or SS-B antigens for Anti-Ro (SS-A) antibody.* Prevalence rate with these antibodies are 30-49%.* Fetal cardiac monitoring is performed between 18 and 26 week...
3
Apla Syndrome
Congenital heart defects
SLE
Hemolytic anemia
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
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single
Among the pulses, the highest quantity of protein is present in:
Soyabean
3
Green gram
Red gram
Soyabean
Black gram
Social & Preventive Medicine
null
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single
For a term small for date baby, true is –
First let me differentiate the following three terms Low birth weight neonates Preterm infant (Premature infant) Small for gestational age (small for date) i)  Low birth weight Any neonate weighing less than 2500 gms at birth irrespective of the gestational age. ii) Preterm infant (premature infant) Any neonate ...
3
No nipple nodule
No palmar/plantar crease
Weight less than 10th percentile
Hyperbilirubinemia
Pediatrics
null
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multi
True about location of Ig chromosome:
A i.e. lc- 2In humans, genes for light chains-Kappa (lc) is in chromosome 2; for light chain lambda (X) is in chromosome 22 and genes for heavy chains are in chromosome 14Q.Each of the 5 classes of immunoglobulin has a characterstic type of heavy chain - alpha (a) in IgA, gamma (y) in IgG, delta (8) in IgD, mu (.t) in ...
1
K- 2
K - 6
K - 14
All
Biochemistry
null
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multi
Which of the following is used as screening for systemic lupus erythmetosus?
Ans. is 'a' i.e., Antinuclear antibody Autoantibodies in systemic lupus erythematosus (SLE)AntibodyPrevalence %Antigen RecognizedClinical UtilityAntinuclear98Multiple nuclearBest screening test; repeated negative tests make SLE unlikelyantibodiesAnti-dsDNA70DNA (double-stranded)High titers are SLE-specific and in some ...
1
Anti nuclear antibody
Anti smith antibody
Anti-RNP antibody
Anti phospholipid antibody
Medicine
Immunology and Rheumatology
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single
Neovascular glaucoma is not seen in
In JRA, glaucoma generally presents as acute angle closure, due to posterior synechiae, or chronic angle closure, which results from progressive, peripheral anterior synechiae.
1
JRA
CRVO
CRAO
Eales' disease
Physiology
All India exam
e5d62bfc-0cc8-4e49-b297-217cd3c67856
single
Inhalation agent of choice in head injury with raised ICT is ?
Ans. is 'a' i.e., Isoflurane Isoflurane It is an isomer of enflurane with similar propeies but 11/2 times more potent. BP falls due to vasodilation, while cardiac output is maintained inhalation anaesthetic of choice in Cardiac surgery (intravenous anaesthetic of choice for cardiac surgery is etomidate). It does not se...
1
Isoflurane
Enflurane
Sevoflurane
c
Anaesthesia
null
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single
Localised regional cerebral atrophy is seen in -
null
2
Alzheimer's disease
Frontotemporal dementia
C.J. disease
Friedreich's ataxin
Medicine
null
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single
Diagnosis of aoic calcification is done by fluoroscopy by seeing:
Ans. Side to side movement
1
Side to side movement
Up and down movement
Combined movement
null
Radiology
null
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multi
Incidence of congenital glaucoma is:
Ans. 1 in 10,000 bihs
3
1 in 1000 bihs
1 in 5000 bihs
1 in 10,000 bihs
1 in 34,000 bihs
Ophthalmology
null
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single
All of the following are common causes of haematemesis except -
null
2
Chronic peptic ulcer
Pernicious anemia
Esophageal varices
Carcinoma of stomach
Surgery
null
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multi
Testes are not palpable in -
Ans. is 'a' i.e., SRY deletion o WT-1 and SF-1 genes stimulate genital ridge to form primitive (bipotential) gonad which then differentiate either into ovary or testis.o SRY geneis involved in development of male gonds (testes) from primitive (bipotential gonads)o DAX-1, WNT-4 and RSPO1 genes are involved in developmen...
1
SRY deletion
DAX 1 deletion
WNT- 4 gene mutation
RSPO-1 gene mutation
Pediatrics
Assessment of Fetal Growth and Development
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single
Which Vitamin is involved in Redox reactions
Ans. is 'd' i.e., Riboflavin
4
Pyridoxin
Biotin
Folic acid
Riboflavin
Biochemistry
null
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single
Most common cause of meningitis in children between 6 months to 2 years of age is:
Most common cause of meningitis from 3months to 2-3 years is due to Hemophilus Influenza, Streptococcus Pneumonia, Meningococci. Ref: Kliegman, Behrman, Jenson, Stanton (2008), Chapter 602, "Central Nervous System Infections", In the book, "NELSON TEXTBOOK OF PEDIATRICS", Volume 2, 18th Edition, New Delhi, Page 2514
3
Pneumococcus
Staphylococcus
H influenza
E.coli
Pediatrics
null
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single
Which of the following mineral has similar action like vitamin E
Selenium is needed for the enzyme glutathione peroxidase involved in the defence against free radical mediated damage of lipid bilayer Vitamin E is also involved in the same So, selenium has sparing effect on Vitamin E, i.e. Vitamin E deficiency can be corrected with selenium and vice versa.
3
Calcium
Iron
Selenium
Magnesium
Biochemistry
Vitamins and Minerals
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single
POEMS Syndrome includes all, EXCEPT:
The features of this syndrome are polyneuropathy, organomegaly, endocrinopathy, multiple myeloma, and skin changes (POEMS). Patients usually have a severe, progressive sensorimotor polyneuropathy associated with sclerotic bone lesions from myeloma. Polyneuropathy occurs in ~1.4% of myelomas, but the POEMS syndrome is o...
4
Polyneuropathy
Organomegaly
Endocrinopathy
Multiple sclerosis
Medicine
null
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multi
Oral and topical drug for nasal decongestion is ?
Ans. is 'a' i.e., Phenylephrine Phenvlephrine It is selective alpha 1 agonist. Topically it is used as nasal decongestant and in eye for producing mydriasis when cycloplegia is not required. It is also a pa of oral nasal decongestant preparations.
1
Phenylephrine
Histamine
Methoxamine
Dopamine
Pharmacology
null
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single
Which of the following is the constituent of mini pill?
Ans: a (Only progesterone) Ref: Shaw, 13th ed, p. 228The constituent of minipill is only progesterone. It does not contain estrogen. It is also known as progesterone only pill.OCP(a) Combined- Monophasic- Multiphasic -Sequential pill (only estrogen in 1st 14 days and estrogen + progesterone in next 14)(b) Minipill -Pro...
1
Only progesterone
Only estrogen
Estrogen + progesterone
Norethisterone + estradiol
Gynaecology & Obstetrics
Methods - Progestogen-Only Contraception
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single
Obesity Predisposes to all except -
null
3
Hypoventilation
Hypertension
Hyperventilation
Diabetes Melitus
Medicine
null
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multi
In a neonate, kidney is supplied by?
Upto 5th week of intrauterine life, kidney is in lumbar region and renal aeries are branches of common iliac aery (see above explanation). After that, differential growth of abdominal wall causes the kidney to ascent to lumbar region. Adult position (lumbar region of abdomen) is attained by 9th week. Druing progressive...
4
Internal pudendal aery
External iliac aery
Common iliac aery
Aoa
Anatomy
null
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single
A 3 year old child presented to OPD with the symptoms of influenza. Aspirin is contraindicated in this patient because of increased risk of :
null
4
Gastric bleeding
Thrombocytopenia
Fanconi syndrome
Reye's syndrome
Pharmacology
null
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single
Cilastatin is given along with
.
1
Imipenem
Amoxycillin
Erythromycin
Ampicillin
Pathology
All India exam
61f2ebcb-190b-4ff0-9946-c74a8b526545
single
60 yrs old man presents in OPD with history of opium addiction for the last 20 yrs. He has given up opium from 2 days. Withdrawal symptoms will include -
Manifestations of morphine withdrawal Lacrimation, Rhinorrhoea, sweating, anxiety & fear, yawning, restlessness, Goose flesh (piloerection), mydriasis, insomnia, abdominal colic, diarrhea, rise in BP, dehydration, palpitation, muscle cramp & body pain, rapid weight loss.
3
Drowsiness
Constricted pupil
Rhinorrhea
↓ed Blood pressure
Forensic Medicine
null
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single
Which of them is not affected by vitamin K deficiency:
null
4
Factor IX
Factor VII
Factor II
Factor VIII
Physiology
null
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single
Most common complication of electroconvulsive therapy is
Electroconvulsive therapyCentral Nervous System Effects: Headache, confusion, and delirium sholy after the seizure while the patient is coming out of anaesthesia. Memory: memory impairment is seen in 75% following ECT. Except for retrograde memory impairment, other cognitive effects generally return to pre-ECT baseline...
2
Antegrade amnesia
Retrograde amnesia
Depression
Cognitive defects
Psychiatry
All India exam
a87a1e31-f0a8-4e89-b8bc-4be3a3bd14b5
single
All of the following factors accelerate the development of rigor mois in a dead body, EXCEPT:
Cold temperature slows the onset and progression of rigor mois. It is because of the slow onset and breakdown of ATP in cold weather. Rigor mois usually has an onset 1-2 hours after death and gets well established in the entire body in about 9-12hrs. Factors accelerating the onset of rigor mois are: Warm temperature Th...
3
Thin body built
Aerobic exercise
Cold temperature
Strychnine poisoning
Forensic Medicine
null
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multi