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Low glucose in pleural effusion is seen in all except? | Causes of low pleural fluid sugar: Empyema Tuberculous pleural effusion Rheumatoid pleurisy Lupus pleuritis Malignant effusion Esophageal rupture | 4 | Rheumatoid ahritis | Empyema | Malignant pleural effusion | Dressler's syndrome | Medicine | Pleural effusion & Pulmonary alveolar proteinosis | 2c5d7c84-5497-4f5d-a87c-de0091a2c73e | multi |
At the same concentration of steroid which of the following is most potent? | The potency of a topical coicosteroid depends on the formulation. Potency is also increased when a formulation is used under occlusive dressing or in interiginous areas. In general, ointments are more potent than creams or lotions. | 1 | Ointment | Lotion | cream | Gel | Pharmacology | Endocrinology | 061724a0-0978-4216-b950-002d8f94fba4 | single |
Administration of which of the following drug requires monitoring: | Ans. A: Lithium Therapeutic drug monitoring is the measurement of medication levels in blood. Its main focus is on drugs with a narrow therapeutic index, i.e. drugs that can easily be under- or overdosed. Examples of drugs analysed by therapeutic drug monitoring: Aminoglycoside antibiotics (gentamicin) Antiepileptics (... | 1 | Lithium | Haloperidol | Diazepam | Acetazolamide | Pharmacology | null | cb3cee3e-af62-45b6-bb83-4f5cc9ad6c4f | single |
Metastases from a granulosa cell tumour first in volves : | The opposite ovary | 2 | The liver | The opposite ovary | The mesentery | The mediastinum | Gynaecology & Obstetrics | null | ae013ef1-ef44-4eb8-97e7-590333e8295f | single |
Abdominal pain, fat malabsorption & frothy stools suggests - | Ans. is 'c' i.e., Giardiasis . Abdominal pain, fat malabsorption and frothy stool can occur both in giardiasis and pancreatic enzyme deficiency (chronic pancreatitis). Amoebiasis and bacillary dysentry do not cause malabsorption. | 3 | Amoebiasis | Bacillary dysentry | Giardiasis | All | Microbiology | null | 39527703-012a-4f49-ba09-ba90aa250bc1 | multi |
Which of the following amino acids is purely ketogenic? | Purely ketogenic amino acid is LeucineRef: Textbook of biochemistry for medical students, seventh edition, page no: 27 | 2 | Phenylalanine | Leucine | Proline | Tyrosine | Biochemistry | Metabolism of protein and amino acid | f403beca-4f54-4d3b-afdd-f43887031483 | single |
Which amino acid released from muscles is an impoant substrate for gluconeogenesis? | In the fasting state, there is a considerable output of alanine from skeletal muscle, far in excess of its concentration in the muscle proteins that are being catabolized. It is formed by transamination of pyruvate produced by glycolysis of muscle is a substrate for gluconeogenesis by the glucose-alanine cycle Ref: Har... | 1 | Alanine | Serine | Arginine | None of the above | Biochemistry | null | 932d8d75-ea38-49e5-9deb-2c5153d3ffdd | multi |
Congenital myasthenic syndromes can result from which of the following abnormalities? | The congenital myasthenic syndromes (CMS) comprise a rare heterogeneous group of disorders of the NMJ that are not autoimmune but rather are due to genetic mutations in which viually any component of the NMJ may be affected. Alterations in function of the presynaptic nerve terminal, in the various subunits of the AChR,... | 4 | presynaptic abnormality causing decrease in acetylcholine release | synaptic abnormality resulting acetylcholinesterase deficiency | postsynaptic acetylcholine receptor deficiency | all of the above | Medicine | C.N.S | 8bd88080-bd04-423a-acb7-64acc449842a | multi |
Fine reticular pigmentation with palmar pits are seen in : | A i.e. Dowling-Degos disease Dowling-Degos disease presents as asymptomatic post-pubeal, symmetrical, progressive, reticular pigmentation involving flexural-areas (flexor folds) with scattered comedo like lesions (dark dot follicles) and pitted aceniform scars near angles of mouthQ. Reticular acropimentation of kitamur... | 1 | Dowling-Degos disease | Rothmund Thomson syndrome | Cockyane syndrome | Bloom's syndrome | Skin | null | 7bfa2a4f-ae18-420e-9f36-bc208efb0828 | single |
In a patient with gouty ahritis,synol fluid aspiration was done,strongly negative birefringent needle shaped crystals were seen under polarized light .These crystals are composed of which of the following ? | Crystals of monosodium urate are needle-shaped, 5-25 mm in length, and strongly negatively bifringent under polarized light. Crystallization of monosodium urate in synol fluid and tissues results in a dramatic inflammatory response characterized by erythema, edema, and intense pain. Double contour cailage line on USG i... | 1 | Monosodium urate | Calcium pyrophosphate | Sodium pyrophosphate | Homogentisic acid | Medicine | Crystal Ahropathy | 7f4d46c4-f431-41d2-b525-0796236255ca | single |
which of the following metabolic changes are observed in ACCLIMATIZATION? | Acclimatization at high altitude: &;*-Various physiological readjustments and compensatory mechanisms in body that reduces the effects of hypoxia in permanent residents at high altitude. * It is done by- A great increase in pulmonary ventilation Increase diffusion capacity of lung Increased ability of the tissue cells ... | 3 | metabolic alkalosis | metabolic acidosis | respiratory alkalosis | respiratory acidosis | Physiology | All India exam | 6d2f68ce-b4dc-420a-84a8-6f4c04dfcdfb | single |
Epitheloid granuloma consists mainly of which type of cells: March 2005 | Ans. D: MacrophagesMacrophages/ histiocytes are the cells that define a granuloma. They often, but not invariably, fuse to form multinucleated giant cells.The macrophages in granulomas are often referred to as "epithelioid".Epithelioid macrophages differ from ordinary macrophages in that they have elongated nuclei that... | 4 | B cells | T cells | Monocytes | Macrophages | Pathology | null | a994ff6b-fe91-49bc-b746-546855a3acab | single |
True about U waves is all except | The U wave normally goes in the same direction as the T waveU -wave size is inversely propoional to hea rate: the U wave grows bigger as the hea rate slows downU waves generally become visible when the hea rate falls below 65 bpm | 3 | It is due to Delayed repolarisation of Purkinje fibres | Maximum normal amplitude of the U wave is 1-2 mm | The U wave normally goes in the opposite direction as the T wave | U waves generally become visible when the hea rate falls below 65 bpm | Medicine | All India exam | d7b02c17-2949-4810-8f0d-5775957992d2 | multi |
Nigh guard vital bleaching is done using | null | 4 | Using McInne’s solution | H2O2 activated with thermo/Photo catalytic technique | Na Perborate and H2O2 | 10-16% carbamide peroxide | Dental | null | 574c2ff2-01b0-4542-b66e-ee16a5f2af56 | single |
Axis artery of lower limb is derived from - | Ans. is 'c' i.e., 5th lumbar intersegmentsl artery Axis arteryo During fetal life (development), each limb is supplied by an axis artery that is derived from intersegmental arteries,o The axis artery runs along the central axis of the limb.Axis artery Upper limbLower limbDerived fromSeventh cervical intersegmental arte... | 3 | Natal artery | 1st lumbar intersegmental artery | 5th lumbar intersegmental artery | Sacral artery | Anatomy | Lower Extremity | a644fe51-0d1c-42c6-97be-5c792139948f | single |
Cause of blindness in CRVO | All are causes of blindness in CRVO but most important is CME. | 4 | Cystoid macular edema | Macular hemorrhage | Vitreous hemorrhage | All of the above | Ophthalmology | null | 76989b16-46e8-4bd2-ab28-fd0138831272 | multi |
Neologism is characteristically seen in: Gujarat 07 | Ans. Schizophrenia | 3 | Depression | Mania | Schizophrenia | Delirium | Forensic Medicine | null | a117453b-142b-4987-9208-cc07d0a3ddcb | multi |
All of the following statements about pseudohypoparathyroidtom are true, except - | Answer is option 1 Increase in serum PTH Pseudohypoparathyroidtom leads to end organ resistance to parathormone which in turn leads to decrease in serum Ca++ and increase in serum phosphate. Due to this negative feedback hyperplasia of parathyroid occurs and increase in parathormone secretion occurs Ref Harrison 17/e p... | 1 | Decrease Serum PTH | Decrease Serum calcium | Increase Serum phosphate | Albright's hereditary osteodystrophy | Medicine | Endocrinology | 61b23a3e-d25b-4970-8b0b-3d79345bcb02 | multi |
Which of the following structuers is inferior to spheno petrosal Synchondrosis- | Sphenopetrosal synchondrosis is cailagenous union b/w lateral half margin of great wing of sphenoid & petrous bone. On the under surface of sphenopetrosal synchondrosis, is a furrow, the sulcus of auditory tube for lodgement of cailagenous pa of auditory tubeQ | 3 | Abducens nerve | Osseous pa of auditory tube | Cailaginus pa of auditory tube | Petro squamous sinus | Anatomy | null | da9ddf50-72aa-4b16-86cb-cfaed60339a4 | single |
Not true among the following is | Isolated finding of simian crease in Down's in seen in almost 1% of Down's children. So it is not a significant finding in a Down's child. | 4 | Most common cause of Down's syndrome is Maternal meiotic disjunction. | Most Common inherited condition causing Intellectual disability in Fragile X Syndrome | The mandible in Down's child is smaller than usual | Isolated finding of simian crease in Down's in seen in almost 20% of Down's children. | Pediatrics | null | b97903c8-54e6-4813-b627-54329ad41846 | multi |
The most definitive method of diagnosing pulmonary embolism is : | Answer is A (Pulmonary aeriography): `Selective pulmonary angiography is the most specific examination available for establishing the definitive diagnosis of PE.'-Harriosn 16th/1563 Most definitive investigation :Pulmonary angiography is an invasive procedure, and it is the most definitive procedure. It is however ceai... | 1 | Pulmonary aeriography | Radioisotope perfusion pulmonary scintigraphy | EKG | Venography | Medicine | null | 3fbc4444-7a6a-4648-959a-205cc4d36d7b | single |
Somatic mutation E17K in the PH domain of AKT-1 gene mutation is associated with? | Ans. (b) Breast(Ref: Atlasgeneticsoncology.org/Genes/AKT1)Hyper-activation of AKT1 has been found associated to several human cancers:*Thyroid carcinoma*Breast carcinoma*Non-small cell lung carcinoma*Gastric carcinomaNow coming to question: Somatic mutation E17K occurs in the PH domain of AKT1 in 8% of human breast can... | 2 | Stomach | Breast | Ovary | Pancreas | Pathology | Breast | 14c3cb56-07bc-4c30-9dfa-c9e53fbeb806 | single |
All are non contraceptive advantages of oral contraceptive pills except | null | 2 | Pelvic inflammatory disease | Hepatic adenoma | Benign breast cancer | Anemia | Social & Preventive Medicine | null | 2ec83c78-c9b5-41af-a91c-6ed43bba98ba | multi |
Cephalosporin that does not require dose reductionin patient with any degree of renal impairment is aEUR' | Cefoperazone [Ref: Goodman Gilman 17thie 1147, 1148; Katzung 10 p. 7371 Remember: ? Most cephalosporins are excreted mainly by tubular secretion. But ceftriaxone and cefoperazone are excreted mainly in bile and no dose adjustment is required in renal insufficiecy. The other unique feature of cefriaxone is its long half... | 2 | Cefuroxime | Cefoperazone | Ceftazidime | Cefotaxime | Pharmacology | null | 4a22bee8-44d3-44ad-b25f-22e7a10cf86c | single |
What is the thickness of class II matrix band? | There are two types of bands:
Uncontoured bands
Precontoured bands
Uncontoured bands
These are available in two thicknesses:
0.002 inch (0.05 mm)
0.0015 inch (0.038 mm)
Sturdevants operative dentistry south asian edition page 204 | 1 | 0.002 inches | 0.002 mm | 0.02 inches | 0.02 mm | Dental | null | 567b051b-b9a9-4d63-a46d-c3d83629ca98 | single |
Koenon's periungual fibroma is a feature of? | Ans. is 'd' i.e., Bourneville's disease * Periungual fibromas (Koenon's tumor) are seen in 20% of patients of tuberous sclerosis.Tuberous sclerosis (Bournevifle's disease)* Tuberous sclerosis is characterized by : -A. Skin lesions: - Adenoma sebaceum (Facial angiofibroma), Ash-leaf shaped hypopigmented macules/patch, S... | 4 | Kawasaki's disease | Refsum disease | Darrier's disease | Bourneville's disease | Skin | Autoimmune Skin Disorders | 0541a53c-9f04-4b9f-baf5-7b12866b8cb4 | single |
Gerlach tonsil in Waldeyer’s ring is | The tubal tonsil is one of the four main tonsil groups comprising Waldeyer's tonsillar ring, which also includes the palatine tonsils, the lingual tonsils, and the pharyngeal tonsils. | 1 | Tubal tonsil | Palatine tonsil | Pharyngeal tonsil | Lingual tonsil | ENT | null | 85aa2fd5-b80e-4d25-a5bc-2ef47825d9d7 | single |
True about interferon - | a virus-infected cell will release interferons causing nearby cells to heighten their anti-viral defenses. Reff: Anantharayan & Panikers textbook f microbiology 9th edition pg:155 | 4 | It is virus specific | It is Bacteria specific | Produced from Bacteria | Effective against viral infection | Microbiology | Immunology | 78827e48-4530-4cb1-ae28-4580cfef01e8 | multi |
Polysaccharides are: | Polysaccharides are polymers of monosaccharides. They are of two types– homopolysaccharides that contain a single type of monosaccharide (e.g., starch, insulin, cellulose) and heteropolysaccharides with two or more different types of monosaccharides (e.g., heparin, chondroitin sulfate). | 1 | Polymers | Acids | Proteins | Oils | Unknown | null | 8c42f37f-bdd0-44a8-a5fc-9943068c3e12 | single |
All of following features are similar in androgen insensitivity syndrome and Mullerian agenesis except | Public and axillary hair is absent in androgen insensitivity syndrome, whereas normal in mullerian agenesis. | 4 | Absent Mullerian duct | Absent Wolffian duct | Primary amenorrhea | Normal axillary hair | Gynaecology & Obstetrics | null | a5e4008c-620f-4f93-aaac-b090669e9ef5 | multi |
Selenium is essential for the: | Ans. A. Glutathione peroxidasea. Glutathione peroxidase is a selenium containing enzyme which acts in synergism with vitamin E to protect against hydroperoxide free radical damage.b. First line of defense against hydroperoxide free radical damage is vitamin E (tocopherol) while the second line of defense is a selenium ... | 1 | Glutathione peroxidase | Glutathione reductase | Glutathione synthetase | Glutathione hydroxylase | Biochemistry | Vitamins and Minerals | ee39e1ac-85e4-4287-aa80-757df6216d1c | single |
True about mapleson D circuit is | Expiratory valve is away from the patient end in mapleson D circuit. 3 times minute ventilation is required for spontaneous ventilation.
Mapleson A is the preferred circuit for spontaneous ventilation. | 3 | FGF for spontaneous ventilation is equal to minute ventilation | Expiratory valve is closer to patient | 1.8 times the minute ventilation is required gas flow for controlled ventilation. | Preferred circuit for spontaneous ventilation. | Anaesthesia | null | f2fc8ed8-07bc-481a-986d-080c63d00928 | multi |
Glove and stocking pattern of postmortem staining, indicates death due to what cause? | Lower parts of forearms and hands, legs and external genitalia gets stained in cases of hanging, give the appearance of glove and stocking pattern of post mortem staining. | 1 | Hanging | Drowning in river | Submersion in water | Cyanide poisoning | Forensic Medicine | null | 8ebcc56e-0441-4764-a07d-22e3d7d0bfda | single |
Which of the following is not a method for providing enteral nutrition? | PICC stand for Peripherally inseed central venous catheter It is not a method for providing enteral nutrition instead it provides parenteral nutritionthrough an peripherally inseed catheter in one of the central veins. Enteral feeding refers to delivery of nutrients into the GIT by means of following techniques: Sip fe... | 2 | PEG | PICC | Sip feeding | Nasojejunal tube | Surgery | Fluid, Electrolyte and Nutrition | 03af2026-a969-449c-aa06-0fea1ef3ac2a | single |
Which one of the following is not an operation for uterine inversion? | Ans. is d, i.e. FentoniRef Dutta Obs. 7/e, p 422; IAN Donald Obstetrics 7/e, p 592Surgical Procedures to Correct Uterine InversionVaginal operationsAbdominal operationsHydrostatic method* Spincelli* Huntingtons procedures* O sullivan method* Kustner* Haultain* Oguch method* Oejo* Robinson | 4 | O sullivan | Haultain | Spincelli | Fentoni | Gynaecology & Obstetrics | Complication of 3rd Stage of Labour | 72217c00-8b6c-453c-a848-6a286242ef6d | single |
QRS complex indicates- | Answer is D (Ventricular depolarisation) QRS complex is due to ventricular depolarization Q | 4 | Atrial repolarization | Atrial depolarization | Ventricular repolarization | Ventricular depolarization | Medicine | null | 982069d9-8299-427a-a0f8-eb9cc0b193f8 | single |
Cytoplasmic translation system has the following number of t-RNAs | In molecular biology and genetics, translation is the process in which ribosomes in the cytoplasm or ERsynthesize proteins after the process of transcription of DNA to RNA in the cell's nucleus. The entire process is called gene expression. In translation, messenger RNA (mRNA) is decoded in the ribosome decoding center... | 1 | 20 | 26 | 28 | 31 | Biochemistry | Metabolism of nucleic acids | f45d3bea-9155-4d3a-aae1-7d5d843cbff8 | single |
Fluorescein for ophthalmological diagnosis is injected in - | Ans. (a) Antecubital veinRef: Diagnostic Procedures by Nema, 2/e, p. 177The technique of fluorescein angiography comprises rapidly injecting 5 mL of 10% solution of sterile sodium fluorescein dye in the antecubital vein and taking serial photographs of the fundus. | 1 | Antecubital vein | Popliteal vein | Femoral vein | Subclavian vein | Ophthalmology | Retina | 49c52182-963a-4d35-a498-63ee63b470fa | single |
A 7-year-old boy presented with generalized edema. Urine examination revealed marked albuminuria. Serum biochemical examinations showed hypoalbuminemia with hyperlipidemia. Kidney biopsy was undertaken. On light microscopic examination, the kidney appeared normal. Electron microscopic examination is most likely to reve... | Ans. is 'a' i.e. Fusion of foot process of the glomerular epithelial cellsRef Chandrasoma Taylor 3rd/e page 705, Robbins illustrated 6th/e, p956, Harrison 17th/Ep 1790 RepeatThe child in presenting with features S/o Nephrotic syndrome most frequent cause of which amongst children is minimal change ds.The light microsco... | 1 | Fusion of foot processes of the glomerular epithelial cells | Rarefaction of glomerular basement membrane | Deposition of electron dense material in the basement membrane | Thin basement membrane | Unknown | null | eb3c808c-d22d-42cc-89c2-22a9ec7525a2 | single |
All the following are inhibitors of cytochrome oxidase except | Site-III (Complex IV) * Cyanide * H2S * Azide transfer of electrons to molecular O2 * Co (Carbon monoxide): Inhibits Cyt. oxidase by combining with O2 binding site. It can be reversed by illumination with light. Amobarbital (Amytal) and Secobarbital: Inhibits electron transfer through NADH-Q reductase.Ref: MN Chatterje... | 2 | Carbon monoxide | Amytal | Cyanide | Azide | Biochemistry | Respiratory chain | a6bfafa6-089a-4172-8516-a568e60d9698 | multi |
True about Mosquito preventive nets are all except | Mosquito Nets Material : White Best pattern : Rectangular net Hole/ rent : Not even a single one should be present Size of each hole : <0.0475 inch diameter. Number of holes /sq. Inch : 150 Ref: Park 25th edition Pgno : 810 | 3 | Hole size <0.0475 | 150 holes per square inch | Best pattern in circular | There should be no rent | Social & Preventive Medicine | Environment and health | 8f000fa9-42f1-45ca-97f5-b478af709df0 | multi |
Bezold's abscess is in relation to: | Ans. (b) Sternocleidomastoid muscleRef. PL Dhingra 5th/ 87* Mastoid tip is in relation to two muscles:# Sternocleidomastoid muscle# Digastric muscle (posterior belly)* If there is abscess from:# SCM muscle: Bezolds abscess# Digastric area: Citelli s abscess.Also KnowDifferent MASTOID ABSCESSESAbscessLocationWild's absc... | 2 | Digastric muscle | Sternocleidomastoid muscle | Behind the mastoid | Submandibular region | ENT | CSOM and its Complications | 74cbe4ca-77f7-4700-837c-a65316854a07 | single |
Incubation period of measles is - | <p>MEASLES:- An acute highly infectious disease of childhood caused by a specific virus of group myxovirus. Clinically characterised by fever and catarrhal symptoms of the upper respiratory tract( coryza,cough), followed by a typical rash. Secondary attack rate-infection confers life long immunity as there is only one ... | 2 | 1-2 months | 10-14 days | 20-22 days | 1-2 days | Social & Preventive Medicine | Communicable diseases | c65ef2f2-813c-4fae-99ba-bc466a4414b1 | single |
Most permeable to pure phospholipid bilayer | Phospholipid bilayer act as amphipathic molecule. Oxygen is most permeable. (REF. GANONG&;S REVIEW OF MEDICAL PHYSIOLOGY 24 EDITION, PAGE NO - 36) | 1 | Oxygen | Na | Cl | Water | Physiology | General physiology | 870839b6-6198-42e0-a0e8-11c7ce48db42 | single |
Which of the following is selective alpha antagonist? | Ans. B. PrazosinPrazosin is selective alpha 1 blocker which used in patients suffering from BHP. They also used in hypertension. Phentolamine is nonselective alpha blocker. Clonidine is alpha 2 agonists. | 2 | Propanolol | Prazosin | Phentolamine | Clonidine | Pharmacology | A.N.S. | ab43d339-8210-4804-a46d-cda710a4e419 | single |
GABA-B receptors are - | Ans: A. G-protein coupled receptors(Ref : KDT //e p. 399, 402 6 6h/e p. 395; Katzung 17th/e p' 377-378; lP/e p' 355)GABA-A receptors:Intrinsic Cl- channets and when open cause increase in CI- conductance and CNS depression.GABA-B receptors:G-protein coupled receptors.Baclofen is agonist and saclofen is antagonist on th... | 1 | G-protein coupled receptors | Intrinsic ion channel | Enzyme linked receptors | Ligand gated ion channels | Pharmacology | null | 2d3fef43-e0ac-44e7-908f-17bef0a34d5b | single |
Which one of the following amino acids is purely ketogenic? | null | 4 | Proline | Phenylalanine | Isoleucine | Leucine | Biochemistry | null | 99c96e12-b469-4c3e-a84c-0accf273d336 | single |
Perforators are not present at - | Ans. is 'd' i.e., Below inguinal ligament Blood flows from the superficial to the deep veins through perforating (communicating veins) Perforators are located - below the medial malleolus (inframalleolar perforator) - in the medial calf (Cockett perforators) - just above (Dodd perforator) & below the knee (Boyd perfora... | 4 | Ankle | Medial calf | Distal to calf | Below inguinal ligament | Surgery | null | 619f8799-34d4-46f1-82fb-1295eebad522 | single |
In a population of 5000, number of new cases of TB is 500; old cases in the same population are 150. What is the prevalence of TB? | Prevalence = total number of cases / total population x 100 = (650/5000) x100 =13% | 3 | 9% | 12% | 13% | 18% | Social & Preventive Medicine | Disease Causation, Measurements, Milestones | c52b2379-b46e-448d-aa83-18fcfd4678ec | single |
Severe mental retardation is: NEET 13 | Ans. 20-35 | 3 | 50-70 | 35-50 | 20-35 | < 20 | Forensic Medicine | null | 02e67e0f-efd0-402d-a643-18c24ea70823 | single |
The Term Clearance of drug means: | Unit volume of plasma which is cleared off drug in unit of time | 1 | Unit volume of plasma which is cleared off drug in unit of time | Amount of drug excreted in urine | Amount of drug metabolised in unit of time | Fraction of dose administered only | Pharmacology | null | 60f1b596-5cc1-41ce-b5a0-aa6e527a1735 | single |
The advantage of using epidural opioids over local anaesthetics are all except | The main drawback of local anaesthetics is that there is possibility of motor blockade if higher concentration is used and motor paralysis is not acceptable in postoperative period. Other advantages are no sympathetic block so hypotension is less and after one single dose of morphine analgesia may last for 12-16 hours. | 4 | Less hypotension | No motor block | Frequent injections not required | Less expensive | Surgery | All India exam | 408faafe-db8d-441b-af32-e6b7f314fb50 | multi |
What is the amount of fluid to be given to a 2 year child weighing 12 Kg with severe dehydration in the first half an hour of IV rehydration? | AGE First give 30 ml/ Kg in Then give 70 ml/ Kg in Infants (< 12 months) 1 hour 5 hours Older children 30 minutes 2.5 hours In the above question, amount of fluid needed = 30 ml/ Kg x12=360 ml Ref: Park 21st edition, page 204. | 3 | 120 ml | 240 ml | 360 ml | 840 ml | Social & Preventive Medicine | null | 945ff4af-e788-4f02-9476-ea72d1d608f0 | single |
This works inaccurately in presence of <img src=" /> | . | 1 | All the below | Nail polish | Methernoglobinemia | Skin pigmentation | Medicine | All India exam | 2e8bffcd-5b26-40c8-8530-1b97c28de69c | multi |
Which of these is the most important cause of cholestatic jaundice in a newborn? | Ans. C. Neonatal hepatitisCholestatic jaundice is characterized predominantly by rise in the levels of conjugated bilirubin. It is due to obstruction to the bile flow, either occurring inside the live (intrahepatic cholestasis) or outside the liver (extrahepatic cholestasis). Overall, the most common cause of cholestas... | 3 | Hypoplasia of the biliary tract | Choledochal cyst | Neonatal hepatitis | Physiological jaundice | Pediatrics | Gastro Intestinal System | 6bba1078-0afc-4d84-b091-2627749c5cbb | single |
Commonest complication of CSOM is: | Ans. C Brain abscess There is no confusion as far as this question is concerned: According to Turner "Most common complication of CSOM is brain abscess (intracerebral) According to Scotts Brown "In a large series of 268 patients with complications of COM, he incidence of extracranial complications was 32%, intracranial... | 3 | Subperiosteal abscess | Mastoiditis | Brain abscess | Meningitis | ENT | null | 28e7c897-9edd-4118-880b-8237fccfa1ba | single |
14 year old girl presented with vaginal bleeding with occasional amenorrhea, next step is : | Clinical history and examination | 2 | BT, CT | Clinical history and examination | Ultrasound | TLC, DLC ESR | Gynaecology & Obstetrics | null | 341f63d8-2949-41fe-8b91-7a4a3d1aa8af | multi |
A Wahin's tumour is: | Answer is 'a' ie An adenolymphoma of parotid gland Wahin's tumor Is the second most common benign tumor of the parotid gland (151 is pleomorphic adenoma). It consists of both epithelial and lymphoid elements thus known as adenolymphoma (probably arises from remnants of parotid tissue trapped in lymphnodes within the pa... | 1 | An adenolymphoma of parotid gland | A pleomorphic adenoma of parotid | A carcinoma of the parotid | A carcinoma of submandibular salivary gland | Surgery | null | 6cc14952-0996-4a65-9f86-be59aca4bf7a | single |
Coefficient of thermal expansion of metal-ceramic alloys is: | null | 4 | Same as porcelain | More than porcelain | Less than porcelain | More than or equal to porcelain but not less | Dental | null | ff5b365a-bb2c-45e6-9bf9-2a13d93026c8 | multi |
All are hyperechoic on USG except | Bile is hypoechoic on USG. Air, bone, calcification and fat are hyperechoic on USG. Bile duct shown in the figure. | 4 | Air | Bone | Calcification | Bile | Radiology | ULTRASOUND | 76fc73ea-9b19-49f2-adad-89d6554f80c9 | multi |
Which of the following is/are not side-effect of lithium: | Ans. B.HyporeflexiaRef: Synopsis of psychiatry by Kaplan 6 Sadock 11th/985-88; KDT 7th/449; pharmacology by Satoskar 2ith/225Lithium:Mild toxicity: GI disturbances, drowsiness, muscular weakness, alopecia, allergic reaction, blurred vision, glycosuria, polyuria & weight gain.Chronic administration: goiter formation, hy... | 2 | Seizure | Hyporeflexia | Nephrogenic diabetes insipidus | Alopecia | Psychiatry | null | 513506ec-2717-4bda-b33d-434fe9cd5240 | single |
Which is the most specific tumor marker for melanoma: | HMB-45 is the most specific tumor marker for melanoma. S-100 is most sensitive. | 4 | Tyrosinase | Vimentin | S-100 | HMB-45 | Pathology | null | 328d84e3-093d-417c-8553-2bad69676dc9 | single |
Not a chromosoal breakage syndrome | Duchenne muscular dystrophy (DMD) is a genetic disorder characterized by progressive muscle degeneration and weakness. It is one of nine types of muscular dystrophy. DMD is caused by an absence of dystrophin, a protein that helps keep muscle cells intact. Symptom onset is in early childhood, usually between ages 3 and ... | 4 | Fragile X syndrome | Bloom syndrome | Ataxia telangiectasia | Duchenne muscular dystrophy | Pathology | General pathology | e70b985b-711e-42db-87c6-b4eb04942087 | single |
The infectivity of chicken pox lasts for | Period of communicability: Chicken pox: 1-2 days before to 4-5 days after appearance of rash. Measles: 4 days before to 5 days after appearance of rash. Diphtheria: 14-28 days from disease onset Poliomyelitis: 7-10 days before and after onset of symptoms. CHICKEN POX: Also known as &;Varicella&; Causative agent: Varice... | 2 | Till the last scab falls | 6 days after onset of rash | 3 days after onset of rash | Till the fever subsides | Social & Preventive Medicine | Communicable diseases | 17a116af-6a61-419b-a128-b09c78f2be78 | multi |
Mechanism of action of Clomiphene citrate used for infeility:- | The ability of Clomiphene citrate (CC) to initiate an ovulatory sequence is primarily due to its ability to be recognized by and interact with the estrogen receptors in hypothalamus. In its capacity as an Estrogen antagonist,CC displaces endogenous estrogen from hypothalamic estrogen receptor sites and hence inhibiting... | 1 | Block estrogen receptors in the hypothalamus | Negative feedback on HPO axis | Direct action on ovarian primordial follicles | Increase in tubal motility | Gynaecology & Obstetrics | Infeility (Eggs'plantation!) | 8df86202-2b02-416f-9cb3-dfe4202c5097 | single |
The changes occuring in the disease frequency over many years is called | . long term or secular trends implies changes in the occurrence of disease over a long period of time.generally several years or decades.a secular trend implies a consistent tendency to change in a paicular direction or a definitive movement in one direction. ref:park&;s textbook,ed 22,pg no 63 | 3 | Cyclic trend | Seasonal trend | Secular trend | None of the above | Social & Preventive Medicine | Epidemiology | 5c9c490d-dcdc-4fbd-b6cc-bfc83afe5c78 | multi |
All of the following are associated with thyroid storm, except | null | 1 | Surgery for thyroiditis | Surgery for thyrotoxicosis | Stressful illness in thyrotoxicosis | I-131 therapy for thyrotoxicosis | Surgery | null | b074bad4-68ca-458d-adc6-c75a1ec1b7e5 | multi |
Most accurate assessment of gestational age by USG is done by – | null | 4 | Femur length | Gestational sac size | Menstrual history | Crown rump length | Radiology | null | 2a8595b8-ba91-436f-b37d-1c89af3d74f7 | single |
Scaler tip or Instrument used on a patient suffering from Hepatitis B should be: | null | 2 | Clean with water for 2 minutes | Cleaned in water and then autoclaved | Instrument should be burnt in flame | Do cleansing with spirit only | Dental | null | 82cd46f9-36dd-40c7-b6b8-f094d53e584a | single |
Absorption of vitamin A can be enhanced by giving the child a diet rich in – | null | 1 | Fat | Protein | Minerals | Carbohydrates | Social & Preventive Medicine | null | 695b0be4-2fa0-4a7e-9876-8909e6811f7d | single |
Inguinal hernia with hydrococle is know as | null | 1 | Gibbon's hernia | Pantalan's hernia | Sliding hernia | Norath's hernia | Surgery | null | d0e65527-c0da-4418-8839-7805ae67fb93 | single |
Contraceptive action of combined pill is mainly due to: | null | 4 | Decrease in tubal motility | Prevents the fertilization | Prevents the implantation of fertilized egg | Inhibits ovulation | Physiology | null | 88b37aa3-88ce-4d16-85bc-02f4797f6517 | single |
The factor responsible for the left shift of Hb-O2 dissociation curve is | Hb-O2 dissociation curve shift to left indicates more affinity of Hb to O2 and thus less delivery of O2 to tissues.
Shift to left seen in
- Increased pH
- Decreased 2,3 DPG, temperature, PCO2
- HbF (Fetal)
Shift to right seen in
- Decreased pH
- Increased 2,3DPG, temperature, PCO2
- ... | 2 | Increase in 2, 3 DPG in RBC | Fall in temperature | Fall in pH | Increase level of CO2 blood | Physiology | null | 0b66f2fd-d633-419e-a742-4168b51ece41 | multi |
`S' component of SAFE- | SAFE strategy developed by the WHO is the key to the treatment of trachoma. This consists of Surgery (S) on the lids. Antibiotics to treat the community pool of infection (A), Facial cleanliness (F); and Environmental changes (E). | 2 | Screening | Surgery | Steroids | null | Ophthalmology | null | 4de0399e-1de7-4d5e-9a1b-4c0681d805ef | multi |
Triple H therapy for subarachnoid hemorrhage consists of all EXCEPT: | ANSWER: (D) HypothermiaREF: Comprehensive Board Review in Neurology by Mark K. Borsody (Thieme) Page 63See APPENDIX- 81 below TRAUMATIC INTRACRANIAL HEMATOMASTriple H therapy of subarachnoid hemorrhage used to ameliorate cerebral perfusion, consists of:HypervolaemiaHypertensionHaemodilution APPENDIX- 81TRAUMATIC INTRAC... | 4 | Hypertension | Hypervolaemia | Hemodilution | Hypothermia | Surgery | Traumatic Brain Injury | dc46a54d-b187-4051-b15a-a9d9e1fae820 | multi |
Most of the testosterone secreted by the testes exists in the plasma in the form of ? | The majority of circulating testosterone is bound to plasma protein (around 98%), rather than existing in free form . Of this, a majority is bound to a specific sex (or gonadal) steroid-binding protein , and a minority is bound to albumin. Dihydrotestosterone is produced from testosterone in the tissues by a specific e... | 4 | Dihydrotestosterone bound to gonadal steroid-binding hormone | Free dihydrotestosterone | Free testosterone | Testosterone bound to sex-steroid-binding globulin | Physiology | null | 50a847dd-d5ad-4e94-b439-fed48fb2c0b4 | single |
Cytochrome oxidase can be poisoned by all, EXCEPT: | Cytochrome oxidase is a haemo-protein widely distributed in many tissues. It is the terminal component of the chain of respiratory carriers found in mitochondria and transfers electrons resulting from the oxidation of substrate molecules by dehydrogenases to their final acceptor, oxygen. The enzyme is poisoned by carbo... | 4 | Cyanide | Hydrogen sulphide | Carbon monoxide | Carbon dioxide | Biochemistry | null | 227b6220-3ff1-44c7-82a2-f5c035d0ffd6 | multi |
Which of the following statement is true about left phrenic nerve? | The phrenic nerve arises from the neck from the anterior rami of the 3rd, 4th and 5th cervical nerves. It is formed at the lateral border of the scalenus anterior, opposite the middle of the sternocleidomastoid at the level of the upper border of the thyroid cailage. Phrenic nerve (C3-C5) courses veically along the ant... | 1 | Lies anterior to anterior scalenus muscle | Posterior to brachial plexus | Posterior to subclan aery | Posterior to hilum left lung | Anatomy | null | e5b8cca1-52dc-483c-9d0e-947cefffad02 | multi |
Which of the following dietary interventions has shown to reduces moality in patients with coronary hea disease.- | Answer is D (Omega 3 Polyunsaturated Fatty Acids) Consumption of Omega 3 PUFA is associated witlt reduced total moality and sudden cardiac death in patients with ischemic hea disease A number of studies have repoed that consumption of Omega 3 fatty acids confers protection from ischaemic hea disease and that this relat... | 4 | High Fibre diet | Steral Esters | Potassium supplements | Omega 3 polysaturated fatty acids | Medicine | null | 434e4302-7bf5-450e-a88b-4f7ee08509c9 | single |
An 8 year old female presents to the dental clinic due to the increasing gaps between her upper front teeth. Her parents reveal to the doctor that she constantly has her fingers in the mouth despite being reminded. On clinical examination it was noted that the labial flaring and protrusive spacing of maxillary anteri... | If the intensity of the habit persists or increases and adverse dental and skeletal changes are noted beyond age 4 years, corrective measures may be needed to avoid undesirable occlusal problems. By the age of 6to 7 years, estimates indicate that approximately 10% to 15% of children have a persistent digit-sucking habi... | 4 | Tongue thrusting | Thumb sucking | Mouth breathing | Digit sucking | Dental | null | fe43b1af-b39d-47f1-8fc3-f8a8bfd6afc6 | single |
Increased levels of which of the following in amniotic fluid is an indicator of neural tube defect in the fetus : | Acetylcholine esterase: (AChE) Amniotic fluid AChE level is elevated in most cases of open neural tube defects. It has got better diagnostic value than AFP. Reference: D C Dutta's Textbook of Obstetrics 7th edition page no 113 | 1 | Acetylcholinesterase | Butyrylcholinesterase | Pseudocholinesterase | Phosphatidyl esterase | Gynaecology & Obstetrics | General obstetrics | 1086d21c-fef5-4c2d-84d0-e3a81db9c4d7 | single |
Prevention of emergence of risk factor is: | Primordial prevention | 1 | Primordial prevention | Primary prevention | Secondary prevention | Teiary prevention | Social & Preventive Medicine | null | 0b68b8af-137f-4377-8d64-baa5c899766c | single |
Which of the following is a quantitative defect in globin synthesis- | Ans. is 'a' i.e., Thalassemiao Thalassemia is defined as a Quantitative defect in synthesis of structurally normal elobin chains.Sickle Cell Disease represents a qualitative defect in synthesis of globin chains (Structurally abnormal globin chains).# G6PD Deficiency and Diamond-Blackfan Syndrome (Pure Red Cell Aplasia)... | 1 | Thalassemia | Sickle cell hemoglobinopathy | G6PD deficiency | Diamond-Black fan syndrome | Medicine | Thalassemia | 3e17da03-4079-4f9f-8ca0-bd9dc2e46593 | single |
Statutory body (shown in symbol) has been established under the act passed in | 2006 | 3 | 2000 | 2002 | 2006 | 2013 | Social & Preventive Medicine | Health Programmes in India | 0e39527a-90fa-4169-ac4c-1ca573a0d4e2 | single |
Stag horn calculi associated with Proteus infection are? | Triple phosphate or struvite ( Calcium phosphate with ammonium magnesium phosphate ) is smooth and diy white. It grows in alkaline urine, especially when urea splitting organisms like proteus are present and break urea to ammonia and co2 and make urine alkaline. they enlarge to fill most of the collecting system formin... | 2 | Uric acid stones | Triple phosphate stones | Calcium oxalate stones | Cysteine stones | Surgery | Urology | 567289e5-5af9-4a3e-93b5-fcd656d27bb8 | single |
Which of the following structures constitutes part of ventricle of heart - | The inflowing part of ventricles has trabeculations called as trabeculae carneae. | 4 | Auricle | Crista terminalis | Fossa ovalis | Trabeculae carneae | Anatomy | null | a9fa89f1-c387-456a-8089-6912e6d91ccd | single |
prophylactiC plasma concentration range of lithium in mEq does not include: | 0.5-1mEq /lit is the therapeutic plasma concentration of lithium. Ref KD Trip[ati 8th ed | 1 | 0.5 | 0.8 | 0.6 | 1 | Pharmacology | Central Nervous system | 3c54bcf0-9211-4552-ab1a-97b59f0f8256 | single |
Dumping syndrome is characterized by all of the following except: March 2005 | Ans. C: Hyperglycemia Dumping syndrome is a relatively rare disorder in which the stomach contents are delivered too quickly to the small intestine. It occurs as a physiological reaction to the consumption of too much simple or refined sugar in some persons, when simple sugar exits the stomach too rapidly it attracts f... | 3 | Colic | Tremors and giddiness | Hyperglycemia | Epigastric fullness | Surgery | null | d4ec8f42-388c-47c0-9fef-8354f4325060 | multi |
The anticodon region is an impoant pa of the | C i.e. t - RNA | 3 | r-RNA | m-RNa | t-RNa | hn-RNa | Biochemistry | null | 9c732f25-2de8-4fd6-aa58-da71222eafef | single |
Best way to prevent hypotension during spinal anaesthesia | Best method to prevent hypotension is to preload the patient with crystalloids or colloids. B, C, D are used as a pa of treatment not preventive measures. Prophylactic fluid preloading before spinal anesthesia has been a routine procedure to prevent maternal hypotension during cesarean delivery. Unlike colloid, timing ... | 1 | Preloading with crystalloids | Preloading with crystalloids | Mephentermine | Trendelenburg position | Pathology | All India exam | 5c147176-3cdb-487c-9bdc-f76c93f40f65 | multi |
Reports of patients disliking the rubber dam are usually the result of | null | 3 | Latex allergy to the patient | Problem in breathing | a lack ofconfidence of the dental team with its application | all of the above | Dental | null | 5c576640-f867-4d08-ad86-dd5d6b602413 | multi |
Angiotensin converting enzyme inhibitors when used for a long time in patients with hypertension, cause: | Ans. (B) Reduction in filtration fraction(Ref: Goodman & Gilman 11/e p804)*Angiotensin II shifts the renal pressure natriuresis curve to right and helps to adjust the sodium level of the body according to dietary intake of sodium (more excretion with more intake and less excretion with less consumption). ACE inhibitors... | 2 | Rightward shift in renal pressure-natriuresis curve | Reduction in filtration fraction | Significant increase in heart rate | No change in compliance of large arteries | Pharmacology | C.V.S | 99546c9b-b0fa-4e1a-82df-a68f87679651 | single |
During the asymptomatic latent phase of AIDS, the virus is actively proliferating, and can be found in association with? | Follicular dendritic cells in the germinal centers of lymph nodes are impoant reservoirs of HIV. Although some follicular dendritic cells are infected with HIV, most viral paicles are found on the surface of their dendritic processes. Follicular dendritic cells have receptors to the Fc poion of immunoglobulins that ser... | 2 | B lymphocytes | Follicular dendritic cells in lymph nodes | Ganglion cells | Oligodendrocytes | Microbiology | null | ae9599a0-b936-4e02-b04b-4f6ec909983e | single |
Arrange the following stages of demographic cycle in order: I. High stationary II. Late expanding III. Low stationary IV. Early expanding | First stage (High stationary): This stage is characterised by high bih and death rate which cancel out each other and the population remains stationary. Second stage (Early expanding): The death rate begins to decline, while the bih rate tends to fall. Many countries in South Asia and Africa are in this phase. Third st... | 4 | I, II, III & IV | I,III, IV & II | I, IV, III & II | I, IV, II & III | Social & Preventive Medicine | null | 0f0657b6-d8bb-4a78-a22d-572669350c1d | single |
Prevention of disease by immunization comes under which category | Primary prevention aims at preventing the progression of risk factors to disease. It includes health promotion and specific protection. Immunization comes under specific protection. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 42 | 2 | Primordial prevention | Primary prevention | Secondary prevention | Teiary prevention | Social & Preventive Medicine | Concept of health and disease | d5d2b577-6e2a-4b8f-8e15-2ca56077e5be | single |
Longest transit time in GIT is seen in: | C i.e. ColonTransit time in Small Intestine & ColonThe first pa of a test meal reaches the caecum in about 4 hours, all of the undigested poions have entered the colon in 8-9 hours.On average, the first remnants of the meal reach the hepatic flexure in 6 hours, the splenic flexure in 9 hours & the pelvic colon in 12 ho... | 3 | Stomach | Jejunum | Colon | Ileum | Physiology | null | 838e60f4-9081-4e19-a950-0a86cefbe621 | single |
Which of the following drug is alpha–glucosidase inhibitor ? | null | 2 | Pioglitazone | Miglitol | Metformin | Nateglinide | Pharmacology | null | 76588f42-ad08-4e6e-8051-59cb1b9faf9c | single |
A total number of .......tablets of iron with folic acid is given to a pregnant women by the Health worker- | <p> 100 mg of elemental iron and 500 micrograms of folic acid are being distributed daily for 100 days to a pregnant woman through ASHA or antinatal clinic. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:527. <\p> | 3 | 70 | 90 | 100 | 150 | Social & Preventive Medicine | Health programmes in India | 9e42d78f-2e51-455d-8e7f-e15b2cee2a06 | single |
Which of the following is drug of choice for CMV retinitis? | Doc for CMV retinitis - Ganciclovir Other drugs used - Foscarnet, cidofovir Herpes simplex virus (HSV), Varicella zoster virus (VZV) - Acyclovir Anti HIV drugs - Tenofovir, Abacavir Ganciclovir: Activated intracellularly by virus specific thymidine kinase Due to poor oral absorption, bioavailability of ganciclovir is l... | 3 | Acyclovir | Tenofovir | Ganciclovir | Abacavir | Pharmacology | Anti-Viral Drugs | b521ddee-9a0b-46ea-8afa-4508b2376b1f | single |
The therapy shown is used in the management of which of the following condition? | Intermittent low-pressure pulse therapy It is observed that intermittent positive pressure delivered to inner ear fluids brings relieffrom the symptoms of Meniere's disease. Not only there is improvement in veigo, tinnitus and ear fullness, but hearing may also improve. Intermittent positive pressure waves can be deliv... | 1 | Meniere's disease | Otosclerosis | Serous otitis media | Acute Suppurative Otitis Media | ENT | Ear | 69bb0d71-ef98-438c-b4bf-0c11720e4c34 | single |
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