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Internal thoracic aery is a branch of ?
Internal thoracic aeryIt arises from Ist pa of subclan aery and descends through anterior ends of upper six intercostal spaces lying 1.25 cm lateral to sternal margin.It divides into two terminal branches, musculophrenic and superior epigastric in 6th intercostal space.Branches of internal thoracic aery are (i) mediast...
3
Common carotid aery
Brachiocephalic trunk
Subclan aery
External carotic aery
Anatomy
null
8d156e19-3326-4860-a4dd-73e29300a687
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A 55-year-old man presents with a 10 day history of confusion. His friend mentions that he drinks 15 units of alcohol per day. Which of the following strongly suggests a diagnosis of Korsakoff's psychosis: Karnataka 07; Jharkhand 11; KCET 12; PGI 14
Ans. Confabulation
4
Delusional beliefs
Poor long-term memory
Auditory hallucinations
Confabulation
Forensic Medicine
null
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multi
Prokaryotes are characterised by -
Ans. is 'a' i.e., Absence of nuclear membrane Some differences between Prokaryotic and eukaryotic cells Character Prokaryotes Eukaryotes Nucleus Nuclear membrane Absent Present Nucleolus Absent Present Deoxyribonucleoprotein Absent Present Chromosome One (circular) More than one (linear) Mitotic division Absent Present...
1
Absence of nuclear membrane
Presence of microvilli on its surface
Presence of smooth endoplasmic reticulum
All of the above
Microbiology
null
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multi
The demonstrated abnormality is seen in paralysis of?
In this video, the patient is waking lurching gait or a.k.a duck waddling gait. In paralysis of the hip muscles gluteus medius and minimus , the gait is described as "duck-like waddle(Waddling gait) or Sailors gait or Trendelenburg gait and consists of an inclination to the side on which the weight is born i.e. the nor...
4
Gluteus maximus
Gluteus medius
Gluteus minimus
Both 2 & 3
Orthopaedics
Ohopaedics Q Bank
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multi
Primary Membranous Nephropathy has antibodies against ?
Ans. is 'b' i.e., Phospholipase A2 receptorPrimary Membranous NephropathyPrimary (also called idiopathic) membranous nephropathy is considered to be an autoimmune disease linked to ceain HLA alleles such as HLA-DQA1 and caused in most cases by antibodies to a renal autoantigen.In many adult cases the autoantigen is the...
2
Phospholipase Al receptor
Phospholipase A2 receptor
Phospholipase A3 receptor
Phospholipase A4 receptor
Pathology
null
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single
Amphotericin B treatment mandates the monitoring of which of the following electrolytes -
Ans. is `c i.e. Mg+2
3
Na+
Ca2+
Mg2+
null
Pharmacology
null
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multi
Not a B cell lymphoma -
Mycosis fungoides is a slowly evolving cutaneous T-cell lymphoma occuring in middle aged adult males Ref: Harshmohan textbook of pathology pg:359
1
Mycosis fungoides
CLL
Hairy cell leukemia
Mantle cell lymphoma
Pathology
Haematology
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Which is phase - II drug metabolic reaction -
Ans. is 'c' i.e., Methylation .o Phase I reactions : - Oxidation, reduction, hydrolysis, cyclization, decyclization.o Phase II reactions : - Acetylation, glutathione conjugation, glucoronide conjugation (glucuranization), glycine conjugation, methylation, sulfate conjugation (sulfuranation), nucleotide synthesis.
3
Oxidation
Cyclization
Methylation
Hydrolysis
Pharmacology
Pharmacokinetics
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A 48 year old diabetic patient comes to OPD for check up, during the neurological examination - to check retinopathy, doctor checked the light reflexes - On flashing light in front of Left eye - Right pupil constricts but no effect on left, but on flashing ight in front of right eye- right pupil constricts but no effec...
Efferent pupillary defect A lesion occurs in the oculomotor nerve's pupilloconstrictor nerve fibers. Results in dilation of the ipsilateral pupil (Due to unattended effect of the intact sympathetic supply). There will be failure of constriction of the pupil to light, light reflex will be preserved in the other eye. Lig...
2
Afferent pupillary defect of right eye
Efferent pupillary defect of left eye
Efferent pupillary defect of right eye
Afferent pupillary defect of left eye
Medicine
Miscellaneous QBank
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All of the following results in increased renin secretion except _____
The increased amount of Na+ and Cl- reabsorption across macula densa (DCT) is inhibitory to renin secretion. All other factors increase renin secretion. Renin leads to a series of events through the Renin-Angiotensin-Aldosterone pathway that finally, in simple terms, leads to salt and water retention and increases bloo...
2
Renal ischaemia
Increased amount of Na+ in DCT
Decreased amount of Na+ in PCT
Decreased afferent aeriolar pressure
Physiology
Renal physiology
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A case of spontaneous pnemothorax comes to you . What will be the earliest treatment of choice
"Open Pneumothorax is one in which full thickness segment of the chest wall has been destroyed and the negative intrapleural pressure sucks air directly through the chest wall defect rather than through the trachea into the alveoli. It occurs most commonly after shotgun blasts explosion with flying debris. The pt. is s...
3
IPPV
ICD
Needle aspiration
Wait and watch
Anatomy
Cardio thoracic surgery
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single
A man with diabetes insipidus has a glomerular filtration of 155 L/day. Which range most likely represents the upper limit for urine flow rate in this individual if he were not receiving treatment but had free access to water?
Ans. C. 15 to 20 L/dayUrine flow rate in the absence of antidiuretic hormone (ADH) can approach approximately 10% to 13% of the glomerular filtration therefore, for a glomerular filtration of 155 L/day, urine flow could be as much as 15 to 20 L/ day. To maintain this level of urine flow, the individual must consume an ...
3
1 to 3 L/day
5 to 10 L/day
15 to 20 L/day
30 to 35 L/day
Physiology
Kidneys and Body Fluids
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Number of cells in a morula is ?
Once the zygote has reached the two-cell stage, it undergoes a series of mitotic divisions, increasing the numbers of cells. These cells, which become smaller with each cleavage division, are known as blastomere. After the third cleavage, however, blastomeres maximize their contact with each other, forming a compact ba...
2
8
16
32
None of the above
Anatomy
null
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multi
Soft exudates are found in:
Ans. All
4
DM
HTN
Toxemia
All
Ophthalmology
null
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multi
All are routes of transmission of Toxoplasma except
Toxoplasmosis is usually spread by Ingestion of parasites in undercooked meat Ingestion of oocysts from cat faeces Transplacental Blood transfusion REF:Jawetz microbiology 27th edition pg 708
3
Blood transfusion
Feces
Urine
Transplacental
Microbiology
parasitology
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multi
A thirty-year-man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/dl) with SGOT /SGPT (AST/ALT) 1230/900 IU/ ml The serological tests showed presence of HBsAg , IgM anti HBc and HBeAg . The most likely diagnosis:
Ans. is 'b' i.e., Acute hepatitis B infection with high infectivity (Ref: Ananthanarayan, 9th/e, p. 548 and 8th/e, p. 544)* Presence of HBsAg, IgM anti HBc and HBeAg suggest the diagnosis of acute hepatitis B with high infectivity. HBsAgAnti HBsAgHBeAg Anti HBeAg Anti HBcAgAcuteHBV (high infectivity)+-+ IgMAcute HBV (l...
2
Chronic hepatitis B infection with high infectivity
Acute hepatitis B infection with high infectivity
Chronic hepatitis B infection with low infectivity
Acute hepatitis B infection with low infectivity
Microbiology
Hepatitis Viruses
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The receptors for umami taste are specifically stimulated by:
Umami taste is due to activation of a truncated metabotropic receptor, mGluR4, in the taste buds. Glutamate in food may also activate ionotropic glutamate receptors to depolarize umami receptors. Sucrose stimulates sweet receptors; quinine activates receptors for bitter taste. Lysyl taurine is a compound that activates...
1
Glutamate
Sucrose
Quinine
Lysyltaurine
Physiology
Special Senses
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multi
Necrosis with putrefaction is called as:
GANGRENE Gangrene is a form of necrosis of tissue with superadded putrefaction. The type of necrosis is usually coagulative due to ischemia (e.g. in gangrene of the bowel, gangrene of limb).  On the other hand,  gangrenous or necrotizing inflammation is characterized by primary inflammation provoked by virulent bacteri...
2
Desiccation
Gangrene
Liquefaction
Coagulative necrosis
Pathology
null
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multi
The therapeutic effect of sulfasalazine in ulcerative colitis is exerted by :
null
2
Inhibitory action of the unabsorbed drug on the abnormal colonic flora
Breakdown of the drug in colon to release 5–amino-salicylic acid which suppresses inflammation locally
Release of sulfapyridine having antibacterial property
Systemic immunomodulatory action of the drug
Pharmacology
null
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multi
In intracellular fluid, which of the following has least concentration?
- Calcium is kept very LOW in cytoplasm, hence intracellular fluid doesn't contain much Ca+2 - Calcium is mostly stored in organelles inside cell - E.g. In sarcoplasmic reticulum of muscle cell etc.
1
Calcium
Magnesium
Potassium
Protein
Physiology
Body fluid compaments
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single
Increasing severity of mental retardation of male members over generations is a result of -
Ans. (d) Trinucleotide repeat mutation(Ref: Robbins 9th/pg 168-171; 8th/pg 168-171)Increasing severity of mental retardation of male members over generations is a result of "anticipation", seen in disorders caused by Trinucleotide repeat mutation. Eg Fragile X syndrome
4
Mitochondrial DNA mutation
Frameshift mutation
Y linked disorder
Trinucleotide repeat mutation
Pathology
Genetics
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single
Not useful for diagnosis, in a female of 55 years presenting with postmenopausal bleeding: September 2009
Ans. B: Postcoital Test Post-coital/Sim's/Huhner's test is for investigating infeility. Couple is advised to come after 2 hours of intercourse and following things are examined: Number of sperms in mucus aspirated from cervix Type of movement of sperms Quantity, viscosity and fern test of cervical mucus
2
Transvaginal USG
Postcoital test
Pap smear
Endometrial biopsy
Gynaecology & Obstetrics
null
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Following drugs are effective in cases of pneumocystis jirovecii EXCEPT
Trimethoprim-sulfamethoxazole,which acts by inhibiting folic acid synthesis,is considered the drug of choice for all forms of Pneumocystis jirovecii pneumonia.Therapy is continued for 14 days in non-HIV infected patients & for 21 days in persons infected with HIV.Alternative regimens include TMP plus dapsone and clinda...
4
Pentamidine
Trimethoprim-dapsone
Clindamycin plus primaquine
Cefepime
Medicine
Respiratory system
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A sublingual cancer in a 65 year old tobacco chewer has involved the mandible. The commando surgery has been planned. All of the following in removed in commando operation except
Answer- C. Accessory nerveCommando operationCommando operation is done for oral cancers which have involvement of mandible
3
Involved mandible
Oral cancer
Accessory nerve
Neck lymphnodes
Surgery
null
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A 50-year-old man suffering from carcinoma of prostate showed areas of sclerosis and collapse of T10 and T 11 veebrate was most probably through
Communication exists between prostatic &veebral venous plexus through which prostatic carcinoma spread to veebral column.
3
Sacral canal
Lymphatic vessel
Internal veebral plexus of veins
Superior rectal
Anatomy
General anatomy
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single
Intron is not found in which DNA?
Introns enable alternative splicing, which enables a single gene to encode multiple proteins that perform different functions under different conditions. For example, a signal the cell receives could cause an exon that is normally included to be skipped, or an intron that is normally spliced out to be left this would n...
2
Nuclear DNA
Mitochondrial DNA
B DNA
Z DNA
Biochemistry
Metabolism of nucleic acids
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single
Angiotensinogen is secreted by ?
Ans. is 'c' i.e., Liver Angiotensinogen (a, - globulin) is produced in liver and is conveed to angiotensin I (A-I) with the help of renin which is secreted by juxtaglonierular cells of afferent aerioles of kidney and lacis cells (located in the junction between the afferent and efferent aerioles). Angiotensin I is conv...
3
Kidney
Lung
Liver
Brain
Physiology
null
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single
A 76-year-old woman presents with new-onset syncope. She has also noticed early fatigue on exertion for the past year. On examination, there is a systolic ejection murmur at the right sternal border that radiates to the carotids. Your clinical diagnosis is aortic stenosis.For the above patients, select the characterist...
The pulsus tardus of aortic stenosis is the result of mechanical obstruction to left ventricular ejection and often has an accompanying thrill. The characteristic feel of the pulse is caused by a delayed systolic peak.
1
pulsus tardus
pulsus paradoxus
hyperkinetic pulse
bisferiens pulse
Medicine
C.V.S.
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multi
The most common condition of inherited blindness due to mitochondrial chromosomal anomaly is:
Leber's Hereditary Optic neuropathy is a mitochondrially inherited condition due to one of three types of mitochondrial mutation. It causes acute or sub acute degeneration of retinal ganglion cells and their axons resulting in loss of central vision. Ref: A.K KHURANA (2005), Chapter 12, "Vision and Neuro-Opthalmology",...
4
Retinopathy of prematurity
Retinitis pigmentosa
Retinal detachment
Leber's Hereditary Optic neuropathy
Ophthalmology
null
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All true regarding fracture lateral condyle humerus except:
B i.e. Most common complication of surgically treated cases is cubitus valgus deformity Fracture Lateral Condyle Humerus This is a transphyseal intraaicular injury usually involving immature skeleton of children & adolescent. Salter Harris classified all lateral condylar physeal injuries as type IV injuries but some au...
2
Salter Harris type IV injury
Most common complication of surgically treated cases is cubitus valgus deformity
Tardy ulnar nerve palsy occurs
Cubitus varus occur more commonly than valgus
Surgery
null
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multi
Treatment of choice in Medullary Ca thyroid
Surgery is the main therapeutic modality. Total thyroidectomy with bilateral central node dissection and ipsilateral lateral neck dissection if primary tumor is greater than 1cm or central nodes are positive. Reference: SRB's Manual of Surgery, 6th Edition, page no= 477. Reference: Bailey & love, 26th Edition, page no ...
4
Total thyroidectomy
Total thyroidectomy + Radical neck dissection
Total thyroidectomy + Radiotherapy
Total thyroidectomy + Prophylactic CCND
Surgery
Endocrinology and breast
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A patient with leukemia on chemotherapy develops acute right lower abdominal pain associated with anemia, thrombocytopenia and leukopenia. Which of following is the clinical diagnosis
Neutropenic colitis is the inflammation and necrosis of the cecum and surrounding tissues complicating the treatment of acute leukaemia.It may involve any pa of the gastrointestinal tract.This is also seen in other forms of cancer treated with taxanes and other high dose chemotherapy.The patient develops right lower qu...
4
Appendictis
Leukemic colitis
Perforation peritonitis
Neutropenic colitis
Medicine
All India exam
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All drugs can be used in the treatment of H. Pylori infection except
Ans. is 'd' i.e. Mosapride RECOMMENDED TREATMENT REGIMEN FOR HELICOBACTER PYLORI:Regimen durationDrug 1Drug 2Drug 3Drug 4First line treatmentRegimen 1OCA (7 days) Regimen 2OCM (2 days)OmeprazoleOmeprazoleClarithromycinClarithromycinAmoxicillinMetronidazole--Second line treatmentRegimen 3OBTM(14days)OmeprazoleBismuthTet...
4
Omeprazole
Metronidazole
Amoxicillin
Mosapride
Pharmacology
Anti-Ulcer
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multi
Ondansetron is a potent :
null
1
Antiemetic
Anxiolytic
Analgesic
Antidepressant
Pharmacology
null
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single
Basanti devi 45 yrs old women presents with hot flushes after stopping of menstruation. 'Hot Flush' can be relieved by administration of following agents :
Ans. is a i.e Ethinyl estradiol Hot Flushes : They are the 'hallmark' of menopause. Hot flushes are described as recurrent transient period of flushing, sweating and a sensation of heat often accompanied by palpitations. feelings of anxiety. and sometimes followed by chills. The entire episode lasts no more than 1-3 mi...
1
Ethinyl estradiol
Testosterone
Fluoxymesteron
Danazol
Gynaecology & Obstetrics
null
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single
Which of the following is not a mechanism for resistance to MRSA -
In the previous explanation, I have explained the mechanism of antibiotic resistance in general (for all staphylococci species). Antibiotic resistance specific to MRSA:- Mechanism of resistance of MRSA There are three known mechanisms for which Staphylococcus aureus become resistant to methicillin:- Presence of pe...
3
Resistance is chromosomally mediated
Produced mainly by alteration in PBP's
MRSA resistance is absolutely beta lactamase dependent
Intrinsic resistance is known
Microbiology
null
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multi
Neurovascular bundle of anterior compament of leg passes between the tendons of ?
Ans. is 'a' i.e., EHL and EDL
1
EHL and EDL
EDL and peroneus teius
Tibialis anterior and EHL
None of the above
Anatomy
null
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Level of fibrinogen in full term pregnancy at term:
Ans b (300-600) Ref: Dutta 6th ed, p. 52Fibrinogen level is raised by 50% from 200-400 mg% in non pregnant to 300-600 mg% in pregnancy. ESR shows a four fold increase in pregnancy. Platelet falls to 15% of pre pregnant level. Gestational thrombocytopenia may be due to increased platelet consumption.Pregnancy is a hyper...
2
200-400
300-600
150-200
None of these
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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multi
In Hereditary spherocytosis an inherited abnormality is seen in which of the following red blood cell component -
Ideal answer is ankyrin (most commonly) but in the given options, spectrin is the best option.
4
A-globin chain
a-globin chain
Phosphatidylinositol glycan A
Spectrin
Pathology
null
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single
Which one of the following is a mechanism underlying the resistance of strains of S. pneumoniae to the widely used antibiotic, ciprofloxacin?
Microbial resistance to fluoroquinolones is increasing, and some strains of Streptococcus pneumoniae are now resistant to ciprofloxacin. The mechanism can involve changes in the structure of topoisomerase IV, one of the "targets" of fluoroquinolones, which inhibit nucleic acid synthesis. Pneumococcal resistance to peni...
1
Reduced topoisomerase sensitivity to inhibitors
Increased synthesis of PABA
Formation of methyltransferases that change receptor structure
Structural changes in porins
Pharmacology
Anti Microbial
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During heterosexual intercourse, seminal fluid containing HIV contacts vaginal squamous mucosa. Cells capture virions and transport the virus via lymphatics to regional lymph nodes. Within the germinal centers of these lymph nodes, the virions infect CD4+ lymphocytes and proliferate, causing CD4+ cell lysis with releas...
Dendritic cells are a form of antigen-presenting cell. Dendritic cells in epithelia are known as Langerhans cells, and those within germinal centers are called follicular dendritic cells (FDCs). The FDCs may become infected but not killed by HIV. They have cell surface Fc receptors that capture antibody-coated HIV viri...
3
B lymphocyte
CD8+ cytotoxic lymphocyte
Follicular dendritic cell
Natural Killer cell
Pathology
Immunity
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Which of the following is a feature of first degree AV block?
Answer- A. PR interval > 200 msFirst-degree AV block (PR interval >200 ms) is a slowing of conduction through the AV junction.The site of delay is typically in the AV node but maybe in the atria, bundle of His, or His-Purkinje system.In second degree AV block there is an intermittent failure of electrical impulse condu...
1
PR interval > 200 ms
Inversion of T wave
Progressive shoenting of PR interval
Presence of U wave
Medicine
null
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single
Contraindication to DPT is all except -
Ans. is 'a' i.e., Local reaction to previous DPT
1
Local reaction to previous DPT
High fever after previous dose
Infantile spasms
Seizures after previous dose
Pediatrics
null
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In which of the following conditions postmoem lividity is unlikely to develop?
If the body is lying in moving water, due to constant movement of the body postmoem lividity may not develop. Ref: The Essentials of Forensic Medicine and Toxicology By Dr K S Narayan Reddy, 27th Edition, Pages 137-9
3
Drowning in well
Postmoem submersion
Drowning in a fast flowing river
Drowning in chlorinated swimming pool.
Forensic Medicine
null
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X-rays were discovered by
null
2
Madam curie
Roentgen
Rutherford
Becquerel
Dental
null
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single
Phenylketonuria is ?
Ans. is `b' i.e., AR
2
AD
AR
X linked dominant
X linked recessive
Pathology
null
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Skin smear is negative in which leprosy –
There should be no confusion at all; skin is not involved in pure neuritic leprosy, therefore skin smear will always (100%) be negative. However, you should keep in mind very important fact that skin smear is also negative in most of the cases of Indeterminate and tuberculoid leprosy. But very rarely skin smear may be ...
2
Indeterminate
Neuritic
Lepromatous
Borderline
Dental
null
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Inverse glaucoma is seen with this condition.
Ans. (a) Instillation of Miotics Inverse glaucoma is the acute rise in IOP after instillation of miotics. Instillation of miotics will increase the chances of lens-iris contact and will produce a pupillary block. Mydriatics are given to relieve this pupil block.
1
Instillation of Miotics
Instillation of Steroids
Instillation of Mydriatics
All of the above
Unknown
null
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multi
Me thod for waste disposal in small camps-
Burial is suited for small camps.(Ref PARK'S textbook of preventive and social medicine 21st edition page no.697)
1
Burial
Tipping
Compositing
Manure pits
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
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In a patient with the burn wound extending into the superficial epidermis without involving the dermis would present will all of the following EXCEPT?
Ans. is 'b' i.e., Anaesthesia at the site of burn
2
Healing of the wound spontaneously without scar formation
Anaesthesia at the site of burn
Blister formation
Painful
Surgery
null
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The color code for the "Regular" size pins in the TMS (Thread Mate System) pins system is
The Thread Mate System (TMS) pins
1
Gold
Silver
Pink
Red
Dental
null
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Phospholipids are ?
Ans. is 'c' i.e., Complex lipidsThe most commonly used classification of lipids is Bloor's classification which is based on the chemical composition. According to this classification lipids are classified as follows :?A) Simple lipids:- These are esters of fatty acids with glycerol or other higher alcohol. These includ...
3
Simple lipids
Derived lipids
Complex lipids
null
Biochemistry
null
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Lab repo --> CSF with N glucose, (upward arrow) protein and marked lymphocytosis diagnosis is
TB meningitis (Tuberculous meningitis) is caused by the Mycobacterium tuberculosis bacteria. Infection begins elsewhere in the body, usually the lungs, but in about 1 - 2% of cases the bacterium causes TB meningitis. TB meningitis Characteristic cerebrospinal fluid (CSF) findings of TBM include a lymphocytic-predominan...
1
T.B. Meningitis
Viral meningitis
Paialy Rx pyogenic infection
Pyogenic infection
Medicine
C.N.S
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Predominantly osteoblastic metastasis is seen in?
ANSWER: (B) Prostate carcinomaREF: With textRepeat from December 2009"Osteoblastic metastasis is less common in breast cancer but are well documented in metastatic prostate cancer" REF: Integration/interaction of oncologic growth - Gary G. Meadows Page 157"Osteoblastic metastasis occurs most commonly in prostate cancer...
2
Renal cell carcinoma
Prostate carcinoma
Breast carcinoma
Thyroid carcinoma
Surgery
Miscellaneous (Neoplasia)
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single
Bilateral Retinoblastoma ideally is managed by all except
Any modality of treatment in each eye will depend upon the extent of the tumor. Generally,in bilateral cases, every effo is made to save at least one eye We do laser photocoagulation to damage the blood supply of the tumour and not laser excision Refer khurana 6/e
2
Radiation
Laser excision
Enucleation
Thermotherapy
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
e4d12c6c-4b11-4c61-a0db-8f06232213ae
multi
Handedness develops by age of?
Ans. is 'b' i.e., 3 year Handedness is usually established by the 3rd yr. Frustration may result from attempts to change children's hand preference. Variations in fine motor development reflect both individual proclivities and different oppounities for learning. Children who are seldom allowed to use crayons, for examp...
2
2 years
3 years
4 years
5 years
Pediatrics
null
360dbbe4-023b-4b05-8e94-c183e1fb246f
single
Which statements are true regarding VENTOSE (Vaccum Extractor)
Ans-A i.e. Minor scalp abrasions and subgaleal hematomas in the newborn are more frequent than forceps Conditions to be fulfilledHere is a comparison between Ventouse and ForcepsForcepsVentouseCervix is fully dilated and effacedMembrane must be rupturedThe head must be engagedThere should not be undue obstruction (bony...
1
Minor scalp abrasions and subgaleal hematomas in new born are more frequent than forceps
Can be applied when the fetal head is above the level of the ischial spine
Maternal trauma is more frequent than forceps
Cannot be used when fetal head is not fully rotated
Unknown
null
ad43d812-dcd8-4365-af21-00ddbc9bf57b
multi
A 45-year-old man presented with regurgitated food paicles eaten several days earlier. He has foul smelling breath and occasional dysphagia for solid food. What is the probable diagnosis
.OESOPHAGEAL DIVEICULUM can be of two types mainly, *Pulsion diveiculum: a. Pharyngeal pouch through Zenker's or Killian's dehiscence. b. Epiphrenic pulsion diveiculum occurs in the lower oesophagus, usually towards the right side, due to obstruction in the distal oesophagus or due to uncoordinated LOS relaxation. 2. T...
2
Gastric outlet obstruction
Zenker's diveiculum
Scleroderma
Diabetic gastroparesis
Surgery
G.I.T
89306bef-ee71-4d12-96f5-4a95e4190b29
single
Which of the following feature of thyroid nodule on Ultrasongram is not suggestive of malignancy?
A i.e. (Hyperechogenesity) Hyperechoic structure on Ultrasonaography suggests a benign lesion. Malignancies always have a Hypoechoic or nonhomogeneous hypoechoic structure. Echogenecity of Thyroid nodules - The echogenecity of thyroid nodule refers to its brightness compared to the normal thyroid parenchyma - A nodule ...
1
Hyperechogenisity
Hypoechogenisity
Nonhomogenous
Microcalcification
Radiology
null
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single
An 18-year-old woman presents with a fever and headache. She also complains of vaginal itching and dysuria. When asked, she says that she recently became sexually active. Physical examination reveals tender inguinal lymphadenopathy and red, pustular, painful vesicles on her labia majora. What is the most likely diagnos...
Typical vesicles or pustules or a cluster of painful ulcers preceded by vesiculopustular lesions suggests genital herpes. The pathognomonic findings for herpes infections are painful vesicles. Both HSV-1 and HSV-2 can cause genital herpes, but more than 80% of genital lesions are due to HSV-2. HSV-2 is transmitted by d...
3
Klebsiella granulomatis infection
Chlamydia trachomatis infection
HSV-2 infection
Treponema pallidum infection
Dental
Sexually Transmitted Infections
f432e379-ff09-4384-b042-758d3f0ffaba
multi
Patient a known case off alcohol dependence after 3 days of last drink develops change in behaviour that he says he could see 5 cm people throwing stones at him, acts as if he is working in his workshop, frightened pacing in and out of the house with worsening more in the night. The possible diagnosis is
Detoxification implies removal of the toxic substance from the body, this can be done by using a drug similar to alcohol and thus benzodiazepine is chosen. This is the main drug used in treatment of alcohol withdrawal despite the problem being simple withdrawal, rum fits or delirium tremens IF LIVER FUNCTION IS WITHIN ...
1
Delirium tremens
seizure disorder
Rum fits
wernickes encephalopathy
Anatomy
Substance abuse
eaad465b-9e27-429b-9dfc-07259f58f124
single
Which is non-lymphatic filariasis?
Ans. is 'a' i.e., Loa Loa(Ref: Harrison, 17th/e, p. 1324; 6th/e, p. 196)I. Lymphatic filariasisII. Subcutaneous filariasisIII. Serous cavity filariasis* W. Bancrofti* Loa Loa* M. Ozzardi* B. Malayi* Onchocerca volvulus* M. perstans* B. timori* Mansonella streptocerca
1
Loa loa
Wuchereria bancrofti
Brugia malayi
Brugia timori
Microbiology
Parasitology
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single
Thoracic duct is also called as ?
Ans. is 'c' i.e., Pecquet duct Thoracic duct is also known as pecquet duct, left lymphatic duct or Van Hoorne canal.
3
Hensen's duct
Bernard's duct
Pecquet duct
Hoffman's duct
Anatomy
null
09f458c7-5de7-4c29-a655-4875a9c182e0
multi
Beta-glucosidase deficiency leads to:
Ans. aRef.: Harper's Illustrated Biochemistry, 30th edn.Option aTrueYes, it is due to Beta-glucosidase deficiencyOption bFalseNo, it is due to Hexosaminidase A deficiencyOption cFalseNo, it is due to galactose-1-phosphate uridyltransferase or galactokinase deficiencyOption dFalseNo, DM (probably diabetes mellitus) is i...
1
Gaucher's disease
Tay-Sachs disease
Galactosemia
DM
Biochemistry
Carbohydrates
3582276d-01d5-42ac-90f2-63812d4a9bc0
single
Healthy carrier is seen in all except
By type carriers can be classified into Incubatory carriers : Sheds infectious agents during incubation period of disease. Eg. Measles, Mumps etc. Convalescent carriers : Who continue to shed the disease agent during the convalescent period. Eg. Typhoid, Dysentery etc. Healthy carriers : They are victims of subclinical...
2
Polio
Measles
Cholera
Diphtheria
Social & Preventive Medicine
Communicable diseases
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multi
True statements is/are - a) Kaposi's sarcoma is caused by HHV-6 b) EBV causes lymphomatous lymphoma c) Bronchiolitis is caused by RSV d) Erythema infectiosum have 'slapped cheek' appearance e) Roseola infantum is caused by parvovirus
null
2
abc
bcd
bc
ad
Medicine
null
bc6420de-88de-4960-b0c9-3394de53f66e
multi
Phlyctenular conjunctivitis is caused by -
It is believed to be a delayed hypersensitivity (Type IV cell mediated) response to endogenous microbial proteins. Causative allergens are :- (i) Staphylococcus proteins (most common); (ii) Tuberculous proteins and (iii) Proteins of Moraxells axenfeld bacillus and ceain parasistes. Reference : AK Khurana 7th edition pa...
2
Chlaymydia
Staphylococcus
Pneumococcus
Aspergillus
Ophthalmology
Conjunctiva
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single
In Eukaryotes, mRNA is produced by
There is only 1 RNA polymerase in prokaryotes. There are 3 eukaryotic RNA polymerases Type Location RNA transcribed Effect of a-amanitin I Nucleolous 18, 5.8, 28 rRNA Insensitive II Nucleoplasm mRNA, miRNA, snRNA Highly sensitive III Nucleoplasm tRNA, 5s rRNA , U6 snRNA Less sensitive
2
RNA Polymerase I
RNA Polymerase II
RNA Polymerase III
RNA Polymerase IV
Biochemistry
Molecular Biology
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single
One of the following is not penicillinase susceptible:
null
4
Amoxicillin
Penicillin G
Piperacillin
Cloxacillin
Pharmacology
null
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single
All of the following are the indications for Hysterectomy, EXCEPT
Red degeneration of fibroid occurs usually in second trimester of pregnancy leading to sudden pain and leucocytosis and is managed conservatively Indications of Hysterectomy Fibroid Uterus(40-45%) Most common Endometriosis(15-20%) Dysfunctional uterine bleeding Pelvic Inflammatory Bleeding Chronic pelvic pain Tubo-Ovar...
4
Prolapse
Dysfunctional uterine bleeding
Endometriosis
Red degeneration of fibroid
Gynaecology & Obstetrics
Endometrial Carcinoma and Hysterectomy
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multi
Skin TB from an underlying structure is called:
Scrofuloderma: multibacillary type of cutaneous tuberculosis. Earlier known as Tuberculosis cutis colliquativa. It develops as infection into the skin from an underlying focus, usually lymph nodes and occasionally bone, joint. MC in children. MC lymph node involved: Cervical Begins as asymptomatic, bluish red, subcutan...
1
Scrofuloderma
Lupus vulgaris
Erythema nodosum
Erythema gangrenosum
Dental
Mycobacterial Infections
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multi
Regarding spleen, true is:
Ans. (d) Derives its nerve supply from celiac plexus* Derived from Dorsal mesogastrium* Superior border is notched* Coeliac plexus is the nerve supply* Phrenic colic ligament prevents downward displacement* Lieno renal ligament contains Splenic Vessels.* Gastro splenic contains the Short gastric vessels
4
Arises from ventral mesogastrium
Inferior border is notched
Axis of spleen lies along 9th rib
Derives its nerve supply from celiac plexus
Surgery
Spleen
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multi
Supine hypotension is characteristic of the following trimester of pregnancy:
During late pregnancy with the woman in the supine position, the large pregnant uterus rather consistently compresses venous return from the lower body. In about 10 percent of women, this supine compression of the great vessels by the uterus causes significant aerial hypotension, sometimes referred to as the supine hyp...
3
First trimester of pregnancy
2nd trimester of pregnancy
3rd trimester of pregnancy
Twin pregnancy
Gynaecology & Obstetrics
null
2990d1b6-51c5-4dce-b15f-141ade245d39
single
Calculate the specificity of the screening test:\r\n \r\n \r\n\r\n\r\n\r\nScreening test results\r\n\r\n\r\nDiseased\r\n\r\nNot diseased\r\nTotal\r\n\r\n\r\n\r\nPositive\r\n\r\n\r\n400\r\n\r\n\r\n200\r\n\r\n\r\n600\r\n\r\n\r\n\r\n\r\nNegative\r\n\r\n\r\n100\r\n\r\n\r\n600\r\n\r\n\r\n700\r\n\r\n\r\n\r\n\r\nTotal\r\n\r\n...
Specificity is the ability of a test to identify correctly those who do not have the disease, that is, the percentage of "true negatives" among those not diseased. In the above question, there are 600 true negatives among 800 who are not diseased. Hence, the specificity is (600/800)x100 = 75 per cent. Ref: Park's Textb...
2
70 per cent
75 per cent
80 per cent
85 per cent
Social & Preventive Medicine
null
b8ffccf7-bd90-4c58-82a8-7fd2cd3be7ae
single
Sweat glands of palm can be defferentiated from others by the following :
C i.e. Secretion stimulated by emotional stimuli
3
Apocrine glands
High chloride content
Secretion stumulated by emotional stimuli
Chemical mediators mediators control control the sectetion.
Skin
null
27c6c505-f43c-4b40-842e-725c91649f90
single
All are vesiculo bullous lesions except:
Ans is 'b' i.e, Scabies [Ref: Harrison 16th/e p. 312 t(49.1) & 15th/ep. 323 t(57.12)
2
Dermatitis herpetiformis
Scabies
Pemphigus
Pemphigoid
Skin
Vesiculobullous (Blistering) Disorders
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multi
Split laceration resembles: Jharkhand 11
Ans. Incised wound
1
Incised wound
Abrasion
Gunshot wound
Contusion
Forensic Medicine
null
094f1748-fe39-4771-9899-203ed396f64b
single
Below knee, amputation is done at the level of
In below knee amputation, approximately 10 cm below the tibial tuberosity, an anterior incision of two-thirds of the circumference is created.Posterior flap is taken longerRef: Bailey and love pg: 958
2
5 cm below tibial tuberosity
10 cm below tibial tuberosity
15 cm below tibial tuberosity
20 cm below tibial tuberosity
Surgery
General surgery
ec739981-5593-46e3-83cb-feeb3efaf707
single
All of the following are risk factors for atherosclerosis except -
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:182 Risk Factors Category I (For which interventions have been proved to lower CVD risks) 1. Raised LDL cholesterol 2. Reduced HDL cholesterol 3. Atherogenic diet 4. Cigarette smoking 5. Hypeension 6. LVH 7. Thrombogenic factors Category II (For which in...
3
Increased waist-hip ratio
Hyperhomocysteinemia
Decreased fibrinogen levels
Decreased HDL levels
Medicine
C.V.S
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multi
True regarding HbA2 is/are?
Ans. is'c'i.e., Level is increased in ThalassemiaRef: Ganong 23d/e p. 523-525 https: / /www. aafp.org/ alp / 2009 /08 1 5 /p3 39.html"The hemoglobin electrophoresis with beta thalassemia trait usually has reduced or absent HbA, elevated levels of HbA2. and increased HbF.However, a normal concentration of HbA2 does not ...
2
It has more capacity to carry oxygen
Concentration is more than HbA
Level is increased in Thalasemia
Consists of 2 alpha and 2 beta chains
Physiology
null
e4130c5f-32a6-41a2-850c-ac5ae613c497
multi
The administration of succinylcholine to a paraplegic patient led to the appearance of dysarrhythmias, conduction abnormalities and finally cardiac arrest. The most likely cause is –
Sch can cause dangerous hyperkalemia in paraplegic patients which may cause arrhythmias & cardiac arrest.
2
Hypercalcemia
Hyperkalemia
Anaphylaxis
Hypermagnesemia
Anaesthesia
null
3b4ccbe4-f035-4897-a66c-b983bc1239db
multi
Mechanism of action of benzodiazepine is
Ans. is 'a' i.e., GABAA - BZD - Cl- channel stimulator Mechanism of action of benzodiazepines (BZDs)* Muscle relaxation is produced by action on medulla.* Ataxia is due to action on cerebellum.* BZDs acts on GABAA receptors.* GABAa receptor has 5 subunits a / b, b, a / g.* GABA binding site is on b. subunit, while BZDs...
1
GABAA - BZD - Cl- channel stimulator
GABAB - BZD - Cl- channel stimulator
BZD receptor stimulator
NMDA receptor stimulator
Pharmacology
C.N.S
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single
Exhumation is usually done in the -
The whole procedure of exhumation should be conducted and completed in natural day light. Therefore, it is usually started early in morning.
1
Early morning
Evening
Night
Any time
Forensic Medicine
null
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multi
Factor useful for clot stabilization-
Ans. is 'd' i.e., XIII Factor XIII:o It is also called fibrin stabilizing factor.o It is necessary for clot stabilization and the cross linking of the fibrin polymer in blood,o A hallmark of this rare deficiency is poor wound healing and abnormal scar formation.
4
X
XI
XII
XIII
Pathology
Bleeding Disorders
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single
A 25-year-old woman is concerned about a lump on the left side of her neck that has remained the same size for the past year. Physical examination shows a painless, movable, 3-cm nodule beneath the skin of the left lateral neck just above the level of the thyroid cartilage. There are no other remarkable findings. Fine-...
Branchial cysts, also known as lymphoepithelial cysts, may be remnants of an embryonic branchial arch or a salivary gland inclusion in a cervical lymph node. They are distinguished from thyroglossal duct cysts by their lateral location, the absence of thyroid tissue, and their abundant lymphoid tissue. Occult thyroid c...
1
Branchial cyst
Metastatic thyroid carcinoma
Mucocele
Mucoepidermoid tumor
Pathology
Head & Neck
858313d5-1414-4f5a-be4b-5cf214465471
multi
All the following anti-tubercular drugs are hepatotoxic except
Ans. c (Ethambutol). (Ref. Harrison's Medicine - 18th/Table 168-3; KD Tripathi 5th/- 703)# Hepatotoxic AKT drugs- INH- Rifampicin- Pyrazinamide (most toxic)# Nephrotoxic AKT drug- Streptomycin# Neurotoxic drugs- Cyclosporin- INH# Drug Contraindicated in AIDS- ThiacetazoneOptic neuritis, the most serious adverse effect ...
3
Rifampicin
INH
Ethambutol
Pyrazinamide
Pharmacology
Anti Microbial
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multi
To define a health problem, prevalence of corneal xerosis should be -
- corneal xerosis a serious problem in which cornea appears dull, dr and non wettable and eventually opaque. - To define a health problem, prevalence of corneal xerosis should be more than 0.01%. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:616 <\p>
3
>1%
>0.5%
>0.01%
>0.05%
Social & Preventive Medicine
Nutrition and health
71469280-7a6a-441d-9e24-073e604edff2
single
All are the disadvantages of cast restoration except
Diadvantages  In the restoration of a small carious lesion, an inlay is not very conservative. Rely on the bulk of the buccal and lingual cusps for resistance and retention form (wedge the cusps). Number of appointments are more. Necessity for a cementing medium. MDS Prep Bytes( Cast Restoration – Inlay)
2
Not conservative
Less number of appointments
Relies on the bulk of tooth structure for resistance and retention form
Necessity for a cementing medium
Dental
null
1fd603b2-4a09-46e5-ad12-148b1a78bb3c
multi
Predominant ion in saliva is
During saliva production, K+ and Hco3- are secreated of which Hco3- >>  K+ secreted.
3
Potassium
Sodium
Bicarbonate
Chloride
Physiology
null
d1350fed-0537-4206-b5f0-88f3f357d636
single
The most common histological finding of endometrium in DUB is:
Endometrial pattern in DUB • Normal secretory endometrium = 60% • Hyperplastic endometrium = 30% • Irregular shedding • Irregular ripening = 10% • Atrophic pattern Since normal secretory endometrium is not given in options so, we will see 2 most common which is hyperplastic endometrium.
2
Hypertrophic
Hyperplastic
Cystic glandular hyperplasia
Dysplastic
Gynaecology & Obstetrics
null
e8c88d74-3a03-4707-b587-b53ce0f41d40
single
A 3 year old child presents with fracture of femoral shaft had immobilized on traction constantly for two months. The next step of management is:
A i.e. Hip Spica and if necessary internal fixation
1
Hip Spica and if necessary internal fixation
Callow traction for 2 months
Open reduction and Kuntscher's lover leaf intrame?dullary nailing or plating
Traction by Thomas splintA i.e. Hip Spica and if necessary internal fixation
Surgery
null
e1779cad-2a4c-4291-bab2-46b71011bce8
multi
All of the following can be routes of opioid administration except:
Opioid can be given intravenous, intramuscular, transdermal, oral , intrathecal , epidural . Opioid patch can be applied which is transdermal route.
4
Intravenous
Intramuscular
Oral
Intradermal
Anaesthesia
Intravenous Anesthetic Agents
50edfbcf-4cc3-4366-921a-295b5ce8f8af
multi
Most impoant pre-requisite in sanitary latrine is :
Water seal Water seal: The most impoant pa in a sanitary latrine is the water seal. The water seal is the distance between the level of water in the trap & the lowest point in the concave upper surface of the trap It has two impoant functions It prevents access by flies It prevents escapes of odors & foul gases The dep...
2
Squatting plate or slab
Water seal
Smooth slope of pan
Adequate drainage
Surgery
null
03f88005-783b-4366-8c3b-209dd74e49a3
single
Boxer's ear is ?
Ans. is 'a' i.e., Hematoma ear Hematoma of AuricleIt is the collection of blood between the auricular cailage and its perichondrium.It is often the result of blunt trauma seen in boxers, wrestlers and rugby players, so called Boxer's ear.Extravasated blood may clot and then organize resulting in typical deformity of ca...
1
Hematoma ear
Malformed ear
Ear with absent tragus
Lacerated ear
Forensic Medicine
null
bc352044-e459-4241-829a-8f5ebf42e7a1
single
Which one of the following is not a feature of liver histology in non cirrhotic poal fibrosis (NCPF)?
MORPHOLOGIC FEATURES. Grossly, the liver is small, fibrous and shows prominent fibrous septa on both external as well as on cut surface forming irregular islands in the liver. Histologically, the salient features are as under: i) Standing out of poal tracts due to their increased amount of fibrous tissue in triad witho...
4
Fibrosis in and around the poal tracts
Thrombosis of the medium and small poal vein branches
Non specific inflammatory cell infiltrates in the poal tracts
Bridging fibrosis
Pathology
G.I.T
3db10f7f-cd19-4c6d-84b5-ea78ca014095
multi
Death sentence can be awarded by:
Sessions cou
4
First class magistrate
Second class magistrate
Chief Judicial magistrate
Sessions cou
Forensic Medicine
null
506b1c4e-109c-477a-9dc9-c445286458ca
single
Stones that are common with infection is:
Ans. (a) StruviteRef: Campbell Urology 1194* Struvite stones (Magnesium Ammonium Phosphate) occur only in association with urinary infection by urea -splitting bacteria. Proteus mirabilis the most common organism associated with infection.
1
Struvite
Xanthine stone
Cysteine stone
Calcium oxalate stones
Surgery
Kidney & Ureturs
41ad6c3d-f2ce-4cff-9a7f-e2430dcc9a99
single
Postmoem lividity is unlikely to develop in a case of
B i.e. Drowning in fast flowing water (river)
2
Drowning in well
Drowning in a fast flowing river
Postmoem submersion
Drowning in chlorinated swimming pool.
Forensic Medicine
null
af4968ec-9ac0-41fb-9441-705fe68c4f3f
single
Fetichism is:
Ans. is 'c' i.e., Use of objects of sexual gratification * Fetishism : A fetish is an abnormal stimulus or object of sexual desire. Fetishism means the use of such objects of sexual gratification leading to orgasm. For exmaple underclothing, brassiere, petticoat, stocking, shoes, etc.Necrophilia:* In this condition, th...
3
Desire of being identified with the opposite sex
Sexual intercourse with dead bodies
Use of objects of sexual gratification
Sexual gratification by suffering of pain
Forensic Medicine
Sexual Offenses
50aa8601-effc-4163-95e3-d2e8cec5ce16
single
In the flowchart shown below regarding pathophysiology of polycystic ovarian syndrome, A is
Elevated Estrone causes endometrial hyperplasia.
2
Inhibin - B
Oestrogen
Progesterone
Androstenedione
Gynaecology & Obstetrics
null
267b5ed7-19e0-45b6-8cbe-1f89cae40d0b
single