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Drug of choice for Obscessive Compulsive Disorder
B i.e. fluoxetine
2
Imipramine
Flouxetine
Nor tryptiline
Clomipramine
Psychiatry
null
97dbcedb-dc20-43f8-97f8-712713a31240
single
A 45 year old male patient complains that he is often tired and has a headache almost every morning His wife says that her sleep is disturbed because of the patient's loud snoring. Physical examination reveals leg edema. Hypeension, and cardiac arrhythmia. From which disorder is this patient most likely suffering?
In obstructive sleep apnea, airway obstruction results in snoring as well as failure to breathe during the night. The resulting anoxia causes frequent awakenings during the night so that the patient feels tired in the morning. Decreased oxygen availability may result in leg edema, hypeension, morning headaches, cardiac...
2
Sleep wake schedule disorder
Obstructive sleep apnea
Narcolepsy
Delayed sleep phase syndrome
Surgery
null
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single
In unconjugated hyperbilirubinemia the risk of kernicterus increases with the use of:
Sulfonamides were the first antimicrobial agents (AMAs) effective against pyogenic bacterial infections. Sulfonamido-chrysoidine (Prontosil Red) was one of the dyes included by Domagk to treat experimental streptococcal infection in mice and found it to be highly effective. Sulfonarnides are rapidly and nearly complete...
4
Ceftriaxone
Phenobarbitone
Ampicillin
Sulfonamide
Pharmacology
Chemotherapy
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The commor'est cause of hypopyon is:
Ans. Pneumococcus
3
Moraxella
Gonococcus
Pneumococcus
Staphylococcus
Ophthalmology
null
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single
Which of the following is true about P. falciparum
Ans. is 'b' i.e., Accole forms are seen The parasite often attaches itself to the margin or the edge of the host cell, the nucleus and a small pa of the cytoplasm remaining almost outside. This is known as form applique or accole. There is no relapse in P. falciparum. P. falciparum has minimum incubation period (9-14 d...
2
James dots are seen
Accole forms are seen
Relapses are frequent
Longest incubation period
Microbiology
null
27a8d54c-7de9-4b49-8401-9062aa5aa475
multi
A 30-year-old firefighter suffers extensive third-degree burns over his arms and hands. This patient is at high risk for developing which of the following complications of wound healing?
Contracture. A mechanical reduction in the size of a wound depends on the presence of myofibroblasts and sustained cell contraction. An exaggeration of these processes is termed contracture and results in severe deformity of the wound and surrounding tissues. Contractures are particularly conspicuous in the healing of ...
1
Contracture
Dehiscence
Incisional hernia
Keloid
Pathology
Inflammation & Repair
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single
Thrombosthenin is a/an
Ans. is 'b' is Contractile protein Thrombosthenin is a contractile protein found within platelets. It helps the platelets to contract during clot formation.Other contractile proteins found within platelets are-Actin andMyosin molecules
2
Thrombosis preventing protein
Contractile protein
Coagulation protein
Protein for regulating platelets production
Physiology
Blood: Hemostasis and Blood Coagulation
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single
Drug used in refractory glaucoma -
Refractory glaucoma (refractory glaucoma), the drug is difficult to control intraocular pressure, and poor prognosis for conventional surgery glaucoma, the past filtration surgery failed glaucoma, juvenile glaucoma, aphakic eye glaucoma, there are more long-term glaucoma medication history, neovascular glaucoma, second...
3
Systemic glucocoicoid
ACE inhibitor
Alpha agonist
Beta blocker
Ophthalmology
Glaucoma
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single
Lamina densa contains:
null
3
Type 1 collagen.
Type 2 collagen.
Type 4 collagen.
Type 6 collagen.
Dental
null
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single
Most common symptom of carcinoma bronchus is:
CA Bronchus * M/C symptom - Cough > Dyspnea > chest pain > hemoptysis * MC aery responsible for hemoptysis in CA bronchus- bronchial aeries
3
Hemoptysis
Dyspnoea
Cough
Wheezing
Surgery
Oncology
e07d2a99-7f36-4c42-a41a-b99a37d6a0fc
single
Which of the following condition is associated with giant 'v' waves in a JVP?
Giant v waves are seen in tricuspid regurgitation and VSD. v wave in a JVP represents atrial filling and occur during ventricular systole. In tricuspid regurgitation there is an accentuated v wave followed by a rapid y descend. In progressive TR, v wave merges with the c wave and the right atrial and juglar vein wavefo...
2
VSD
TR
Complete hea block
AF
Physiology
null
0396f659-ec93-4a81-9a5d-229bf509caf2
single
All are true about V. cholera except?
Ans. (d) Multi-flagellated bacteria
4
VR media is transport media
Alkaline peptone water is enrichment media
Selective media is bile salt agar
Multi-flagellated bacteria
Microbiology
Vibrio
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multi
Which of the following protein is involved in intercellular connections?
Connexins is a protein involved in intercellular connections. It is an integral membrane proteins with four transmembrane domains, two small extracellular loops, a cytoplasmic loop and cytoplasmic N and C terminal tails. Connexins assemble into a hexamer in the plasma membrane forming a unit referred to as connexon or ...
1
Connexin
Integrin
Adhesin
None of the above
Pathology
null
78dd714b-282f-4a2d-a13c-83c26ee42e9f
multi
When the HR is 72 beats per min, what would be the duration of cardiac cycle?
Cardiac cycle: - 72 beats occur in - 60sec. 1 beat would occur in - 60/72 1 beat - 0.833 sec (~ 833 ms) (0.0139 minute per beat).
4
445 ms
1450 ms
700 ms
833 ms
Physiology
JIPMER 2018
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single
A young basketball player develops an acute onset of subclavian vein thrombosis (effort thrombosis) after heavy exercise. What is the next step in management?
Effort thrombosis, also called Paget-von Schroetter syndrome, is the development of thrombosis of the axillary-subclavian vein as a result of injury or compression. It occurs primarily in young athletes and is disabling. When these patients are seen early, thrombolytic therapy is the first step in management and is fol...
3
Active exercise of the limb
Anti-inflammatory drugs
Thrombolytic therapy
Antibiotics
Surgery
Arterial Disorders
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multi
Disulfide bonds are formed in which amino acid:
Ans. (b) Cysteine* -SH group of 2 cysteine in proteins can be oxidized to form a covalent disulfide bond.* It significantly stabilizes tertiary structures of protein* This bond plays crucial role in structures of many proteins by forming covalent links.* Amino acid that decreases ageing process: Cysteine and Taurine* A...
2
Glycine
Cysteine
Proline
Isoleucine
Biochemistry
Proteins and Amino Acids
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An elderly male present with history of dysphagia, regurgitation, foul breath and cough. Bilateral lung crepitations are noted on examination. The most likely diagnosis is:
Ans. (b) Zenker's diverticulumRef: Sabiston 20th Edition, Pages 1020 -1022* Most common complication of Zenker's Diverticulum - Lung abscess due to aspiration* Most common symptom: Dysphagia (Not Halitosis)
2
Schatzki's ring
Zenker's diverticulum
Corkscrew esophagus
Plummer-Vinson syndrome
Surgery
Oesophagus
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Which is the commonest true benign bone tumor?
Ans. is 'a' i.e.. Osteoid osteoma Important factso Commonest bone malignancieso Commonest primary' malignant tumoro Commonest primary malignant tumor of long bones---SecondariesMultiple myelomaOsteosarcomao Commonest benign tumor of bone-Osteochondroma(Osteochondroma is not true neoplasm since its growth stops with ces...
1
Osteoid osteoma
Hemangioma
Osteochondroma
Enchondroma
Orthopaedics
Osseous Origin Bone Tumors
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Obesity is not a feature of -
null
2
Hypothyroidism
Pheochromocytoma
Hypogonadism
Cushing's syndrome
Medicine
null
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single
As per ISO, color of N20 cylinder is
To differentiate color coding is given to the cylinders . Blue - N20 Black - N2 Orange - Cyclopropane Grey - Co2 Black body with white shoulder - O2 Black body with brown shoulder - Heliox ( Helium + 02 )
1
Blue
Black
White
Red
Anaesthesia
Anaesthetic equipments
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single
"Rugger Jersey Spine" is seen in:
Renal osteodystrophy may produce a 'rugger jersy' (striped) appearance in lateral X-rays of the spine, due to alternating bonds of increased and decreased bone density. Ref: Apley's System of Ohopedics and Fractures, 8th Edition, Page 124; Harrison's Principles of Internal Medicine, 16th Edition, Pages 1225-29.
3
Fluorosis
Archondoplasia
Renal osteodystrophy
Marfan s syndrome
Surgery
null
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All of the following are seen on the right side of the cardiac silhouette in chest X-ray except: September 2008, 2010
Ans. D: Pulmonary aery The cardiac silhouette is the most prominent central feature of the chest x-ray and it produces a familiar gourd shape with the apex of the left ventricle located just behind the left chest nipple. The inferior left ventricle wall lies on the left diaphragm and the superior base of the hea shows ...
4
Right atrium
Superior vena cava
Inferior vena cava
Pulmonary aery
Radiology
null
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multi
Which of the following is a Enrichment broth
Enrichment media is liquid media that allow certain organism to grow and inhibit others. Example: Selenite F broth and Tetrathionate broth for salmonella & Shigella. Alkaline peptone water for Vibro cholerae.
1
Selenite F broth
Blood agar
Loeffler's serum slope
All the above
Microbiology
null
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multi
Pulmonary Hypertension is defined as Pulmonary Artery Pressure-
Ans. is 'd' i.e., > 25 mmHg (Link; Documenis/guidelines-PH-FTpdf)o PH has been defined as an increase in mean pulmonary arterial pressure (PAP) > 25 mmHg at rest as assessed by right heart catheterization (RHC').DefinitionCharacteristicsClinical group(s)Pulmonary- hypertension (PH)o Mean PAP > 25mmHgo AllPre-capillary ...
4
> 15mm Hg
> 18mm Hg
> 20mm Hg
> 25mm Hg
Medicine
Hypertension
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All the following indicators are used to measure disability rates in a community except?
Ans. is 'b' i.e., Human Povey Index
2
Sullivan's Index
Human Povey Index
Health Adjusted Life Expectancy
Disability Adjusted Life Year
Social & Preventive Medicine
null
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multi
Crocodile skin apppearance is seen in-
High voltage current may cause burns over a large area of skin (around entery wound) → Crocodile skin lesion.
1
High voltage burns
Electric shocks
Drowning
Mummifications
Forensic Medicine
null
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single
Trigone of urinary bladder develops from
The terminal poion of Mesonephric duct gets absorbed into the posterior wall of urogenital sinus and forms the trigone of the urinary bladder. Urinary bladder develops from endodermal vesicourethral canal. Ref: Gray's 39e/p-1289
3
Urogenital sinus
Vesicourethral canal
Mesonephric duct
Endoderm
Anatomy
General anatomy
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single
What does Casper Dictum indicate?
Casper dictum is useful for a rough assessment of the rate of decomposition of the dead body. It is 8 times slower under soil, and 2 times slower under water compared to air. Conditions that accelerate decomposition are: Septicemia Rhabdomyolysis Cocaine overdose Edematous area Conditions that retards decomposition are...
4
Identification of dead body
Calculation of time since death
Detection of child abuse
Rate of putrefaction
Forensic Medicine
null
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Cause of death in-cafe-coronary is:
A i.e. Asphyxia
1
Asphyxia
Laryngeal-oedma
Cardiac arrest
Hypeension
Forensic Medicine
null
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single
What is the cause for luteal phase defect ?
Ans. is a i.e. Progesterone is inadequately secreted Luteal phase Defect is a condition when there is delay in the development of the endometrium of more than 2 days beyond the actual cycle day. This adversely affects the endometrial receptivity to blastocyst implantation. Etiology : Luteal phase defect is due to inade...
1
Progesterone is inadequately secreted
Excess estrogen is secreted
Excess progesterone is secreted
All
Gynaecology & Obstetrics
null
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multi
Fever persisting even after treatment of pneumonia likely diagnosis is
number of noninfectious conditions mimic pneumonia, including pulmonary edema, pulmonary embolism, lung carcinoma, radiation and hypersensitivity pneumonitis, and connective tissue disease involving the lungs. If the patient truly has CAP and empirical treatment is aimed at the correct pathogen, lack of response may be...
4
Empyema
Fungal lesions
Carcinoma bronchus
Any of the above
Anatomy
Respiratory system
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A 45-year-old woman underwent a modified radical mastectomy 4 years ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exeion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilate...
This patient is showing features of congestive hea failure which has most probably resulted from the use of doxorubicin. It is a leading cause of chemotherapy induced hea disease, it cause this during therapy, weeks after completion of therapy or unexpectedly after years. Traditionally, the cardiac-limiting dose of dox...
2
Systolic dysfunction CHF
Drug induced cardiac toxicity
Metastatic cardiac disease
Pneumonia
Medicine
null
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multi
The drug of choice for treating cholera in pregnant women is -
null
3
Tetracycline
Doxycycline
Furazolidone
Cotrimoxazole
Social & Preventive Medicine
null
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Drug of choice for hypeension with hyperlipidemia is
Thiazide diuretics and beta blockers produce unourable lipid profile.Hence prazosin which is an alpha blocker is prefered as it has no effect on lipid profile. Ref: KD Tripathi 8th ed.
1
Prazosin
Atenolol
Thiazide
Propranolol
Pharmacology
Autonomic nervous system
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Regarding Abdominal cacoon all statements are true except
.Pathology in Peritoneal Tuberculosis * Enormous thickening of the parietal peritoneum with multiple tiny yellowish tubercles. * Dense adhesions in peritoneum and omentum with content inside as small bowel looking like abdominal cocoon. It may precipitate intestinal obstruction. * Multiple dense adhesions between bowel...
2
Common in young girl
Associated with liver fibrosis
Fibrosis of small bowel & stomach
Chronic peritonitis is seen
Surgery
G.I.T
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multi
Definition of Nosocomial infection includes -
Ans. is 'd' i.e., Infection within 30 days after discharge * The term hospital infection, hospital-acquired infection or nosocomial infection are applied to infections developing in hospitalized patients, not present or in incubation at the time of their admission.* Such infections may become evident during their stay ...
4
Infection within 24 hours of admission
Infection within 48 hours of admission
Infection 40 days after discharge
Infection within 30 days after discharge
Microbiology
Bacteria
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Tinea Incognito is
Tinea incognito is atypical tinea caused by incorrect treatment of lesions with topical corticosteroids, where the lesions are asymptomatic, extensive and does not have scales.
3
Itchy skin lesion whose causative organism is not known
Tinea infection on back
Tinea infection seen after corticosteroid treatment
Tinea infection of nailbed.
Dental
null
67982c11-4a71-4bf7-bbfd-eacbe392524e
single
True about sand filter is
Slow sand filters occupy more space, requires long duration require less skilled operators and gives good bacterial quality when compared to rapid sand filters. But it takes more time for the operation. Rate of filtration is 200 m.g.a.d in the rapid sand filter but only 2-3m.g.a.d. in the slow sand filter (PARK TB 25th...
3
Occupies less space
More expensive
Requires longer duration
Sand size 0.4-0.7mm
Social & Preventive Medicine
Environment and health
c0e96960-20f9-4dd5-b8c0-ec3082cea739
multi
A 40 year old male with diabetes presents with vitreous hemorrhage. What is the cause ?
This patient is likely to have proliferative diabetic retinopathy in which neovascularization is the hallmark. Neovessels along with fibrous tissue may lie flat on the retina or attach itself to the posterior vitreous face leading later to vitreous face leading later to vitreous traction, retinal separation and the tea...
2
Posterior retinal detachment
Neovascularization at disc
Central retinal vein occlusion
Trauma to central retinal artery
Ophthalmology
null
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Anti DNAase-B is used for diagnosis of -
null
2
Staphylococcus
Streptococcus
Corynebacterium
Neisseria
Microbiology
null
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single
Thyroid storm is seen in -
Ans. is 'd' i.e., All of the above o Thyroid storm is a rare, life-threatening condition characterized by severe clinical manifestations of thyrotoxicosis.Risk factorso Although thyroid storm can develop in patients with long-standing untreated hyperthyroidism (Graves' disease,, toxic multinodular goiter solitary? toxi...
4
Thyroid surgery
Neonatal thyrotoxicosis
Peri-operative infection
All of the above
Medicine
Thyroid
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Simple life cycle requires -
Human parasite may complete their life cycle in a single host or more than one host.Some parasites require two or three host to complete their life cycle (refer pgno:6 baveja 3 rd edition)
1
One host
Two host
Three host
Four host
Microbiology
parasitology
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As per Bio Medical Waste Management & Handling rules, waste sharps should be contained:
null
1
White container
Yellow container
Red container
Black container
Dental
null
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single
How would a drug that competes with Ach for receptors at the motor end plate effect skeletal muscle? It would
Dragcompetes with acetylcholine at the motor end plate causes muscle relaxation Ref: guyton and hall textbook of medical physiology 12 edition page number:65,66,67
3
Produce uncontrolled muscle spasma
Cause the muscles to contract and be unable to relax
Cause muscles to relax and be unable to contract
Make the muscles more excitable
Physiology
Nervous system
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single
Which feature would most likely be found in a patient with lepromatous leprosy?
The disease of leprosy is divided into two basic types: lepromatous and tuberculoid. The lepromatous form is an aggressive disease, whereas the tuberculoid form tends to be self-limiting. Individuals with lepromatous leprosy have an inflammatory skin infiltrate, which consists largely of macrophages that have a charact...
2
No bacteremia
Macrophages with a foamy appearance in the dermis
A positive lepromin reaction
A high cell-mediated response against Mycobacterium leprae
Unknown
null
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Anesthetic agent/s which have tocolytic effect are
Halothane, enflurane, and isoflurane produce a dose-dependent decrease in uterine tone (tocolysis)Studies of isoflurane demonstrate that halogenated compounds reduce both the frequency of uterine contractions and the interval between them.(Refer: stoelting's pharmacology and physiology in anaesthetic practice, 5th edit...
4
Halothane
Enflurane
Isoflurane
All the Above
Anaesthesia
All India exam
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Which of the following structures is involved in the paramedian infarction of the base of the pons?
Base of the pons includes coicospinal (pyramidal), coicobulbar, coicopontine tracts, pontine nuclei, and transverse pontine fibers. so in paramedian infarction of base of pons coicospinal (pyramidal ) tract is affected.
3
Anterior spinocerebellar tract
Descending trigeminal tract
Pyramidal tract
Rubrospinal tract
Anatomy
Brainstem lesions and blood supply of CNS
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Waxy flexibility is a characteristic sign of:
Waxy flexibility is a sign of catatonia. In waxy flexibility, when examiner makes a passive movement on patient, there is a feeling of plastic resistance which resembles bending of a soft wax candle. It is seen in stupors catatonia more commonly. In excitatory catatonia, instead of stupor, patient shows increased level...
2
Excitatory catatonia
Stuporous catatonia
Obsessive compulsive disorder
Paranoid schizophrenia
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
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All of the following modalities can be used for in-situ ablation of liver secondaries, except
A i.e. Ultrasonic waves Ultrasonic waves (i.e. USG) have been used to improve placement of probe delivering intralesional ethanol injection, radiofrequency ablation and cryotherapyQ. It is not used for insitu abalation of liver tumor (primary & secoandary). Treatment modalities for liver secondaries Liver transplant (i...
1
Ultrasonic waves
Cryotherapy
Alcohol
Radio frequency
Radiology
null
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multi
Salt loosing nephropathy seen in
Ans. is 'd' i.e., Interstitial nephritis
4
Amyloidosis
Lupus nephritis
Post streptococcal glomerulonephritis
Interstitial nephritis
Pathology
null
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All are true about P-value except ?
Ans. is 'b' i.e. Is equal to 1-0 P value is equal to the probability of commiting type I error, i.e. observing a difference when there is no difference in real. When P value is less than signficance level (a) , the results are statistically significant. Significance level (c() is fixed in advance. For example, signific...
2
It is the probability of commiting type I error
Is equal to 1-0
Is the chance that the presence of difference is concluded when actually there is none
when p-value is less than a, the result is statistically significant
Social & Preventive Medicine
null
61ec7602-ed46-4a24-9f8f-1b8747daf7a5
multi
Which of the following solution is recommended for TMJ Arthrocentesis:
Liquid:
2
Normal saline.
Ringer lactate.
Distilled water
None.
Surgery
null
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Normal glomerular filtration rate (GFR) in men is
(125 mi/min) (706-GN) (646- Ganong 23rd)* The normal value of GFR is 125 ml/min or 180 L/day* A rate of 125 ml/min is 7.5 L/hour or 180 L/day, whereas the normal urine volume is about 1 L/d. Thus 99% or more of the filtrate is normally reabsorbed.* At the rate of 125 ml/min, the kidneys filter in 1 day an amount of flu...
1
125ml/min
200 ml/min
7.5 L/min
8 L/hour
Physiology
Kidneys and Body Fluids
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"Nut meg" liver is seen in:
CVC Liver
1
CVC Liver
Liver infarction
Amyloidosis
Budd chiari syndrome
Pathology
null
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Vascular congestion over inseions of the rectus muscles (paicularly lateral rectus) is seen in:
Ans. Graves ophthalmopathy
3
Lymphoma
Hemangioma
Graves ophthalmopathy
Trauma
Ophthalmology
null
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Drug of choice for open angle glaucoma -
Ans. is 'c' i.e., Timolol Impoant acts Angle closure glaucoma Treatment of choice for acute congestive glaucoma Laser iridotomy (1" choice), Peripheral iridectency (2" choice) Drug of choice for acute congestive glaucoma Pilocarpine Initially IOP is controlled (first drug used)- Systemic mannitol or acetazolamide Open ...
3
Acetazolamide
Latanoprost
Timolol
Brimonidine
Ophthalmology
null
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Secondary glaucoma following corneal perforation is due to:
Ans. Peripheral anterior synechiae
2
Central anterior synechiae formation
Peripheral anterior synechiae
Intraocular haemorrhage
Angle recession
Ophthalmology
null
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Maximum allowable dose of 2% lidocaine with 1:100000 epinephrine for a child of 40 lbs is:
null
2
60mg
120mg
180mg
240mg
Surgery
null
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multi
Most common dose related side effects of salbutamol?
ANSWER: (D) TremorsREF: KDT 7th ed p. 217The most common dose related side effect of salbutamol is tremors, Palpitations, restlessness, nervousness and restlessness are also seen.
4
Nervousness
Palpitations
Restlessness
Tremors
Pharmacology
Asthma
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single
The primary action of Nitric oxide (NO) in the gastrointestinal tract is:
C i.e. Gastrointestinal smooth muscle relaxation - Nitric oxide (NO) is synthesized from arginine (02, NADPH) by NO synthase (requiring FMN, FAD, herne & BH4) in nerves and vascular endothelial cells (hence called EDRF). It relaxes smooth muscles by increasing cyclic GMPQ. - Nitric oxide (NO) and atrial natriuretic fac...
3
Vasodilatation
Vasoconstriction
Gastrointestinal smooth muscle relaxation
Gastrointestinal slow smooth muscle contraction
Physiology
null
389c5b31-da6f-4183-86d0-28ca2b478a19
single
Which group of streptococcus grow at > 60°C -
null
4
A
B
C
D
Microbiology
null
ba8e091c-54e4-4e84-aa80-ce3aa7fb071b
single
Which of the following is NOT a clinical feature of Post-Traumatic Stress Disorder (PTSD)?
Hallucinations are not a feature of post traumatic stress disorder. It is a delayed and protracted response to exceptionally stressful or catastrophic life event. It is characterized by flash back (recollection of event), hyper arousal (insomnia), emotional numbing and avoidance. Ref: The Encyclopedia of Psychological ...
2
Flashbacks
Hallucinations
Hyperarousal
Emotional numbing
Psychiatry
null
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multi
A beta hemolytic bacteria is resistant to vancomycin shows growth in 6.5% NaCI, is non bile sensitive. It is likely to be -
Ans. is 'c' i.e., Enterococcus The bacteria in this question is showing growth in 6.5% NaC1, non bile senstive (ie growing in the presence of bile) and showing 3 hemolysis, Enterococci have all these features.
3
Strep agalactiae
Strep pneumoniae
Enterococcus
Strep bovis
Microbiology
null
c3128ba5-195e-461e-a422-dc9ceecb6887
single
Growth activity at which of these synchondroses completes first?
null
2
Spheno-occipital
Intersphenoidal
Intra-occipital
Sphenoethmoidal
Dental
null
f11a0b81-db84-4351-ba7b-cdf12314b209
single
A 69 year old woman is brought to the emergency room after falling off a step stool and fracturing her hip. Her past medical history is significant for several bouts of pneumonia during the past year. Laboratory results indicate a normal white blood cell count, but platelets are decreased, and the erythrocyte sedimenta...
The patient is suffering from multiple myeloma, a neoplastic proliferation of plasma cells (or their precursors) found within the bone marrow. These malignant cells are responsible for the production of excessive amounts of immunoglobulin (usually IgG or IgA), producing an M- protein spike, and increasing the ESR. The ...
3
Chronic lymphocytic leukemia
Monoclonal gammopathy of unceain significance
Multiple myeloma
Plasmacytoma
Pathology
null
e97eb8aa-f401-4e8e-bb9c-34c2ecd6a727
multi
Successional dental lamina is responsible for :
From the successional lamina come permanent teeth, which replace the primary teeth except for the permanent molars.
2
Elongation of the Jaw.
Development of permanent incisors canines and premolars.
Development of molar tooth only.
None of the above.
Dental
null
06a3d715-cd10-4ab5-92db-1d48dcadb28c
multi
The palate of an HIV +ve patient shows the following lesion, the probable diagnosis is:
Kaposi’s sarcoma has four major clinical presentations: classic (chronic), endemic (lymph-adenopathic; African), immunosuppression-associated (transplant), and AIDS-related. The early lesion (patch stage) is characterized by proliferation of small veins and capillaries around one or more preexisting dilated vessel. Mor...
1
Kaposi’s sarcoma
Lymphangioma
Non Hodgkin’s lymphoma
Hodgkin’s lymphoma
Pathology
null
a09ccfd1-a60e-40e8-9e3b-a03e30883782
single
Meyer cotton Grading system used for
null
2
Laryngocoele
Subglottic stenosis
Laryngomolocia
TB larynx
ENT
null
b6de38b7-31bf-4014-961a-d8d729356cf0
single
A patient who is on dicoumoral therapy require a tooth extraction. Which laboratory test is the most valuable in evaluating this patient's surgical risk?
null
3
Clotting time
Bleeding time
Prothrombin time
Complete blood cell count
Surgery
null
0548bd64-0f78-4c65-ab53-a66f5adb074a
single
Poor prognostic factors in a child with kwashiorkar include all of the following-
Ans. is 'b' i.e., Hepatomegaly o Hepatomegaly is one of the essential diagnostic feature of kwashiorkor, it does not indicate poor prognosis. o Poor prognostic factors in PEM, which can lead to early death ? Hypothermia 4. Diarrhea 7. Cardiac failure Hypoglycemia 5. Severe anemia 8. Dehydration or overhydration Systemi...
2
Hypothermia
Hepatomegaly
Purpura
Dermatosis
Pediatrics
null
8646d4b3-2576-48ce-94dd-e433446e0fec
multi
Dawson Fingers are feature of
Multiple sclerosis :- - is m/c immune mediated inflammatory demyelinating disease of CNS - autoimmune destruction of myelin formed - Dawson fingers - are radiological feature of Multiple sclerosis - are periventricular white matter hyperintensities perpendicular to ventricles - involvement of calloso-septal interface -...
2
Parkinsonism
Multiple Sclerosis
Progressive supra nuclear palsy
CJD
Radiology
Neuroradiology
00fbc03c-202e-4401-9887-44517b2cdac0
single
Concentration of sodium in mMol/L in low osmolar ORS is?
null
4
45
90
60
75
Social & Preventive Medicine
null
5a9c6316-0051-437f-9f29-b9edee6b7634
single
Peritonsillar abscess is most commonly caused by
Peritonsillar abscess ( Quinsy) is the collection of pus in the peritonsillar space which lies between the capsule of tonsil and superior constrictor muscle. A peritonsillar abscess usually follows acute tonsillitis. First crystal Magna is infected and sealed off. Culture of pus from the abscess May reveal beta-hemolyt...
3
Streptococcus pneumonia
Staphylococcus aureus
Beta hemolytic streptococcus
Hemophilus influenza
ENT
Pharynx
f26b3e4d-831f-4366-87ab-2436ad8d71f9
single
Bass brushing technique:
null
4
Cleans teeth from gingival margins
Stimulates gingiva
Interdentat spaces
All of the above
Dental
null
f0378569-5d84-41da-8cce-edfa8b147809
multi
Which of the following agents do not act via GABAA – Cl– channel complex receptors ?
null
4
Zopiclone
Benzodiazepines
Thiopentone
Promethazine
Pharmacology
null
243fef19-2fed-4388-bd9c-c9eda547967e
single
Silver plaques are a feature of: September 2006
Ans. B: Psoriasis Plaque psoriasis is the most common presentation of psoriasis and of all the patterns is the most likely to affect the typical areas of the elbows, knees, umbilicus and lower back. It tends to be a relatively persistent or chronic pattern of psoriasis that can be improved with treatment but is difficu...
2
Lichen planus
Psoriasis
Vitiligo
Albinism
Skin
null
e1dca27f-ebec-4358-be6b-5fccabc7c5b3
single
Main aim for treatment of TB -
Ans. is 'd' i.e., Complete bacteriological cure o Chemotherapy is indicated in every' case of active tuberculosis.o The objective of treatment is cure-that is, the elimination of both the fast and slowly multiplying bacilli from the patient's body.o The effects of chemotherapy are judged not by the anatomic healing of ...
4
Prevention of complication
Prevention of disease transmission
Complete clinical cure
Complete bacteriological cure
Social & Preventive Medicine
Tuberculosis
094a7e73-c047-4ff0-8c51-6da21f523e49
single
True about gliomas-metastize commonly to
(A) Liver /Harrison16 - 2452]# Large majority of ASTROCYTOMAS arising in adults are high grade, supratentorial, and do not have a clearly defined margin.> Neoplastic cells migrate away from the main tumor mass an infiltrate adjacent brain, often tracking along white matter pathways.> Imaging studies do not indicate the...
1
Liver
Glioma multiforme is slow growing tumour
Supratentorial
Classified based on gross appearance
Medicine
Miscellaneous
1fd360bf-7d52-42e7-b392-ddf5165d789a
multi
In right middle ear pathology, weber test will be
Weber`s test lateralizes to the affected ear in a conductive hearing loss and to the normal ear in a sensorineural hearing loss. In case of a middle ear pathology, there is conductive hearing loss and hence weber`s test lateralizes to the affected ear.Weber`s is the most sensitive test, lateralizes even at 5 dB of hear...
3
Normal
Centralised
Deted to right
Deted to left
ENT
Ear
40a26a04-2f6a-4dad-ac46-2d977394f16b
single
Which one of the following blood fractions is stored at - 40oC
Red Cells 42 days with the appropriate additives( SAG-M) 2-6 oC Platelets 5 days 20-24 oC Cryoprecipitate 2yrs At - 30degC It is a supernatant precipitate of FFP and is rich in factor VIII and fibrinogen. Ref: Bailey and love. 27th edition. Pg no:21
1
Cryoprecipitate
human albumin
Platelet concentrate
Packed red cells
Surgery
General surgery
bb4fb72b-8488-40b6-97d1-b2cbb551e5bb
single
If a missile enters the body just above the pubic ramus through the anterior abdominal wall, it will most likely pierce which of the following structures
When the bladder is not empty, it rises above the level of the pubic symphysis. Other options given, do not reach the level of the pubic symphysis.
3
Abdominal aorta
Left renal vein
Urinary bladder
Spinal cord
Anatomy
null
cdf71080-aca2-446d-ad7f-a8dd3fa509bc
multi
Process of migration of leukocytes through the endothelium is through
The next step in the process of leukocyte recruitment is migration of the leukocytes through the endothelium, called transmigration or diapedesis. Transmigration of leukocytes occurs mainly in post-capillary venules. Chemokines act on the adherent leukocytes and stimulate the cells to migrate through interendothelial s...
3
Phagocytosis
Pinocytosis
Diapedesis
Apoptosis
Pathology
All India exam
675eef71-e05c-4d4c-aaa7-31bca3b46681
single
Post traumatic stress disorder is due to?
Ans. is 'd' i.e., Major life treatening events Stressors for stress disorders* Stress disorders occur after an extreme traumatic events involving the threat of personal death or injury. They can arise from experiences in war, torture, natural catastroph (earthquake, volcano, floods), assault, rape, and serious accident...
4
Head injury
CVD
Minor stress
Major life threatening events
Psychiatry
Anxiety & Stress
923f811b-cc57-45e4-9134-8c50221a63be
single
Most common site for trauma of spine is-
*Traumatic spine injuries most commonly affect cervical spine (50-60%)followed by dorsolumbar junction. Ref: Clinical Ohopaedics maheswari 9th p.786
1
Cervical veebrae
Thoracic veebrae
Lumbar veebrae
Sacrum veebrae
Anatomy
null
87e3e6a6-7e30-4a05-baa7-f9bb1113a442
single
Minimum dose of estrogen in combined OCP's
.
1
20mcg
30cg
35mcg
50mcg
Anatomy
All India exam
bf541c7a-d272-4d68-90ca-288371d76979
single
A 5-year-old with loose stools was treated with plan A, how much ORS should be given per stool for the kid
The amount of ORS solution she should give is 50-100 ml ( 1/4 - 1/2 cup) of ORS solution for a child less than 2 years old. 100-200 ml for older children. Reference: GHAI Essential pediatrics, 8th edition
3
0-50ml
50-100ml
100-200ml
200-300ml
Pediatrics
Gastrointestinal tract
d309d1a8-a5b6-43a2-9d39-1478296a3b2d
single
A35 yr old lady with Normal PT and increased aPTT. 2 year back, she was operated for cholecystectomy & did not have any bleeding episode. What is next investigation for clinical diagnosis -
null
2
Factor VIII assay
Anti viper venom assay
Platelet aggregation test
Ristocetin cofactor assay
Medicine
null
f52b4258-5451-48c8-8c1f-50ad7c93f31c
single
Most common cause of DIC
Ans. (a) Obstetric complications(Ref: Harrison 18th ed/pg 1390)The most common causes are bacterial sepsis, malignant disorders such as solid tumors or acute promyelocytic leukemia, and obstetric causes. DIC is diagnosed in almost one-half of pregnant women with abruptio placentae, or with amniotic fluid embolism
1
Obstetric complications
Cyanotic heart disease
Malignancies
Extensive bums
Pathology
Bleeding Disorders
66c85368-5da8-418c-b2bb-d1ddcc87cfd7
single
Stage 4 clinical trial also called as ?
Ans. is 'b' i.e., Post marketing surveillance Summary of clinical tarils Phase Name Conducted on Blinding and control Human pharmacology Healthy volunteers OPEN LABEL and safety (20-100) (No bliniding) lI Therapeutic 100-150 Single blind exploratory Patients (homogenous population) Controlled Therapeutic Upto 5000 pati...
2
Human pharmacology and safety
Post marketing surveillance
Therapeutic exploration and dose ranging
Therapeutic confirmation
Pharmacology
null
570227f8-fce4-4db9-9c59-52e880e6f8f2
multi
Stem cells are taken from all except -
Ans. is 'a' i.e., Livero There are three accessible sources of adult stem cells in humans :Bone marrow, which requires extraction by harvesting, that is, drilling into bone (typically the femur or iliac crest),Adipose tissue, which requires extraction by liposuction, andBlood, which requires extraction through pheresis...
1
Liver
Bone marrow
Blood
Adipose tissue
Pathology
null
866599b2-5462-4de0-b5c2-d6060ac838b2
multi
Myelin sheath in CNS is produced by
Oligodendrocytes and Schwann cells are involved in myelin formation around axons in the CNS and peripheral nervous system respectively. Ref: Ganong&;s review of medical physiology; 23rd edition; pg: 80.
1
Oligodendrocyte
Schwann cell
Microglia
Macroglia
Physiology
Nervous system
3757d845-e48b-47f1-8970-cc47827826c6
single
Gitter cells are -
A i.e. Microglia Gitter or Hoega cell is a lipid laden microglial cello commonly seen at the edge of healing brain infarcts. It phagocytize lipid from necrotic or degenerating brain cells. It is also known as compound granule cell, gitterzelle (lattice or wire-net), mesoglia or pefivesicular glial cell.
1
Microglia
Modified macrophages
Astrocytes
Neutrophils
Anatomy
null
cf6eff8b-4691-4286-9886-d329aed5e8cd
single
In Volkmann's ischaemia, surgery should be done within:
C i.e. 1 hour
3
24 hours
36 hours
1 hour
6 hours
Surgery
null
67ff1eb6-230b-4ec0-b431-141ae475920a
single
HER2/neu receptor plays a role in
Friends, direct quote from Robbins….’HER2/neu overexpression is associated with poorer survival but its main importance is as a predictor of response to agents that target this transmembrane protein (examples trastuzumab or lapatinib).’ • The overexpression is due to amplification of the gene HER2/neu located on 17q21....
1
Predicting therapeutic response
Diagnosis of breast cancer
Screening of breast cancer
Recurrence of tumor
Pathology
null
09a96ea5-619e-47e6-961d-805ddd6c0f4e
single
Which bag among the following shouldn’t be incinerated as it contains cadmium?
null
2
Blue
Red
Black
Yellow
Dental
null
3419ae62-301f-4e2b-bb0c-6004495ba050
single
A young female came to surgery OPD with bilateral breast mass. On examination, mass was firm and mobile. What is the diagnosis on the basis of findings
Pattern of calcification in Breast Diseases Carcinoma - Microcalcification, punctuate, branching Fibroadenoma - Popcorn (coarse, granular, crushed Stone) Fibrocystic disease - powdery Fat necrosis - Curvilinear Ref: Bailey and love 27th edition Pgno :870
2
Breast cyst
Fibroadenoma
DCIS
LCIS
Anatomy
Endocrinology and breast
221657a0-71b8-4e1d-980b-9f70539e7295
single
12.6 m old baby was brought c/o difficulty in feeding. The child was found to be hypotonic with a weak gag. The child is on breast mild and mother also gives honey to the child during periods of excessive crying. The causative agent is -
Ans. is 'c' i.e., Toxin produced by gram positive anaerobic bacillus o Food poisoning due to ingestion of honey is caused by clostridium botulinum. o Clostridium is a gram positive spore forming anaerobic bacilli.
3
Gram positive aerobic coccus
Gram positive anaerobic spre-suffering bacillus
Toxin produced by gram positive anaerobic bacillus
Echovirus
Pediatrics
null
fdfbe5ca-1d5b-4492-a126-5beb70d352c6
single
A former from the sub-Himalayan region presents with multiple leg ulcers. The most likely causative agent is:
Ans. c. Sporothrix schenkii (Ref: Ananthnarayan 8/e p609; Harrison 19/e p1353 18/e p1664; Journal of Neglected Tropical Diseases: vol 6.6; June 2012: 'Sporotrichosisin sub-himalayan India (PLOS NQeg Trop Dis. 2012 June 6 (6): 1673)Presence of multiple ulcers in the leg, along the lymphatic channels, in a farmer (outdoo...
3
Trichophyton rubrum
Cladosporium species
Sporothrix schenkii
Aspergillus
Microbiology
Mycology
909db03b-ff60-45ad-8d6f-712d5c830451
single
To achieve caries reduction in adults the diet modification should be:
null
4
Rich in calcium and vitamins
Restrict sugars to 5 times a day
Restrict sugars to 6 times a day
Restrict in between meals sugar intake
Dental
null
650d43ba-53c0-47a1-883b-d87053077d0d
single
Which of the following movements will not be affected by involvement of the L5 Nerve root?
Knee extension is carried out by L-2, 3 and 4 (Femoral nerve). Injury at the level of L- 5, doesn't affect knee extension. Knee flexion is carried out by the root value: L -5 and S-1 (Tibial nerve). Toe extension requires L-5 (deep peroneal nerve) Ref - BDC 6th e p140 lowerlimb
3
Thigh abduction
Knee Flexion
Knee Extension
Toe Extension
Anatomy
Lower limb
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single