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A patient presented with complaints of diplopia. O/E pupils were dilated. Both direct and consensual light reflexes were lost. The diagnosis is :
3rd nerve palsy PUPILLARY LIGHT REFLEX :- If light enters an eye, the pupil of the same eye contracts (direct light reflex),activity shared equally by the pupil of other eye (consensual light reflex) - Afferent limb of light reflex is Optic nerve (CN2) and efferent limb is Oculomotor nerve (CN3) - Both direct and conse...
2
2nd nerve palsy
3rd nerve palsy
5th nerve palsy
7th nerve palsy
Ophthalmology
Neuro Ophthalmology
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multi
Most common site of post ischemic stricture is:
Stricture is a complication of colonic ischemia. Most common site is sigmoid colon.
4
Ascending colon
Hepatic flexure
Splenic flexure
Sigmoid colon
Surgery
Large intestine
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single
Undertakers fracture-
Ans. is 'b' i.e., Spondylolisthesis of the lower cervical spine with tearing od C6 C7 intervertebral disc o Repeat from previous sessions.
2
Traumatic spondylolisthesis of C1 over C2
Spondylolisthesis of the lower cervical spine with tearing of C6 C7 intervertebral disc
Burst fracture of C3
Spinous process fractures of lower cervical vertebrae
Unknown
null
1443900a-07fd-4dc6-b7a8-1b1224eba40a
single
During TURP, surgeon takes care to dissect above the verumontonum to prevent injury to
Damage to the external sphincter is avoided provided one uses the verumontanum as a guide to the most distal point of the resection. Reference : page1351 Bailey and Love's sho practice of surgery 25th edition
1
External Urethral Sphincter
Urethral crest
Prostatic Utricle
Trigone of bladder
Surgery
Urology
19b5c05b-7b1b-44f5-96b7-ef9bc44102d6
multi
The breeding ground for the vectors of Japanese
null
1
Paddy field
Mixed garbage
Cooler water
Stale food
Social & Preventive Medicine
null
28f792a1-d684-487b-b281-2099d40fc118
single
True about Boyle's apparatus:
A i.e. Continuous flow machine
1
Continuous flow machine
Liquid anesthetic vapours not used
Resistance very high
All
Anaesthesia
null
e23c4942-b230-464d-a87b-d6d54a5e75b0
multi
Which of the following is best for diagnosing genital TB?
Ans. (c) LJ mediumRef: Harrison 19th ed. /1110* Harrison states: "In genitourinary TB - culture of 3 morning urinary specimen yields a definitive diagnosis in 90% cases. LJ medium is most common solid medium used for culture.* Prevalence of GU TB= 10-15%* MC c/o- Urinary frequency, dysuria, nocturia, hematuria, and fla...
3
PCR
Montoux
LJ medium
ZN staining
Microbiology
Culture media and method
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single
Magnan's symptom is seen in
Tactile hallucination: this is hallucination of touch. In this type of hallucination, the person gets the feeling that some insects are crawling under the skin(formication) This is otherwise called Magnan's symptom, usually occurs in cocaine addicts. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PA...
4
Visual hallucination
Auditory hallucination
Gustatory hallucination
Tactile hallucination
Anatomy
Special topics
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multi
Thanatophobia is fear of:
D i.e. Death
4
Closed spaces
Flights
High places
Death
Psychiatry
null
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single
The Astler-Coller modification of the Dukes classification is used to classify cancers of the
Colon cancer may be found in the left side of the colon (producing a "napkin ring" or "apple core" appearance) or the right side of the colon (producing a polypoid mass). In either location, bleeding may produce an iron-deficiency anemia. Histologically, the vast majority of colon cancers are adenocarcinomas. Currently...
2
Liver
Colon
Lung
Stomach
Pathology
miscellaneous
bbfd5ef2-7ecf-4fc0-9d9e-59362bd3a1ec
single
Which vaccine is not useful in a patient with AIDS
null
1
OPV
P T
BCG
Measles
Medicine
null
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single
Which hormone is under inhibitory control -
Ans. is 'b' i.e.. Prolactin o For most of the anterior pituitary hormones, it is the releasing hormone that are important but prolactin is mainly under the inhibitory control.o Hypothalamus secretes the following:Thyrotropin-releasing hormone (TRH), which causes release of thyroid-stimulating hormoneCorticotropin-relea...
2
GH
Prolactin
FSH
LH
Physiology
Pituitary
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single
In Iron deficiency anaemia, what is seen?
Since its iron def anemia there is decreased iron , ferritin , and transferin saturation . There is increased protoporphyrin levels as there is impaired maturation of Hb due to Fe deficiency. Ref: robbins 9/e pg :649
1
Increased Protoporphyrin
Increased iron
Increased ferritin
Increased transferrin saturation
Pathology
Haematology
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single
True statement regarding mummification :
A i.e. Time since death; C i.e. Skin is shrunked, dry & brown
3
Time since death
Facial features are preserved
Skin is shrunken, dry and brown
All
Forensic Medicine
null
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multi
Indications for Colposcopy include following except:
Ans. D. Obvious Visible growth. (Ref Textbook of Gynaecology by D C Dutta 5th/pg. 112 - 113)Shaw's Textbook of Gynaecology 14th/pg. 447 - 448.......... under the heading "Colposcopy'' and subheading "indications"........."Colposcopy is not needed routinely in all patients, or patients with obvious lesions.""INDICATIONS...
4
Abnormal Pap smear of cervix
Diagnostic directed biopsy
Follow up of cases treated conservatively
Obvious Visible growth
Gynaecology & Obstetrics
Gynaecological Diagnosis
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Which of the following forms the anterior wall of the Axilla?
Clavipectoral fascia forms the anterior wall of the axilla.Also know:Boundaries of Axilla:Anterior wall: Pectoralis major, Pectoralis minor, Clavipectoral fasciaPosterior Wall: Subscapularis, Teres major, Latissimus dorsiMedial Wall: First rib and their associated intercostals muscles, Serratus anteriorLateral Wall: In...
3
Subscapularis
Teres major
Clavipectoral fascia
Latissimus dorsi
Anatomy
null
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Heberdens nodes are the clinical manifestations seen in -
Ans. is 'a' i.e., Osteoarthritis Joints involved in Osteoarthritis* OA affects certain joints, yet spares others.* Commonly affected joint include Hip, knee, cervical & lumbosacral spine, and first metatarsophalangeal joint. In Hands, the distal interphalangeal joints (DIP), proximal interphalangeal joints (PIP) and fi...
1
Osteoarthritis
Rheumatoid arthritis
Ankylosing spondylitis
Reactive arthritis
Medicine
Immunology and Rheumatology
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Probability of a person with positive test result having the disease is given by
Sensitivity:- It is defined as the ability of a test to identify correctly all those who have the disease (True positives) Specificity:- It is defined as the ability of a test to identify correctly those who do not have the disease (True Negatives) Diagnostic power of the test . Positive predictive value:- Indicates th...
2
Negative predictive value
Positive predictive value
Sensitivity
Specificity
Social & Preventive Medicine
Biostatistics
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Barrett's esophagus causes which cancer:
Ans. (a) AdenocarcinomaRef: Harrison's 17th ed. Ch. 286* Metaplastic columnar epithelium develops during healing of erosive esophagitis with continued acid reflux since columnar epithelium is more resistant to acid- pepsin damage than is squamous epithelium.* The metaplastic epithelium has different epithelial types, i...
1
Adenocarcinoma
Squamous cell CA
Carcinoid tumor
Esophageal leiomyoma
Medicine
Oesophagus
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Earliest sign seen in Acoustic neuroma is:
Ans. C Reduced corneal reflex. Remember: * Most common nerve from which vestibular schwannoma arises * Earliest symptom * Earliest cranial nerve to be involved by acoustic neuroma * Earliest presentation of Vth nerve involvement! * 2nd earliest cranial nerve to be involved by acoustic neuroma * Earliest presentation of...
3
Facial weakness
Unilateral deafness
Reduced corneal reflex
Cerebellar signs
ENT
null
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single
A 4-year-old boy whose diet consists mostly of cheese puffs and cola begins to have problems walking at night, complaining that he cannot see well. In addition, his skin has become dry and scaly, and he has complained of headache for a month. choose the one most appropriate vitamin or trace element replacement therapy ...
Vitamin A deficiency manifests first in visual changes, including night blindness. Deficiency can also cause drying of the conjunctivas and sclera. Skin is frequently dry. Poor growth and impaired cognition are also seen.
1
Vitamin A
Niacin (Vitamin B3)
Pyridoxine (Vitamin B6)
Folate (Vitamin B9)
Pediatrics
Gastro Intestinal System
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single
Red discolouration of urine is seen with
Doxorubicin & Daunorubicin can cause red discolouration of urine.
3
Methotrexate
Cytarabine
Doxorubicin
Cisplatin
Pharmacology
null
a1f7582c-a4c0-4f14-8d5f-47af930d1a19
single
Metronidazole is indicated in the treatment of which one of the following ?
null
4
Traveller's diarrhea
Escherichia coli-induced diarrhoea
Cryptosporidium-induced diarrhea
Helicobacter pylori infection
Medicine
null
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Oligomycin?
Ans. is 'a' i.e., Blocks oxidative phosphorylation Oligomycin Oligomycin is an antibiotic that blocks oxidative phosphorylation by blocking flow of protons through ATP synthase. Oligomycin A is an inhibitor of ATP synthase. Oligomycin A inhibits ATP synthase by blocking its proton channel (Fo subunit), which is necessa...
1
Blocks oxidative phosphorylation
Blocks protein synthesis
Blocks ATP uptake
Blocks Na uptake
Pharmacology
null
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single
Koplik spots are seen in?
Koplik's Spots: They are pathognomonic of measles. Their presence establishes the diagnosis of measles. These are bluish grey specks on grain substance on a red base which usually appear on the buccal mucosa opposite the second molar. They appear at the end of the prodrome, just before the appearance of the rash. Kopli...
2
Mumps
Measles
Rubella
Varicella
Microbiology
FMGE 2019
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single
Drug of choice for bisphosphonate resistant osteoporosis :
Drug of choice for both senile and postmenopausal osteoporosis are Bisphosphonates. However, where osteoporosis is Resistant to bisphosphonates, Teriparatide has shown good results.
1
Teriparatide
Denosumab
Anakinra
Calcitonin
Orthopaedics
Metabolic Disorders of Bone
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Positive mortality indicator is -
Mortality indicators These are Crude death rate Expectation of life (life expectancy) Infant mortality rate Child mortality rate Under-5 proportional mortality rate Maternal mortality rate Disease specific mortality rate Age specific death rate Adult mortality rate Years of potential life lost Among these only life ...
4
IMR
Child mortality rate
MMR
Life expectancy
Social & Preventive Medicine
null
a7c5f78e-8299-4f4c-9b1c-7d9644b493b1
single
All of the following mechanisms might account for a reduce-risk of upper genital tract infection in users of progestin - releasing lUDs, except:
Decreased ovulation does not protect from upper genital tract infection. Also it doesn't inhibit ovulation in all women. THE TEXTBOOK OF GYNAECOLOGY SHEILA BALAKRISHNAN SECOND EDITION PAGE NO 379
2
Reduced retrograde menstruation
Decreased ovulation
Thickened cervical mucus
Decidual changes in the endometrium
Gynaecology & Obstetrics
Contraception
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A pt. presented with renal cell carcinoma invadving IVC and the renal vein. A false statement is -
A renal cell carcinoma that has spread to renal vein, IVC or even upto the thorax (hea) is operable. A prep biopsy is not necessary as a RCC is the most common malignant neoplasm of kidney (90 - 95%) and any solid renal mass is considered to be RCC until unless proved otherwise. A chest x-ray should be done to rule out...
2
Preop biopsy is not necessary
IVC involvement indicates inoperability
Pre op radiotherapy is not essential
Chest x-ray should be done to rule out pulmonary metastasis
Anatomy
Urology
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multi
Shagreen patch is seen in -
Ans. is "a' i.e., Ttiberous sclerosis o Tuberous sclerosis is an autosomal dominant genetic dissorder characterized by development of variety of benign tumours in multiple organs including brain, heart, skin, eyes kidney, lung, liver.o It is caused by mutation in two seprate genes TSC l-19 and TSC 2-16o It is the most ...
1
Tuberous sclerosis
Neurofibromatosis
Sturge weber syndrome
Neurofibromatosis I
Medicine
C.N.S.
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single
A patient is hospitalized after an automobile accident. The wounds become infected, and the patient is treated with tobramycin, carbenicillin, and clindamycin. Five days after antibiotic therapy was initiated, the patient develops severe diarrhea and pseudomembranous enterocolitis. Antibiotic-associated diarrhea and th...
Patients treated with antibiotics develop diarrhea that, in most cases, is self-limiting. However, in some instances, particularly in those patients treated with ampicillin or clindamycin, a severe, life-threatening pseudomembranous enterocolitis develops. This disease has characteristic histopathology, and membranous ...
2
Bacteroides fragilis
Clostridium difficile
Clostridium perfringens
Clostridium sordellii
Microbiology
Bacteria
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single
Most common side effect of levodopa
Ans) b (Nausea vomiting) Ref: Katzung 11th editionWhen levodopa is given without a peripheral decarboxylase inhibitor, anorexia and nausea and vomiting occur in about 80% of patients.These adverse effects can be minimized by taking the drug in divided doses, with or immediately after meals, and by increasing the total ...
2
Diarrhoea
Nausea vomiting
Tremor
Rash
Pharmacology
C.N.S
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single
Uric acid is formed by -
Ans. is 'c' i.e., Catabolism of purines o Humans catabolize purines (adenine and guanine) to uric acid.
3
Catabolism of proteins
Catabolism of ketones
Catabolism of purines
Catabolism fo pyrimidines
Biochemistry
Metabolism of Purines and Pyrimidines
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Glands of Von Ebner are present in -
Ans. is 'c' i.e., Tongue Glands of tongueo Several groups of the glands are present on the tongue.Anterior glandso Near the apex of the tongue anterior lingual glands are present.o These are glands of Blandin and A'uhn.o Anterior glands are mucous while posterior glands are mixed.o The ducts of glands open on the ventr...
3
Cervix
Penile urethra
Tongue
Vagina
Anatomy
Digestive System (Histology)
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Egg in cup appearance is seen in
Egg in cup - Constrictive pericarditis Egg on side - Uncorrected TGA
3
TGA
TAPVC
Constrictive pericarditis
TOF
Radiology
null
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single
Chandlers index is used for -
Ans. is 'a' i.e., Hookworm infestation o Morbidity and mortality from hookwork infection depends on the worm load.o Chandler worked out an index, Chandler's index, on the basis of average number of hookworm eggs per gram of feces for the entire community.Average no. of eggs per gram of stools# Below 200---Hookworm infe...
1
Hookworm infestation
Roundworm
Malaria
Filaria
Social & Preventive Medicine
Communicable Diseases
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single
All are true about cardiac manifestations of carcinoid syndrome, EXCEPT:
The cardiac disease is due to the formation of fibrotic plaques involving the endocardium. The dense fibrous deposits are most commonly on the ventricular aspect of the tricuspid valve and less commonly on the pulmonary valve cusps. Overall, in patients with carcinoid hea disease, 97% have tricuspid insufficiency, 59% ...
3
The cardiac disease in carcinoid syndrome is due to the formation of fibrotic plaques involving the endocardium
Fibrous deposits are most commonly on the ventricular aspect of the tricuspid valve
Cardiac failure is not a feature of carcinoid syndrome
Mitral valve lesions are less extensive, and frequently affects the tricuspid valve
Medicine
null
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A 6 years old boy experienced life threatening shock, his CT scan showed large amount of ascites, bowel wall thickening and poor or absent enhancement of the strangulated bowel segment, showing gangrenous bowel on surgical exploration. True about anastomosis is:
BOWEL ANASTOMOSES Lembe described seromuscular suture technique for bowel anastomosis in 1826Q Senn advocated a two-layer technique for closureQ Halsted ored a one-layer extramucosal closureQ Connell used a single layer of interrupted sutures incorporating all layers of the bowelQ Kocher's method, a two layers anastomo...
4
Should be done by continuous layers as it takes less time
Should be done with catgut
Should be done by single layer seromuscular Lembe sutures
Should be done by single layer taking submucosa
Surgery
NEET 2018
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multi
H1N1 Is a type of?
H1N1 include influenza virus types REF:<\p> ANATHANARAYANAN MICROBIOLOGY NINTH EDITION PAGE.499(table.54.2)
2
SARS virus
Influenza type A virus
Influenza type B virus
Influenza type C virus
Microbiology
Virology
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single
Branch of basilar artery include -
Branches of basilar artery are : pontine branches, anterior inferior cerebellar artery, superior cerebellar artery, labyrinthine artery, posterior cerebral artery, central branches, posterior choroidal artery and cortical branches.
2
Posterior inferior cerebellar artery
Posterior cerebral artery
Middle cerebral artery
Posterior communicating artery
Anatomy
null
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In a patient with acute leukaemia, immunophenotype pattern is CD 19+ve, CD 10+ve, CD33+ve, CD 13+ve. He may probably have -
null
1
Biphenotypic leukemia
ALL
AML- M2
AML-M0
Pathology
null
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Kernohan-Woltman sign (notch) is seen in: COMEDK 15
Ans. Uncal herniation
1
Uncal herniation
Central herniation
Transfalcial herniation
Foramina' herniation
Forensic Medicine
null
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single
Which is a preventable cause of blindness -
Ans. is 'b' i.e., Vitamin A deficiency Avoidable blindness -* Avoidable blindness is defined as blindness which could have been either treated or prevented by known cost effective means.* Thus avoidable blindness is divided into:1) Treatable blindness# Treatable are those condition that could have been treated early to...
2
Cataract
Vitamin A deficiency
Refractive errors
Retinal dystrophies
Social & Preventive Medicine
Health Programmes in India
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The commonest type of pericarditis in acute rheumatic fever is -
Ans. is 'b' i.e., Fibrinous
2
Serous
Fibrinous
Serofibrinous
Purulant
Pathology
null
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single
All are characteristics of a breast papilloma except
.
4
Myoepithelial cells present
Apocrine metaplasia is seen
Hyperplasia of adjacent ducts
Regular polarized gland pattern
Surgery
All India exam
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multi
Forelimb bud appears on
(26 days) (135-IBS 7th) (125-1.B.Singh 8th)Timetable of some events* The forelimb bud appears about the 26th day (end of 4th week)* The hind limb bud appears about the 28th dayThe limbs become paddle shaped after about 4 days (5th week) and grooves between the future digits (digital rays) can be seen by the 36 the day ...
2
21 days
26 days
28 days
30 days
Anatomy
Embryology
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Which of the following type of collagen is predominant in early granulation tissue:
null
2
Type 1&2.
Type 1&3
Type 2&3
Type 1&4.
Pathology
null
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A neonate has a mass in kidney. USG shows hypoechoic shadow. The most likely diagnosis is:
Ans. Mesonephrohlastic tumour
3
Wilm's tumour
Neuroblastoma
Mesonephrohlastic tumour
Adenoma
Radiology
null
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While treating benign prostatic hyperplasia with finasteride the period of trial required for maximum response
Minimum time to act - 1 month Maximum response around 6 months.
3
1 month
3 months
6 months
18 months
Surgery
null
2072a77c-1992-482b-9708-f6ea03d910fb
single
Mode of excretion of cyclophosphamide is ?
Ans. is 'c' i.e., Kidney Cyclophosphomide is primarily metabolized (80%) and metabolites are exceed in urine. 10 to 20% is excreted unchanged in urine and 4% is excreted in bile.
3
Lung
Liver
Kidney
Skin
Pharmacology
null
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Incompetent lips refer to:
The term 'incompetent lips' implies that the lips are unable to form an adequate seal under similar unstrained conditions, i.e. excessive separation of the lips at rest. As a general guideline, which holds for all ethnic groups, lip separation at rest should be no more than 3-4 mm; above this, the lips are termed incom...
1
Inability of the lips to cover the incisors in the mandibular relaxed position
Inability of the lips to cover the incisors in occlusion
The lips come in between the upper and lower incisors
Tongue thrusts against the lips during swallowing
Dental
null
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multi
Branched septate hyphae found on corneal smear in a case of corneal ulcer is -
null
3
Candida
Mucor
Aspergillus
Histoplasma
Microbiology
null
7a625c51-5aec-4790-bf59-03379e1461c2
single
Poal vein, hepatic aery and common bile duct are related to which of the following structure
The lesser omentum (gastrohepatic omentum) is the double layer of peritoneum that extends from the liver to the lesser curvature of the stomach (hepatogastric ligament) and the first pa of the duodenum (hepatoduodenal ligament). ref - BDC 6e vol2 pg 234
1
Lesser omentum
Greater omentum
Splenorenal ligamnet
Gastrosplenic ligament
Anatomy
Abdomen and pelvis
57412ae5-93b5-4878-89d2-d38351cb2d91
single
Asthma is?
Ans. is 'a' i.e., Obstructive lung disease o Obstructive disease is characterized by an increase in resistance to airflow owing to partial or complete obstruction at any level, from the trachea to the respiratory bronchioles. Examples are chronic obstructive lung disease (COPD emphysema, chronic bronchitis), bronchiect...
1
Obstructive lung disease
Restrictive lung disease
Both
null
Pathology
Obstructive Lung Diseases
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multi
For every 10-degree Celsius raise in the temperature, the rate of most of the enzymatic reactions:
The temperature coefficient (Q10) is the factor by which the rate of a biologic process increases for a 10degC increase in temperature. For enzymes, temperature coefficient is 2, i.e. for every 10 degrees raise in temperature, the rate of enzyme activity doubles. But, after ceain temperature, the enzyme protein gets de...
2
Halves
Doubles
Quadruples
Increases 10-fold
Biochemistry
Enzyme kinetics
feadcb86-96be-4866-b90c-88553f49a4fa
single
Which one of the following structures is not a pa of the auditory pathway?
AUDITORY PATHWAY Second-order neuron of the dorsal column system (carrying general senses) runs in the medial lemniscus.
1
Medial lemniscus
Lateral lemniscus
Inferior colliculus
Medial geniculate body
Physiology
Special Senses
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single
A 35 year old man was found unconscious. Examination revealed bilateral constricted pupils, bradycardia, excessive sweating and secretion. Most likely cause is:
null
3
Opium poisoning
Acute alcohol intoxication
Organophosphorous poisoning
Pontine hemorrhage
Pharmacology
null
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single
A doctor was accidentally exposed to HIV by a needle stick injury while sampling HIV positive patient. A drug prescribed to him would be -
Needlestick injury is the most common cause of HIV infection among health care workers. The guidelines for post-exposure prophylaxis of HIV are A) For routine exposures a combination of two nucleoside reverse transcriptase inhibitors for 4 weeks. B) For high risk or complicated exposures a combination of two nucle...
1
Zidovudine + Lamivudine + Indinavir for 4 weeks
Zidovudine + Lamivudine + Navirapine for 4 weeks
Zidovudine + Stavudine for 4 weeks
Zidovudine + Lamivudine for 4 weeks
Medicine
null
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multi
Goose skin or cutis anserina is seen in
Cutis anserina or goose skin: Skin has granular and puckered appearance due to spasm of erection fibers and the muscles attached to hair follicles. It can occur in living in cold weather and in submersion of body in cold water immediately after death, while the muscles are still warm and irritable. Reff: The synopsis o...
1
Drowning
Lightening
Strangulation
Fire arm injury
Forensic Medicine
Asphyxia
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single
True about pheochromocytoma are all except:-
Urinary VMA is most specific for Neuroblastoma (Impoant) Paraganglioma occur at skill base (aka) Chemodectoma (aka) Potato tumor Pheochromocytomas are 10% extra adrenal Organ Of Zuckerkandl is MC extra adrenal Sympathetic chain positive
1
Urinary VMA is most specific for pheochrocytoma
Paraganglioma occurs at skull base
10% are extra adrenal.
Organ of Zukerkandi is most common extra adrenal site
Medicine
Disorders of Adrenal Gland
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multi
Apnea of prematurity of lasts for ?
null
3
10 sec
15 sec
20 sec
30 sec
Pediatrics
null
78651483-2214-4f5d-a0ef-6102ae8c157f
single
Which of the following is true about Hypertriglyceridemia
null
4
LDL receptor defect
Dysbetalipoprotenemia
Abetalipoprotenemia
None the above
Medicine
null
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multi
True about torsion of testis is all except:
Ans. (b) Commonly associated with pyuriaRef: Smith 17th Edition, Page 704* Epididymo orchitis is associated with pyuria* Torsion has nothing to do with pyuriaAbnormalities predisposing to torsion of testis* Bell Clapper deformity: High investment of tunica vaginalis - testis hangs like a clapper in bell.* Inversion of ...
2
Presents with sudden pain in testis
Commonly associated with pyuria
Doppler U/S shows decreased blood flow to the testis
Simultaneous orchidopexy of the other side should also be done
Surgery
Urethra & Penis
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multi
Dead bone in X ray is?
ANSWER: (A) More radiopaqueREF: Principles of bone x-ray diagnosis by George Simon p. 62Dead bone as seen in Aavascular necrosis, perthe's disease, TB, osteomyelitis is usually more opaque than normal in X ray
1
More radiopaque
More radiolucent
Same as normal bone
Variable
Radiology
Imaging of Musculoskeletal Infection
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single
The chemical name of Aspirin is?
Aspirin is Acetylsalicylic acid which conves to salicylic acid in the body, responsible for the action. ESSENTIALS OF MEDICAL PHARMACOLOGY;7TH EDITION; KD TRIPATHI; PAGE NO 195
4
Methyl salicylate
Para-aminobenzoic Acid
Para-aminisalicylic acid
Acetyl salicylic acid
Pharmacology
Autacoids
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single
All true about microlaryngoscopy tube (MLT) except:-
These tubes come in three sizes, 4.0, 5.0 and 6.0mm. The size 5.0mm tube is the most commonly used. Microlaryngoscopy tube (MLT) vs. standard ETT The MLT is often used in place of a standard small diameter ETT to facilitate Direct Laryngoscopic procedures utilizing Microlaryngoscopy techniques. The surgeon prefers a sm...
4
These tubes comes in these sizes 4.0, 5.0 and 6.0 mm
It is paicularly useful for laryngeal surgery
It is longer than standard ETT
There is relatively low resistance to gas flow in there tubes.
Anaesthesia
Airway
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multi
Normal diurnal variation of intraocular pressure is:
Ans. 3-6 mm of Hg
3
0-2 mm of Hg
2-3 mm of Hg
3-6 mm of Hg
6-8 mm of Hg
Ophthalmology
null
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single
Defluoridation of water is carried out using:
Some areas may contain excessive fluoride levels in drinking water. Defluoridation is carried out using phosphates. Ref: Park 21st edition page: 672.
2
Chlorine
Phosphate
Calcium
Ozone
Social & Preventive Medicine
null
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single
Nephron is derived from ?
Development of kidneyUreteric bud (mesonephros) arise from mesonephric duct and gives rise to collecting system of kidney (renal pelvis, major and minor calyces, collecting tubule) and ureter.Metanephric mesoderm (blastema or metanephors) arise from nephrogenic cord which in turn is derived from intermediate mesoderm. ...
3
Ureteric bud
Mesonephric duct
Metanephros
Mesonephros
Anatomy
null
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single
All of the following support uterus except
Ans. is b, i.e. Round ligamentRemember* Most important support of uterus is levator ani muscle* Most important ligament supporting the uterus--Cardinal ligament/Mackenrodt's ligament* Round ligament is a secondary support of the uterus as it does not support it directly but helps to keep it in anteverted position* Broa...
2
Cardinal ligament
Round ligament
Pubocervical ligament
Mackenrodt's ligament
Gynaecology & Obstetrics
Urinary Fistulas
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multi
What is the effect of beri beri on circulation ?
high output congestive hea failure occurs in beri beri ( Harrison 17 pg 442)
1
Hyperdynamic circulation
Hypovolemic shock
Bradycardia
Pulsus paradoxus
Medicine
Nutrition
22982b59-f484-4f78-8a4f-1b6470f9c33d
single
Calculate Km
null
2
3
4
5
6
Pharmacology
null
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single
Tumours most common to cause early papilledema arise from:
Ans. All of the above
4
Cerebellum
Mid brain
Parieto-occipital region
All of the above
Ophthalmology
null
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multi
Urothelium lines all Except -
Urothelium (transitional epithelium) is found in the renal pelvis, calyces, ureter, urinary bladder, proximal part of the urethra. Membranous and most of the penile urethra (in males) is lined by pseudostratified or stratified columnar epithelium.
4
Ureters
Minor calyx
Urinary bladder
Membranous urethra
Anatomy
null
550f73a1-239c-4120-975c-1a1e7ca8515f
multi
In Cochlear implants, the electrodes are most commonly placed at:
The cochlear implant electrodes are placed in the scala tympani of the cochlea. The electrode thus stimulates the cochlear nerve which is a pa of the vestibulo-cochlear nerve (CN VIII).
4
Oval window
Round window
Horizontal semicircular canal
Cochlea
ENT
null
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single
Berger flap procedure is used for
null
3
TMJ ankylosis
TMJ dislocation
Oro-antral communication
Pericoronitis
Surgery
null
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single
Normal urea excretion rate is?
Ans. is 'b' i.e., 10-20 gm/day(Ref: Medical physiology E Book 2d/e p. 767)"The physiologically normal individual excrete 12-20 gm of urea nitrogen in 24 hours"
2
1-2 gm per day
10-20 gm/day
20-40 gm per day
50-100 gm/day
Physiology
null
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single
A 35-year-old male with history of 4 weeks of immobilization for fracture femur developed sudden onset of chest pain and hemoptysis. ECG shows SI Q3 T3 pattern. Diagnosis?
Ans. c. Pulmonary embolismPULMONARY EMBOLISMPulmonary embolism usually arises from a venous thrombosis in the pelvis or legs.Risk factors include any cause of immobility or hyper coagulability.Clinical sign and symptoms:DyspneaTachycardia and hypoxemia are prominent.Pain is usually pleuritic, especially when pulmonary ...
3
Acute myocardial infract
COPD
Pulmonary embolism
Cor pulmonale
Radiology
Respiratory System
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single
Planning cycle includes –
Planning involves a succession of steps                       Analysis of health situation      Establishment of objectives and goals   Assessment of resources    Fixing priorities  Programming and implementation Write-up of formulated plan  Monitoring  Evaluation.
4
Analysis of situation
Evaluation
Resource assessment
All
Social & Preventive Medicine
null
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multi
Forecast of probable cause and outcome of an attack of the disease and prospects of recovery as indicated by nature of disease and symptoms of the case
null
1
Prognosis
Treatment
Risk
Diagnosis
Dental
null
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single
All of the following are mediators of acute inflammation except -
. Angiotensin
1
Angiotensin
Prostaglandin E2
Kallikrein
C 3a
Pathology
null
35bf4017-1bf4-42f0-add0-e5e6e27d4c4c
multi
Least cardiotoxic agent –
Cardiac output is best maintained by Isoflurane by reflex tachycardia as it does not depress baroreceptor reflex → Most cardiovascular stable inhalational agent → Inhalational agent of choice for cardiac surgery.
1
Isoflurane
Enflurane
Sevoflurane
Halothane
Anaesthesia
null
59996c51-6bda-4f86-9c65-3f3032923910
single
Which of the following drugs is capable of maintaining blood levels for 24 hours after a single administration but has useful antianginal effects lasting only about 10 hours ?
null
4
Amyl nitrite
Isosorbide mononitrate
Nitroglycerine (sublingual)
Nitroglycerine (transdermal)
Pharmacology
null
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single
Patient came into emergency department with flexion, adduction and internal rotation of hip. Diagnosis?
Ans. (b) Posterior dislocation of hipRef: Maheshwari 5th ed. /130POSTERIOR DISLOCATION OF HIP* It is most common type of hip dislocation in adults and children.* Usually this occurs in a road accident when someone seated in car is thrown forwards, striking the knee against the dashboard (dashboard injury)* It is the po...
2
Anterior dislocation of hip
Posterior dislocation of hip
Femur neck fracture
Femur head fracture
Orthopaedics
Congenital Dislocation of Hip (C.D.H.)
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single
A girl from shimla presented to OPD with fever, hypotension, malaise and axillary and inguinal lymphadenopathy. Culture in glucose broth shows stalactite growth. Most likely causative organism is?
This is a case of bubonic plague. Plague is caused by Yersinia pestis. It is sho plump, ovoid, gram negative bacillus, shows bipolar staining (safety pin appearance), pleomorphism which is characteristically enhanced in media containing 3% NaCl. It is enveloped by a slime layer & is non motile, non sporing, non acid fa...
1
Yersinia pestis
Francisella tularensis
Brucella abous
Coxiella burnetii
Microbiology
null
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single
Hoarseness secondary to bronchogenic carcinoma is usually due to extension of the tumour into ?
Ans. is 'c' i.e., Left recurrent laryngeal nerve
3
Vocal cord
Superior laryngeal nerve
Left recurrent laryngeal nerve
Right vagus nerve
Surgery
null
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multi
Treatment of pseudocyst of pancreas include ?
Ans is d i.e. All of the above
4
Cystogastrostomy
Cystojejunostomy
Excision of the cyst
All
Surgery
null
5c1c4233-a1bf-473f-a612-4a16a934c684
multi
All of the following are examples of mydriatics except –
Cycloplegics (paralysis of accommodation + mydriasis) → Atropine, Homatropine, Cyclopentolate, tropicamide Only mydriatics → Phenylephrine. Note : Cycloplegic action of tropicamide is unreliable.
4
Atropine
Homatropine
Tropicamide
Pirenzepine
Ophthalmology
null
ce7612ef-2353-41f4-9ea1-dea05f64544b
multi
Type of collagen forming basement membrane of kidney-
Type IV collagen with laminin are the major constituent of basement membrane.
4
I
II
III
IV
Biochemistry
null
0e35970d-20e9-467f-8ef1-936dfd59e75d
single
A standing person lies down. Which of the following occurs?
Ans. b. Immediately increase in venous return to heart (Ref: Ganong23/e p515)Factors Affecting End Diastolic VolumeFactors Decreasing EDVFactors Increasing EDV* Increased intra-pericardial pressureQ (as a result of infection of pressure from a tumor):- Limits the extent to which ventricle can fill* Decrease in ventricu...
2
Increase in cerebral blood flow
Immediately increase in venous return to heart
Decreased blood flow to the apex of lung
Increase in heart rate
Physiology
Circulation: Cardiac Output, Venous Return
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single
Which of the following statement is true about external haemorrhoids?
It presents as a suddenonset, olive-shaped, painful blue subcutaneous swelling at the anal margin and is usually consequent upon straining at stool, coughing or lifting a heavy weight .The thrombosis is usually situated in a lateral region of the anal margin. If the patient presents within the first 48 hours the clot m...
1
Painful, below the dentate line
Painless, above the denate line
Rubber band ligation is the treatment of choice
May be associated with a skin tag
Surgery
G.I.T
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multi
Acute endocarditis with abscess is most commonly associated with?
Ans. (b) StaphylococcusRef: Harrison's 18th ed ch:124, Braunwald's HeartDisease: A Textbook of Cardiovascular Medicine 18thed ch-63
2
Listeria
Staphylococcus
Streptococcus
Enterococcus
Medicine
Bacteriology
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single
Softening of the vaginal poion of the cervix:
Goodell sign:- Softening of the cervix , 6th to 8th weeks Chadwick / jacquemier's sign:- Bluish discoloration of the cervix , 6th to 8th weeks Hegars sign : On p/v the abdominal and vaginal fingers seem to oppose below the body of uterus ,6th wk Osiander (vaginal ) sign :-Pulsatality in lateral fornices, around 8th wee...
1
Goodell's sign
Chadwick's sign
Hegar's sign
Piskacek's sign
Gynaecology & Obstetrics
Obstetrics
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single
Hemmorhagic fever is not caused by -
kyasanur foerst disease a hemorrhagic fever found in karnataka. It is arboviral disease. A new arbo virus genetically related to RSSE isolated ANANTHANARYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.524
3
Yellow fever
KFD
Japanese encephalitis
Dengue fever
Microbiology
Virology
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single
Which one of the following is the description used for the term allodynia during pain management?
Ans. is 'd' i.e. Perception of an ordinarily nonnoxious stimuli as severe pain Terms used in pain managementAllodyniaPerception of an ordinarily nonnoxious stimulus as painAnalgesiaAbsence of pain perceptionAnaesthesiaAbsence of all sensationsDysesthesiaUnpleasant or abnormal sensation with or without a stimulusHypalge...
4
Absence of pain perception
Complete lack of pain sensation
Unpleasant sensation with or without a stimulus
Perception of an ordinarily nonnoxious sitmulus as severe pain.
Anaesthesia
Muscle Relaxant
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multi
Maximum loss of sodium in a child occurs in?
Cations and anions in biological fluids in meq/dl Fluid Sodium Potassium Chloride Gastric juice 60 10 85 Ileal fluid 130 10 115 Diarrhea stool 10-90 10-80 10-110
2
Gastric juice
Ileal fluid
Non cholera Diarrhoea
Cholera
Medicine
Fluids and Electrolyte Imbalance
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single
Circuit for spontaneous respiration in adults:
Ref. Oxford textbook of anesthesia. Page. 330   Spontaneous respiration: A>D,E>C >B IPPV :D&E> B> C> A Mapleson A : For adult Magill system Flow rate = Minute volume Mapleson B: - not used Mapleson C : Water system Choice in Post operative room Mapleson D: Bain – Coaxial system Most effective in assisted control v...
1
Mapleson A
Mapleson C
Mapleson D
Mapleson E
Unknown
null
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single
Which of the following contains site of attachment of calcium ions that initiates muscle contraction?
Troponin T binds the troponin components to tropomyosin; troponin I inhibits the interaction of myosin with actin; and troponin C contains the binding sites for the Ca2+ that helps to initiate contraction. Ganong 23 rd ed, pg 96
3
Troponin I
Troponin T
Troponin C
Myosin
Physiology
null
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single
Most important bactericidal agent is
H2O2- MPO- halide system is the most efficient bactericidal system of neutrophils
4
Cationic basic protein
Lactoferrin
Lysozyme
Reactive O2 species
Pathology
null
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single
According to a newer hypothesis Ewings, sarcoma arises from -
Marrow tumors (medullary cavity tumors) : - Ewings sarcoma, Plasma cell tumor, multiple myeloma, Lymphoma.
3
Epiphysis
Diaphysis
Medullary cavity
Cortex
Orthopaedics
null
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single