question
stringlengths
1
1.57k
exp
stringlengths
1
22.5k
cop
int64
1
4
opa
stringlengths
1
287
opb
stringlengths
1
287
opc
stringlengths
1
286
opd
stringlengths
1
301
subject_name
stringclasses
21 values
topic_name
stringlengths
3
135
id
stringlengths
36
36
choice_type
stringclasses
2 values
Wilm's tumor is associated with the following except –
null
4
Aniridia
Horse-shoe kidney
Hemihypertrophy
Opsoclonus
Pediatrics
null
bddd7f25-d21f-4f4d-9bb6-36352343445a
multi
Lines of zahn occur in which of the following
Ref Robbins 9/e p 125 thrombi often have grossly and microscopically apparent laminations called lines of zahn,these represent pale platelet and fibrin deposit altered with red cell rich layers .such laminations represent that thrombus has formed in flowing blood.their presence can be therefore distinguish antemoem thr...
4
Postmoem clot
Infract
Embolus
Coralline thrombus
Anatomy
General anatomy
c293cc98-fdb4-4212-8d0e-43a9b3af7ec9
multi
Gray equals
A i.e., 100 rads Rad (radiation absorbed dose) is energy deposited within living matter & is equal to 100 ergs/gm of tissue. Whereas, I gray is absorption of 1 joule energy by 1 kg living matter.
1
100 rad
1000 rad
10000 rad
All
Radiology
null
1dd4d7df-ecb1-4d67-8b86-ebe42b2db884
multi
Impression techniques are used for recording
null
3
Oral mucosal tissues
Dental hard tissues
Oral mucosal tissues and dental hard tissues
None of the above
Dental
null
d07b2902-2d2b-4b07-bc52-6227e394d36b
multi
Women carrying BRCA 1 gene are more likely to develop which type of breast carcinoma
Medullary carcinomas occur with increased frequency in women with BRCA1 mutations, although most women with medullary carcinoma are not carriers. These carcinomas uniformly lack the estrogen and progesterone receptors and do not overexpress HER2/NEU (a combination that often is referred to as triple-negative). ref : Ro...
1
Medullary
Lobular
collnid
Secretory
Pathology
Breast
dbda932e-26e7-44df-8be7-eb6f76712063
single
Which of the following is not a branch of cerebral part of ICA:
null
3
Opthalmic artery.
Anterior cerebral artery.
Posterior cerebral artery.
Anterior choroidal artery.
Anatomy
null
dfa53286-cdab-4437-9b37-370573479e6a
single
Most wear resistant composite is:
Hybrid composite resin materials have a combination of small and large filler particles, to combine high filler loading with a sufficient quantity of small particles to ensure improved wear resistance and also permit adequate polishability. These materials are quite strong, polishable, and have wear resistance equivale...
3
Traditional composite
Macrofilled composite
Hybrid composite
Packable composite
Dental
null
2e829113-70df-4968-8daa-8c7ccee20872
single
All ICUD's are changed every 4-5 year except:
null
4
Cu 280
Cu 320
Multiload devices
Progestasert
Gynaecology & Obstetrics
null
050750bf-fbc9-45b2-bcb2-9fc3b9d829ad
multi
Half of the clot retraction is completed by?
null
4
24 hrs
Within 2 hrs
Within 15 minutes
Within 1 hour
Surgery
null
31b9ad6f-6d7c-4aa9-b1a1-b95b5c767a00
single
Bregma is the name given to the junction of the
Bregma: Bregma is the meeting point between coronal and sagittal sutures. Seen in norma verticalis view of skull. In foetal skull, this is the site of a membranous gap, called anterior fontanelle. It ossifies at 18 months of age.
1
Coronal and sagittal sutures
Frontal bone with the nasal bone
Lambdoid and sagittal sutures
Parietal & Occipital bone
Anatomy
null
30c0cabf-6865-4aca-9a52-05a53307ef3a
single
The best method to screen a 3-year-old with a sound dentition and open proximal contacts would be:
The American Dental Association (ADA), the American Academy for Pediatric Dentistry (AAPD), the European Academy for Pediatric Dentistry (EAPD), and other organizations have published criteria that are meant to guide the dental professional in decision-making regarding appropriate radiographic imaging (Table 2-5). Thes...
1
No radiographic assessment.
Bitewing Radiographs
Intraoral periapical radiograph
Occlusal radiographs
Dental
null
37d528c7-07a8-4583-8f1f-3148f6be76ae
single
Drug of choice for controlling severe pain in cancer patient is:
Ref: Katzung 10/e p449 Opioids like morphine can be used to treat severe pain associated with terminal cancers.
1
Morphine
Diclofenac
Ibuprofen
Codiene
Pharmacology
Central Nervous system
6e2023c6-1d32-4134-8af5-85dae800c526
single
Inversion and eversion of foot occur at which joint
Joint Movement Subtalar joint Inversion and Eversion of foot Ankle joint hinge - like dorsiflexion & plantar flexion of foot on leg Inferior tibiofibular joint Permits slight movements, so that lateral malleolus can rotate laterally during dorsiflexion of ankle Tibiotalar joint hinge joint contributes to plantar & dors...
1
Subtalar
Tibiotalar
Inferior tibiofibular
Ankle
Anatomy
DNB 2018
a4883d61-0198-46e9-82df-33df29c9930c
single
Cochleate uterus is
Cochleate uterus: A small adult uterus with a conical cervix and a body that is small, globular, and acutely flexed. ref - pubmed.com
2
Large uterus
Acute anteflexion
Acute retroflexion
Large cervix
Anatomy
Abdomen and pelvis
cf56589e-dfb1-478a-a10d-ce3cf3ab7c9e
single
The study of tooth prints is also called as
null
2
Dermatoglyphics
Ameloglyphics
Dentinoglyphics
Cementoglyphics
Pathology
null
7c05e9d2-77e0-42ab-88fa-c302c6ca11e5
multi
H.parainfluenzae requires which of the following factors
H.influenzae, H.haemolyticus, and H.aegyptius: requires both factor X and VH.parainfluenzae, H.parahaemolyticus, and H.paraphrophilus: Requires only factor VH.aphrophilus: Doesn't require both factors(Ref: Ananthanarayan 9th edition, p328)
1
Only Factor X
Only Factor V
Both factor X and V
None of the above
Pathology
All India exam
31cf8f91-daad-41e5-a8f1-9e01d033bac5
multi
Which of the following is not a maxillary major connector:
null
2
Closed horseshoe major connector.
Continuous clasp.
Palatal plate.
None of the above.
Dental
null
11be9067-25b0-47c8-9662-6fa34aa50b57
multi
H type tracheo-esophageal fistula occur in
The H type fistula occurs in 8% of cases. Type A Oesophageal atresia without TOF (8%) Both segments communicate with trachea. 2. Type B Oesophageal atresia with proximal TOF (1%) Blind proximal segment of oesophagus connects with trachea by fistula. Distal end is blind 3. Type C Oesophageal atresia with distal TOF (84%...
2
<1%
5%
8%
12%
Surgery
null
1901d31b-fcd9-4bef-8d76-06e646f65344
single
Autoimmune hemolytic anemia is associated with malignancy of which lineage :
Answer is B (B cell type) The diagnosis of typical B cell CLL should be considered in a patient presenting with an autoimmune hemolytic anemia or autoimmune thrombocvtopenia. - Autoimmune hemolytic. anemia (AIHA) and Lymphoid maliknancies Autoimune hemolytic anemias may be seen in association with Leukemias specially o...
2
T cell
B cell
Pre B cell
Pre T cell
Medicine
null
fe2ea54d-7c13-4f0c-a2ce-6b768061c5e1
single
Left Umbilical vein becomes:
Ligamentum teres
1
Ligamentum teres
Ligamentum venosum
Medial umbilical ligament
Ligamentum aeriosum
Anatomy
null
7dabebc1-1c7e-410c-aa84-2cd0f8109f5f
single
Negative skived distribution has
Normal distribution has ⇒ Mean - Median = mode. Positive skewed distribution or Right side skewed has ⇒ Mean > median > mode. Negative / deft side skewed distribution has ⇒ Mean < median < mode.
3
Mean = median = mode
Mean > median > mode
Mode > median > mean
No correlation
Social & Preventive Medicine
null
42638c22-3379-4215-8bf0-bf79e1dd5d7f
single
IUCD is made up of-
Ans. is 'd' i.e., Polyethylane o On first look at the question, copper comes in the mind first because most commonly used name for IUCD is copper-T (Cu-T). o But copper is not the answer. o IUCD devices are usually made of polyethylene or other polymer; in addition, the medicated or bioactive IUDs release either metal ...
4
Nickel
Strontium
Copper
Polyethylane
Social & Preventive Medicine
null
928ffb3a-0260-4333-a2dd-3855e758a1da
single
Intermediate hosts for toxoplasma are all except-
Ans. is 'c' i.e., Cat Toxoplasma gondiio Toxoplasmosis is the disease caused by infection with the obligate intracellular parasite Toxoplasma gondii.Life cvcleThere are two distinct stages in the life cycle of T gondii.1. Nonfeline stageIn this stage tissue cysts (containg bradyzoites) or sporulated oocysts are ingeste...
3
Human
Sheep
Cat
Pig
Microbiology
Parasitology
7f071c44-3c3f-49ad-bd53-c772552a59ce
multi
IVP is contraindicated in –
Multiple myeloma is a relative contraindication for IVP.
1
Multiple myeloma
Kidney stones
Renal cyst
Transplanted kidney
Radiology
null
ef6e27ec-6851-4a49-a297-298e6c20ef2a
single
Which of the following is the most common complication following surgery after repair of Sprengel deformity?
Sprengel deformity, or congenital elevation of the scapula, associated with the restriction in the motion of the scapula and glenohumeral joint. Brachial plexus injury is the most common and severe complication following surgery for Sprengel deformity. To avoid brachial plexus injuries several authors have recommended ...
2
Infection
Brachial plexus injury
Mediastinitis
Dislocation of the shoulder
Orthopaedics
Shoulder and arm injuries
47524498-d41c-43bc-b803-36fdd86aadf8
single
Bell's palsy patient comes on day 3. Treatment given would be:
(c) Oral steroids + Acyclovir is the best answer.(Ref. Cummings, 6th ed., 2621)Antiviral has to be started within 3 days. Since the patient has presented on the 3rd day, acyclovir should also be started here along with the steroids.If the patient comes after 3 days he should be given only the steroid and vitamin B.Intr...
3
Intratympanic steroids
Oral steroids + vitamin B complex
Oral steroids + Acyclovir
Vasodilators + vitamin B complex
ENT
Facial Nerve And Its Disorders
403f55b2-0949-4663-bea2-c17f0a7c2be7
single
Posterior glenohumeral instability is tested by
Answer: b) Jerk testSulcus Sign. Downward traction is applied to the arm while the shoulder is held in 0 degrees of abduction, neutral rotation, and 0 degrees of flexion/extension. The acromiohumeral interval is measured to assess inferior glenohumeral laxity.Rotator Interval Test. While performing the sulcus test, ext...
2
Crank test
Jerk test
Sulcus test
Fulcrum test
Orthopaedics
Injuries Around Shoulder
7c528c33-01f4-42f7-8702-e192b374e4f1
single
Most common tumor producing osteoblastic metastasis?
Ans. is 'c' i.e., Prostate Osteolytic bone metastases Osteoblastic bone metastasis Mixed osteolytic-osteoblastic Renal (kidney) Thyroid Ewing's sarcoma Uterine carcinoma GIT cancers & Hepatoma Wilm's tumors Myeloma Melonoma & SCC Malignant pheochromocytoma Prostate (most common) Prostate (most common) Medullary carcino...
3
Kidney
Lung
Prostate
Thyroid
Surgery
null
14738634-4f10-4c96-9463-c61c2654ea90
single
In benign intracranial hypeension-
Dural sinus thrombosis (DST) is a life threatening illness and is often overlooked but it must be considered in the differential diagnosis of a patient presenting with a significant headache. DST presents similarly to benign intracranial hypeension (BIH) with intracranial hypeension and headache. A case of a 23 year ol...
3
here is a restriction of upgaze
Normal ventricles is found in 50% of cases
Brain scan in impoant in young woman to exclude sagittal sinus thrombosis
Optic nerve fenestration should be performed early before the Vision is affected
Medicine
C.N.S
eb5508a6-6ae5-4f6f-aae4-935f74e91b06
single
20-year-old male complaints of repeatedly changes in glasses, may result into;
KERATOCONUS Non -Inflammatory central corneal thinning Young male with constantly changing power of glasses with myopia & high cylinder SIGNS IN KERATOCONUS Munson sign. Enlarged corneal nerves-lower lid indentation on downgaze. Oil droplet reflex. Rizutti's sign- Acute Hydrops - aqueous accumulated in stroma Fleischer...
1
Keratoconus
Pathological myopia
Glaucoma
Cataract
Anatomy
FMGE 2019
8ad0377f-77af-4e48-8af3-ff08095575a1
single
The most common cause of SVC syndrome is -
null
2
Thrombosis
Extrinsic compression
Mediastinal lymphoma
Teratoma
Pathology
null
74446ec4-3d12-4b4f-8659-8e27e44fc980
single
Ketogenic amino acids are all except-
Ans. is 'd' i.e., Histidine o Leucine and Lysine - Pure ketogenico Tryptophan - Glycogenic and ketogenico Hitidine - Pure glucogenicGlucogenicKetogenicBoth glucogenic & ketogenico Alanineo Arginineo Aspargineo Aspartic acido Cysteineo Glutamineo Glutamic acido Glycineo Histidineo Methionineo Prolineo Serineo Threonineo...
4
Leucine
Lysine
Tryptophan
Histidine
Biochemistry
Amino Acids Basics
ebed014f-ba7f-4259-898f-e105cf10757e
multi
Pehes disease etiology is?
Ans. is 'd' i.e., Unknown PEHE'S DISEASE (LEGG-CALVE PEHE'S DISEASE) Pehe's disease is also known as osteochondritis deformans juvenilis or Coxa piano or Pseudocoxalgia. Pehe's disease is an osteochondritis of the epiphysis of the femoral head (capital femoral epiphysis). In the disease, the femoral head becomes paly o...
4
Pyogenic
Tubercular
Traumatic
Unknown
Surgery
null
f345c1c2-0a68-41f8-a1c8-805cb5c8f6b5
single
Which of the following drug is a direct inhibitor of clotting factor Xa?
Impoant ones are: - (1) Rivaroxaban (2) Apixaban (3) Edoxaban (4) Betrixaban (a) Argatroban - Direct thrombin inhibitor (synthetic non-peptide compound which binds reversibly to the catalytic site of thrombin but not to the substrate recognition site) (b) Fondaparinux - Indirect thrombin inhibitor. (d)Aspirin - Inhibit...
1
Apixaban
Argatroban
Fondaparinux
Aspirin
Pharmacology
Hematology
ae033be6-d5c4-4166-9299-494d9c065927
single
The drug of choice for obsessive-compulsive disorder is
Drug Treatment in obsessive-compulsive disorder: 1. Benzodiazepines (e.g. alprazolam, clonazepam) have a limited role in controlling anxiety 2. Antidepressants: Clomipramine (75-300 mg/day), a nonspecific serotonin reuptake inhibitor (SRI), was the first drug used effectively in the treatment of OCD. Fluoxetine (20-80 ...
2
Imipramine
Fluoxetine
Chlorpromazine
Benzodiazepine
Psychiatry
Anxiety disorders stress disorders and grief
fa3d3fb9-34f5-44ea-b53b-469d213ba174
single
NO is released by -
Ans. is 'c' i.e., Endothelial cells o The most important physiological source of NO is endothelial cells.o Nitric oxide, also called endothelium-derived-relaxing factor (EDRF), is formed from amino acid arginine, by the action of the enzyme NO synthase, which is cytosolic.o NO acts as short lived biological messenger b...
3
Neutrophills
Macrophages
Endothelial cells
Lymphocytes
Pathology
Miscellaneous (Blood Vessels)
fcecec8f-25ad-4156-9f25-1d7f6f841446
single
Brunner's glands are seen in:
An extensive array of compound mucous glands, called Brunner's glands, is located in the submucosa of the first few centimeters of the duodenum, mainly between the pylorus of the stomach and the papilla of Vater These glands secrete large amounts of alkaline (pH 9) mucus.
2
Jejunum
Upper duodenum
Lower duodenum
Appendix
Physiology
Gastrointestinal System
031fff93-8bf1-4c64-a748-110e0dd4ec9c
single
Which of the following has both endocrine and exocrine functions?
Ans: a (Pancreas)Pancreas has both exocrine and endocrine functions.There are 4 distinct types of pancreatic cells in human.A cells (alpha) - GlucagonB cells (beta) - InsulinD cells (delta) - SomatostatinF cells - Pancreatic polypeptide D1 cells - VIPEndocrine pancreas secretes hormones -glucagon, insulin and somatosta...
1
Pancreas
Thyroid
Spleen
Kidney
Physiology
Endocrinology and Reproduction
938d09b9-d3a3-4468-bb33-0a35f5fe4590
multi
As the sample size increases standard deviation
null
1
Decreases
Increases
Remains the same
may increase or decrease
Dental
null
8fb5aeab-be77-45ec-992e-04e449a62ea1
single
Residual auditory defect is a common complication in meningitis caused by
Residual auditory defect is caused by Haemophilus meningitis .so BERA is the investigation of choice done in them. Reference: GHAI Essential pediatrics, 8th edition
4
Staphylococcus
Meningococcus
Escherichia coli
Haemophilus influenzae
Pediatrics
Central Nervous system
5a527f39-cb8f-43f5-a3c4-3515289c4346
single
Which of the following transpo processes is passive?
Osmosis is the movement of water molecules across a semi-permeable membrane from a region of Lower solute concentration to an area of higher solute concentration. It is passive in nature. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 3)
3
Co-transpo of Na+ ion and a molecule into cell
Exchange of K+ ion outside the cell for Na+ ion inside the cell
Flow of H2O through cell membrane by osmosis
Uptake of molecules into cell by endocytosis
Physiology
General physiology
f8daa68c-611b-4814-bf0a-92ef86fced84
single
If the bih weight is 3 kg by the end of one year of age. It should become:
Average bih weight in India: 2.8 Kg (2.7-2.9 Kg) BW doubles at 5 months, triples by 1 year and quadraples by 2 years age So, BW of 3 Kg will become 6 Kg, 9 Kg and 12 Kg at 5 months, 1 year and 2 years age respectively. Weight gain Pattern in Children Age Weight increments 0-3 months 200 grams per week 4-6 months 150 gr...
2
6 Kg
9 Kg
12 Kg
15 Kg
Social & Preventive Medicine
Maternal and child care
189663f9-fa01-48a4-9ee0-0a330988485f
single
Dr. Shweta decided to add a progestin for 10–12 days each month to estrogen replacement therapy in menopausal women in the gynaecology OPD. Addition of progestin is recommended because the progestin:
null
2
Blocks the increased risk of myocardial infarction due to estrogen
Blocks the increased risk of endometrial carcinoma due to estrogen
Reverses vulval atrophy occurring pausal women
Enhances the metabolic benefits of estrogen treatment
Pharmacology
null
720779c6-45d6-40c9-a6b6-aecfd7cf80b1
single
Which of the following needle is used for irrigation?
null
3
23
25
27
29
Dental
null
29698650-50c9-4c4c-80ba-8b183a918425
single
"Anhedonia" means
Defined as the inability to experience pleasure from activities usually found enjoyableAnhedonia can be characteristic of:Mood disordersSchizoaffective disorderBorderline personality disorderSchizoid personality disorderSchizophreniaRef: Ahuja 5/e p56, 58
1
Lack of interest
Panic attacks
Phobic attack
Mood swings
Medicine
All India exam
60d6da3e-9a57-4c0f-ace7-25b96d50db98
single
All of the following show genu recurvatum, except
null
1
Perthe's disease
Rheumatoid arthritis
Poliomyelitis
Rickets
Orthopaedics
null
9d01e306-5d20-468a-aa74-5d4454b83ca2
multi
The role of htirnan placental lactogen is :
Growth of fetus
3
Stimulate milk production
Fetal breast development
Growth of fetus
Endocrine regulation
Gynaecology & Obstetrics
null
741abce9-8825-459c-958f-946f7a217aff
single
A 29-year-old man notes burning pain on urination with a urethral discharge that has persisted for 3 days. A sample of the exudate is positive by ELISA for Chlamydia trachomatis. The man has increasing stiffness of the knees and ankles and lower back pain 3 weeks later. A radiograph of the lumbar spine shows narrowing ...
The combination of nongonococcal urethritis, arthritis, and conjunctivitis suggests reactive arthritis, one of the spondyloarthropathies; the changes in the spine can resemble ankylosing spondylitis and can be equally debilitating. ANCA is indicative of various forms of vasculitis, such as granulomatous vasculitis and ...
3
ANCA
ANA
HLA-B27 genotype
Anti-Borrelia antibodies
Pathology
Misc.
15842e21-3e92-414a-b872-80bb9e8da2e9
single
A man presents with multiple painless swelling all over the body and coffee brown patches in trunk. The condition is
Ans. (b) Multiple NeurofibromaRef: Bailey and Love 26th edition Page 581* Neurofibromatosis is a condition arising from Schwann cells.* 2 types are seen* 70% are Autosomal Dominant, 30% are sporadic.* NF 1 (Von Recklinghausen) is the MC type.* It is due to Gene mutation of Chromosome 17* Skin manifestation develop in e...
2
Multiple Lipoma
Multiple neurofibroma
Melanoma
Sebaceous Cyst
Surgery
Nervous System
d2fd4a15-aedd-420c-a8c2-2a293156850f
multi
A pre-natal USG showed bilateral hydronephrosis in a male fetus. A repeat USG scan done few days later showed bilateral hydronephrosis with full bladder with reduced amniotic fluid. Emergency Caesarean Section was conducted. What is the FIRST likely investigation for the newborn?
Next Step: Diagnosis by demonstration of posterior urethral valves. Posterior urethral valves, the most common obstructive urethral lesions in infants and newborns, occur only in males and are found at the distal prostatic urethra. Demonstration of urethral valves on a voiding cystourethrogram establishes the diagnosis...
2
Ultrasonography
Micturating Cystourethrogram
DMSA Scan
Renal Doppler
Surgery
null
f70895c6-3d0f-403d-98ac-72ae983b2741
single
A patient with 8 cm x 8 cm abscess in right lobe of liver was treated with aspiration multiple times (3 times) and with systemic amebicide. Now cavity is remaining in right lobe of liver but there is nothing in the cavity. Seven days course of luminal amebicides is given. How will you follow up?
Ans. b. USG weekly for 1 month followed by monthly USG till 1 year (Ref: Sabiston 19/e p1445-1447; Schwartz 9/e p1115-1116; Bailey 25/e p1095; Blumgart 5/e p1016-1024; Shackelford 7/e p1471-1478)In uncomplicated cases of amebic liver abscess, follow-up is done with ultrasound.Role of ultrasound in the diagnosis and tre...
2
Stool examination only
USG weekly for 1 month followed by monthly USG till 1 year
USG weekly for 3 months followed by CT scan at 3 months.
USG or CT scan monthly and stool examination weekly
Medicine
Parasitology
529b4441-5737-4e81-8a6e-e17ab096714a
single
Placentamegaly is diagnosed on USG if size of placenta is more near:
Ans is d, i.e. 40 mmPlacental thickness increases by 1 mm/week. If placental thickness is more than 40 mm at term, it is called as placentomegaly
4
25 mm
30 mm
35 mm
40 mm
Gynaecology & Obstetrics
Fetus Placenta & Fetal Membrane
130108d4-1f40-48a0-92a9-aea19c2856c3
single
Gross hematuria can be seen in:
Patients with glomerular disease have hematuria with proteinuria. Hematuria is asymptomatic. 3-5 red blood cells in the first-voided morning urine is suspicious. Patients will not realize the microscopic hematuria, and only rarely gross hematuria present The exceptions are IgA nephropathy and sickle cell disease in bot...
3
IgA nephropathy
Sickle cell disease
Both IgA nephropathy and sickle cell disease
MPGN
Medicine
null
17b50e82-d7de-4848-b6bb-826fbf5e737f
multi
Association fibers are:
A i.e. Uncinate fasciculus; B i.e. Cingulum; C i.e. Superior longitudinal fasciculus
4
Uncinate fasciculus
Cingulum
Superior longitudinal fasciculus
All
Anatomy
null
792aee51-f569-446f-939f-e2c1d96eef94
multi
Which gland is derived from foramen caecum?
The site of origin of the thyroglossal duct is foramen caecum. It grows down in the midline into the neck. Its tip soon bifurcates. Proliferation of the cells of this bifid end gives rise to the two lobes of the thyroid. Ref: Textbook of Human Embryology Inderbir Singh 6th Ed Page 119.
2
Pituitary
Thyroid
Thymus
Parathyroid
Anatomy
null
6b18844c-4c26-4a53-b27d-6729bf10ab50
single
Which of the following causes mesenteric lymphadenitis?
d. All of the above(Ref: Nelson 20/e p 1405-6, 1611)Acute appendicitis, mesenteric lymphadenitis & ileocolitis have been reported in patients who have had appendectomies during C. jejuni infection.Yersinia pseudotuberculosis is most often associated with mesenteric lymphadenitis.Human Adenovirus may also cause mesenter...
4
Adenovirus
Campylobacter
Yersinia pseudotuberculosis
All of the above
Pediatrics
General Considerations - Infectious Diseases
3066bba2-40d7-4b4a-8c56-ee0f5bce2378
multi
A diabetic patient is undergoing dialysis. Aspiration done around the knee joint would show
ClinicoPathologic Category Associated diseases Major Fibril protein Related precursor protein SYSTEMIC AMYLOIDOSIS Immunocyte dyscrasias with amyloidosis (primary) Multiple myeloma AL Ig light chain, l Reactive systemic amyloidosis (secondary) c/c inflammation AA SAA Hemodialysis-associated CRF Ab2m B2-microglobulin He...
1
A beta 2 microglobulin
AA
AL
Lactoferrin
Pathology
General pathology
bd9752ed-fa68-455f-b7d1-14229152a123
single
Eustachian tube opens in middle ear in
The anterior wall is narrow due to approximation of the medial and lateral walls, and because of descent of the roof. The uppermost pa of the anterior wall bears the opening of the canal for the tensor tympani. The middle pa has the opening of the auditory tube. the inferior pa of the wall is formed by a thin plate of ...
2
Floor
Anterior wall
Superior wall
Posterior wall
Anatomy
Head and neck
04b82bc6-8171-4f9b-bb18-005180eb0a58
multi
Best fertility result in-
Ans. is 'd' i.e., Arcuate Delivery rate and uterine malformationso The overall term delivery rate with uterine malformations is poorer and obstetrical complicaions are more common.o Arcuate uterus has the best reproductive outcome with the live birth rates similar to normal uterio The live birth rate with septate and b...
4
Bicomuate
Unicomuate
Septate
Arcuate
Gynaecology & Obstetrics
Uterus
8a3587f7-0e3b-4989-9eb4-86f61b1a2b5e
single
FDA approved the use of modafinil as an adjunct in
For obstructive sleep apnea the treatment of choice: Continuous positive airway pressure.Adjunct: Modafinil which is a sympathomimetic agonist for alpha and beta receptors.Ref:
1
Sleep apnea
Narcolepsy
Depression with lethargy
Tourette's syndrome
Pharmacology
Respiratory system
a5cc8765-fc40-4231-836d-295e3290e8e2
single
A 50 years old female with 50 kg body weight suffered from burns after pressure cooker blast, involving 45% of total body surface area. How much fluid should be given in first 8 hours?
Resuscitation formulas Formula Crystalloid volume Colloid Volume Free water Parkland 4 mL / Kg per % TBSA None None Brooke 1.5 mL/Kg per % TBSA burn 0.5 mL/Kg per % TBSA burn 2.0 L Galveston (Pediatric) 5000 mL/m2 burned area + 1500 mL/m2 total area None None Parkland Formula: Calculates disease fluid to be replaced in...
4
4 litres
5 litres
6 litres
4.5 litres
Surgery
Burns
af13a4be-e6be-4346-8901-9c59f66ca78a
single
Metabolic alkalosis leads to?
null
1
Low potassium
High calcium
Low I2 trapping by follicular cells
High I2 trapping by follicular cells
Medicine
Electrolyte Imbalance
7bc7a30a-81a7-4fba-a8cc-a1c66fa4b217
single
A 40 yr old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option:
Ans is 'd' i.e. Paial nephrectomy Paial nephrectomy is the preferred surgical approach for a small ( Paial nephrectomy should be considered in the following clinical situations: Renal masses less than 4cm (T1) Localized mass in a patient with a single kidney or with compromised renal function. Synchronous bilateral ren...
4
Radical nephrectomy
Radical nephrectomy with dialysis
Radical nephrectomy with renal transplantation
Paial nephrectomy
Surgery
null
8aee4393-ebb1-404a-8b61-1d6c0fa2c3ad
multi
A child has respiratory distress, chest X-ray shows multiple air-filled space, the differential diagnosis is all except –
Congenital lobar aplasia does not produce air-filled spaces on chest X-ray. All other three options produce air-filled space on chest X-ray.
3
Congenital lung cyst
Congenital diaphragmatic hernia
Congenital lobar aplasia of lung
Congenital adenomatous malformation
Radiology
null
c0bf082b-4fae-46de-88d9-539ec5391c4c
multi
The long acting classical H1 antihistaminic include which of the following ?
null
1
Chlorpheniramine
Astemizole
Cetirizine
Clemastine
Pharmacology
null
2318fb90-bbb9-406e-8f30-811c602b8052
single
The most common disorder associated with Panic Attack is
(B) Post-traumatic stress disorder# 17 symptoms have been identified that make up PTSD.> These 17 symptoms are divided into three separate clusters.> Three PTSD symptom clusters, and the specific symptoms that make up these clusters, are described below.> Re-Experiencing Symptoms Frequently having upsetting thoughts or...
2
OCD
Post-traumatic stress disorder
Depression
Schzophrenia
Psychiatry
Miscellaneous
d1cd03b9-992c-425a-a0d9-c71f6ce0e16a
single
All statement about Plummer Winson Syndrome are true except -
Ans. is 'a' i.e., Commonly leads to carcinoma in lower third of esophagusPlummer-Vinson syndromeo Plummer-Vinson syndrome, also known as Brown-Kelly-Paterson syndrome or sederopenic dysphagia, seen in middle aged edentulous women.o The plummer Vinsion Paterson Brown Kelly Syndrome is characterized by: -DysphagiaChronic...
1
Commonly leads to carcinoma in lower third of esophagus
Common with iron deficiency
Common in females
Premalignant
ENT
Oesophagus
a61a6f9f-2626-472a-be3b-3bc0bfad96c5
multi
In chronic diabetics the value of TG and VLDL are more because
Insulin Activates Lipoprotein lipase Inhibits Hormone sensitive lipase (HSL) In diabetic condition opposite will occur, i.e. Increased activity of hormone sensitive lipase and decreased lipoprotein lipase activity. Increased activity of hormone sensitive lipase Catabolic activity of Fatty acid in Blood
4
Increased in activity of hepatic lipase
Increase in peripheral function of LDL receptors
Increased activity of lipoprotein lipase and decreased activity of hormone sensitive lipase
Increased activity of hormone sensitive lipase and decreased lipoprotein lipase activity
Biochemistry
Lipoproteins
e31ca6c1-c52d-4e2d-8e54-a69355abfc19
single
Marcus Gunn jaw-winking phenomenon due to relation between which cranial nerves
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 505) *Marcus Gunn phenomenon (a.k.a Marcus Gunn jaw-Winking or Trigemino-oculomotor synkineses) *It is an autosomal-dominant condition with incomplete penetrance, in which nursing infants will have rhythmic upward jerking of their upper eyelid *This co...
2
VII & VIII
III & V
V & VI
III & VI
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
bb59f36b-bb8d-4ea8-bbb2-b107487496e6
single
In a patient of syncope the pupils are
null
4
Constricted
Constricted and non- reacting to light
Dilated-fixed and non-reacting to light
Dilated and fixed
Surgery
null
6ed7f105-71b2-44c1-a298-485afb6b5845
single
Nasopharyngeal carcinoma presents as -a) Epistaxisb) Mass in neckc) Headached) Vertigo
null
4
ac
a
ad
ab
ENT
null
b8e48688-5b8e-4933-8937-01399f3fa37c
single
Not a pa of Kangaroo Mother Care
Ref:Park's Text book of Preventive and Social Medicine 25th ed
4
Skin to skin contact
Exclusive breast feeding
Early discharge
Nutritional supplements
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
4575082f-0020-40f0-bd59-6492ae1048bb
single
Fungus causing hair skin and nail infection is?
Ans. (a) T. rubrumRef : Ananthnarayan 8/e, p 604, jawetz 24/e, ch 45 Table 45-2, Rook's 7/e, p 36.33
1
T. rubrum
E. floculossum
M. Canis
M. Ayouni
Skin
Dermatophytosis
7e48bc9e-dfc8-46bd-b3ad-7ac999ea4435
single
Exhibitionism is -
Exposure of one's genital organs to strangers or others is called exhibitionism.
1
Shameless exposure of genitals
Exhibiting one's possessions
A type of mania
Not a sexual persuasion
Psychiatry
null
8405519d-7015-4ee9-b432-6e9c312156e8
single
Rokitansky Protuberance is associated with -
Ans. is 'c' i.e., Dermoid cyst Rokitansky protuberanceo The inner lining of every mature cystic teratoma (dermoid cyst) contains single or multiple white shiny masses projecting from the wall toward the center of the cysts. When hair, other dermal appendages, bone and teeth are present, they usually arise from this pro...
3
Seminoma
Leomyoma
Dermoid cyst
Choriocarcinoma
Pathology
Characteristics and Epidemiology of Neoplasia
41ace6f5-aa0e-4b77-b112-8d71b7056e21
single
A 12 week anomaly scan of 29 year old lady,revealed foetal malformation. On fuher investigation it was found she had taken some vitamin supplements. Which of the following is most likely to be responsible for the foetal defects?
Retinoic acid is a known human teratogen. There is extreme susceptibility for teratogenicity in 3rd to 9th week. Retinoic acid causes changes in HOX gene expression. Note: Valproate also cause disruption of HOX gene expression. Ref: Robbins Basic Pathology, Edition 8, Page 256
1
Vit A
Vit B
Vit E
Vit C
Pathology
null
383a70ee-c802-49e5-916e-72d7a5b10dd5
single
30 year old female with partial seizure. Drug of choice:
Ans. (d) CarbamazepineRef. Harrison's 19th ed. / 2552* Given the choices the answer will be Carbamazepine* According to Harrisons 19th ed. the current recommendable drug for GTCS is LAMOTRIGINE > Carbamazepine
4
Phenytoin
Na+ valproate
Phenobarbitone
Carbamazepine
Pharmacology
Epilepsy
07ef5b20-2b5f-46b6-acc1-0adfdeeefe9f
single
Relaxation of which of these joints in pregnancy can cause waddling gait?
The joint between the two pubic bones is the pubic symphysis. It is not a stable joint. They have limited motion but do become more mobile and even separate a bit during pregnancy. The relaxation is attributed to the hormone relaxin. This is a pa of maternal adaptation for accomodation of the fetus in the pelvis during...
2
Knee joint
Symphysis
Sacrococcygeal joint
Interveebral joint
Gynaecology & Obstetrics
Maternal Anatomy and Physiology
050ae533-8e30-4d7d-b660-cadc348e40ef
single
Pearl Index of SAHEIL
null
1
2/HWY
14/HWY
0.1/HWY
9/HWY
Social & Preventive Medicine
null
369ba010-d93d-4446-8f30-579f3c733b28
single
Karyotyping under light microscopy is
B i.e. G banding [Ref: Nagesh Rao: Human genetics
2
L Banding
G banding
C Banding
FUdR banding
Biochemistry
null
36e46b65-0fca-4531-b76e-57f07d869115
single
If patient is on follow up with you, after a enucleating of an painful blind eye. After you enucleating the eyeball, a proper sized aificial prosthetic why is advanced after an post operative treatment
After enucleation, we put orbital implants. We wait for the inflammation to subside 1.e around 10 days. If hudroxyappatite implant is to be put, it can even be done on same sitting Refer khurana 6/e p 420
1
About 10 days
About 20 days
6-8 week
12 -24 weeks
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
7ce09486-c18f-4ba7-a318-22d3307df61d
multi
If 90% of jejunum and ilium is removed then all of the following features will be seen except -
Ans. is 'c' i.e., Weight gain Short bowel syndromeo Is the malabsorptive condition that arises secondary to removal of significant segments of the small intestineo The MC causes are Mesentric infarction, Crohns ds, Trauma * Changes seen in Terminal ileal resection# Resection of terminal ileum results in malabsorption o...
3
Steatorrhoea
Diarrhoea
Weight gain
Megaloblastic anemia
Surgery
Miscellaneous (Small & Large Intestine)
ef6930eb-9134-4709-866e-9a9b1bbc4e32
multi
All are true about Thoracolumbar fascia except -
Thoracolumbar fascia -        Lumbar part extends between the 12th rib and iliac crest. -        It has 3 layers Anterior layer  Attachment - Anterior surface of the transverse process of lumbar vertebrae Position - anterior to quadratus lumborum Middle layer Attachment - the Transverse process of lumbar vertebrae ...
3
Attached to spinous process of lumbar vertebra
Attached to transverse process of lumbar vertebra
The fascia lies posterior to posterior abdominal wall muscles.
Gives attachment to Transversus abdominis and internal oblique muscles
Anatomy
null
e3f9ddae-aadb-4426-a9b8-71dd0bc6347f
multi
Dennie–Morgan fold is seen in –
Denny Morgan fold is extra fold of skin beneath lower eye lid which is seen in atopic dermatitis.
4
Dermatomyositis
SLE
Psoriasis vulgaris
Atopic dermatitis
Dental
null
9aad3417-04c4-439f-b08b-3ffe5eac436b
single
A double aoic arch is due to persistency of the following segment:
Double aoic arch is the result of persistence and continued patency of the segment of the right dorsal aoa between the origin of the right seventh intersegmental aery and its junction with the left dorsal aoa. Affected infants have a characteristic inspiratory and expiratory wheeze, stridor, or crouplike cough. Echocar...
1
Right dorsal aoa
Left dorsal aoa
Right primitive atrium
Left primitive atrium
Anatomy
null
a4984b38-2122-42ea-bbb9-8d2c4fb27f39
single
Testicular tumor associated with high HCG level is?
Ans. is 'a i.e., Choriocarcinoma Testicular tumorTumor markersSeminoma* Placental alkaline phosphatase, keratin* Classical seminomas are negative for HCG, but 7-15% may be positive for HCGEmbryonal carcinoma* HCG, AFPYolk sac tumor* AFP, a-1 antitrypsinChoriocarcinoma* HCG
1
Choriocarcinoma
Seminoma
Endodermal sinus tumour
All of the above
Pathology
Male Genital Tract
65c6eacf-56d5-46fc-aad2-fa34d80614df
multi
A client is undergoing peritoneal dialysis. The dialysate dwell time is completed, and the dwell clamp is opened to allow the dialysate to drain. The nurse notes that the drainage has stopped and only 500 ml has drained; the amount the dialysate instilled was 1,500 ml. Which of the following interventions would be done...
The first intervention should be to check for kinks and obstructions because that could be preventing drainage. After checking for kinks, have the client change position to promote drainage. Don’t give the next scheduled exchange until the dialysate is drained because abdominal distention will occur, unless the output ...
3
Change the client’s position.
Call the physician
Check the catheter for kinks or obstruction.
Clamp the catheter and instill more dialysate at the next exchange time
Pathology
null
cf9e7460-3d38-48c8-b5b8-4421540bf144
multi
Nerve to pterygoid canal is formed from
In the anterior pa of the foramen lacerum, the greater petrosal nerve unites with the deep petrosal nerve to form the nerve of the pterygoid canal which leaves the foramen by entering the pterygoid canal in the anterior wall of the foramen lacerum. Ref: BD Chaurasia's HUMAN ANATOMY, Volume 3, 4th edition.
1
Deep petrosal nerve + greater petrosal nerve
Facial nerve
Lesser superficial petrosal nerve
Lesser petrosal nerve
Anatomy
Head and neck
82068b66-3c13-4b3c-a225-71ac4ac0b3d2
single
The primary direct stimulus for excitation of central chemoreceptors regulating ventilation is:
. Ans. a. Increased H+ The primary direct stimulus for central chemoreceptors is increased H+ concentration in the CSF and brain interstitial fluid."The primary direct stimulus for central chemoreceptors is increased H+ concentration in the CSF and brain interstitial fluid. But the cone: in the brain parallels the arte...
1
Increased H+
Increased CO2
Increased O2
Decreased CO2
Physiology
Regulation of Respiration
aef3c16c-d3ec-475d-9786-38786a9f8489
single
Which of the following contribute in polypeptide synthesis:
Enhancer is the cis-acting DNA sequence that increases the rate of inhibition of transcription of eukaryotic genes by RNA polymerase. Leader sequence: The untranslated segment of mRNA before the sta codon. Ref: Harper, 28th Edition, Page 343
2
Leader sequence
Enhancer
tRNA
ncRNA
Biochemistry
null
7b27473b-3778-4282-9165-989eb5e97d0f
single
Leisch nodules are seen in
(C) Neurofibromatosis type I # NEUROFIBROMATOSIS TYPES# TYPE 1 (NF-1) Peripheral neurofibromatosis Von Recklinghausen's disease Incidence 1 in 3 000 Gene on long arm of chromosome 17> Diagnostic criteria: Devised by National Institute of Health in 1987 Require 2 or more of the following> Cafe au lait spots 6 or more >5...
3
SLE
Rheumatoid arthritis
Neurofibromatosis type I
Ankylosing spondylitis
Medicine
Miscellaneous
417b1d7d-8e6a-460f-8bdb-b5382e3ab6d7
single
Which of the following best describes the mechanism of action of Colchicine in Acute Gout?
Colchicine produces its anti-inflammatory effects by binding to the intracellular protein tubulin, thereby preventing its polymerization into microtubules and leading to the inhibition of leukocyte migration. Colchicine-treated neutrophils develop a &;drunken walk&;. Colchicine is neither a uricosuric nor an analgesic ...
2
Inhibition of chemotactic Factors
Tubulin binding and inhibition of leukocyte migration
Enhanced metabolism of Urate crystals
Enhanced excretion of Uric acid
Pharmacology
Other topics and Adverse effects
47068619-042b-480d-8c80-797026ce18fe
single
A S2, S3, S4 lesion bilaterally can cause which of the followingmanifestations?
Note the distribution of S2-S4 nerve. The S2, S3, S4 innervation, if damaged at the level of the spinal cord, is most likely to produce incontinence of bladder or bowel. Pain of the vaginal delivery arises from stimuli from the lower genital tract. These are transmitted primarily through the pudendal nerve, the periphe...
4
Painless menses
Painless Labour
Inability to abduct her thigh
Rectal incontinence
Gynaecology & Obstetrics
Labour - II
7faee676-e4f6-4ab5-bb44-8bba9d13334d
multi
Which of the following groups of proteins assist in the folding of other proteins ?
Ans-D
4
Proteases
Proteosomes
Templates
Chaperones
Unknown
null
adc41c6d-688b-4fb8-8607-4f2ff3b87814
single
A 60-kg, 53-year-old man with no significant medical problems undergoes lysis of adhesions for a small-bowel obstruction. Postoperatively, he has high nasogastric output and low urine output. What is the most appropriate management of his fluids?
This postoperative patient requires replacement of nasogastric tube losses in addition to maintenance fluids. In an otherwise healthy individual, maintenance fluids are calculated based on body weight as 4 mL/kg/h for the first 10 kg, 2 mL/kg/h for the second 10 kg, and 1 mL/kg/h for every additional kg body weight. A ...
4
Infusion of D5 0.45% normal saline at 100 mL/h
Infusion of D5 0.9% normal saline at 100 mL/h
Infusion of D5 lactated Ringer at 100 mL/h
Replacement of nasogastric tube losses with lactated Ringer in addition to maintenance fluids
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
53b32500-2c72-49ce-b602-82d2d18ff5b7
multi
Which of the following statements regarding drugs used in leprosy is FALSE?
Acedapsone is a repository form of dapsone. Single i.m. injection of acedapsone keep on releasing the drug for 3 months. Rifampicin is used once in a month (supervised dose) for the treatment of leprosy. It prevents the emergence of resistance to dapsone. Clofazimine can result in skin pigmentation(reddish-black), disc...
3
Single intramuscular injections of acedapsone maintain inhibitory levels of dapsone in tissues for upto 3 months
Monthly doses of rifampicin delay the emergence of resistance to dapsone
Clofazimine should not be given to patients who are intolerant to dapsone or who fail to improve during treatment with dapsone
Clofazimine may cause changes in the skin colour
Pharmacology
Mycobacterial Diseases (TB, Leprosy and MAC)
98a560ab-754c-4afe-b614-d9cd2541257f
multi
Gelles test is done in?
(a) OtosclerosisRef: Dhingra Text book of ENT, 6th ed., ch-4* Gelle's test It is a test of bone conduction and examines the effect of increased air pressure i n ear canal on the hearing.* Normally, when air pressure is increased in the ear canal by Siegle's speculum, it pushes the tympanic membrane and ossicles inwards...
1
Otosclerosis
Serous otitis media
Traumatic hearing loss
Age related hearing loss
ENT
Ear
1c6ae11c-cf3c-4f1e-830f-bf8a228f565e
single
Antitubercular drug causing gout is: March 2005
Ans. B: Ethambutol Drugs causing gout/hyperuricemia include Diuretics Low-dose salicylate Cyclosporine Pyrazinamide Ethambutol Levodopa 1 Nicotinic acid Methoxvflurane
2
Streptomycin
Ethambutol
Rifampicin
null
Pharmacology
null
2d312243-945a-43f7-bd97-d16aa2f7b35b
multi
All of the following functions are associated with myelination except
The main purpose of a myelin layer (or sheath) is to increase the speed at which impulses propagate along the myelinated fiber. Along unmyelinated fibers, impulses move continuously as waves, but, in myelinated fibers, they "hop" or propagate by saltatory conduction. Myelin decreases capacitance and increases electrica...
4
Decreases energy expenditure
Increases speed of conduction
Provide protective covering for the axon
Decreases the release of neurotransmitter from the nerve endings
Physiology
Nervous system
873b38c6-3583-4dba-855b-adbee5ec6552
multi
Investigation of choice to exclude intra-abdominal bleeding in hemodynamically unstable patient is -
Ans. is 'b' i.e., FAST Investigations to rule out abdominal injury in trauma patient* Investigations are driven by the cardiovascular status of the patient.* Blood loss into the abdomen can be subtle and there may be no clinical signs (blood is not an irritant and may not initially cause any abdominal pain). If stable,...
2
Diagnostic peritoneal lavage
FAST
CT Scan
X Ray
Surgery
Trauma
ea059e62-01d7-4a3c-b30a-4b5213ceb496
multi