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Symbol 'X' denotes
.An "O" often is used to represent responses for the right ear and an "X" is used to represent responses for the left ear. A key on the audiogram, similar to one found on a map, identifies what the different symbols mean Hence, indicates air conduction test for left year Ref physiology textbook A. K Jain.. 3e
3
Air conduction threshold for right ear
Bone conduction threshold for right ear
Air conduction threshold for left ear
Bone conduction threshold for left ear
Physiology
All India exam
f05ed9e7-9409-42ee-aeb0-b78a36892ff7
single
In high potassium serum levels, kidney compensation occurs by?
Ans. is'c'i.e., Increased secretion in DCT[Ref: Guyton & hall p. 201Potassium transpo:Potassium is one of the few substances that are both reabsorbed as well as secreted by the renal tubules.The reabsorption of about two-thirds of the filtered K+ occurs in the proximal tubulesK+ reabsorption as weII as secretion takes ...
3
Decreased reabsorption in PCT
Increased secretion in PCT
Increased secretion in DCT
Decreased reabsorption in loop of Henle
Physiology
null
ddef805b-b80a-4076-ac36-11c565020e31
single
All are true about Wilm's tumor, EXCEPT:
80% of children with Wilm's tumor present present under 5 years of age. The mean age of diagnosis is 3 years. 6% of patients with Wilm's tumor have bilateral disease. Bilateral disease is more common in familial type. Clinical features: Most patients presents with an abdominal mass, others can present with hematuria, h...
1
Present at 5 years of age
Can be bilateral
Presents as abdominal mass
Diploid tumors have better prognosis
Pediatrics
null
1c33432b-d921-4a60-bb6d-b81d9bc44efb
multi
A patient has rheumatic fever with carditis without any residual damage to the value. What will be the duration of penicillin prophylaxis in him
SECONDARY PREVENTION of RHEUMATIC FEVER (with and without carditis) Secondary prevention (i.e., the prevention of recurrences of RF) is a more practicable approach, especially in developing countries. It consists in identifying those who have had RF and giving them one intramuscular injection of benzathine benzyl penic...
2
20 years
10 years
15 years
5 years
Social & Preventive Medicine
Epidemiology
dd40d190-cec7-402d-9349-941d211daf6c
single
Which of the following are Pyrimidine bases?
In DNA and RNA, Pyrimidine bases form hydrogen bonds with their complementary purines. Thus, in DNA, the purines adenine (A) and guanine (G) pair up with the pyrimidines thymine (T) and cytosine (C), respectively. In RNA, the complement of adenine (A) is uracil (U) instead of thymine (T), so the pairs that form are ade...
4
Adenine and Guanine
Guanine and Cytosine
Cytosine and Adenine
Thymine and Cytosine
Biochemistry
null
fd370542-2143-4874-a4fe-0ce64327db4b
single
Sumatriptan is a?
SUMATRIPTAN *Selective agonist of the 5-HT1B/1D receptor *No interaction with adrenergic, dopaminergic and cholinergic receptors, GABA MOA: *Blockade of 5-HT1D/1B mediated constriction of dilated extracerebral blood vessel *Constriction of the aeriovenous shunt of carotid aery *Inhibition of release of 5-HT and inflamm...
3
5HT 1D antagonist
5HT 1 agonist
5HT 1D agonist
5HT 1A antagonist
Pharmacology
Autacoids
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single
According to the National Programme for Control of Blindness, who are supposed to screen the school students for vision problems?
In general vision problems present with difficulty in learning at school. These children with eye sight problems undergo screening by their school teachers. These children if they tend to have refractive errors, are then referred to the health assistants and ophthalmologists. The National Programme for Control of Blind...
2
Health assistants
School teachers
Medical officers of health centers
Ophthalmologists
Social & Preventive Medicine
null
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single
In TCA cycle, citrate is conveed into, after losing a molecul of H20 -
B i.e. Cis aconitate
2
Isocitrate
Cis-aconitate
Oxaloacelate
Glutarate
Biochemistry
null
82c77197-a41d-48c0-8ac7-b46a5d4cd1e3
single
All the following are examples of nominal scale except-
Nominal scale is used for qualitative data. Blood pressure is quantitative data, which is used on the ratio scale. Race, sex and Iris color are qualitative data.
4
Race
Sex
Iris color
Blood pressure
Social & Preventive Medicine
null
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multi
Nausea and vomiting are common in pregnancy. Hyperemesis gravidarum, however, is a much more serious and potentially fatal problem. Findings that should alert the physician to the diagnosis of hyperemesis gravidarum early in its course include
Hyperemesis gravidarum is intractable vomiting of pregnancy and is associated with disturbed nutrition. Early signs of the disorder include weight loss (up to 5% of body weight) and ketonuria. Because vomiting causes potassium loss, electrocardiographic evidence of potassium depletion, such as inverted T waves and prol...
4
Electrocardiographic evidence of hypokalemia
Metabolic acidosis
Jaundice
Ketonuria
Gynaecology & Obstetrics
Obstructed Labour
771db580-762a-4c64-aaf8-7283d9df789a
multi
Fat mesentry is sent for investigation in which poisoning-
Ans. is 'b' i.e., Organophosphorous For organophosphorous (pesticides/insecticides) poisoning fatty tissue from abdominal wall, perinephric fat and brain are preserved. The viscera should be preserved in cases of suspected poisoning and must be send for toxicological examination. The viscera are preserved according to ...
2
Carbon monoxide
Organophosphorous
Arsenic
Lead
Forensic Medicine
null
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A 26 year old third gravida mother delivered a male baby weighing 4–2 kg at 37 weeks of gestation through an emergency caesarean section, for obstructed labour. The child developed respiratory distress one hour after birth. He was kept nil per orally (NPO) and given intravenous fluids. He maintained oxygen saturation o...
Respiratory distress, which resolves within 24 hours without any respiratory support and fluid in interlobar fissure on chest X-ray suggest the diagnosis of TTN.
1
Transient tachypnea of the newborn
Meconium aspiration syndrome
Persistent fetal circulation
Hyaline membrane disease
Pediatrics
null
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multi
Which of the following is not a cardioselective beta blocker -
Ans. is 'd' i.e., Oxprenolol Selective Px blockers are (cardioselective):1. Atenolol3. Bisoprolol5. Celiprolol7. Metoprolol2. Acebutalol4. Betoxolol6. Esmolol8.Nebivolol o These agents are preferred in DM, hyperlipidemia, PVD, asthma.Selective(b2)Butoxamine (has been removed from 6th/e of KDT)Beta-blockers with intrins...
4
Nebivolol
Atenolol
Betaxolol
Oxprenolol
Pharmacology
Anti Adrenergic System
53d1ef14-f650-40b1-b157-f471a550ac83
single
Normal capillary wedge pressure
Ans. (b) 5-10mmHgRef: Ganong, 25th ed/p.574Mean Pulmonary capillary wedge pressure (PCWP)=9mmHg (Range - 4 to 12 mm Hg)PCWP is usually measured using a balloon-tipped, multilumen catheter called Swan-Ganz catheter
2
0-2 mm Hg
5-10 mm Hg
15-20 mm Hg
20-30 mm Hg
Physiology
Heart, Circulation, and Blood
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single
Pleural calcification is seen in -
null
4
Mesothelioma
Haemothorax
Tubercular empyema
All of the above
Medicine
null
7319cc30-4872-4aab-ab7d-952872d1080f
multi
MRI is the Investigation of choice for which of the following?
Contrast-enhanced MRA is sufficiently sensitive to be used as a screening test for stenosis of the main renal aery. MRA has lower spatial resolution compared with conventional film-based angiography, and therefore the detection of small-vessel abnormalities, such as vasculitis and distal vasospasm, is problematic.
2
Renal stones
Renal aery stenosis
High grade VUR
Renal transplant rejection
Radiology
Genitourinary radiology
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A boy presented in the OPD with minimal pleural effusion on the right side. The best method to detect this would be :
Ans. is 'c' is Right lateral decubitus chest X-ray Most dependent recess of the pleura is the posterior costophrenic angle*.So in pleural effusion this recess would be filled earliest. But at least 100-200 ml of fluid would be required to fill this recess before it can be detected on a PA view.Therefore in cases of min...
3
Left side chest X-ray
Right side chest X-ray
Right lateral decubitus chest X-ray
Left lateral decubitus chest X-ray
Radiology
Imaging of Pleural Disease
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Acanthosis nigricans is associated with malignancies and: March 2013
Ans. C i.e. Insulin resistance Acanthosis nigricans Characteristic of acanthosis nigricans: - Dark, - Thick, - Velvetty skin (in body folds and creases) MC cause of acanthosis nigricans: Type 2 DM Internal malignancies associated with acanthosis nigricans: - Adenocarcinoma lungs, - Carcinoma GIT etc.
3
Hypeension
MI
Insulin resistance
Leprosy
Skin
null
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Which of the following is the MOST common type of female pelvis?
Gynecoid is the most common type of female pelvis. In this type of pelvis the inlet is oval or round. In the midpelvis, sides of the pelvis are straight and the spines are not prominent. At the outlet the pubic arch is wide and the sacrum is neither inclined anteriorly nor posteriorly. The configuration of this type of...
1
Gynecoid
Anthropoid
Android
Platypelloid
Gynaecology & Obstetrics
null
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single
Etiology of Quincke's edema:
Common causes of Angio or Quincke’s edema or Giant urticaria Allergic angioedema due to mast cell degranulation that leads to histamine release. Seen in IgE mediated hypersensitivity reactions. Use of ACE inhibitors, which increase the levels of bradykinin and this form of angioedema usually arises within hours of ini...
4
Sensitivity to acrylic resin
Using ACE inhibitors
Hereditary
All of the above
Pathology
null
71ecda0f-c41e-4aa2-b07d-fdaeb031fc82
multi
Pneumonia alba is due to -
null
3
Klebsiella
Streptococci
Treponema pallidum
Staphylococci
Medicine
null
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multi
Which of the following ligaments is derived from the tendon of semimembranosus?
OBLIQUE POPLITEAL LIGAMENT:- Expansion from the tendon of semimembranosus.Runs upwards and laterally, blends with the posterior surface of the capsule, and is attached to the intercondylar line and lateral condyle of femur.Related to politeal aery.Structures piercing the ligament:-1. Middle Genicular vessels.2. Posteri...
1
Oblique popliteal ligament
Fibular ligament
Medial collateral ligament
Ligamentum patellae
Anatomy
Lower limb
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single
Lacis cells are seen in
Question repeated
1
JGA
Distal tubule
Proximal tubule
Peritubular capillaries
Physiology
Renal physiology
dee81768-3df4-4c93-8892-666981127ff1
single
In serial extraction procedure if maxillary 1st premolar is extracted then maxillary canine erupts in direction
null
2
Downward
Downward-backward
Downward-forward
Forward
Dental
null
763705cb-d475-4eb1-a5b8-30849890680c
single
Which of the following statement is true with reference to the Glassgow coma scale:
null
2
In the first 24 hr. following a head injury an overall score of 11 indicates a good prognosis
An overall score of less than 9 indicates a poor prognosis
Gives an accurate impression of the neurological status
Cannot be assessed in an unconscious patient
Surgery
null
0eeb7ad5-7679-44a4-bbdb-9d406d96a258
multi
Egocentric and magical thinking, excessive emotionality and attention seeking pattern is associated with which type of personality?
Narcissistic PD. This question best describes Histrionic PD, which is not given in the option. Hence, Narcissistic PD would be the best option as question describes egocentricity.It is a type of Cluster B PD in which person gives excessive self impoance and believes that he is special and talented and has fantasies of ...
4
Schizoid
Schizotypal
Avoidant
Narcissistic
Psychiatry
Personality Disorders
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single
Consumer protection act was passed in -
For the first time in India,the Consumer Protection Act 1986 provided consumers a forum of speedy redressal of their grievances against medical services.In the entire health care delivery system the most vital sector is the medical profession (refer pgno:694 park 23 rd edition)
2
1977
1986
1993
1998
Social & Preventive Medicine
Health education & planning
e881bbcb-7b5f-466f-a682-6f3961ef5d26
single
Identity the lesion of oral cavity
null
2
Erythroplakia
Leukoplakia
Submucous fibrosis
Lichen planus
ENT
null
fd81fc06-dabb-4341-9da0-8d78a6966ebb
single
Most common type of inheritance associated with consanguinity is?
Ans. is 'b' i.e., Autosomal recessive Consanguinity* Increases risk of - autosomal recessive disease* No change in risk of - autosomal dominant, X linked recessive (if neither parent affected)* Not Proven - complex late onset diseases like diabetes, schizophrenia, cardiovascular diseases
2
Autosomal dominant
Autosomal recessive
X-linked dominant
X-linked recessive
Pathology
Genetics
1f5fff17-54f7-4ba1-819b-9b21634441b0
single
Which of the following is not a component of mackler's triad for esophageal perforation
Mackler’s triad consists of chest pain, vomiting and subcutaneous emphysema.
4
Chest pain
Vomiting
Subcutaneous emphysema
Aspirational pneumonitis
Surgery
null
00751a72-9531-4ae5-b95f-d175a78b05c1
single
A 55 year old male presents with enlarged glands over the left side of neck. On examination, Spleen is enlarged 4 cm below the costal margin and liver is enlarged 2 cm below costal margin. Blood examination shlow a total leucocyte count of 80,000/ cumm. Mostly lymphocytes and a few prematurecells the mostly likely diag...
null
3
Infective adenopathy
Acute leukaemoid reaction
Lymphatic leukaemia
Hodgkin's disease
Medicine
null
9c6c3c62-96f5-46dd-8cee-b829bc757ce7
single
Longest pa of optic nerve -
The optic nerve is about 47- 50 mm in length and can be divided into 4 pas : intraocular (1mm), intraorbital (30mm), intracanalicular (6-9mm)and intracranial (10mm). Refer comprehensive ophthalmology 6th edition , A K Khurana , page no. 310
3
Intraocular
Intracranial
Intraorbital
Intracranial
Ophthalmology
Neuro-ophthalmology
78d020db-d1b7-407d-a263-78e1c5065973
single
Dubin Johnson syndrome characteristically makes the liver:
This rare autosomal recessive condition, characterized by conjugated hyperbilirubinemia, with normal liver transaminases, a unique pattern of urinary excretion of heme metabolites (coproporphyrin) and the deposition of a pigment, that gives liver a characteristic black color.
1
Black
Blue
Red
White
Medicine
null
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multi
In which plane of anaesthesia, movement of eyeball is lost –
At the end of plane 1 of stage III, eye ball becomes fixed.
1
Stage 3, Plane 1
Stage 1, Plane 3
Stage 2, Plane 3
Stage 4
Anaesthesia
null
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multi
Treatment of choice for diphtheria carriers is:
Erythromycin
1
Erythromycin
Tetracycline
Penicillin
DPT
Social & Preventive Medicine
null
aa578c78-c7a6-4bad-9a3e-5a4ac17519fd
single
A new born presents with petechiae skin lesions, hematuria, and platelet count is 22,000/L. Most likely caused by – a) Congenital CMV infectionb) Congenital rubella infectionc) Premature infantsd) None
null
2
ac
ab
ad
bc
Pediatrics
null
ebfcf92d-9826-4f67-a00d-b2503c8c3c38
multi
Antibodies acting predominantly on the mucosal cells belong to -
- IgA is selectivity concentrated in secretions and on mucus surfaces forming an antibody paste and is believed to play an impoant role in local immunity against respiratory and intestinal pathogens. - inhibits the adherence of micro organisms to the surface of mucosal cells by covering the organisms and thereby preven...
4
IgG class
IgM class
IgE class
IgA class
Microbiology
Immunology
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single
Paradoxical undressing is seen in: MAHE 06, 10; CMC (Vellore) 10
Ans. Hypothermia
2
Hypehermia
Hypothermia
Transvestism
Immersion syndrome
Forensic Medicine
null
21ef13fb-5ca9-4cf4-8657-602fe4315a8b
single
Important clues of diagnosis chronic renal failure(CRF) Except
D. i.e. (Hypertension) (269 - H17th)SyndromeImportant clues to DiagnosisFindings that are common Azotemia for > 3 monthsProteinuriaCHRONICProlonged symptoms or sign of uremiaCastsRENALSymptoms or sign of renal osteodystrophyPolyuria nocturiaFAILUREKidney reduced in size bilaterallyEdema Hypertension Broad casts in urin...
4
Bilateral contracted kidney
Massive proteinuria
Osteodystrophy
Hypertension
Medicine
Kidney
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multi
Busacca's nodules:
Ans. Consists of lymphocytes, plasma cells, epitheloid and giant cells
4
Are a feature of nongranulomatous uveitis
Are situated at the pupillary border
Usually initiate posterior synechiae formation
Consists of lymphocytes, plasma cells, epitheloid and giant cells
Ophthalmology
null
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multi
"Row of tomb stones" appearance is a feature of -
Ans. is 'a' i.e., Pemphigus o Repeat from previous sessions.
1
Pemphigus
Pemphigoid
Irritant dermatitis
Herpes
Skin
Bacterial Infection of Skin
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single
Which is the BEST method to diagnose a case of Mallory weiss tear?
Mallory-Weiss Tear A Mallory-Weiss tear is a linear mucosal rent near or across the gastroesophageal junction. It may disrupts the submucosal aeriole resulting in brisk hemorrhage. MUST KNOW: Endoscopy is the best method of diagnosis. Actively bleeding tear can be treated endoscopically with epinephrine injection, coap...
1
Esophagogastroduodenoscopy
Side view endoscopy
MRI scan
Angiogram
Medicine
null
252c06b4-e588-4052-8ca4-794f4724bf61
multi
Long term adverse effect of tamoxifen is
TAMOXIFEN - It is SERM - Actions Bone - | formation of bone; decrease risk of osteoporosis Blood - | HDL Breast -Decrease risk of breast cancer Liver - | clotting factor leading to thromboembolism Endometrium - | risk of endometrial cancer
3
Weight gain
Osteoporosis
Venous thrombosis
Breast cancer
Pharmacology
Osteoporosis, Sex Hormones and OCPs
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single
Puff of smoke appearance in cerebral angiography is a feature of
Lenticulostriate arteries form a rich collateral network around occlusive lesion - puff of smoke. Anterior circulation > posterior.
3
Carotid artery thrombosis
Alexander disease
Moya moya disease
Krabbe's disease
Radiology
null
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single
True about Ca vulva associated/predisposed by:
null
4
Paget's disease
Vulval intraepithelial neoplasia
Bowen's disease
All of the above
Gynaecology & Obstetrics
null
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multi
Non-Iodine containing contrast is -
Gd DTPA is non iodine containing contrast agent
1
Gd DTPA
Visipaque
Iohexanol
Diatrozoate
Radiology
Fundamentals in Radiology
de1da054-9b97-46e6-bf52-388ae6088af4
single
Which stain is used for Corynebacterium diphtheriae -
Ans. is 'b' i.e., Albert* The diphtheria bacillus was first observed and described by Klebs (1883) but was first cultivated by Loeffler (1884).* Therefore, it is known as Klebs - Loeffler bacillus (KLB).* Corynebacterium diphtheria is gram positive slender rod (bacilli) which is noncapsulated and non-motile.* The bacil...
2
Geimsa
Albert
PAS
India ink
Microbiology
Bacteria
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single
A patient has multiple necrotic ulcers over glans penis with tender inguinal lymphadenopathy. The likely diagnosis is -
null
1
Haemophilous ducreyi
Chlamydia trachomatis
Herpes simplex
Candida albicans
Medicine
null
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single
The highest mercury concentration in amalgam filling is found
null
1
At the margin of the restoration
In the centre of the restoration
In the deepest part of the restoration
None of the above
Dental
null
7cb0f99c-d008-4c60-b623-cff3c6b5706f
multi
Which of the following causes malignant mesothelioma?-
Malignant mesothelioma is a rare form of cancer that affects the thin lining of the body's internal organs, known as the mesothelium. As the word malignant implies, it is a deadly disease that often has a poor prognosis. There are three primary types of mesothelioma: Malignant pleural mesothelioma - occurs in the linin...
2
Smoking
Asbestosis
Pneumoconiosis
Silicosis
Pathology
General pathology
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single
Membranous Glomerulopathy is seen in?
Membranous Glomerulopathy is seen in- Malignancy
4
Diabetes
HTN
Renal failure
Malignancy
Medicine
Nephrotic and Nephritic syndrome
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single
"Strings of pearls" appearance is seen in?
Chronic pancreatitis is characterized by irregularities of of the pancreatic ducts, ductal strictures, and area of duct dilation. The major as well as the side branch ducts may be involved. For unexplained reason, some patients with chronic pancreatitis develop dilated main pancreatic ducts (large ductal disease), wher...
3
SAIO
Gallstone ileus
Chronic pancreatitis
Duodenal perforation
Radiology
null
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multi
A boy is suffering from acute pyelonephritis
Ans. a. WBC casts
1
WBC casts
Leucocyte esterase test
Nitrite
Bacteria in gram stain
Medicine
null
87e1fb27-72e6-4a4f-bb16-cd7615c09050
single
Not obtained from plant source ?
Ans. is 'a' i.e., CobalamineVitamin B12 (cobalamin or cynocobalmin) is present only in food of animal origin. Other three vitamins can be taken from plant source.
1
Cobalamine
Riboflavin
Thiamine
Vitamin A
Biochemistry
null
ece33c68-c3fa-4ed1-95d0-1292799a2280
single
Antiglaidin antibodies are seen in?
Ans. is 'c' i.e., Celiac disease Diagnosis of Celiac disease* The definitive diagnosis is based on histopathologicalfindings which show :i) Villous atrophy and Crypt hyperplasia with decrease in villus : crypt ratio.ii) Loss of microvilli brush border.iii) Inflammatory cells are present in lamina propria : plasma cells...
3
Tropica sprue
Whipple's disease
Celiac disease
Intestinal lymphoma
Pathology
G.I.T.
6787a2d4-1968-4087-955b-62b8961f71a7
single
Plethoric lung field is seen in which CHD -
Ans. is 'd' i.e., VSD
4
Ebstein's anomaly
Tricuspid atresia
AS
VSD
Pediatrics
null
7ba129ee-4907-452f-83ef-c9407b45f920
single
In renal agenesis, the adrenal gland is
Embryological development of kidneys and adrenal is different, hence even in renal agenesis, adrenal glands will be in normal position
4
Absent
Present on contralateral side
Ectopic in the iliac fossa
Present at the usual location
Physiology
All India exam
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single
Prophylaxis for migraine -
null
2
Sumitriptan
Amytriptiline
Nifidipine
Diazepam
Medicine
null
8dab7f3b-ce03-4078-b9c5-108b8d2192e2
single
Barrier method -a) Hormonal contraceptiveb) IUDc) Condomd) Diaphragm
null
4
ab
bc
bd
cd
Social & Preventive Medicine
null
655373d3-8983-4ad4-89f2-ff368ede3c25
single
Kaposi sarcoma is related to which virus ?
Harshmohan textbook of pathology 7th edition. it has been shown that infection with human herpes virus 8 or kaposi's sarcoma associated herpes virus is associated with kaposi's sarcoma, a vascular neoplasm common in AIDS patients..
2
HPV 16
HHV-8
EBV
CMV
Pathology
General pathology
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single
Auspitz sign is seen in?
Scratching scale in psoriasis makes the scale appear more silver in color by introducing air-keratin interfaces More vigorous scratching or picking off the scale produces small bleeding points (Auspitz's sign in plaque type) Plaque-type psoriasis MC variety of psoriasis. Patients will have stable, slowly enlarging plaq...
3
Pustular psoriasis
Guttate psoriasis
Plaque psoriasis
Erythrodermic psoriasis
Dental
Psoriasis
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single
Which is not major rheumatic fever?
Acute rheumatic fever occurs most often in children the principal manifestation is carditis Neveheless about 20% of first attack in adults with ahritis The diagnosis of acute rheumatic fever is made based on serologic evidence of previous streptococcal infection in conjugation with two or more of Jones criteria Carditi...
3
Carditis
Subcutaneous nodules
Increased ASLO
Ahritis
Pathology
Cardiovascular system
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What is the propoion of daily rate wages payable as periodic cash payment under sickness Benefit of ESI Act -
Under sickness benefit of ESI the benefit is payable for a maximum period of 91 days, in any continous period of 365 days, the Daily rate being about 50% of average daily wage . (REF. PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 757)
2
5-12 of the average monthly wages
7\/12 of the basic monthly wages
8\/12 of the average daily wages
10\/12 of the average daily wages
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
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Thiazide diuretics can be used for the treatment of all of these conditions EXCEPT
Thiazides cause hyperlipidemia as adverse effect and thus cannot be used to treat this condition. Indications of thiazides: Diuretic Uses: Non-diuretic Uses: Hypeension (First line drugs) Congestive hea failure Diabetes insipidus Idiopathic hypercalciurea with Nephrocalcinosis Loop diuretics cause hypocalcemia by incre...
2
Idiopathic hypercalciuria with nephrocalcinosis
Hyperlipidemia
Congestive Hea Failure
Hypeension
Pharmacology
Kidney
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What is the advantage of crown down technique:
Crown-down technique/step back = telescoping technique:  Coronal 2/3rd preparation with 15, 20, 25 H file GG drill to flare.  Apical segment preparation with 10, 15 no. file coronal segment.  Advantages: ZIPPING is less, working length less likely to change, better penetration of irrigant.
4
Zipping is less.
Working length is less likely to change.
Better penetration of irrigants.
All of the above.
Dental
null
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Which of the following statement is true about chest x-ray shown below
The x-ray shown suggest Interstitial or atypical pneumonia.
1
No exudate in alveolar
Neutrophilic infiltrate
purulent sputum production
Alveolar pattern in chest x - ray
Medicine
null
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Kit B is given at -
Ans. is 'b' i.e., Subcenter
2
PHC
Subccnter
CHC
FRU level
Social & Preventive Medicine
null
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In new born, the aery used for palpation of pulse is ___________
Brachial pulse is used normally for palpating aerial pulses. In rare cases, femoral pulses are seen. Because femoral pulses are week Reference: GHAI Essential pediatrics, 8th edition
2
Carotid
Brachial
Radial
Femoral
Pediatrics
New born infants
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The contents of the aponeurotic adductor canal of Hunter are all, EXCEPT:
The adductor canal (Subsaorial/Hunter's canal) is an aponeurotic tunnel in the middle third of the thigh, extending from the apex of the femoral triangle to the opening in the Adductor magnus, the Adductor hiatus. The canal contains the femoral aery, femoral vein, and branches of the femoral nerve (specifically, the sa...
2
Femoral aery
Popliteal aery
Nerve to Vastus medialis
Saphenous nerve
Anatomy
null
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A 45-year-old woman develops symptoms of shortness of breath on exertion, easy fatigue, and jaundice. On examination she is pale, and there is a palpable spleen, but no lymphadenopathy. Her hemoglobin is 9.0 g/dL, the reticulocyte count 9%, and the direct antibody test (Coombs) is positive. Which of the following bone ...
Bone marrow examination is most likely to show increased erythroid-to-myeloid ratio. Erythroid hyperplasia is common to all hemolytic anemias, and megaloblastic features only develop if they become folate deficient. A left shift only occurs if the bone marrow is under stress, like during a severe infection, and giant m...
3
megaloblastic changes
giant metamyelocytes
increased erythroid-to-myeloid ratio
increased lymphocytes
Medicine
Blood
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In patient with tongue tie condition, which major connector is used?
McCracken quotes that use of lingual plate in place of lingual bar, while patient is having tongue tie condition.
3
Lingual bar
Cingulum bar
Lingual plate
Cingulum plate
Dental
null
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All are impoant medical measures to treat radiation proctitis , EXCEPT:
Treatment for chronic radiation proctitis : Usually unsatisfactory. Formalin application Topical sucralfate with oral metronidazole 5-amino salicylic acid enemas sho chain fatty acids Antioxidants such as vitamin E and pentoxifylline Hyperbaric oxygen Ref:World J Gastroenterol 2011 November 7; 17(41): 4554-4562.
4
Formalin application
Topical sucralfate
5-Aminosalicylic acid enema
Azathioprine enema
Medicine
null
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Causes of acute flaccid paralysis
The term acute flaccid paralysis (AFP) is often used to describe a sudden onset, as might be found with polio. AFP is the most common sign of acute polio, and used for surveillance during polio outbreaks. AFP is also associated with a number of other pathogenic agents including enteroviruses other than polio, echovirus...
4
Poliomyelitis
Tick paralysis
Acute inflammatory demylination polyneuropathy
All
Medicine
C.N.S
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Woodruffs area is situated in-
Ans. is 'a' i.e., Posterior end of inferior turbinateWoodruffs area: -o It is situated under the posterior end of inferior turbinateo Sphenopalatine artery anastomoses with posterior pharyngeal artery hereo Posterior epistaxis occurs in this area.
1
Posterior end of inferior turbinate
Anterior end of middle turbinate
Near hiatus semilunatis
Below superior turbinate
ENT
Epistaxis
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Onion peel appearance of splenic capsule is seen in:
SLE
1
SLE
Scleroderma
RA
Sjogrens
Pathology
null
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All of the following drugs cause hemolysis with G-6-PD deficiency except -
Ans. is 'd' i.e., Pyrimethamine
4
Primaquine
Chloroquine
Quinine
Pyrimethamine
Pharmacology
null
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The best possible intervention for acute myocardial infarction is-
Ref : harrisons-manual-of-medicine-16th-edition pg no: 622-624 TREATMENT Initial Therapy Initial goals are to: (1) quickly identify if patient is candidate for reperfusion therapy, (2) relieve pain, and (3) prevent/treat arrhythmias and mechanical complications. * Aspirin should be administered immediately (162-325 mg ...
3
Streptokinase
Streptokinase and aspirin
Early primary coronary intervention
Streptokinase and heparin
Medicine
C.V.S
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A 64 year old man, Chandu has had recurring nasal hemorrhages following surgery to remove nasal polyps. To control the bleeding, the surgeon is considering ligating the primary aerial supply to the nasal mucosa. This aery is a direct branch of which of the following aeries?
The major source of blood supply to the nasal mucosa is the sphenopalatine aery, which is the terminal branch of the maxillary aery. The sphenopalatine aery enters the nasal cavity from the pterygopalatine fossa by passing through the sphenopalatine foramen in the lateral wall of the nasal cavity. The facial aery is a ...
2
Facial aery
Maxillary aery
Superficial temporal aery
Superior labial aery
Anatomy
null
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Salivary glands are:
null
1
Merocrine.
Apocrine.
Holocrine.
Endocrine.
Dental
null
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Best vaccine for rotavirus infection is -
rota virus vaccines have been developed by genetic reassoment,but are still not in wide use REF:ANANTHANARYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.561
3
Asymptomatic neonatal vaccine
DNA vaccine
Genetic reassoment
Capsular component vaccine
Microbiology
Virology
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In the following conditions, hone mass is reduced except: (Repeat)
Ans: D (Osteopetrosis) Ref : Apley's System of Orthopaedics ami Fractures, 9th edition, pg. 131-136, 167Explanation:Almost half the bone volume is mineral matter - mainly calcium and phosphate in the form of crystalline hydroxyapatite which is laid down in osteoid at the calcification front.In mature bone the proportio...
4
Osteoporosis
Osteomalacia
Hyperparathyroidism
Osteopetrosis
Orthopaedics
Metabolic Disorders Leading to Osteosclerosis
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Which of these hormones peaks in the 1st trimester of pregnancy?
(B) Relaxin
2
Estrogen
Relaxin
Progesterone
Prolactin
Gynaecology & Obstetrics
Miscellaneous (Obs)
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Which of the following hernias follows the path of the spermatic cord within the cremaster muscle?
An indirect inguinal hernia leaves the abdominal cavity by entering the dilated internal inguinal ring and passing along the anteromedial aspect of the spermatic cord. The internal inguinal ring is an opening in the transversalis fascia for the passage of the spermatic cord; an indirect inguinal hernia, therefore, lies...
3
Femoral
Direct inguinal
Indirect inguinal
Spigelian
Surgery
Liver
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A 25-year-old hypeensive man with a history of recurrent calcium-containing renal calculi presents to the emergency depament with excruciating flank pain and blood in the urine, This patient is likely to have which one of the following underlying disorders?
Hyperparathyroidism is an increase in parathyroid hormone (PTH) levels in the blood.This occurs from a disorder either within the parathyroid glands (primary hyperparathyroidism) or outside the parathyroid glands (secondary hyperparathyroidism).Most people with primary disease have no symptoms at the time of diagnosis....
4
Chronic proteus infection
Factor VIII deficiency
Hyperaldosteronism
Hyperparathyroid ism
Medicine
Miscellaneous
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A 30 years old male comes to oho emergency with his 3 years old daughter who is crying. The father gives the history of child being swung by forearm. The most probable diagnosis is:
D i.e. Pulled elbow
4
Supracondylar humerus fracture
Elbow dislocation
Stress fracture
Pulled elbow
Surgery
null
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Ovulation associated most commonly with?
ANSWER: (A) LH surgeREF: Ganong WF: Review of Medical Physiology, 22nd ed (chapter 23) Figure 6-10, William's obstetrics 22nd edition Figure 3-1."The onset of the gonadotropin surge resulting from increased secretion of estrogen by preovulatory follicles is a relatively precise predictor of the time of ovulation, occur...
1
LH surge
Increase in progesterone
Increase in FSH
Increase in basal body temperature
Unknown
null
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Not a feature of HELLP syndrome:
HELLP is an acronym derived from the first letters of the terms that describe the following laboratory findings: Hemolytic anemia, Elevated Liver enzymes, and Low Platelet count. HELLP syndrome is seen in severe pre-eclampsia.
2
Raised liver enzymes
Eosinophilia
Thrombocytopenia
Hemolytic anemia
Gynaecology & Obstetrics
Pregnancy induced Hypeension
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All of the following increase small intestinal motility except
Secretin inhibits small intestinal motility. Factors that increase the peristaltic activity of small intestine Hormonal- Gastrin, CCK, insulin, motilin and serotonin Neural - Duodenal distension by chyme, gastroenteric reflex, gastroileal reflexes, parasympathetic (ACh) stimulation. Factors that decrease the peristalti...
1
Secretin
Gastroenteric reflex
CCK
Serotonin
Physiology
G.I.T
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HDI includes all except ?
Ans. is 'd' i.e., Standard of living
4
Income
Knowledge
Life duration and well being
Standard of living
Social & Preventive Medicine
null
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multi
Regarding prion protein which of the following statment is true-
Ans. is 'b' i.e., It catalyses abnormal folding of other proteins Prions are infectious proteins that cause degeneration of the central nervous system Q.They are infectious particles that lack nucleic acid Q.Prions are composed largely, if not entirely of PrP molecules Q.Four important points about prions are: -Prions ...
2
It is protein product coded in viral DNA
It catalyses abnormal folding of other proteins
It protect disulfide bonds from oxidation
It cleaves normal proteins
Microbiology
Virology
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Modified BPS consists of :
Modified biophysical score consists of NST or vibroacoustic non stress test and estimation of amniotic fluid volume using AFI. It takes 10 minutes to perform the score and is used as screening test. Ref: Williams Obs 24e pg 342-344.
1
NST with AFI
NST with fetal breathing
NST with fetal movement
NST with fetal tone
Anatomy
General obstetrics
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Which of the following is not true regarding ETC
Electron transpo chain Site of occurrence - Mitochondria Components of ETCProsthetic group Features Complex I NADH dehydrogenase / NADH Co-Q reductase / NADH Ubiquinone FMN , FeSEnergy - 12 Kcal/molTo pump 4 protons out of mitochondria into inter membranous spaceComplex IISuccinate dehydrogenase / Succinate Q reductase...
3
Occurs in mitochondria
Generates ATP
No role of inorganic phosphate
Involves transpo of reducing equivalent
Biochemistry
Respiratory chain
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Which of the following surgical procedure can be used as an alternative for SMR (Submucosal Resection)?
In submucosal resection there is removal of the entire septum except for a 1cm wide dorsal and caudal stua that remains for nasal suppo. An alternative to this procedure is septoplasty in which the surgeon resects only the deted poion of the nasal septum allowing maximal preservation of this structure. Clinical indicat...
2
Tympanoplasty
Septoplasty
Caldwell Luc operation
Tuboplasty
ENT
null
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Which of the following nerve is damaged in Frey's syndrome?
Ans. (c) Auriculotemporal nerveRef Surgery Sixer 3rd Edition Page 191* Injury of Post Ganglionic Parasympathetic nerve fibres (Auriculotemporal Nerve) causes Frey's syndrome
3
Facial Nerve
Mandibular nerve
Auriculotemporal nerve
Trigeminal nerve
Surgery
Salivary Gland
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Disposal method of outdated cytotoxic drugs is:
Destruction and dumping in a secure landfill [Ref: Park 20/e p6981 CATEGORIES OF BIO-MEDICAL WASTE, TREATMENT & DISPOSAL Category Biomedical waste Treatment & Disposal 1 Human Anatomical Waste (Human tissues, organs, body pas) Incineration/deep burial 2 Animal Waste (Animal tissues, organs, body pas carcasses, bleeding...
2
Autoclave
Destruction and dumping in a secure landfill
Disposal in municipal waste
Preserve for 10 years and landfill
Social & Preventive Medicine
null
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Notochord develops in
(A) 3rd week > Notochord develops in 3rd week.
1
3rd week
3rd month
6 months
10th week
Anatomy
Misc.
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TF/P ratio for PCT for many substances are shown in diagram below. Which of them represents urea?
Ans. B. 2Line 1: Not reabsorbed or actively secreted in PCT e.g. PAH, Creatinine, Inulin.Line 2: Freely filtered and poorly reabsorbed like UreaLine 3: no change in concentration along PCTLine 4: Bicarbonate: 90% is reabsorbed in PCT decreasing its tubular fluid concentration Line5: Solute fully reabsorbed in PCT like ...
2
1
2
3
4
Physiology
Kidneys and Body Fluids
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The percentage of myomas undergoing malignant transformation :
0.50%
4
10%
5%
1%
0.50%
Gynaecology & Obstetrics
null
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One of the following diseases shows urinary bladder calcification radiologically which resembles fetal head in the pelvis.
Ans. is 'b' ie. Schistosomiasis (Ref. Chapman, 3/e, p 332) " Schistosomiasis - is the commonest cause of calcification in the wall of the bladder. Thin curvilinear calcification outlines a bladder of normal size and shape. Calcification spreads proximally to involve the distal ureters (appearing as two parallel lines) ...
2
Tuberculosis
Schistosomiasis
Chronic cystitis
Malignancy
Surgery
Miscellaneous (Bladder)
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correlation coefficient tends to lie between -
Ref:Parks 23rd edition pg 852 In order to find out whether there is significant association or not between the two variables , coefficient or Corelation is calculated . r lies between -1 and +1 r near -1 : indicates strong negative correlation . r = 0 : indicates no association r near +1: indicates strong positive corr...
2
Zero to - 1.0
0
+1.0 to zero
+2.0 to -2.0
Social & Preventive Medicine
Biostatistics
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