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Which test is shown below?
Galeazzi's test: Performed between 3-8 month aged children in unilateral cases of developmental dysplasia of hip(DDH). Child is in supine position with the hip and knee in flexion Positive Galeazzi test- Limb-length discrepancy and reduced abduction in flexion of the left hip. Clinical Diagnosis - DDH : 1. Abduction is...
2
Oolani's test
Galeazzi's test
Skin-fold test
Barlow's test
Orthopaedics
Pediatric Ohopedics
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single
Principle of Bone dilatation under the principles of exodontia is primarily utilized by:
Dilatation of Alveolus| Bony Socket Expansion of Bony Socket Principle of bone dilatation. 1º utilized By : Forceps Less by elevators
1
Forceps
Elevator
Any of the above
null
Surgery
null
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Baby '0* positive, blood group, mother Rh negative, cord bilirubin 7 mg%, conjugated I now treatment is?
Ans. is 'd' i.e., Stop breast tad and prepare for exchange blood transfusion
4
Nothing
Stop breast feeding for 48 hours
Continue breast feeding and phototherapy
Stop breast feed and prepare for exchange blood transfusion
Pediatrics
null
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single
During Intervertebral disc prolapse, which part of the disc prolapses in spinal canal?
Ans. D. Nucleus Pulposusa. Intervertebral disc is made up of two partsb. Outer-Annulus fibrosusc. Inner- Nucleus pulposusd. It is the central part of the disc i.e. nucleus pulposus, which prolapses into the spinal canal.
4
Annulus Fibrosis
Nucleus fibrosis
Annular Pulposus
Nucleus Pulposus
Orthopaedics
Spinal Injuries
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Edema in nephrotic syndrome is due to aEUR'
Hypoalbuminemia Edema is one of the major clinical manifestations of nephritic syndrome. Two major factors have been thought to be responsible for this problem and it is likely that both contribute to a variable decree in individual patients. i) Low colloid oncotic pressure :? - In nephrotic syndrome the initial event ...
3
Na and water restriction
Increased venous pressure
Hypoalbuminemia
Hyperlipidemia
Pathology
null
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single
Example of an immune complex hypersensitivity reaction is:
null
2
Atopic allergy
Serum sickness
Transfusion reaction
Contact dermatitis
Microbiology
null
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Which of he following devices doesn’t use the principle of fluorescence in diagnosis of caries
DIAGNOdent is an instrument designed to facilitate the detection  and  quantification  of  dental  caries  on  occlusal and smooth surfaces (Kaltenbach & Voigt GmbH & Co., Biberach/Riss,  Germany). It  uses  a  diode  laser light source and a fibreoptic cable that transmits the light to a handheld probe with a fibreopt...
3
Diagnodent
QLF
FOTI
Soprolife
Dental
null
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Which of the following is false about vaginal hydrocele
Not all hydrocele are transillumination positive. Secondary hydrocoele have turbid fluid collection.
2
Transillumination is always positive
It can occur secondary to epididymo-orchitis
Patent processus vaginalis is a risk factor
Most common cause is idiopathic
Surgery
null
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A 42-year-old man is being followed up for worsening involuntary jerky movements. During the course of his disease, he develops depression and progressive dementia. Within several years he dies, and during an autopsy, bilateral atrophy of the caudate nuclei is found. What is the basic abnormality involved in this indiv...
Bilateral atrophy of the caudate nuclei is characteristic of Huntington disease, an inherited autosomal dominant disease that is characterized by the combination of choreiform movements, depression, and progressive dementia. This disorder results from increased numbers of trinucleotide repeats within the HD gene. Thus,...
3
Acquired enzyme deficiency
Slow virus infection
Triple repeat mutation
DNA repair defect
Pathology
Nervous system
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Abbreviated laparotomy done for:a) Coagulopathyb) Hypotensionc) Early wound healingd) Early ambulatione) Hemostasis
null
2
a
ae
ab
ad
Surgery
null
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Which of the following viruses does not produce viral esophagitis ?
The primary infectious causes of esophagitis are fungal and viral. The most common fungal infection causing esophagitis, and the most common form of infectious esophagitis overall, is Candida esophagitis. Viral esophagitis is generally caused by one of two viruses: herpes simplex virus or cytomegalovirus Ref Davidson e...
2
Herpes simplex
Adenovirus
Varicella
Cytomegalovirus
Medicine
G.I.T
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A 74-year-old man with a previous episode of gout is given allopurinol. Which of the following is the most likely mechanism of action for this medication?
Allopurinol effectively blocks uric acid production by inhibiting xanthine oxidase. Allopurinol is indicated in patients with a history of uric acid calculi of the urinary tract. In addition, it is often used in patients with malignancy (e.g., leukemia, lymphoma), particularly when chemotherapy or radiation therapy is ...
3
increasing uric acid production
blocking excretion of uric acid by renal tubular mechanism
inhibiting xanthine oxidase
diminishing inflammation of acute gouty arthritis
Medicine
Immunology and Rheumatology
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All of following are false about bleaching powder except-
Ans. is 'd' i.e., Unstable compound on storage Bleaching powder o Bleaching powder or chlorinated lime is white amorphous powder with pungent smell of chlorine. o It contains about 33% of available chlorine. o Used for disinfection of water, feces, & urine, and as a deodorant. o 5% solution is suitable for disinfection...
4
Contains 20 % available chlorine
20 % solution used for disinfection of faeces
Unstable compound on storage
Not used for disinfection of feces & urine
Social & Preventive Medicine
null
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The karyotype of a patient with Androgen Insensitivity Syndrome is –
An individual with 'androgen insensitivity syndrome' are XY individuals (male karyotype) with a female phenotype. Mutation in the androgen receptor causes resistance to androgen action and the androgen insensitivity syndrome results.
2
46 XX
46 XY
47 XXY
45 XO
Pediatrics
null
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Major portion of auricle is supplied by:
Ans. (a) Greater auricular nerveRef: Dhingra's ENT 6th ed/4* Greater auricular nerve has major contribution of auricle. It supplies major portion on lateral aspect as well as on the medial aspect.
1
Greater auricular nerve
Lesser occipital nerve
Facial nerve
Auriculotemporal nerve
ENT
Anatomy of External Ear & Pinna
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Differential growth means:
null
4
Difference between growth and development
Difference between individual growth
Acceleration in growth
Different tissues grow at different times rate and amount
Dental
null
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Crude bih rate is a simplest measure of feility because it includes
Crude bih rate : Number of live bihs in a year per 1000 mid-year population CBR is simplest indicator of feility : Total mid-year population is not exposed to Child bearing thus it doesnot give true idea of feility Ref: Park 25th edition Pgno : 539
2
Total population
Mid year population
Live bihs only
Pre term bihs
Social & Preventive Medicine
Non communicable diseases
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Shine-Dalgarno sequence in bacterial mRNA is near
SD sequence is located-6 to -10 bp from initiating AUG codon on m-RNA molecule near its 5' end. It is seen in prokaryotes only. Kozak consenses sequence is present in eukaryotes. This sequence surrounds AUG & determines the initiating codon of m-RNA.
1
AUG codon
UAA codon
UAG codon
UGA codon
Biochemistry
null
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The following anaesthetic induction agent should be avoided in a 4-year old boy with temporal lobe seizure
(C) Ketamine # Ketamine is contraindicated in: If Blood pressure is significantly elevated; Hypersensitivity to drug;> Anticipated airway obstruction;> Raised intracranial pressure.> Open eye injury, intrathecal (should be preservative active free)
3
Thiopental
Halothane
Ketamine
All of the above
Anaesthesia
Miscellaneous
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Which drug can be given subdermally -
Ans. is 'd' i.e., Progesterone [ style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif; margin: 0 0 8pt 8px; text-indent: 0; text-align: left">o Progesterone can be given in the form of subdermal implant.o Subdermal contraceptive implants involve the delivery of a steroid progestin from polym...
4
Nicotine
Fentanyl
GTN
Progesterone
Pharmacology
Pharmacokinetics
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multi
Orbital cellulitis most commonly occurs after infection of which of the following sinuses?
Bacterial orbital cellulitis is most commonly caused by the spread of infection in the ethmoid sinus into the orbit directly through the lamina papyracea or by travelling through the anterior and posterior ethmoid vessels.
3
Maxillary sinus
Frontal sinus
Ethmoidal sinus
Sphenoidal sinus
ENT
null
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single
Which of the following is used in recombinant DNA technology?
null
1
Restriction endonucleases
PCR
Reverse transcriptase
FISH
Biochemistry
null
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Which of the following factors acts as vesicle targeting:
Genes RAS - RAS gene they make RAS protein. they are GTP binding protein They regulate the cell cycle by RAS P 21 gene The mutation of RAS protooncogene is the single-most dominant cause of many human tumors. RAB - RAB is protein of RAS super family. they play role in membrane trafficking, vesicle transpo, vesicle fusi...
3
Ras
Sec 12
Rab
SNARE
Biochemistry
DNB 2018
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Which of the following score evaluates chances of amputation in a traumatized limb:
D i.e. MES score. Mangled Extremity Severity Score (MESS) used to predict necessity of amputation after lower extremity trauma Variables skeletal and soft tissue injury (graded 1-4) limb ischemia (graded 1-3) shock (graded 0-2) age (graded 0-2) Calculation score determined by adding scores of components in four categor...
4
Revised trauma score
Injury severity score
Abbreted injury score
MES score
Surgery
null
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Urine formation in intra uterine life stas at
3 months
1
3 months
4 months
5 months
6 months
Gynaecology & Obstetrics
null
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single
Formication and delusion of persecution occurs together in intoxication with which of the following?
Formication is a type of tactile hallucination, in which patient feels that insects or bugs are crawling under his skin. Such type of hallucination is seen in case of cocaine intoxication (cocaine bugs). Delusions of persecution can be seen in cannabis, amphetamine as well as cocaine intoxication or psychosis induced b...
1
Cocaine
Amphetamine
Cannabis
LSD
Psychiatry
null
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single
The most dangerous type of spread of infection from apical abscess is, to:
null
3
Infratemporal fossa
Pterygoid
Parapharyngeal space
Submandibular space
Surgery
null
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"Problem village" include all EXCEPT:
- A "problem village" has been defined as one where No source of safe water is available within a distance of 1.6 km, or where water is available at a depth of more than 15 metres, or where water source has excess salinity, iron, fluorides and other toxic elements, or where water is exposed to the risk of cholera.
4
Where no water source in a distance of 1.6 km from community
Water is available at a depth of more than 15 metres
There is excess of Na+, iron & fluoride salt
Risk of Guinea worm infection
Social & Preventive Medicine
Water
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Strabismic amblyopia is more common in patients with
Strabismic amblyopia: It results from prolonged uniocular suppression in children with unilateral constant squint who fixate with normal eye. Ref:- A K KHURANA; pg num:-319
4
Latent squint
Intermittent squint
Alternate squint
Constant squint
Ophthalmology
Ocular motility and squint
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The blood supply of the pulp is
Pulp is supplied by the various branches of maxillary artery.
1
Branches of maxillary artery
branches of internal carotid artery
Both
none
Dental
null
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multi
True about mesenteric cysts is -
Mesenteric cysts are of following types: Chylolymphatic (most common)            simple (mesothelial) Enterogenous Urogenital remnan  Dermoid (teratomatous cyst) Chylolymphatic cyst Usually are congenital, resulting from developmental sequestration of lymphatics. It is found most frequently in the mesentery of the ...
4
Enterogenous cyst is commonest type
Recurrence is common after enucleation
Mensentric cyst are usually multiple
Enucleation is the treatment of choice of chylolymphatic cyst
Surgery
null
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Cause of False positive D-xylose test include all of the following, Except
Answer is D (Celiac sprue) Celiac sprue is associated with a positive D- xylose and not a False positive Dxylose test. D-xylose Test Positive test ecreased (4) D- Xylose excretion in urine due to malabsorption from gastrointestinal mucosal disease Causes Include Celiac disease Tropical sprue Whipple's disease Other muc...
4
Bacterial overgrowth
Renal failure
Ascitis
Celiac sprue
Medicine
null
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multi
Which treatment plan would lead to rigid fixation of the fracture site?
null
3
Direct interdental wiring
Miniplates osteosynthesis
Eccentric compression plate osteosynthesis
IMF
Surgery
null
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single
True about intracellular receptors:
A i.e. Mainly on nuclear surface
1
Mainly on nuclear surface
GH act on it
Estrogen does not act on it
All
Physiology
null
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multi
One day after a casual sexual encounter with a bisexual man recently diagnosed as antibody-positive for human immunodeficiency virus (HIV), a patient is concerned about whether she may have become infected. A negative antibody titer is obtained. To test for seroconversion, when is the earliest you should reschedule rep...
Persons at high risk for infection by human immunodeficiency virus (HIV) include homosexuals, bisexual males, women having sex with a bisexual or homosexual partner, intravenous drug users, and hemophiliacs. The virus can be transmitted through sexual contact, use of contaminated needles or blood products, and perinata...
3
1 to 2 weeks
3 to 4 weeks
6 to 12 weeks
12 to 15 weeks
Gynaecology & Obstetrics
Fetal Skull and Maternal Pelvis
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In a 10 year old female patient of Asian ethnicity, which of the following methods would be the best approach to estimate the  size of unerupted permanent teeth?
The Moyers, Tanaka-Johnston and Staley-Kerber predictions are all based on data from white school children of northern European descent. If the patient fits this population group, the Staley-Kerber method will give the best prediction, followed by the Tanaka-Johnston and Moyers. On the other hand, if the patient does n...
1
Huckaba’s analysis
Tanaka-Johnston analysis
Tanaka-Johnston analysis
Staley-Kerber method
Dental
null
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Pathological manifestation of chronic alcoholism include all of the following except -
Ans. is 'a' i.e., Piecemeal necrosis
1
Piecemeal necrosis
Balloning degeneration
Microvesicular fatty changes
Central hyaline sclerosis
Pathology
null
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multi
Pasteurization is ____________ disinfection
Disinfection of milk by pasteurization, water by chlorine and handwashing may be cited as examples of precurrent infection. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 140
1
Precurrent
Concurrent
Preconcurrent
Terminal
Social & Preventive Medicine
Epidemiology
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Crystalline lens of the eye develops from
Answer: c) Surface ectoderm (PARSON 22nd ED, P-5)NEURAL ECTODERMSURFACE ECTODERMMESODERM# Epithelium of iris# Epithelium of ciliary body# Constrictor and dilator pupillae# Retinal pigment epithelium and its 9 sensory layers# Optic vesicle and cup# Optic nerve fibres# Melanocytes# Secondary vitreous# Epithelium of Conju...
3
Mesoderm
Neural ectoderm
Surface ectoderm
Endoderm
Ophthalmology
Lens
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multi
37 weeks primi with uterine contraction for 10 hours, cervix is 1 cms dilated and poorly effaced. Management is
The patient is presenting at 37 weeks with mild labor pains for 10 hours. Cervix is 1 cms dilated and is not effaced. Now this can either be a case of false labor pains or it can be prolonged latent phase of labor. Lack of progress during the latent phase is defined as lack of change or minimal change in cervical effac...
4
Cesarean section
Amniotomy
Oxytocin drip
Sedation and wait
Gynaecology & Obstetrics
null
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All of the following hereditary conditions prediscope to CNS tumors, except
Heriditary syndromes associated with Brain tumors Syndrome Gene(locus) CNS neoplasm Von Hippel-Lindau VHL (3p) Hemangioblastoma of retina, cerebellum and spinal cord Li-Fraumeni p53 (17p) Malignant glioma Retinoblastoma Rb (13q) Retinoblastoma, pineoblastoma, malignant glioma Neurofibtomatosis type 1(Von Recklinghausen...
4
Neurofibromatosis 1 and 2
Tuberous sclerosis
Von-Hippel-Lindau syndrome
Xeroderma pigmentosum
Surgery
Urology
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Ipratropium bromide used in bronchial asthma, is :
null
3
β-Sympothomimetics
Methylxanthines
Anticholinergics
Mast cell stabilizers
Pharmacology
null
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NOT a cause of granular contracted kidney -
null
1
Diabetes mellitus
Chronic pyelonephritis
Benign nephrosclerosis
Chronic glomerulonephritis
Pathology
null
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Epidemiological triad includes all except
The Epidemiologic Triad consists of an external agent, a host and an environment in which host and agent are brought together, causing the disease to occur in the host. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 39
4
Host
Environment
Agent
Investigator
Social & Preventive Medicine
Concept of health and disease
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In spinal anesthesia which fibers are affected earliest?
Sympathetic preganglionic REF: Morgan 3rd e p-260 Order of blockade in spinal anesthesia: Autonomic preganglionic > Temperature > Prick > Pain > Touch > Pressure > Motor > Vibration
3
Sensory
Motor
Sympathetic preganglionic
Vibration
Anaesthesia
null
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single
In brow presentation, presenting diameter is/are :
Ans. is c i.e. Mentoveical Brow Presentation : Causes of brow presentation are same as for face presentation. Most common cause -- Flat pelvis. Engaging diameter -- Mentoveical (14cm). There is no mechanism of labour. Diagnosed on P/V by palpating supra orbital ridges and anterior fontanelle. Delivery is by cesarean se...
3
Submentoveical
Occipitofrontal
Mentoveical
Suboccipitobregmatic
Gynaecology & Obstetrics
null
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A 35 year old female has proximal weakness of muscles, ptosis and easy fatigability. The most sensitive test to suggest the diagnosis is:
Single fibre electrophysiology is the most sensitive test for Myasthenia Gravis. The symptoms given in question stem are suggestive of Myasthenia Gravis which is an autoimmune neuromuscular disorder presenting with easy fatigability. Ref: Clinical adult neurology By Jody Corey-Bloomn, Page 332
4
Muscle Biopsy
CPK levels
Edrophonium test
Single fiber EMG
Medicine
null
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Barret's esophagus is commonly associated with one of the following:
Answer is A (Adenocarcinoma) Barret's esophagus is a premalignant lesion and predisposes to adenocarcinoma of the lower (distal) esophagus.
1
Adenocarcinoma
Squamous cell carcinoma
Sarcoma
Gastrointestinal stromal tumor
Medicine
null
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High glycogen content is seen in
Glycogen content is high in white fibres.(REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 44)
3
Red fibers
Type 1 fibers
White fibers
Tonic fibers
Physiology
General physiology
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Le-Foe fracture is for:-
Le-Foe fracture is for facial skeleton. MIDFACE FRACTURE Midface fractures involving the maxilla can be classified by fracture patterns known as Le Fo I, II, and III. Le Fo I Fracture line runs above and parallel to palateQ Effectively separates alveolus and palate from the facial skeleton aboveQ Le Fo II Pyramidal in ...
1
Facial skeleton
Lower limb box
Spinal injury
Pelvis fracture
Surgery
Facial Injuries and Abnormalities
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Glomeruli are present in
Glomeruli are present in cerebellum also. The glomerulus (plural glomeruli) is a spherical structure located in the olfactory bulb of the brain where synapses form between the terminals of the olfactory nerve and the dendrites of mitral, periglomerular and tufted cells Ref ganong's review of medical physiology 25e 767
2
Brain
Spleen
Adrenal coex
None of the above
Physiology
All India exam
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Finding acid-fast bacilli within peripheral nerves is most suggestive of:
Lepromatous and tuberculoid leprosy, the major forms of leprosy, are caused by infection with Mycobacterium leprae. Nerve involvement is most typical of the lepromatous form. Histologic sections reveal acid-fast bacilli within peripheral nerves.
3
Relapsing fever
Syphilis
Leprosy
Tuberculosis
Pathology
null
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single
The drug used by health workers in the management of acute respiratory infection -
*cotrimoxazole is the drug of choice of treatment of pneumonia *efficacy of cotrimoxazole is to be similiar to ampicillin and procaine penicillin &cure rates are up to 95% *less expensive with little side effects *children with severe pneumonia should be treated with IM benzyl penicillin,ampicillin or chloremphenicol *...
1
Cotrimoxazole
Chloramphenicol
Benzyl penicillin
Gentamycin
Social & Preventive Medicine
Communicable diseases
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single
All the following are true regarding Dracunculiasis, EXCEPT:
Dracunculiasis has no diagnostic test for preclinical detection, no vaccine to immune at risk community and no drug to kill any stage of the parasite. The parasites reach adulthood by about 9 - 12 months. Ref: Park, Edition 21, Page - 223
3
The parasites reach adulthood by 6 months
Control of cyclops help in the spread of the disease
Mebendazole and niridazole are effective in preventing the transmission of the disease
No effective vaccines are available to prevent the disease
Social & Preventive Medicine
null
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multi
The commonest benign intramural tumor of the esophagus is -
Leiomyoma is the most common benign neoplasma of esophagus and accounts for two-third of all the benign neoplasms. They usually arise as intramural growth, most commonly along the distal two-third of the esophagus.
2
Fibroma
Leiomyoma
Angioma
Lipoma
ENT
null
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single
Features seen in common peroneal nerve injury-
Common peroneal nerve injury may result in -        Foot drop -        Weakness of dorsiflexion -        Inability to extend the toes. -        Loss of eversion -        Sensory loss o   Anterior side of leg o   Lateral side of leg o   Dorsum of foot and toes (including medial side of big toe) Common peroneal nerve inj...
3
Inversion inability
Loss of sensation of sole
Foot drop
Loss of flexion of great toe
Anatomy
null
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Best management of carcinoid tumor of appendix which is less than 2 cms in size, no involvement of the caecal wall or regional lymphatic spread
Ans. is 'a' i.e., Appendicectomy * Preferred treatment for the carcinoid tumor of appendix which is less than 2 cms in size, no involvement of the caecal wall or regional lymphatic spread is appendicectomy.Carcinoid tumour Of Appendix (synonym: argentaffinoma)* Carcinoid tumours arise in argentaffin tissue (Kulchitsky ...
1
Appendicectomy
Right hemicolectomy
Colostomy
Chemoradiation
Surgery
Vermiform Appendix
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multi
A 40 year old patient, a known case of cirrhosis develops acute episode of GI bleed .Initial therapy given for 6 hours. Which of the following procedure is useful:
Ans. is 'b' Urgent Endoscopy algorithm for managing acute upper g.i. bleeding :Acute upper G.I bleeding Resuscitative measures
2
Nasogastric aspiration
Urgent endoscopy
Sedation
Ultrasound
Medicine
G.I.T.
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single
The current neonatal mortality is -
LATEST FIGURES (2017) 1-IMR-37/1000 live births 2-NnMR-25/1000 live births 3-Still BR- 22/1000 TOTAL BIRTHS 4-U5MR-43/1000 live births 5-MMR-167/100000 pregnant females 6-CBR-21 7-CDR-7.2 8-AV. BIRTH WEIGHT-2.8 KG 9-ELIGIBLE COUPLES-15-18% 10-COUPLE PROTECTION RATE-55%
1
25/1000 live birth
34/1000 live birth
33/1000 live birth
null
Unknown
null
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multi
A child is having nocturnal asthmatic attack 2 times in a week, day time attack is 3 times or more, can be categorized as?
Moderate persistent asthma REF: Nelson's pediatrics 17th ed page 767 CLASSIFICATION OF CHILDHOOD ASTHMA: Asthma Days with Nights Lung Long-Term-Control Medication Quick? Severity Symptoms with Function Relief Medication Symptoms Step 1: Mild <3 per week <3 per FEV1 or PEF No daily medication Sho-acting g-agonist Interm...
2
Severe persistent asthma
Moderate persistent asthma
Mild intermittent
Mild persistent
Pediatrics
null
ab5954ba-446f-4c49-8757-f85d7708253f
single
The subarachnoid space ends at
Arachnoid & dural sheath end at the lower end of the S-2 veebra. Subarachnoid space terminates at the caudal (lower border) S-2 veebra. This is also the ending of the sub-dural space. Ref - BDC 6thedition vol 2
4
L1
L2
L5
S2
Anatomy
Abdomen and pelvis
59721c66-7d12-4dd2-83be-a8fe4138693b
single
What is meant by Ca colon stage III c -
null
2
Hepatic metastasis.
Extension upto serosa & lymph node
Extension upto serosa
Extension upto mucosa
Pathology
null
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single
What is true about Histoplasmosis ?
In early stages it is indistinguishable from T.B. Histoplasmosis Histoplasmosis is a dimorphic fungi i.e. it grows in two forms myeclia and yeast. It grows as mycelia forms, producing spores at 25degC on sabroud's agar and at 37degC it grows as a yeast form. This dimorphism plays a pa in human infection i.e. in their n...
1
In early stages it is indistinguishable from T.B.
Culture is not diagnostic
Hyphal forms are infectious form
Person to person spread occurs by droplet infection
Microbiology
null
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multi
Not used in Health planning ?
The planning cycle involves ; - analysis of the health situation - establishment of objective and goals - assessment of resources - fixing priorities - write up of formulated plan - programming and implementation - monitoring - evaluation Reference : Park's textbook of preventive and social medicine, 23rd edition, pg n...
1
Increasing demands for resources
Analysis of health situation
Assessment of Resources
Fixing priorities
Social & Preventive Medicine
Health education & planning
eb30cec7-e9f5-4b69-80d6-de7b3c2d6762
single
Which is an example of small vessel vasculitis?
Ans. is 'd' i.e., Churg strauss syndrome a) Large vessel vasculitis: Giant cell arteritis (temporal arteritis), Takayasu arteritis, Cogan syndrome.b) Medium vessel vasculitis: PAN (classical PAN), kawasaki disease, Buerger's disease.c) Small vessel vasculitis ; HSP, Wegner's granulomatosis, microscopic polyangitis, chu...
4
Takayasu arteritis
Kawasaki disease
PAN
Churg strauss syndrome
Pathology
Miscellaneous (Blood Vessels)
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multi
Pitting of direct filling gold restoration usually results from:
The gold is first pressed into place by hand, then a condenser of suitable size is used to begin malleting in the center of the mass (often this is done while this first increment is held in position with a holding instrument). Each succeeding step of the condenser overlaps (by half) the previous one as the condenser i...
3
Using contaminated gold foil
Poor finished preparation
Improper stepping of condenser point
Using small condenser point
Dental
null
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multi
First Sign of pubertal development in boy is -
Ans. is 'b' i.e., Enlargement of testis o In male - Sequence of change1. Growth of testes (> 3 ml in volume or & thinning of scrotum 2 5 cm in longest diameter)2 Pigmentation of scrotum & growth of penisPubic hairAxillary hairo In female -1. Breast bud - First sign2 Pubic hair3. Menarche
2
Enlargement of penis
Enlargement of testes
Appearance of pubic hair
Appearance of axillary' hair
Pediatrics
Assessment of Growth
78f17605-b3f8-4e30-bac2-8bb48cec6854
single
True about primary angle closure glaucoma:
Ans. All
4
More common in females
Shallow anterior chamber in a tank
Shoer diameter of cornea is a predisposing factor
All
Ophthalmology
null
f8159e54-b724-4e2a-ba2c-7c297665d0e0
multi
Retroperitoneal fibrosis most commonly presents with
The most impoant clinical aspect of retroperitoneal fibrosis is that the fibrotic process frequently entraps and constricts the ureters thereby causing obstructive uropathy. Retroperitoneal fibrosis - It is a nonspecific, nonsuppurative inflammation of fibro-adipose tissue of unknown cause that produces symptoms by the...
4
Pedal edema
Ascites
Ureteric obstruction
Back pain
Surgery
G.I.T
184183a4-3a09-424e-b1f0-98bf80b935b6
single
Athletic sustained an injury around the knee joint suspecting cailage damage, which of the following is an investigation of choice?
C i.e. Ahroscopy Ahroscopy followed by MRI is investigation of choice for ligamentous injury of kneeQ.
3
Pain X ray
Clinical examination
Ahroscopy
Ahrotomy
Surgery
null
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single
Gestational diabetes is diagnosed by :
Glucose tolerance test
1
Glucose tolerance test
Random blood sugar
Fasting and postprandial blood sugar
24 hours blood glucose profile
Gynaecology & Obstetrics
null
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single
The health status of children between 0 and 4 years in a community will be adversely affected by all except-
Ans. is 'c' i.e., Maternal hemoglobin 12gm/dL o Maternal health is a major determinant of nutritional status of children. Child's status is adversely affected if : Mother is malnourished (Anemic) Mother is - too young (under 18 years) Mother is - too old (over 35 years) Last child was born too close (Last child born le...
3
Malnutrition
Bih weight of less than 2.5 Kg
Maternal hemoglobin 12 gm/dL
Infections
Social & Preventive Medicine
null
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multi
Low serum haptoglobin in hemolysis is masked by
Bile duct obstruction llapatoglobin is a transpo glycoprotein synthesized by the liver. - It is a carrier, for.free Hb in plasma. - Its primary physiological. function is the preservation of iron. - Haptoglobin binds hemoglobin and carries it to the reticuloendothelial system. A decrease in haptoglobin (with normal liv...
3
Pregnancy
Liver disease
Bile duct obstruction
Malnutrition
Pathology
null
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single
Which one of the folllowing organisms is not associated with synergistic gangrene
Necrotising fasciitis is a dangerous and rapidly spreading infection of the fascial planes leading to necrosis of the subcutaneous tissues and overlying skin. It is caused by b-haemolytic streptococci and, occasionally, Staphylococcus aureus, but may take the form of a polymicrobial infection associated with other aero...
1
Escherichia
Staphylococcus
Clostridium
Streptococcus
Surgery
General surgery
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single
Tympanic plexus is formed by-
A i.e. Tympanic
1
Tympanic branch of glosopharyngeal nerve
Vagus nerve
Gacial nerve
Mandibular nerve
Anatomy
null
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single
Nabothian follicles occur in:
Cervical erosion: Condition where squamous epithelium of ectocervix is replaced by columnar epithelium which is continuous with endocervix. It occurs when estrogen levels are high as in pregnancy and use of oral contraceptives (OCP’s). As a result of healing of an erosion, the mouth of the cervical gland is blocked....
1
Erosion of cervix
Ca endometrium
Ca cervix
Ca vagina
Gynaecology & Obstetrics
null
bb083080-a328-4463-abfe-bf29d352058f
multi
Which of the following is a contraindication for medical management of Gall stones -
<p >Davidson&;s principles and practice of medicine 22nd edition. *radio opaque gallstones -symptomatic gall stones are best treated surgically by laprolaparoscopic cholecysectomy.</p>
1
Radioopaque stones
Radioluscent stones
Normal functioning gall bladder
Small stones
Medicine
G.I.T
dc3a1e1a-79ec-4a54-9b6f-9585dbe38d54
multi
Which of the following is a competitive inhibitor of Succinate Dehydrogenase enzyme?
Most frequently, in competitive inhibition, the inhibitor (I) binds to the substrate-binding poion of the active site thereby blocking access by the substrate. The structures of most classic competitive inhibitors, therefore, tend to resemble the structures of a substrate and thus are termed substrate analogues. Inhibi...
3
Succinic acid
Fumaric acid
Malonic acid
Oxalic acid
Pharmacology
All India exam
9f113ee7-9eb6-4436-94da-9b9932fc877f
single
Which of the following autoantibodies is most likely to be present in a patient with SLE?
Ans. A. Anti-ds DNAAnti-ds DNA is present in 65% cases of SLE and is a marker of development of lupus nephritis.Anti Ro is present in 30% cases and is a marker of cutaneous lupus and development of congenital CHB in the baby of mother with SLE. Anti-phospholipid are present in 40% cases and are a marker of recurrent fe...
1
Anti-ds DNA
Anti Ro
Anti-Phospholipid
Anti-Ribosomal P
Medicine
Immunology and Rheumatology
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single
A patient underwent adrenalectomy in views of B/L pheochromocytoma , 1 day later developed lethargy ,fatigue, low BP and pulse normal No signs of volume deficit , likely course is
ADDISONIAN CRISIS PRESENTATION Sudden penetrating pain in the legs, lower back or abdomen Severe vomiting and diarrhea, resulting in dehydration Low blood pressure, Unexplained shock, usually refractory to fluid and pressor resuscitation Syncope (loss of consciousness) Hypoglycemia Confusion, psychosis, slurred speech ...
1
Addisonian Crisis
SIADH
DI
Cerebral salt wasting disease
Medicine
All India exam
912a4aa2-6ca9-4750-a3d9-34f09a0a0c5a
single
Recurrent or residual cancer of nasopharynx after super voltage radiotherapy is treated by:
If nasopharyngeal carcinoma recurs or is not completely regressed after 6500-7000 cGy radiotherapy, it can be treated by any of the above modes. Surgery involves skull-base and is done in only selected cases.
4
Intracavitary radioactive implants
Cryotherapy
Surgery
All of the above
ENT
Nose and PNS
d5ca3297-094e-4318-9dbe-1dbfafecb548
multi
Which of the following cailage has signet ring shape
Cricoid has a signet ring shape and is the only cailage forming a complete ring. Its posterior pa is expanded to form a Lamina while anteriorly it is narrow forming an Arch. Whereas in thyroid-the two alae meet anteriorly forming an angle 90 degrees in males & 120 degrees in females. Cuneiform is rod-shaped and Aryteno...
2
Thyroid
Cricoid
Cuneiform
Arytenoid
ENT
Larynx
861eb40d-3a6d-429d-87cc-c08ff4b2c93c
single
In Kidney which of the following is true?
Ans. is'd'i.e., Osmolarity of medullary interstitium is more than plasma(Ref: Guyton 12/e p. 334)The renal medulla shows an increasing osmotic pressure with increasing depth.Staing, with an osmolarity of 300 mOsm/L in the coex, the osmolarity reaches a level of 1200-1400 mosm/L at the pelvic tip of the medulla, i.e., T...
4
Osmolarity of tubular fluid in PCT gradually increases
Osmolarity of fluid in DCT is more than in Bowmann's capsule
Fluid coming out of descending limb of loop of Henle is hypotonic
Osmolarity of medullary interstitium is more than plasma
Physiology
null
92046d0f-e0df-414f-a00b-193b83882018
multi
Ovarian tumour which is bilateral
Dysgerminoma 10-15% of dysgerninomas are bilateral Dysgerminoma is the only germ cell malignancy that has this significant rate of bilaterily, other germ tumors are rarely being bilateral. Fewer than 5% of all ovarian tumours are germ cell in origin. They include : - Teratonia - Dysgerminoma - Endodermal sinus tumour (...
1
>Dysgerminoma
>Endodermal sinus tumour.
>Immature teratoma
>Embryonal cell carcinoma
Gynaecology & Obstetrics
null
0d395f98-5801-4fda-b5a9-2963cf583adc
single
Streptococcus pneumoniae, true is:
Ans. is 'a' i.e., Vaccine is made from capsular polysaccharide (Ref: Ananthanarayan, 8th/e, p. 223, 9th/e, p. 221)* There are currently two types of pneumococcal vaccines: pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23).* There are more than 90 types of pneumococcal bacteria.* PC...
1
Vaccine is made from capsular polysaccharide
Vaccine is routinely given to Indian children
Catalase and oxidase positive
Bile insoluble and optochin sensitive
Microbiology
Bacteria
97b97f2c-1cb6-4ebf-8183-30d0623a5238
multi
Which among the following is the most common cause of early-onset sepsis in neonates?
Early-onset infection (< 3 days) is most often caused by group B beta-hemolytic streptococci (GBS) and gram-negative enteric pathogens (most commonly E coli). Other organisms to consider are non-typeable Haemophilus influenzae, Enterococcus, Staphylococcus aureus, other streptococci and Listeria monocytogenes. Late-ons...
4
H influenzae
Listeria
Coagulase positive staph aureus
Group B streptococcus
Pediatrics
null
da4a0d37-667e-488d-9d81-96ac187f9041
single
Mode of transmission of Brucella is ?
null
3
Air
Water
Milk
Aerosol
Microbiology
null
d020e9b4-0af8-48bd-8e1e-02b3cabf8333
single
Which of these is false about celiac trunk?
The coeliac trunk is the second branch of the abdominal aoa (the first branches are the paired inferior phrenic aeries). It arises from the anterior aspect of the aoa, at the aoic hiatus of the diaphragm (T12 level). After emerging from the aoa, the coeliac trunk extends approximately 1cm before dividing into three maj...
4
It is the veical branch of aoa
it has plexus around it
It has three terminal branches
It lies to the right of the caudate process
Anatomy
Abdomen and pelvis
e8eddb6b-21fc-460f-98df-182fd55e954f
multi
Investment material used for cobalt-chromium alloys is:
null
2
Gypsum bonded
Phosphate bonded
Silica bonded
None of the above
Dental
null
db9c877c-a39c-431e-976b-7fa8fa26309c
multi
Not a pa of Retrobulbar space
Equatorial veins are not a pa of retrobulbar space of the orbit Retrobulbar Space/ Central Space / muscular cone Contents: Extra ocular muscles with intermuscular septa Includes Optic nerve Boundaries : > anteriorly - by Posterior pa of tenon's capsule enclosing the globe > peripherally - by four recti muscles and thei...
4
Extra ocular muscles with intermuscular septa
Optic nerve
Posterior pa of tenon's capsule enclosing the globe
Equatorial veins
Ophthalmology
Ophthalmology Q Bank
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single
Most common side effect of phenytoin is:
Side Effect Of Phenytoin  Headache Nausea Vomiting  Constipation  Dizziness Feeling of spinning  Drowsiness Swelling and bleeding of the gums Trouble in sleeping or nervousness may occur
1
Gingival hyperplasia
Dental stains
Hypertension
Gingival necrosis
Dental
null
937a57e5-c44a-4836-9bc1-68154f1621d8
single
Cryoprecipitate is useful in?-
AFIBROGENEMIA It is an inherited blood disorder in which the blood does not clot normally. It occurs when there is a lack (deficiency) of a protein called fibrinogen (or coagulation factor I), which is needed for the blood to clot. Affected individuals may be susceptible to severe bleeding (hemorrhaging) episodes, paic...
3
Hemophilia A
Thrombasthenia
Afibrinogenemia
Warfarin reversal
Pathology
miscellaneous
e1cd03cf-01d7-4a6f-9fdc-f9ed9bcb67b2
single
Which one of the following not is true regarding choriocarcinoma?
hCG is synthesised by placental syncytiotrophoblast such as in various non-seminomatous germ cell tumours of the testis (e.g. in choriocarcinoma, yolk sac tumour and embryonal carcinoma). However, ectopic hCG production may occur in a variety of non-testicular non-germ cell tumours as well. Ref: TEXTBOOK OF PATHOLOGY 6...
2
Aggressive malignancy
Raised HCG levels
Common below 20 years of age
Gonadal type is chemosensitive
Pathology
miscellaneous
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multi
True about sand flea -
Sand fleas occur in the tropical regions of Africa and America. They are also known as Jigger or Chigoe fleas (Tunga penetrans) The feilized female burrows into the skin of the feet, often beneath the nail and cause ulcers. Tetanus and gas gangrene occur as a secondary infection REFERENCE: PARK'S TEXTBOOK OF PREVENTIVE...
1
Not found in India
Cuases ulcer in foot
Caused bubo
Causes plague
Social & Preventive Medicine
Environment and health
d380ab6e-5e1c-4b2e-a382-fbc319d2a662
multi
Falanga is:
Beating on soles with blunt object
1
Beating on soles with blunt object
Beating on ear with both palms
Beating on the abdomen
Suspension by wrists
Forensic Medicine
null
37fd6fe9-5479-498d-b0fc-f073150c3384
multi
"Anhedonia" seen in schizophrenia is linked to which of the following neurotransmitter abnormality?
Anhedonia refers to the reduced ability to experience pleasure.In animal models severe stress causes nucleus accumbens dopamine neurons to become insensitive to CRF (Coicotropin-Releasing Factor), resulting in reduced dopamine release and increased anhedonia.(Ref: Kaplan and Sadock&;s synopsis of psychiatry Pg 290)
2
Serotonin
Dopamine
Glutamate
GABA
Microbiology
All India exam
f3d843c2-d3a4-47fb-b074-681e4331fa79
single
Virchow method of organ removal is ?
Ans. is 'b' i.e., Organs removed one by one Methods of removal of organs Virchow's technique - organs are removed one by one. Cranial cavity is exposed first, followed by thoracic, cervical & abdominal organs. Rokitansky's technique - It involves in situ dissection in pa, combined with en block removal. Lettulle's tech...
2
Organs removed en masse
Organs removed one by one
In situ dissection
null
Forensic Medicine
null
cd35f00c-d7ea-49f8-835e-dd01838e0d75
multi
False regarding Peutz Jeghers syndrome
It is a autosomal dominant condition. Other options are right.
1
Autosomal recessive
Presence of hamartomatous polyps
Presence of cutaneous pigmentation
Risk of developing breast, lung , ovarian cancer
Unknown
null
fd478a21-9929-40fb-88c3-97da2366de5b
multi
A 55-year-old woman has been hospitalized because of recurrent pancreatitis, ARDS, prolonged ileus, and need for parenteral nutrition. She demonstrates weakness, lassitude, ohostatic hypotension, nausea, and fever. Which of the following abnormalities is most likely to explain these symptoms?
Clinical manifestations of adrenocoical insufficiency include hyperkalemia, hyponatremia, hypoglycemia, fever, weight loss, and dehydration. There is excessive sodium loss in the urine, contraction of the plasma volume, and perhaps hypotension or shock. Classic hyperpigmentation is present in chronic Addison disease on...
4
Hypothermia
Hypokalemia
Hyperglycemia
Hyponatremia
Anaesthesia
Miscellaneous
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single
No. Of Sustainable development goals
On 25 September 2015, UN General Assembly adopted the 2030 Development Agenda titled "Transforming our world: the 2030 Agenda for Sustainable Development".This has 17 Sustainable Development Goals and the associated 169 targets.
3
19
20
17
13
Social & Preventive Medicine
Concept of health and disease
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single