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Management plan for osteogenic sarcoma of the lower end of femur must include:
The usual approach in the treatment of osteosarcoma includes surgery and chemotherapy. The most frequently used effective chemotherapy agents include high-dose methotrexate, doxorubicin, cisplatin, and ifosfamide or etoposide. Radiotherapy does not play a role in the treatment of osteosarcoma as these cells are not rad...
4
Surgery alone
Chemotherapy + radiotherapy
Radiotherapy + amputation+ chemotherapy
Chemotherapy + Limb Salvage Surgery
Surgery
null
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single
At what cervical level spinal cord circumference is maximum?
Maximum spinal cord circumference is at level c6 BD CHAURASIA S HUMAN ANATOMY Vol1
3
C4
C5
C6
C7
Anatomy
General anatomy
bae5d9e2-2c8f-4524-8b78-13384b32f64e
single
A newborn is prone for hypothermia due to following reasons except?
Presence of brown fat is a protective mechanism against hypothermia in newborn babies Infants have more body surface area compared to adults which makes them prone for heat loss. In paicular, head size has the largest body surface area in the entire body In low bihweight and preterm infants, the insulatinglayer of subc...
4
More body surface area
Less subcutaneous fat
Larger head size compared to rest of body
Brown fat
Pediatrics
Neonatal hypothermia
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multi
Traumatic fracture showing avascular necrosis: (PGI Dec 2007)
Ans. A (Femoral neck) /Ref: Maheswari 3td/40-41,270; Dahnert Radiology Review manual 5th/46-48; Chapman 4th/45-46; Apley 8th/570-571]Avascular necrosis is common in fracture of- femoral neckQ (including slipped capital femoral epiphysis(r), posterior dislocation of hip}, neck talus(r), waist scaphoid(r) & lunateQ (disl...
1
Femoral neck
Surgical neck of humerus
Body of talus
Cuboid
Orthopaedics
Avascular Necrosis
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single
True about fourth heart sound is
null
1
Occurs at end of P wave in ECG
Occurs at end of T wave in ECG
Occurs during early rapid filling phase of ventricular diastole
Occurs during slow ejection phase of Ventricular systole
Physiology
null
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multi
A new test to measure B.P has successive reading of same person as follow: 110/70 mmHg, 128/80 mmHg, 132/70 mmHg, 160/90 mmHg. The given test has, when mean B.P =120/80mmHg.
null
1
Low validity, Low reliability
Low validity, high reliability
High validity, low reliability
High validity, high reliability
Social & Preventive Medicine
null
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single
Common variable deficiency is due to -
Most patients with common variable immunodeficiency have normal or near-normal numbers of B cells in the blood and lymphoid tissues. These B cells, however, are not able to differentiate into plasma cells. The clinical manifestations are caused by antibody deficiency. The feature common to all patients is hypogammaglob...
3
Absent B cells
Reduced number of B cells
Defective B cell differentiation
All of the above
Pathology
null
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multi
All are associated with paraneoplastic syndromes except -
null
2
Cerebeller degeneration
Progressive multifocal leucoencephalopathy
Amyotropic lateral sclerosis
Opsoclonus myoclonus
Medicine
null
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multi
The efferent limb of a myotatic reflex includes a(n):
The myotatic reflex is a monosynaptic, sretch reflex. The efferent limb consists of the axon of an anterior horn alpha motor neuron that innervates striated muscle fibers (effector). The afferent limb consists of a muscle spindle (receptor) and an Ia fiber (axon) of a spinal ganglion neuron.
1
Anterior horn motor neuron
Lateral horn visceromotor nucleus.
Muscle spindle.
Preganglionic sympathetic neuron
Physiology
Motor System
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single
Ivabridine is indicated in the management of
Refer kDT 6/e p 55,katzung 11e p203 Ivabradine is a bradycardia drug. It selectively blocks if sodium channel blocker and reduce hea rate by inhibiting the hyperpolarization activated sodium channel in the SA node. No other significant hemodynamic effects has been noted. It reduces and then attacked similar to Calcium ...
2
PSVT
Angina pectoris
Cardiomyopathy
Irritable bowel syndrome
Pharmacology
Cardiovascular system
369feed3-a8cf-49da-bfe2-52f245d89573
single
Shape of nulliparous cervical canal is :
Transverse [Ref: BDC 4/e, Vol 2, p 359; Gray's Anatomy 38/e, p 1871; Jeffcoate's Gynaecology 6/e, p 31 Don't get confused with the answer . Question is about cervical canal & not the external os. The external os is circular in a nulliparous woman & transverse or slit like in parous women. In a nulliparous women, the ce...
2
Circular
Transverse
Spherical
Longitudinal
Forensic Medicine
null
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single
Which of the following nerves are affected after spinal anesthetic block
Spinal anesthetic block affect sensory autonomic and motor nerve
4
Motor and sensory only
Sensory and autonomic nerve only
Sensory nerves only
Sensory autonomic and motor nerves
Anaesthesia
Regional anaesthesia
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single
The UK refinement of Hannifin and Rajka criteria is used in the diagnosis of ____:
Ans. A. Atopic dermatitis* The UK refinement of Hannifin and Rajka criteria is used in the diagnosis of Atopic dermatitis.* The original Hannifin and Rajka criteria requires that patients have at least 3 of the 4 major criteria and 3 of the 23 minor criteria.* Consequently, Williams et al coordinated a UK working party...
1
Atopic dermatitis
Nummular Eczema
Eczema Herpeticum
Contact dermatitis
Skin
Dermatitis Erythema
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Codfish veebrae are seen in: March 2004
Ans. B i.e. Osteoporosis
2
Osteopetrosis
Osteoporosis
Morquis syndrome
All of the above
Surgery
null
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According to IAP classification of Grade IV malnutrition, Weight-for-age of the standard (%) is _________
IAP classification of malnutrition Grade of malnutrition Weight-for-age of the standard (%) Normal >80 Grade I 71-80 (mild malnutrition) Grade II 61-70 (moderate malnutrition) Grade III 51-60 (severe malnutrition) Grade IV <50 (very severe malnutrition) Reference: Paediatrics; O.P Ghai; 8th edition; Page no: 97
4
71-80
61-70
51-60
< 50
Pediatrics
Nutrition
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The ketolide which retain activity against streptococcus pneumoniae that are resistant to macrolide is:
Telithromycin is useful in the setting of streptococcal pneumonia that is resistant to macrolide Ref: Harrisons, Edition-18, Page : 1138.
1
Telithromycin
Quinupristin
Lincomycin
Dalfopristin
Medicine
null
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indications of FESS:
Ans. is all [indications of Function) endoscopic Endoscopic Surgery (FESS) Nasal conditions: Indian = Inflammation of sinus (sinusitis - chronic and fungal) Prime = Polyp removal Minister = Mucocelea of frontal and ethmoid sinus Can = Choanal atresia repair Speak = Septoplasty Fluent = Foreign body removal English = Ep...
4
Inveed papilloma
Orbital abscess
Nasal polyposis
All
ENT
null
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HbA, AC level in blood explains -
null
2
Acute rise of sugar
Long terms status of blood sugar
Hepatorenal syndrome
Chronic pancreatitis
Medicine
null
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Hypersensitivity vasculitisis seen most commonly in
HYPERSENSITIVITY VASCULITIS In hypersensitivity vasuculitis, postcapillaryvenules are the most commonly involved vessels, capillaries and arterioles are involved less frequently. It is primarily a disease of small vessels. It is characterized by leukocytoclasis, a term that refers to the nuclear debris remaining from t...
1
Post capillary venules
Arterioles
Veins
Capillaries
Unknown
null
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Which anterior will have 2nd root most commonly
null
1
Lower Canine
Lower Lateral Incisor
Upper canine
Upper Lateral incisor
Dental
null
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single
The parvocellular pathway, from the lateral geniculate nucleus to the visual coex, carries signals for the detection of:
B i.e. Colour vision, shape, fine details 'The parvocellular pathway from layers 3-6 carries signals for colour vision, textures, shape and fine detail'.
2
Movement, depth and flicker
Color vision, shape and fine details
Temporal frequency
Luminance contrast
Ophthalmology
null
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single
Trench fever is caused by -
Ans. is 'a' i.e., Bartonella Quintana * Trench fever, also called 5-day fever or quintan fever, is caused by Bartonella quintana (Rochalimaea quintana).* The human body louce (Pediculus humans corporis) is the vector and humans is the only known reservoir.
1
Bartonella Quintana
Coxiella burnetii
Rickettsia akari
Rickettsia conori
Microbiology
Bacteria
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All are causes of Osteoporosis, except:
Answer is B (Hypothyroidism) Osteoporosis is seen with hypehyroidism and not with hypothyroidism. Chronic heparin therapy, thyrotoxicosis and old age are all causes of osteoporosis
2
Thyrotoxicosis
Hypothyroidism
Chronic heparin therapy
Old age
Medicine
null
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multi
Positive Rinne indicates
Positive Rinne`s test- AC>BC (Normal hearing, Sensorineural Hearing loss)Negative Rinne`s test- BC>AC (Conductive Hearing loss)False negative Rinne`s- Severe unilateral Sensorineural Hearing lossRef: Hazarika; 3rd ed; Pg 53
1
AC>BC
BC>AC
BC=AC
None of the above
ENT
Ear
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Regurgitation of food back from stomach into oesophagus is prevented by
Regurgitation of food back from stomach into oesophagus is prevented by: (i) tone of gastro-oesophageal sphincter, (ii) negative intrathoracic pressure, (iii) pinch-cock effect of diaphragm, (iv) mucosal folds, (v) oesophagogastric angle and (vi) slightly positive intra-abdominal pressure. Ref:- Dhingra; pg num:-341
4
Pinch cock effect of diaphragm
Negative intrathoracic pressure
Oesophagogastric angle
All of the above
ENT
Oral cavity & Oesophagus
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Dental papilla give rise to ?
Ans. is 'c' i.e., Tooth pulp The mesenchymal cell's of dental papillae forms : Odontoblasts which form dentine Tooth pulp
3
Enamel
Dental cuticle
Tooth pulp
null
Anatomy
null
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multi
Thrombophlebitis extending from thigh to involve iliofemoral vein causes
Answer- D. White legWhite leg (Phlegmasia alba dolens)- seen in ileofemoral thrombophlebitis.Phlegmasia alba dolens (white leg): This is characterised by aerial spasm resulting in pale, cold leg with diminished pulses, with blanching of the limb, more often seen in iliofemoral thrombophlebitis and is called milk leg of...
4
Red leg
Blue leg
Purple leg
White leg
Surgery
null
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Burkitt&;s lymphoma shows which translocation?
All forms of Burkitt lymphoma are highly associated with translocation of MYC gene on chromosome 8 that lead to increased MYC protein levels.The translocation paner for MYC is usually the IgH locus (t (8;14)) but may also be the Ig kappa (t (2;8)) or lambda (t (8;22)) light chain loci. Reference : Robbins and Cotran Pa...
1
8:14
9:22
11:14
14:18
Pathology
Haematology
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Most common thyroid Cancer is -
Papillary Carcinomas are the most common form of thyroid Cancer.
1
Papillary carcinoma
Follicular carcinoma
Medullary carcinoma
Anaplastic carcinoma
Pathology
null
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single
Reflex responsible for tachycardia during right atrial distension is
Reflex resposible for tachycardia during right atrial distension is Bainbridge reflex. Atrial Reflex Control of hea rate: The Bainbridge Reflex The stretch recceptors of the atria that elicit the Bainbridge reflex transmit their afferent signals through the vagus nerve nerves to the medulla of the brain. Then efferent ...
4
image_question
image_question
image_question
image_question
Physiology
All India exam
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single
In Wegeners glomerulonephritis characteristic feature seen is
This is a necrotising vasculitis characterised by specific triad . Granuloma of the lung and the upper respiratory tract . Vasculitis of small to medium sized vessels . Glomerulonephritis Robinns 9 th edition page no. 353
2
Granuloma in the vessel wall
Focal necrotizing glomerulonephritis
Nodular glomerulosclerosis
Interstitial granuloma
Pathology
Cardiovascular system
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multi
Preterm baby with PDA, which is the least idly findings?
PDA in preterm neonate In previous explanations I have explained that chances of spontaneous closure of PDA are higher in premature infants as there is no structural abnormality. However, you should keep in mind that this fact is true when we are comparing the spontaneous closure of PDA between term and pre-term neona...
1
CO2 washout
Bounding pulses
Pulmonary hemorrhage
Necrotising enterocolitis
Pediatrics
null
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single
MRI magnet is a
MRI uses a Superconducting magnet which is kept cool using Helium. A superconducting MRI magnet comprises a steel cryostat with the superconducting coils immersed in liquid helium at 4.2 Kelvin (-269degC or -452degF).
4
Ferromagnet
Paramagnet
Simple magnet
Superconducting-magnet
Radiology
Magnetic Resonance Imaging
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single
A 35-yrs-old woman complains of attacks of breathlessness, cyanosis and flushing. Apart from occasional diarrhea she has no abdominal symptoms. Abdominal examination reveals an enlarged nodular liver. If laparotomy is done, we could expect to find:
History of breathlessness, cyanosis and flushing points towards carcinoid syndrome. Enlarged nodular liver means hepatic metastasis, which is essential to produce carcinoid syndrome. Appendicular carcinoids are detected in I in ever) 200-300 appendicectomies. It is one of the commonest sites for carcinoid tumours. Carc...
3
An ovarian tumor
A multicentric hepatoma
An appendicular carcinoid
Crohn's disease
Unknown
null
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single
A common source of Staphylococcus in the hospital is
Staphylococci are the primary parasites of human beings and animals, colonizing the skin, skin glands and mucous membranes. The most common source of infection in human patients and carriers, animals and inanimate objects being less important. Patients with superficial infections and respiratory infection disseminate l...
2
IV fluids
Infected wounds
Hands of hospital personnel
Bed linen
Microbiology
null
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The most common mechanism of drug resistance in staphylococci is
The most common mechanism of drug resistance in staphylococci is through production of beta lactamase or penicillinase, which inactivates penicillin by splitting the beta lactum ring. These are inducible enzymes which are plamid mediated. They can be transmitted by transduction or conjugation. Ref: Textbook of Microbio...
3
Conjugation
Plasmids
Transduction
Translation
Microbiology
Bacteriology
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single
Which bone pathology does patients with Maffucci syndrome and olliers disease present with?
Both cases present with multiple enchondromas
2
Osteochondroma
Enchondromas
Ewings sarcoma
Osteosarcoma
Pathology
null
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single
Two groups are tested for anemia. Which test should be used ?
Ans. is `c' i.e., Chi-square test Observations in the given question are in the form of qualitative data (anemia present or not). Thus Chi-square test should be used. Chi square test Is used when the observation are in the form of propoions (for qualitative data) The outcome are in clear cut answers; yes or no. As in t...
3
Paired T-test
Unpair T-test
Chi-square test
ANOVA
Social & Preventive Medicine
null
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single
All are true about colon-rectal cancers except
Tumours of the left side of the colon usually present with a change in bowel habit or rectal bleeding, while proximal lesions typically present later, with iron deficiency anaemia or a mass.Iron deficiency anaemia in any man or non-menstruating woman should lead to a search for a source of bleeding from the GI tract.Em...
3
Tumours of the left side of the colon usually present with a change in bowel habit
Tumours of the right side of the colon present with iron deficiency anaemia
Right present earlier then left sided cancers
Left sided cancers are more common than right
Surgery
G.I.T
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multi
Tooth whitening strip is:
Hydrogen peroxide used in dentistry as a whitening agent ranges in concentration between 5 and 35%. Ref :Grossman’s endodontics,13th edition, pg no:504
1
H2O2
HF
Carbamide peroxide
Sodium perborate
Dental
null
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single
In an ideal restoration, gingival margin should be:
null
1
Below contact point but 1mm occlusal to gingival crest
Below contact point but at level of gingival crest
Below gingival crest
At contact point
Dental
null
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A 65-year-old man with H/O 30 pack years of smoking presents with weight loss, cough with expectoration and hemoptysis for 40 days. Serum Na was found to be 124 mEq/L. Serum Ca -10 mg/dl. Chest X ray showed a hilar mass. Brush cytology and sputum was positive for tumor cells. What of the following subtypes of lung carc...
Hilar mass suggests either squamous cell or small cell carcinoma. Hyponatremia due to SIADH is more likely in ors of Small cell. Hypercalcemia and cavitation are more likely in ors of squamous cell carcinoma
3
Squamous cell carcinoma
Adenocarcinoma
Small cell carcinoma
Large cell carcinoma
Unknown
Integrated QBank
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multi
Arneth count is counting of:
Counting the number of neutrophils with different nuclear lobes and expressing the count as percentage of cells with different number of nuclear lobes is called Arneth count. Clinical significance: The Arneth count is useful in judging the rate of formation of neutrophils. Individuals who have a larger percentage of ne...
2
Lymphocytes
Lobes in neutrophils
Granules in eosinophils
WBC in bone marrow
Physiology
null
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single
Palindromic DNA implies-
Ans. is 'a' i.e., Sho stretches of DNA; 'b' i.e., Recognised by specific restriction endonuclease; c i.e., Complementary strands Palindromic DNA o A DNA sequence consists of two complementry strand coiled in a double helicle structure. o A sequence of duplex DNA that is same when two strands are read in opposite direct...
4
Sho stretches of DNA
Recognised by specific restriction endonuclease
Codes for bacterial resistance
All
Pathology
null
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multi
"Citron bodies" and boat or leaf-shaped pleomorphic organism in an exudate is
Clostridium septicum: citron bodies, boat or leaf-shaped polymorphic bacilli. Motile by peritrichous flagella. Saccharolytic and produce abundant gas. Produce alpha, beta, delta and gamma toxin. Gas gangrene, Braxy or malignant edema is caused. Reference: Textbook of Microbiology; Anathanarayan and paniker's; 10th edit...
3
Clostridium welchii
Clostridium edematiens
Clostridium septicum
Clostridium tetani
Microbiology
Bacteriology
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During the early stages of the inflammatory response, histamine induced increased vascular permeability is most likely to occur in:
Acute inflammation causes fluid and cells to leak out of blood vessels into the interstitial tissue because of increased permeability of postcapillary venules.
4
Arteries
Precapillary arterioles
Capillaries
Postcapillary venules
Pathology
null
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In retinal detachment –
In retinal detachment the fluid accumulate in subretinal space i.e., the space between neurosensory epithelium (sensory epithelium or neuroepithelium) and pigmented epithelium. Retinoschisis Vs Retinal detachment It has already been explained that in retinal detachment there is separation between neurosensory layer a...
3
Effusion of fluid into the suprachoroidal space
Retinoschisis
Separation of sensory retina from pigment epithelium
None of the above
Ophthalmology
null
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Specificity of a screening test is the ability of a test to detect
Specificity is defined as the ability of a test to identify correctly those who do not have the disease, that is &;true-negatives&;Sensitivity is defined as the ability of a test to identify correctly all those who have the disease, that is &;true-positive&;
4
True positives
False positives
False negatives
True negatives
Social & Preventive Medicine
Screening
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multi
You see the newborn baby shown below for the first time in the nursery. You consult plastic and reconstructive surgery as well as the hospital's speech therapist. Understandably, the parents have many questions. Which of the following statements is appropriate anticipatory guidance for this family?
(d) Source: (Hay et al, pp 1047-1048. Kliegman et al, pp 1252-1253. McMillan et al, pp 469-472, 2661-2662. Rudolph et al, pp 705- 710.) The infant pictured has bilateral cleft lip and palate. The incidence in the general population is about 1:1000 live births, but occurs in about 4% of the siblings of affected infants....
4
Parenteral alimentation is recommended to prevent aspiration.
Surgical closure of the palatal defect should be done before 3 months of age.
Good anatomic closure will preclude the development of speech defects.
Recurrent otitis media and hearing loss are likely complications.
Pediatrics
New Born Infants
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multi
Last organ to be dissected during autopsy in asphyxial death is
Ans. is 'a' i.e. Neck Detailed study of the neck organs is required during autopsy of asphyxia death.Cranial thoracic and abdominal organs are removed before dissecting the neck, so that, the body is drained of blood.Such draining provides a clean bloodless field for the study of neck organs and prevents any artifactua...
1
Neck
Head
Abdomen
Thorax
Forensic Medicine
Injuries
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single
Treatment of choice for sputum positive pulmonary tuberculosis detected in Ist trimester of pregnancy:
Sta cat. I immediately Repeat May 10
2
Defer till second trimester
Sta cat. I immediately
Sta cat. II immediately
Sta cat. III immediately
Social & Preventive Medicine
null
ff811171-e9f5-4425-9e00-25fc9a12cd3a
single
All are features of Acute Renal Failure (ARF) except -
null
4
Hypotension
Metabolic acidosis
Hyperkalemia
Hypertension
Medicine
null
1a06e92e-3f10-41cf-a9bb-4a4127439247
multi
Skirrow's medium is used for?
Ans. is 'c' i.e., Campylobacter jejuni . Media used for cultivation of H. Pylori are : i) Skirrow's medium Butzler's medium iii) Compy BAP medium
3
Clostridium tetani
Corynebacterium diphtheria
Campylobacter jejuni
Helicobactor pylori
Microbiology
null
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single
Glycerol is an-
Ans. is 'a' i.e., Osmotic diuretic o Glycerol is an orally active osmotic diuretic which may be used to reduce intraocular or intracranial tension. Intravenous glycerol can cause hemolysis.
1
Osmotic diuretic
Purgative
Antidiabetic
Antiemetic
Pharmacology
null
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single
ANCA is associated with
• ANCA or antineutrophilic cytoplasmic antibodies are formed against certain proteins in the cytoplasm of neutrophils. Out of the given options, Wegener’s granulomatosis is most strongly associated with ANCA.
2
Henoch-Schonlein Purpura
Wegener’s granulomatosis
Rheumatoid arthritis
Goodpasture syndrome
Pathology
null
d0ff45ed-3b92-45c9-ac7e-e60a0d756c5f
single
Pleural effusion in rheumatoid ahritis is typically associated with the following features except
Ans. is 'a' i.e., Glucose > 60 mg/dl Causes of low glucose pleural fluid Malignancy Rheumatoid ahritis Empyema Hemothorax Paragonimiasis Churg strauss syndrome Lupus pleuritis (occasionally)
1
Glucose > 60 mg/dl
Protein > 3 gm/di
Pleural fluid protien to serum protein ratio of >0 .5
Pleural fluid LDH to serum LDH ratio of >0.6
Medicine
null
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multi
National Population Policy was first formed in 1976. Goals of National Population Policy are the following, EXCEPT:
The objective of National Population Policy (NPP) 2000 is to bring the total feility rate (TFR) to replacement level by 2010. All the other options are the goals to be achieved by NPP. Ref: Park's Textbook of Preventive and Social medicine, 19th edition, Page 391.
4
Decrease IMR to below 30 per 1000 live bihs
Reduce MMR to below 100 per 100,000 live bihs
Achieve 100 per cent registration of bihs, deaths, marriage and pregnancy
Bring down TFR to replacement level by 2015
Social & Preventive Medicine
null
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multi
Prothrombin Time (PT) detects deficiency of all the following clotting factors EXCEPT
The time required for clotting to occur is called the prothrombin time (PT). Normal PT = 15-20 seconds. Prolonged PT suggests the possibility of deficiency of factors II (prothrombin), V, VII and X. Prothrombin level is low in vitamin K deficiency and various liver and biliary diseases.
4
II
V
VII
VIII
Physiology
Blood Physiology
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multi
Neuropsychiatric complications of HIV include all except
Please read on HIV and its neuropsychiatric manifestations
4
Dementia
Depression
Mania
OCD
Anatomy
All India exam
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multi
A child comes with steroid resistant nephrotic syndrome secondary to FSGS, not responsive .to methylprednisolone. What next should be given ?
Ans is 'b' i.e., Oral cyclosporine o The treatment options for steroid resistant nephrotic syndrome are: (i) Calcineurin inhibitors (cyclosporine, Tacrolimus) (ii) IV or oral cyclophosphamide (iii) Levamisol (iv) Mycophenolate (v) Pulse coicosteroid o All above immunosuppressants are used along with coicosteriods (Pred...
2
Oral cyclophosphamide
Oral cyclosporine
Oral mycophenolate
IV cyclophosphamide
Pediatrics
null
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Placing a ring liner approximately 3.25 mm short of the ends of the ring tends to
null
1
Produce a more uniform expansion and the expansion will not be in a vertical direction hence no distortion
Produce a more uniform contraction
Produce no change
Produce distortion
Dental
null
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Resistance to drugs in tuberculosis develops by: March 2011, March 2013
Ans. D: Mutation MDR-TB strains could arise as a consequence of sequential accumulation of mutations conferring resistance to single agents, or by a single step process such as acquisition of an MDR element. Resistance to common anti-TB drugs The most common mechanism of INH resistance is by mutation of the catalas-per...
4
Transduction
Conjugation
Transformation
Mutation
Pharmacology
null
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single
Guttman sign is seen in
Guttman sign is ipsilateral nasal stuffiness seen in stellate ganglion block.
3
Branchial plexus block
Supra clavicular block
Stellate ganglion block
null
Anaesthesia
null
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multi
Mean Hb values are compared in two population groups. The best test is -
Ans. is 'b' i.e., Unpaired T test Student t-testo Small samples do not follow normal distribution as large ones do. To overcome this problem T test was devised by W.S. Cassette whose pen name was 'student' and hence this test was called student't' test.Application of test :o It is applied to find the significance of di...
2
Paired T test
Unpaired T test
Chi-square test
Fisher'stest
Social & Preventive Medicine
Statistical Tests
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All are components of Behaviour sciences except-
Ans. is 'a' i.e., Political Science
1
Political Science
Anthropology
Sociology
Psychology
Social & Preventive Medicine
null
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multi
an anxiuous mother brought her 4yr old daughter to the pediatrician .the girl was passing loose stools past 20days .this was often associated with pain abdomen .stool examination showed the following organism :
Pathogenesis G. lamblia inhabits in the duodenum and upper ileum Trophozoites are attached to the mucosa surface by sucker, reproduced by binary fission Histology shoening of microvilli, elongation of crypts, and damaging the brush border of the absorptive cells Mechanical blockage of the intestinal mucosa, competition...
2
entamoeba hystolytica
giardia lambia
cryptosporidium parvum
e.coli
Microbiology
All India exam
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single
Which of the following is not a landmark for facial nerve during parotid surgery?
The main methods of facial nerve trunk localisation can be divided into antegrade and retrograde. The former utilises anatomical landmarks to identify the nerve trunk after its exit from the stylomastoid foramen, which is then traced distally.Landmarks commonly used are:The inferior poion of the cailaginous canal. This...
1
Anterior belly of digastric muscle
Styloid process
Tragal pointer
Squamotympanic fissure
Surgery
Head and neck
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single
Inclusion bodies are found in all except:
Inclusion bodies are nuclear or cytoplasmic aggregates of stainable substances, usually proteins. They typically represent sites of viral multiplication in a bacterium or a eukaryotic cell and usually consist of viral capsid proteins. It is the most characteristic histological feature in virus-infected cells. It is of ...
2
Herpes
EBV
Poliovirus
CMV
Pathology
null
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multi
All are associated with Wernicke, encephalopathy, EXCEPT:
Ans. is 'a' Cogwheel rigidity
1
Cog-wheel rigidity
Alteration in mental function
Vlth nerve palsy
Ataxia
Medicine
Nutrition
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For pancreatic injury true is -
Ans. is 'd' i.e., HRCT is investigation of choice o Pancreas being a retroperitoneal structure, peritoneal lavage is not helpful in making the diagnosis of pancreatic injury.o CT scan is the best diagnostic procedure, apart from an exploratory' laprotomy.More about Pancreatic injuryo About two-thirds are due to penetra...
4
Most are iatrogenic
Blunt trauma most common
Urine amylase is diagnostic
HRCT is investigation of choice
Surgery
Trauma (Pancreas)
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Niacin deficiency causes
Deficiency of niacin: A deficiency of niacin causes pellagra, a disease involving the skin, gastrointestinal tract, and CNS. The symptoms of pellagra progress through the three Ds: dermatitis, diarrhoea, dementia--and, if untreated, death. Reference: Lippincott Textbook of Biochemistry pg no. 380
2
Pigmentation
Diarrhea
Rash
Lactic acidosis
Biochemistry
vitamins
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single
Which of the following is not used to treat ADHD?
Dextromethorphan is a NMDA antagonist used as cough suppressant.
3
Dexamphetamine
Dexmethylphenidate
Dextromethorphan
Clonidine
Psychiatry
null
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Ocular symptom of Von Recklinghausen disease is
• NF-1 is the most common phakomatosis, affecting 1:4000 individuals, and presents in childhood. • The gene locus is on 17q11.
2
Deformed anterior chamber with reduced angle of AC
Glaucoma
Choroidal hemangioma
Subretinal neovascularization
Unknown
null
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single
Mallampati score is done for assessing:
Ans. (b) Oral cavity of patient for intubation* Mallampati score, also known as Mallampati classification is used to assess the oral cavity of patient to predict the ease of intubation.* It is assessed by looking at the anatomy of the oral cavity; specifically, it is based on the visibility of the base of soft palate, ...
2
Size of the airway
Oral cavity of patient for intubation
Mobility of neck
Size of ET tube
ENT
Oral Cavity
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multi
radiation exposure occurs in all except ?
fluoroscopy uses sonographic waves which is a sound wave and doesnt have radiation effect. Fluoroscopy is also an imaging tool. Allows physicians to look at various body systems. Shows movement of body pas. Also shows instruments or dye a continuing stream of x-ray images. Approximately 25-30 images per second Used in ...
3
ct scan
mri
fluroscopy
plain xray
Radiology
All India exam
bcaa93f7-4f8b-44c3-b8ac-616fd9e48420
multi
Teratoma is best describad as:
null
1
Hamartous developmental manifestation consisting of three different layers
Occurs most commonly in stomach and lungs
Originates from mesodermal tissue
Associated with very painful condition
Pathology
null
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Hypeension is not seen with :
Levodopa: ADVERSE EFFECTS- Most are dose-related, but are usually reversible. 1. Nausea and vomiting It occurs in almost every patient. Tolerance gradually develops and then the dose can be progressively increased. 2. Postural hypotension It occurs in about 1 I 3 of patients, but is mostly asymptomatic; some patients e...
4
SNRIs
amphetamine
Erythropoietin
L-dopa
Pharmacology
Other topics and Adverse effects
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single
Spider leg appearance in Intra venous urography is seen in-
Ans. is 'a' i.e., Congenital polycystic kidney diseaseRadiological appearanceo Paint - brush appearanceo Soap - bubble nephrogramo "Swiss - cheese" nephrogramo Dense persistent nephrogramo Striated nephrogramMedullary sponge kidneyHydronephrosisAdult polycystic kidney diseaseAcute ureteric obstruction, hypotensionInfan...
1
Congenital Polycystic Kidney Disease
Hydronephrosis
Renal stone
Renal cell carcinoma
Radiology
Urogenital System
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single
A community has a population of 10,000 and a birth rate of 36 per 1000. 5 maternal deaths were reported in the current year the MMR is –
You should keep in mind that MMR denotes maternal mortality ratio (not maternal mortality rate).
2
14.5
13.8
20
5
Social & Preventive Medicine
null
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single
TRUE statement about aspirin is:
Nicotinic acid can cause flushing due to release of PGs. Premedication with aspirin decreases this complication. Aspirin can cause hypehermia in overdose. It decreases the risk of developing colon cancer.
2
In an afebrile patient acute overdose of aspirin produces hypothermia
Aspirin suppresses flushing associated with large dose of nicotinic acid
Aspirin therapy prevents granulomatous lesions and cardiac complications of acute rheumatic fever
Long term aspirin therapy increases the risk of developing colon cancer
Pharmacology
NSAIDs, Gout and Rheumatoid Ahritis
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multi
All of the following are the causes of relative polycythemia except:
Answer is D (High altitude) High altitude is associated with physiological increase in erythropoetin levels and leads to absolute polycythemia and not relative polycythemia. Relative erythrocytosis due to reduction in plasma volume alone is also known as stress or spurious erythrocytosis or `Geisbock's syndrome'
4
Dehydration.
Dengue haemorrhagic fever
Gaisbock syndrome
High altitude.
Medicine
null
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multi
Investigation of choice in detecting small para-aoic lymph node is -
Ans. is 'b' i.e., CT scan
2
Ultra sound scan
CT scan
Lymphangiography
Aeriography
Surgery
null
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multi
Which organ is NOT affected by Plasmodium falciparum?
The trophozoites of Plasmodium falciparum disappears from peripheral circulation after about 24 hrs. By then a strain specific high molecular weight antigen appears on the surface of infected red cells, associated with knob like projections on the erythrocyte membrane. Such red cells disappear from peripheral circulati...
2
Hea
Liver
Lungs
Kidney
Microbiology
null
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single
A child suffering from acute diarrhoea is brought to the casualty and is diagnosed as having severe dehydration with pH of 7.23. Serum Na-125, Serum K-3, HCO3 16. The best I.V. fluid of choice is -
null
3
3% Saline
N/3 Saline + 10% dextrose
Normal saline
N/3 saline + 5% dextrose
Medicine
null
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Both HBsAg and HBeAg are positive in
Ref: Park&;s Textbook of Preventive and Social Medicine 25 th Ed Pgno : 235 SEROLOGICAL PATTERNS IN HEPATITIS B HBsAg Anti-HBs Anti-HBc HBeAg Anti-HBe Interpretation + - IgM + - Acute Hepatitis B + - IgG + - Chronic Hepatitis B+ replication - + IgG - + Recovery from Hepatitis B - + - - - Vaccinated individuals
1
Acute infectious Hepatitis B
Chronic Hepatitis B
Recovery phase of Hepatitis B
Individuals vaccinated with Hepatitis B
Social & Preventive Medicine
Communicable diseases
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multi
Hypercalcemia caused by -
hypercalcemia can be a manifestation of a serious illness.Although hyper parathyroidism , a frequent cause of asymptomatic hypercalcemia, is a chronic disorder in which manifestations may be expressed only after months or years.The cause of hypercalcemia is numerous,but hyper parathyroidism. Hypercalcemia from any caus...
1
Thyrotoxicosis
VnDiotoneation
Saroidosis
Furosemide
Medicine
Endocrinology
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single
Esthiomine is seen in
Esthiomene is seen in LGV which refers to hyperophic enlargement with ulceration of the external genitalia LGV is caused by L1 L2 L3 strain of chlamydia trachomatous L2 is most common Esthiomene is a medical term referring to elephantiasis of the female genitals. In the past the term has also referred to elephantiasis ...
3
Chancroid
Granuloma inguinale
LGV
Syphilis
Dental
All India exam
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single
A 6-year-old drowsy child came in emergency with history of vomiting, loose motion for 3 days. On examination he had sunken eyes, hypothermia, skin on pinching was taking 5 seconds to reve. What is your diagnosis?
In this case, sunken eyes and skin "goes back very slowly" (in 5 seconds) in a "lethargic" (drowsy) child, so it is a case of severe dehydration.
4
No dehydration
Mild dehydration
Some dehydration
Severe dehydration
Pediatrics
Disorders of Gastrointestinal System Including Diarrhea
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single
Which of the following statements about contrast in radiography is true:
A i.e. Ionic monomers have three iodine atoms per two paicles in solution Ionic contrast agents dissociate (ionize) in water in 2 ioins (or osmotic paicles) per molecule whereas nonionic agents do not ionize or dissociate. All monomers contain I benzene ring with 3 iodine atoms and dimers contains 2 benzene rings with ...
1
Ionic monomers have three iodine atoms per two paicles in solution
Osmolar contrast agents may be ionic or non ionic
Gadolinum may cross the blood brain barrier
lohexol is a high osmolar contrast media
Radiology
null
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multi
The most common type of cerebral palsy is?
a. Spastic(Ref: Nelson's 20/e p 2896-2899; Ghai 8/e p 581-583)Most common type of cerebral palsy is spastic diplegia in 35% cases, followed by Hemiplegia in 25% casesSpastic quadriplegia is the most severe form of CP because of marked motor impairment of all extremities and the high association with intellectual disabi...
1
Spastic
Atonic
Extrapyramidal
Mixed
Pediatrics
Central Nervous System
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single
BCR - ABL hybrid gene is present in
(CML) (215-HM) (315, 697-98-R) (464-Basic pathology 8,h)BCR-ABL hybrid gene - ABL gene is a non GF receptor proto-oncogene having tyrosine kinase activity. ABL gene from its normal location on chromosome 9 is translocated to chromosome 22. Where it fuses with BCR (breakpoint cluster region) gene and forms an ABL, BCR h...
4
Burkitt's lymphoma
Retinoblastoma
Breast carcinoma
CML
Pathology
Neoplasia
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single
Pansystolic murmur at apex with soft first hea sound is the key sign of which one of the following ?
MR : The regurgitant jet causes an apical systolic murmer.Pansystolic murmer with thrill, soft S1 AR: Early diastolic murmer ASD: Systolic flow murmer over pulmonary valve, diastolic flow murmer over tricuspid valve, wide fixed splitting of S2. VSD: Pansystolic murmer usually heated best at the left eternal edge Ref: H...
2
Aoic regurgitation
Mitral regurgitation
Ventricular septal defect
Atrial septal defect
Medicine
C.V.S
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single
Most sensitive parameter in monitoring iodine deficiency control programme is:
Ans: D (Neonatal hypothyroidism) Ref: Park's Preventive and Social Medicine, 22nd edition. Pg 579Explanation:Iodine level in salt at consumption level 15 ppm.Iodine level in salt at production level 30 ppmIodine oil injection will provide protection for 4 years.Sensitive indicator for consumption of appropriate level o...
4
Goitre
Urine T3.T4
Growth retardation
Neonatal hypothyroidism
Social & Preventive Medicine
Environment and Health
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single
Air on either side of the bowel wall on a radiograph is called:
The Rigler sign, also known as the double-wall sign, is a sign of pneumoperitoneum seen on an abdominal radiograph when gas is outlining both sides of the bowel wall, i.e. gas within the bowel's lumen and gas within the peritoneal cavity. It is seen with large amounts of pneumoperitoneum (>1000 mL).
4
Air under diaphragm sign
Cupola sign
Doges cap sign
Rigler sign
Radiology
Gastrointestinal Radiology
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multi
In intubation which drug is used instead of succinylcholine
Muscle relaxants are used in intubation, which are of two types: Depolarizing muscle relaxant, i.e., Succinylcholine Non-depolarizing muscle relaxant, eg., Rocuronium, vecuronuim, Atracurium, etc
3
Doxacurium
Dantrolene
Rocuronium
null
Anaesthesia
Anaesthetic equipments
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multi
Which of the following is the location of human leukocyte antigen (HLA)?
The human MHC (human leukocyte antigen; HLA) consists of a linked set of genes encoding major glycoproteins involved in antigen presentation. The complex locates to the sho arm of chromosome 6 and divides into three separate regions: class I, class II, and class III genes. The class I "classic" region encodes HLA-A, HL...
2
Sho arm of chromosomes 3
Sho arm of chromosomes 6
Long arm of chromosomes 3
Long arm of chromosomes 6
Pathology
null
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single
In early congenital syphilis, which is not seen –
null
1
Keratitis
Vesicular rash
Chorio retinitis
Rhinitis
Pediatrics
null
d1a046e5-259a-4644-9191-ae59e4fa2a05
single
Recurrent interosseous aery is a branch of -
Ans. is 'a' i.e., Posterior interosseous aeryInterosseous recurrent aery is a branch ofposterior interosseous aery.
1
Posterior interosseous aery
Anterior interosseous aery
Radial aery
null
Anatomy
null
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multi
As per WHO low birth weight is defined as
null
3
Gestational age < 34 weeks
Birth weight < 10th percentile
Birth weight less than 2.5 kg
Gestational age < 28 weeks
Social & Preventive Medicine
null
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single
Drug used in heparin overdose -
Ans. is 'a' i.e., Protamine sulfate The most common adverse effect of heparin is bleeding.Protamine sulfate is an antidote of heparin. Protamine is strongly basic low molecular weight protein.Protamine sulfate is rarely needed in heparin induced bleeding because the action of heparin disappears by itself in few hours.T...
1
Protamine sulfate
Phylloquinone
Ticlopidine
Clopidogrel
Pharmacology
Anticoagulants and Coagulants
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