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Which of the following is not responsible for the generation of Reactive Oxygen Species during Ischemia-Reperfusion Injury?
New damage may be initiated during reoxygenation by increased generation of ROS. Some of the ROS may be generated by injured cells with damaged mitochondria that cannot carry out the complete reduction of oxygen. Cellular anti-oxidant defense mechanisms may be compromised by ischemia, exacerbating the situation.  ROS g...
4
Incomplete redox reactions by damaged mitochondria
Compromised cellular antioxidant defense mechanisms
Infiltrating leukocytes
Activation of the complement system
Pathology
null
395e0de9-e8ad-4ffc-9ce6-21d4c883a8c1
single
Cyanotic hea disease with left axis detion is:-
--> Remember, tricuspid atresia is the only cyanotic hea disease with left axis detion. Tricuspid atresia: Congenital absence of Tricuspid valve. Right ventricle is hypoplastic Features: - Left ventricular type of apical impulse - Large 'a' waves in jugular venous pulse - Enlarged liver with presystolic pulsations - EC...
1
Tricuspid atresia
TGA
TAPVC
Ebstein anomaly
Pediatrics
Other hea diseases in children
5d6ecfb3-de4d-4348-a09f-9e58e15c0e5f
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Not true about Chondroblastoma
Treatment is surgical, extended currettage with bone grafting.
4
Chicken wire appearance
CODMAN's tumor
Epiphyseal tumor
Treated by chemotherapy
Orthopaedics
null
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multi
ABE (Acute Bacterial Endocarditis) is most commonly caused by:
Staph. aureus
1
Staph. aureus
Str. Viridans
Str. hemolyticus
Esch. Coli
Microbiology
null
a877ef83-3cef-4d0b-885e-31242164e683
single
Which of the following nucleus of Hypothalamus is most closely related to sexual activity in males
A i.e.Preoptic nucleus - Sexual behavior is integrated in anterior-ventral hypothalamusQ; plus piriform coex (in males only) - Ganong - Sexual drive can be stimulated from several areas of hypothalamus, especially the most anterior and most posterior poions of hypothalamusQ (Guyton) - Medial preoptic area (MPOA) or the...
1
Preoptic nucleus
Supraoptic nucleus
Lateral hypothalamic nuclei
Posterior hypothalamic nuclei
Physiology
null
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single
Growth phase of hair is
A i.e. Anagen
1
Anagen
Metagen
Telogen
null
Skin
null
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multi
True about follicular lymphoma:
Answer- A. Lymphadenopathy is the most common presentationIt is the tumor of germinal centre (follicular centre), B cells, and is strongly associated with chromosomal translocation involving Bcl 2.Growth pattern is nodular (follicular) or nodular (follicular) and diffuse.The neoplastic cells closely resemble normal ger...
1
Lymphadenopathy is the most common presentation
BCL-1 positive
CD5 positive
More common in males than females
Pathology
null
5aa9e171-84a0-4de3-ac9c-5a236138d036
multi
The type of estrogen found in highest concentration in adult female is-
Ans (c) Estradiol(Ref: Ganong, 25th ed/p.406)Naturally occurring estrogens are,Estradiol (E2 ) - predominant estrogen during reproductive yearsEstrone (E1) - predominant estrogen in menopausal womenEstriol (E3) - predominant estrogen in pregnant women
3
Estrone
Estriol
Estradiol
null
Physiology
Endocrinology and Reproduction
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multi
True about translation of protein is
A i.e. It has 3 steps initiation, elongation & termination
1
It has 3 steps initiation, elongation & termination
IF-2 prevent reassociation of ribosomal subunit
IF-3 and 1A cause binding of initiating codon
null
Biochemistry
null
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multi
Which of the following is not seen in testicular carcinoma?
Testicular tumors MC presentation is a nodule or painless swelling of one gonad. 10% patients present with acute pain or manifestation due to secondaries like neck or abdominal masses, GI disturbances, respiratory or CNS symptoms, bone pain or lumbar backache due to nerve roots involvement by bulky retroperitoneal dise...
3
Abdominal lump
Epidydimo orchitis
Inguinal lymphadenopathy
Hydrocele
Surgery
Urology
01e8c5f4-cff7-44dd-8de2-27f83130b82a
single
Suckling mice is used in the isolation of?
Arbovirus REF: Jawetz's, Melnick, & Adelberg's Medical Microbiology, 24th edition cchapter 47. Principles of Diagnostic Medical MicrobiologyRecovery of Arbovirus and detection:Virus isolation attempts require appropriate biosafety precautions to prevent laboratory infections. Virus occurs in the blood only early in the...
1
Arbovirus
Herpes virus
Pox virus
HIV
Microbiology
null
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single
Synaptic potential can be recorded by:
Synaptic potential is recorded with inserting one microelectrode inside cell and one electrode outside the cell.
3
Patch clamp technique
Voltage clamp technique
Microelectrode
EEG
Physiology
null
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single
Tunica reaction is seen in -
null
3
H. influenzae
Plague
R. mooseri
B. Anthrax
Microbiology
null
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single
True about neuroblastoma:a) Tumor of autonomic nervous systemb) Metastasis rarely presentc) Earliest detected in late childhoodd) Most common site is Adrenal medulla
Neuroblastoma is a malignant tumor of the autonomic nervous system. It is a neuroendocrine tumor, arising from any neural crest element of the sympathetic nervous system. Neuroblastoma is a disease of early childhood with approximately 90% of patients presenting before 5-years of age and almost 50% within the first 2-y...
4
b
c
ac
ad
Pediatrics
null
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multi
To initiate transcription RNA polymerase does not require which one of the following:
DNA polymerase can only elongate existing polynucleotide chains, and thus requires a primer. RNA polymerase can initiate RNA synthesis de novo and hence does not require a primer. Ref: Molecular Biology of the Gene Watson, 2004, Page 376 ; Lippincott's Illustrated Q & A Review of Biochemistry by Michael A. Lieberman, R...
4
Template (ds DNA)
Activated precursors (ATP, GTP, UTP, CTP)
Divalent metal ions (Mn2+, Mg2+)
Primer
Biochemistry
null
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single
Dense mass of connective tissue seen in endodontically treated teeth called as:
null
4
Periapical cyst
Periapical granuloma
Residual cyst.
Periapical scar.
Pathology
null
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multi
Pulmonary fibrosis is an adverse effect of which of the following anti-cancer drugs?
Anticancer drugs causing pulmonary fibrosis are Bleomycin Busulfan Methotrexate Cyclophosphamide Carmustine
3
Mitomycin C
Hydroxyurea
Bleomycin
Cisplatin
Pharmacology
Cytotoxic Anticancer Drugs
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Most common complication after splenectomy is -
null
1
Chest infection
Hematemesis
Subphrenic collection
Acute dilation of stomach
Surgery
null
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A 30-year-old male evaluated for loss of erection is found to have low testosterone and high prolactin level in blood. What is the most likely diagnosis?
Pituitary adenomas are most commonest cause of pituitary hormone hypersecretion and hyposecretion syndromes, common in adults. Hyperprolactinemia is the most common pituitary hormone hypersecretion syndrome in both men and women. PRL-secreting pituitary adenomas (prolactinomas) are the most common cause of PRL levels >...
2
Testicular dysgenesis
Pituitary adenoma
Craniopharyngioma
Cushing's syndrome
Medicine
null
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All are true statement about filaria except -
- Man is the definitive host and mosquito the intermediate host in Bancroftian and Brugian filariasis. - Adults live in the lymphatic system of host. - The female worms in humans may give bih to as many as 50,000 microfilaria per day.No multiplication in the mosquito. - the extrinsic incubation period is 10-14 days . R...
2
Extrinsic incubation period of 10-14 days
Man is the intermediate host
Adults live in the lymphatics of host
No multiplication in the mosquito
Social & Preventive Medicine
Communicable diseases
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Congenital dacrocystitis, the block is at?
Ans. is 'b' i.e., Nasolacrimal duct Congenital dacryocystitis (Dacryocvstitis neonatorum) It is the inflammation of lacrimal sac in the newborn. It is due to congenital blockage of nasolacrimal duct. Congenital dacryocystitis usually presents as a mild grade chronic inflammation. It is characterized by :? Epiphora deve...
2
Lacrimal calnaliculi
Nasolacrimal duct
Punctum
null
Ophthalmology
null
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Which of the following is false about Botulism?
Ans. is 'c' i.e.. It is an infection and not intoxication Botulismo It is a form of food poisoning.o Botulinum toxin is a potent neurotoxic protein. It paralyses the nerve endings by blocking the nerve impulses at the myoneural junction. It blocks the action of acetylcholine,o Botulism is an intoxication, not an infect...
3
It is a type food poisoning
Botulinum toxin is a potent neurotoxin
It is an infection and not intoxication
The causative organism is Clostridium botulinum
Microbiology
Bacteria
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Aboifacient causing ototoxicity is :
Quinine
2
Lead
Quinine
Mercury
Ergot
Gynaecology & Obstetrics
null
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single
Common pathological changes seen in kidney in benign hypertension are -
null
3
Fibrinoid necrosis
Microaneurysm
Hyaline arteriosclerosis
Thining of walls
Medicine
null
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multi
All constitutes Berlin definition of acute respiratory distress syndrome :-except
Berlin definition of acute respiratory distress syndrome comprises-- Timing - within 1 week of known clinical insult Chest imaging - Bilateral opacities - not fully explained by effusions collapse Origin of edema - Respiratory failure not fully explained by cardiac failure or fluid overload. Oxygenation Mild - 200<PaO2...
4
A known clinical insult within 1 week
Bilateral opacities in chest - x ray
Respiratory failure not fully explained by cardiac failure or fluid overload
Pulmonary aery end diastolic pressure less than 18 mm ng
Anaesthesia
Modes of Ventilation
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Cervical was are seen with which HPV
Cervical was are seen with HPV type 6,11 which are of low oncogenic potential and HPV type 16,18 which are of high oncogenic potential. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 287
2
11,13
6,11
17,18
5,8
Dental
Sexually transmitted diseases
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single
Unconjugated hyperbilirubinemia with increased urobilinogen is seen in
.
1
Hemolytic anemia
Liver cirrhosis
Bile duct obstruction
Sclerosing Cholangitis
Pathology
All India exam
31999356-58d9-46e0-a25f-170733d5d02b
single
Characteristic adverse effect of quinidine includes:
null
2
Lupus erythematosis
Cinchonism
increase in digoxin clearance
Precipitation of hyperthyroidism
Pharmacology
null
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Features of arboviral infection:
Ans: c) High titre.... Ref: Microbiolgy, Green wood 17th edArbo virus induce high titresof viremia in susceptible vertebrates 1-4 days after parentral inoculation or following bites by infected arthropods. Viremia persists fupto & serves as a source of infective blood meals for other biting arthropods.
3
Low titre & prolonged viremia
Low titre & transient viremia
High titre & prolonged viemia
High titre & transient viremia
Microbiology
Virology
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single
Which of the following receptors mediate stretch reflex:
Muscle spindle are distributed throughout the belly of muscle & send information to Nervous system about (i) Muscle length (ii) Rate of change of muscle length Golgi tendon organ is located in muscle tendons transmits information about (i) Tendon tension (ii) Rate of change of Tendon tension Muscle stretch | Intrafusal...
3
Golgi tendon organ
Merkel's disc
Muscle spindle
Meissner's corpuscles
Physiology
FMGE 2018
ff2d5e76-bd19-4234-b0cd-fec867ee227e
single
Which of the following incision used in diaphragm surgery is safest
Circumferential is the safest as it prevents injury to phrenic nerve to maintain the function of the diaphragm
3
Horizontal
Veical
Circumferential
Transverse
Surgery
G.I.T
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single
A 3-year-old child has eczematous dermatitis on extensor surfaces. His mother has a history of Bronchial asthma. Diagnosis should be –
In this question:- The child is 3 years old History of Asthma in mother Extensor involvement First two points suggest the diagnosis of atopic dermatitis (childhood pattern). About third point (extensor involvement) :- "Though childhood atopic dermatitis mainly involves flexural parts, less commonly extensor surfa...
1
Atopic dermatitis
Contact dermatitis
Seborrhic dermatitis
Infantile eczematous dermatitis
Dental
null
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single
Fungus causing otomycosis most commonly is
Otomycosis Otomycosis is a fungal infection of the ear canal that often occurs due to Aspergillus niger, A. fumigatus( niger > fumigatus) or Candida albicans. It is seen in hot and humid climate of tropical and subtropical countries. Secondary fungal growth is also seen in patients using topical antibiotics for treatme...
2
Aspergillus fumigatus
Aspergillus niger
Candida
Mucor
ENT
Ear
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single
Ibalizumab was approved by FDA in 2018 April for
Ibalizumab was approved for HIV in 2018 Ibalizumab belongs to a new class of HIV drugs called post-attachment inhibitors. Post-attachment inhibitors work by attaching to the CD4 receptor on the surface of the immune cells. When ibalizumab attaches to the CD4 receptor, HIV cannot attach to, enter, or infect the cell. Re...
1
HIV
TB
Leprosy
Malaria
Medicine
Infection
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single
Mamillary body receive afferent fibers
Mammillary body receive afferent fibers Fornix C - shaped bundle of nerve fibers which acts as major output tract of hippocampus They are association fibers(connects one brain center to another) It is pa of limbic system (Papez circuit) Papez circuit - for memory consolidation, emotions & behavior
4
Corpus callosum
Thalamus
Pituitary gland
Fornix
Anatomy
Neuroanatomy 1
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multi
Contraindications for oral contraceptive are following except :
More than 30 years old
4
Hea disease
Epileptic patient
Migraine
More than 30 years old
Gynaecology & Obstetrics
null
cf926785-6af5-4d62-b36e-e5ebea56411e
multi
A 3 cm squamous cell carcinoma of the retrornolar trigone and invading the mandible and the medial pterygoid muscle is at what TNM stage:
null
4
Stage I
Stage II
Stage III
Stage IV
Pathology
null
19766826-921c-44bb-a82e-1799ce6894fc
single
You have checked the blood oestradiol levels of your patient and it comes as 150 pg/ml. The woman is LEAST likely to be in which phase of menstrual cycle?
The normal oestradiol and progesterone levels during menstrual cycle is given below Oestradiol Follicular phase 30 - 200 pg/ml Ovulation phase 200 - 600 pg/ml Luteal phase 30 - 200 pg/ml Progestrone Follicular phase 0.06 - 3 mg/ml Luteal phase 4.5 - 20 pg/ml Ref: Essentials of Gynaecology by Lakshmi Seshadri, Edition 1...
2
Follicular
Ovulation
Luteal
null
Gynaecology & Obstetrics
null
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multi
Taxidermy is:-
Taxidermy Process of preparing dead bodies for the purpose of anatomy dissections by injecting solutions of arsenic sulphide or oxide, lead sulphide, potassium carbonate with or without into the femoral and other big aeries.
4
Process of dissection of poisoning deaths
Process of digging the body out
Study of effects of poisons on individual organs
Process of preparing the body for anatomical dissections
Forensic Medicine
Thanatology
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Small intestinal peristalsis is controlled by :
Myenteric (Auerbach&;s) plexus is situated b/w and innervates outer longitudinal & middle circular muscular layers and is primarily concerned with motor controlQ. Submucosal (meissner&;s) plexus situated between middle circular layer and mucosa is primarly concerned with control of intestinal secretionQ as it innervate...
1
Myentric plexus
Meissners plexus
Vagus nerve
Para sympathetic system
Physiology
All India exam
943329a2-0b3d-4789-b58f-0809808fd25d
multi
Teduglutide is a recently introduced drug for Sho Bowel Syndrome- What is it
Teduglutide: GLP-2 Analogue:- * Randomized controlled trials have shown that teduglutide, a GLP-2 analogue that is resistant to degradation by the proteolytic enzyme dipeptidyl peptidase 4 and therefore has a longer half-life than GLP-2, is well tolerated and has led to the restoration of intestinal functional and stru...
4
GLP antagonist
Somatostatin analogue
H1 blocker
GLP- 2 analogue
Surgery
G.I.T
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single
Paranoid delusions are a/w use of:
A i.e. Cocaine Marijuana (cannabis, THC) causes perception of relaxation, mild euphoria, impairs thinking, concentration, perception and psychomotor functions. Most common physical effcts of cannabis are dilation of conjunctival blood vessels (red eye) or conjunctival injection, and tachycardia > increased appetite (th...
1
Cocaine
Heroine
Cannabis
GHB
Psychiatry
null
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single
A 55 years aged chronic alcoholic male, presented with irrelevant talks, tremor and sweating. He had his last drink 3 days back. What will the probable diagnosis?
The description of symptoms is related to the condition "Delirium Tremens" * Delirium Tremens / Alcohol Withdrawal Delirium (AWD): * Most severe form of ethanol withdrawal manifested by, # Altered mental status (Global confusion) # Autonomic hyperactivity (Sympathetic overdrive) * Mechanism: * Alcohol abuse affects neu...
1
Delirium tremens
Korsakoff psychosis
Post-Acute withdrawal syndrome
Discontinuation syndrome
Psychiatry
All India exam
03b074f0-f73a-4115-a239-7eb37e0a81c8
single
Internal hordeolum is due to inflammation of-
Internal hordeolum It is suppurative inflammation of the meibomian gland which is associated with blockage of the duct. C/F: acute severe pain and swelling of eye lid away from the margin, mild watering and photophobia The pain is more intense in internal than external hordeolum, due to the swelling being embedded deep...
2
Zeis gland
Meibomian glands
Moll's gland
Lacrimal gland
Anatomy
FMGE 2019
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single
Mousy odour urine is seen in
Mousy order urine is seen in phenylketonuria due to the presence of excessive phenylalanine and its metabolites.Mousy body odour is also present due to the excretion of phenyl lactic acid,its metabolite through sweat. Reference:Essential pediatrics-Ghai,8th edition,page no:652.
2
Maple syrup urine
Phenylketonuria
Isovalericacidria
Cystinuria
Pediatrics
Metabolic disorders
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single
Sodium Thiopentone is ultra short acting d/t –
All iv inducing agent has rapid redistribution, therefore reversal occurs very early.
3
Rapid absorption
Rapid metabolism
Rapid redistribution
Rapid excretion
Anaesthesia
null
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single
Which of the following statements is false
It is impoant to recognize that hypoxia in tumours can result from two quite different mechanisms. Chronic hypoxia results from the limited diffusion distance of oxygen through tissue that is respiring. The distance to which oxygen can diffuse is largely limited by the rapid rate at which it is metabolized by respiring...
4
Hypoxia in tumours can result from two different mechanisms: chronic hypoxia and acute hypoxia
Acute hypoxia is caused by a temporary closing of a blood vessel in the tumour
Chronic hypoxia is caused by the limited diffusion distance of oxygen through tissue that is respiring
Oxygen does not affect the radiosensitivity of tumours
Radiology
Radiotherapy
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multi
Primary Amenorrhea:a) Absence of Menarche by 14 Years without secondary sexual charactersb) Absence of Menarche by 16 Yrs with secondary sexual charactersc) Absence of secondary sexual characters by Yrsd) Endometriosis
Primary amenorrhea is a condition when a female has not attained menarche by the age of 14 years in the absence of growth or development of secondary sexual characteristics. OR No menarche by the age of 16 years regardless of the presence of normal growth and development of secondary sexual characteristics.
2
ac
ab
ad
bc
Gynaecology & Obstetrics
null
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single
the above marked structures are seen in all except ?
GAMMA GANDY BODIES WERE SEEN IN SICKLE CELL ANEMIA ,CML AND CIRRHOSIS .THEY ARE DEPOSITS IN CONGESTIVE SPLEENOMEGALY WHICH CONTAINS : IRON +CALCIUM + FIBROUS TISSUE OF SPLEEN Sickle Cell Anemia 1) Single nucleotide substitution ("point mutation") in the gene for the beta chain of hemoglobin. 2) Different amino acid get...
1
thalasemia
sickle cell anemia
liver cirrhosis
CML
Pathology
All India exam
63c98e48-710a-4892-ac7d-d0689b2516c6
multi
All of the following are true about Rett's disease, Except :
Rett's disease is more common in females.
4
Regression of milestones occur after 5 months
Microcephaly is seen
Mental retardation is present
More common in males
Psychiatry
null
e7a5aa6e-aaf3-4533-b3ca-cfe670afd59e
multi
Which of the following is the new drug for the treatment of multi drug resistant tuberculosis
Refer Harrison 19th/p1115 Bedaquline is a new drug approved for MDT tuberculosis. It acts by inhibiting ATP synthatase in mycobacterium . Major adverse effects of this drug is "QT prolongation
1
Bedaquline
Linezolide
Levofloxacin
Cefepime
Pharmacology
Chemotherapy
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single
A 40 year old patient has undergone an open chlecystectomy. The procedure was reported as uneventful by the operating surgeon. She has 100 ml of bile output from the drain kept in the gallbladder bed on the first post operative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are ...
Ans. is 'd' i.e. Clinical observation 100 ml. of Bile output from the patient on the 1st postop. day without any other abnormality is of no clinical significance, so does not warrant any action from the surgeon. But remember if passing of 100 ml of bile continues for 5-6 days then it is considered abnormal. It denotes ...
4
Order an urgent endoscopic retrograde cholangiography and biliary stenting
Urgent laparotomy
Order an urgent hepatic iminodiacetic acid scintigraphy (HIDA)
Clinical observation
Surgery
Procedures - Cholecystectomy, Bile Duct Exploration, Store Extraction
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multi
True regarding osteosarcoma is -
Osteosarcoma arises from primitive bone forming cells. Sunray appearance and Codman's triangle indicate periosteal new bone formation. Osteosarcoma occurs in childhood or young adult (10-25 years). Blood metastasis is most common (not lymphatic).
2
Occurs because of proliferation of osteoclasts
Sunray appearance in X-ray indicates new bone formation
Affects mainly males in 5th or 6th decade
Lymphtic metastasis is most common
Orthopaedics
null
3ce7990d-a16a-4d3b-91f0-742917882f12
multi
Which of the following infection is transmitted through rat urine?
Humans are infected when the leptospires in water contaminated by the urine of carrier animals (rats, dogs, cattle, and pigs), enters the body through cuts or abrasions on the skin / through intact mucosa of mouth, nose or conjunctiva. The incubation period is 2-20 days. Ref: Current Medical Diagnosis and Treatment 201...
4
Listeria
Legionella
Mycoplasma
Leptospira
Microbiology
null
2f0512d9-4bd7-4411-a67f-461d2015badd
single
Late deceleration indicates :
Ans. is c i.e. Fetal hypoxia
3
Head compression
Cord compression
Fetal hypoxia
Breech presentation
Gynaecology & Obstetrics
null
9ae0baf4-956b-4d89-9055-6cc430891d16
single
Best indicator for growth measurement is-
Ans. is 'b' i.e., Weight o Measurement of weight and rate of gain in weight are the best single parameters for assessing physical growth.
2
Height
Weight
Arm circumference
null
Social & Preventive Medicine
null
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multi
Pulmonary eosinophilic pneumonia associated witha) Loeffler syndromeb) Cystic fibrosisc) Churg strauss syndromed) Hypersensitivity pneumonitise) Allergic bronchopulmonary aspergillosis (ABPA)
null
4
acd
bde
cde
ace
Medicine
null
48fddb5f-ecbc-409a-a35d-ad96a14dfaf5
multi
zone which is absent when repair is done with MTA as compared to calcium hydroxide:
Zones formed with calcium hydroxide (CH) pulp therapy from below CH to normal pulp are: Zone of liquefactive necrosis Zone of coagulative necrosis Inflammatory response Hard tissue barrier with vascular inclusions. The necrosis with pure CH is due to its high PH. But dycal which is a hard setting CH formulation forms...
2
Zone of calcification
Zone of necrosis
Zone of vascular inclusion
None of the zone is absent
Dental
null
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multi
The characteristics of polio vaccine are all except-
null
2
Maintenance of cold chain
100 % immunisation
Killed vaccine is effective in India
5 doses of OPV given
Social & Preventive Medicine
null
ba3ab86e-337b-4efe-a3f2-600b622a1f1f
multi
Major bacterial enzyme responsible for putrefaction?
Ans. is 'b' i.e., Lecithinase Putrefaction Produced mainly by the action of bacterial enzymes (lecithinase -- Cl. welchii) Anaerobic organism (from bowels) Causing marked hemolysis and liquefaction in blood vessels and tissue spaces, thus producing following effects Color changes : greenish discoloration in right iliac...
2
Hyaluronidase
Lecithinase
Metalloproteinase
Collagenase
Forensic Medicine
null
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multi
In a healthy adult scheduled for an elective operation, solid food shoulder be withheld for at least .......... hours before surgery
Nil by mouth and regular medications Patients are advised not to take solids within 6 hours and clear fluids (isotonic drinks and water) within 2 hours before anaesthesia to avoid the risk of acid aspiration syndrome. These restrictions are fuher reduced in infants, as keeping hydrated reduces discomfo and is known to ...
3
2
4
6
8
Surgery
Urology
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single
Duodenal ulcer, true statement is -
Answer- A. Never MalignantDuodenal ulcer is more common in persons with blood group'O', i.e., containing no AB antigens with blood group'O" i'e"containing no AB antigens.Bleeding is more common in duodenal ulcer than in gastric ulcer.
1
Never Malignant
Most-common site is IInd pa
Common in blood group AB
GI bleed not seen
Surgery
null
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multi
Recurrent laryngeal nerve supply all the intrinsic muscles of the larynx EXCEPT
C. i.e. (Cricothyroid) (260, 275 - Dhingra 4th)MUSCLES OF LARYNXINTRINSIC MUSCLES EXTRINSIC MUSCLES(a) Acting on vocal cords* Abductors - Posterior cricoarytenoids* Adductors - Lateral cricoarytenoid* Interarytenoid (Transverse arytenoids)* Thyro arytenoids (external part)* Tensors - Cricothyroid vocalis (Internal part...
3
Thyroepiglottic
Posterior cricoarytenoid
Cricothyroid
Thyroarytenoid
ENT
Larynx
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multi
Which of the following is true regarding IUGR baby is
Usually head circumference is more than abdomen circumference in intrauterine growth retardation babies Reference: GHAI Essential pediatrics, 8th edition
2
IVH common
Head circumference 3cm more than chest circumference
Hypothermia is rare as shivering thermogenesis is good
Fatty liver
Pediatrics
New born infants
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multi
Epidemiology of cholera in England was clasified by
An english epidemiologist John Snow studied the epidemiology of cholera in London from 1848 to 1854. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition
1
John Snow
Winslow
Chadwick
Howard huges
Social & Preventive Medicine
Concept of health and disease
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single
The mechanism by which most fungi cause disease is:
Hypersensitivity Diseases  Humans are continually exposed to air-borne fungal spores and other fungal elements present in the environment. These spores can be antigenic stimulants and depending on individual's immunological status may induce a state of hypersensitivity by production of immunoglobulins or sensitized lym...
3
Exotoxin production
Lecithinase production
Hypersensitivity
Coagulase production
Microbiology
null
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single
Vascular invasion is a characteristic feature of
Mucormycosis occurs as a systemic infection following dissemination from a primary focus in the upper respiratory tract or nasal cavity. When the lung is the primary site of infection the fungi may invade the aeries to cause thrombosis and infraction. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th editi...
2
Candidiasis
Mucormycosis
Blastomycosis
Sporotrichosis
Microbiology
mycology
adb5c70c-f849-4eae-a8a1-8089c09c4857
single
A female patient with breast cancer presenting with altered sensorium. The following MRI suggests:
The epidemiology of limbic encephalitis mimics that of the underlying malignancy. Tumours which can result in limbic encephalitis include: small cell carcinoma of the lung (classic cause); testicular germ cell tumors; thymic tumours; breast cancer; ovarian carcinoma; haematologic malignancies; gastrointestinal malignan...
3
Herpes simplex encephalitis
Gliomatosis cerebri
Limbic encephalitis
Metastasis
Radiology
Neuroradiology
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single
Laundosine is a toxic metabolite of -
Ans. is 'a' i.e., Atracurium Atracuriumo The unique feature of atracurium is inactivation in plasma by spontaneous nonenzymatic degradation (Hofmann elimination) in addition to that by alkaline ester hydrolysis.o Consequently its duration of action is not altered in patients with hepatic / renal insufficiency or hypody...
1
Atracurium
Pancuronium
Mivacurium
Vecuronium
Anaesthesia
Non-depolarising Neuromuscular Blocking Agents
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single
Normal paogram include the following except :
Cervical dilatation in X - axis
1
Cervical dilatation in X - axis
Descent of head in Y - axis
Sigmoid shaped curve
Ale line followed 4 hours later by action line
Gynaecology & Obstetrics
null
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multi
Antigenic variation seen in which of the following -
a unique feature of influenza virus ability to undergo antigenic variation REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.499
1
Influenza virus
Hepatitis virus
Yellow fever virus
Leptospira
Microbiology
Virology
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single
A pregnant female infected with Rubella. Which of the following immunoglobulin is produced by in-utero infection?
IgM is the main immunoglobulin produced early in the primary immune response. IgM is present on the surface of viually all uncommitted B cells. It is the most efficient immunoglobulin in agglutination, complement fixation, and other antigen-antibody reactions and is impoant also in defense against bacteria and viruses....
3
IgG
IgA
IgM
IgD
Microbiology
null
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single
Causes of restrictive cardiomyopathy are-a) amyloidb) sarcoidosisc) Viral myopathyd) Alcohole) Storage disease
Acute viral myocarditis, alcohol abuse, pregnancy., thyroid disease, cocaine use, and chronic uncontrolled tachycardia cause dilated cardiomyopathy- Harrison 17th/l481 Restrictive Cardiomyopathies (RCMs) - Harrison 17th/1485-86 The hallmark ofthe restrictive cardiomyopathies (RCMs) is abnormal diastolic function ; the...
1
abe
bcd
cde
acd
Pathology
null
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single
The commonly used laser for curing composite resin is
null
4
Nd:YAG
CO2
ER:YAG
Argon
Dental
null
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single
Salmon patch is seen in –
Salman patch appearance of cornea is seen in Interstitial Keratitis. Salman patches on retina is seen in non-proliferative sickle cell retinopathy.
1
Interstitial keratitis
Disciform keratitis
Acne rosacea
Phlyctenular keratitis
Ophthalmology
null
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single
Which of the following is not a cause of sudden increase pain in osteochondroma:
Ans. D. Degenerative changesDegenerative changes will lead to slowly increase in size of osteochondroma whereas other listed causes will result in sudden increase in the size of osteochondroma.
4
Bursitis
Fracture
Sarcomatous changes
Degenerative changes
Orthopaedics
Miscellaneous
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single
Kiesselbach's plexus is plexus made up of?
Ans. is 'a' i.e., Arteries * Kiesselbach's plexus is formed by anastomosis of four arteries:-# Anterior ethmoidal artery,# Septal branch of superior labial artery,# Septal branch of sphenopalatine artery and# Greater palatine artery.
1
Arteries
Veins
Nerves
Connective tissue
ENT
Nose and PNS
50395bd3-e24d-4942-936d-2f6d0f865e85
single
Incubation period of Mumps is
null
2
7 days
18 days
10 days
14 days
Social & Preventive Medicine
null
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single
The depth of respiration is controlled by
Pneumotaxic center limits inspiration by inhibiting Apneustic center Ref: Ganong 25th ed/page 65
1
Pneumotaxic center
Posterior medulla
Apneustic center
Pons
Physiology
Nervous system
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single
A 40 years old male develops excessive hyperventilation. ABG reveals pH - 7.5, PCO224 mm Hg, PO2 88 mm of Hg. True statment is
Ans. is 'a' Respiratory alkalosis. This one is quite simple.pH is increased and pCO2 is decreased which indicates respiratory alkalosis
1
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Medicine
Fluid & Electrolyte
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multi
Eye examination of a patient revealed lack of downward gaze and loss of convergence but has normal pupillary reactions to light. What is the MOST probable location of the lesion?
In this patient the lesion is most probably located at the level of inferior colliculus. Features of lesion at the level of inferior colliculus are normal pupillary reactions to light, lack of downward gaze and loss of convergence. It could be due to lesions of the pineal gland, multiple sclerosis, vascular diseases or...
2
Optic chiasm
Inferior colliculus
Superior colliculus
Edinger Westphal nucleus
Ophthalmology
null
eb6fe9e2-115f-46ed-bf91-18a86da57daf
single
Bevelling of inner table of skull is found in
A i.e. Firearm entry wound When a bullet traverses the skull, the apeure in the bone differs in relation to the outer & inner tables; the defect is larger in the I direction in which the bullet travelsQ
1
Fire arm entry wound
Fire arm exit wound
Drowning
Infanticide
Forensic Medicine
null
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single
All are true for oxytocin EXCEPT: March 2013
Ans. B i.e. Secreted by anterior pituitaryOxytocin is secreted mainly by Supraoptic and paraventricular nucleus of hypothalamus and is transpoed from hypothalamus to posterior pituitary. When suitable stimuli reach the posterior pituitary from hypothalamus, oxytocin is released into blood.
2
Polypeptide
Secreted by anterior pituitary
Causes ejection of milk
Secreted in both sexes
Physiology
null
bb8e0558-d0c5-457c-8e70-357524b4fbaf
multi
The tonsillar ring or Waldeyer's ring consists of which of the following:
null
4
The adenoid
The lingual tonsil
The tonsil
All of the above
Anatomy
null
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multi
Human development index includes -a) Crude death rateb) Life expectancy at one yearc) Life expectancy at birthd) Adult literacy ratee) GDP
null
3
ae
edb
cde
bd
Social & Preventive Medicine
null
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single
A 45-year-old woman is seen by her primary care physician complaining of intermittent colicky pain in the right upper quadrant (RUQ), staing sholy after eating a meal, and lasting about 30 min. During these episodes, she feels bloated and nauseated. The patient also states that over the past 2 days, her stools have bec...
A- Gallstones in gallbladder B- Bile duct obstruction due to gall stones C- Premature activation and leakage of pancreatic enzymes This middle-aged woman has the typical symptoms of biliary colic, which is intermittent crampy abdominal pain in the epigastric region of the RUQ, sometimes radiating to the right shoulder....
2
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<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
Inflammation of hepatic Glisson's capsule
Unknown
Integrated QBank
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single
Drug of choice for Herpes simplex Endophthalmitis is –
Acyclovir is the drug of choice for HSV infection.
1
Acyclovir
Vidarabine
Amantidine
Interferon
Ophthalmology
null
8a68e8ff-0403-435b-8469-6dc800869ac8
single
The most difficult source of infection among the following to control is
null
1
airborne
human to human
vector borne
vertical
Dental
null
5592c91a-0331-409e-9b1f-fd18aa5412d6
single
NMDA antagonist used in Alzheimer's disease is:
Ans: A (Memantine) Ref: Goodman and Gilman's "Phannacologica! Basis of Therapeutics'' 12th eci p.622Explanation:Memantine* It is used either as an adjunct or an alternative to cholinesterase inhibitors in Alzheimer's disease, and is also commonly used to treat other neurodegenerative dementias,Memantine is a noncompeti...
1
Memantine
Rivastigmine
Donepezil
Galantamine
Pharmacology
C.N.S
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single
An arteriole with a damaged endothelial cell layer will not:
Ans. D. Dilate in response to adenosine diphosphate (ADP) or acetylcholineBoth adenosine diphosphate (ADP) and acetylcholine cause the release of NO from endothelial cells. The other choices involve mechanisms that function without endothelial cells.
4
Constrict when intravascular pressure is increased
Dilate when adenosine is applied to the vessel wall
Constrict in response to norepinephrine
Dilate in response to adenosine diphosphate (ADP) or acetylcholine
Physiology
Heart, Circulation, and Blood
e0f722d0-5e88-4c88-93dd-e1c3a5a18eb2
multi
As type of tympanogram is seen in:
Ans: a (Otosclerosis) Ref: Dhingra, 3rd ed, p. 34 & 4thed, p. 26As type tympanogram indicates low compliance at or near ambient air pressure.Seen in fixation of ear ossiclesTypes of tympanogram:A -NormalAs - Otosclerosis, malleus fixationAd - Ossicular discontinuity, lax thin TM (High compliance)B - Flat / dome shaped ...
1
Otosclerosis
Ossicular discontinuity
Glue ear
null
ENT
Otosclerosis
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multi
Reversion of Neisseriagonorrhoeae from a fimbriated (fim 1) to a non-fimbriated (fim 2) state would result in which one of the following phenomena?
Bacteria may shift rapidly between the fimbriated (fim +) and the non-fimbriated (fim -) states. Fimbriae function as adhesions to specific surfaces and consequently play a major role in pathogenesis. Lack of fimbriae prevents colonization of the mucosal surface by the bacterium.
1
Inability of N. gonorrhoeae to colonize the mucosal epithelium
Reversion to a Gram-positive stain
Death of the organism
Loss of serologic specificity
Microbiology
General
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single
Most common complication of both acute and chronic pancreatitis is
Complications of Acute pancreatitis Sterile and infected peripancreatic fluid collections Pancreatic necrosis and infected necrosis Pancreatic pseudocyst Pancreatic ascites Pancreaticopleural Fistulas Vascular complications Pancreaticocutaneous fistula Complications of chronic pancreatitis pseudocysts splenic vein thro...
3
Poal vein thrombosis
Pancreatic abscess
Pseudocyst
Pancreatic necrosis
Anatomy
G.I.T
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multi
What is responsible for clearing & flushing food from the intestinal lumen in the interdigestive Period-
Ans. (b) Migrating motor complexes (MMC)(Ref: Ganong, 25th ed/p.497)MMC aids in clearing the stomach and small intestine of luminal contents in preparation for the next meal
2
Gastrin
Migrating motor complexes
Secretin
CCK.
Physiology
G.I.T.
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single
All are risk factors of pre eclampsia except
Primiparous is at a higher risk than multiparous ladyH.mole due to abnormal trophoblastic proliferation and uterine distension is at higher risk. Infact h.mole is associated with early onset preeclampsia. Previous h/o preeclampsia also increases risk .
1
Diabetes in pregnancy
Hydatidiform mole
Primipara
Previous history of pre eclampsia
Gynaecology & Obstetrics
All India exam
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multi
In myopia there is
(A) Increased length of eyeball > Myopia ("nearsightedness" (AmE), "shortsightedness" (BrE)) is a refractive defect of the eye in which collimated light produces image focus in front of the retina under conditions of accommodation.> Axial myopia is attributed to an increase in the eye's axial length.
1
Increased length of eyeball
Decreased length of eyeball
Decreased refractive power of cornea
Lens is dislocated posteriorly
Physiology
Special Senses: Vision and its Elements
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multi
The orifice of the parotid duct is located:
null
3
At the hamular notch
In proximity to the incisive papillae
On the buccal mucosa near the maxillary second molar
Slightly posterior to the mandibular central incisors
Anatomy
null
3c35ae22-7a55-45d6-9e8f-c455b6dbc37d
single
According to Hierarchy of Evidence for Scientific Literature, Randomized control trials are
null
2
Level I Evidence
Level II Evidence
Level III Evidence
Level IV Evidence
Dental
null
e8486928-0901-49eb-b17e-398fd82cbd06
single
True regarding TT dose(s) in Pregnancy for a Primigravida woman is:-
TT in pregnancy:- Primary level of prevention (specific protection) Primigravida - 2 doses (1 month apa) of TT- ASAP in pregnancy 2 dose - total duration protection - 5 years If next pregnancy occur in 3 years of previous pregnancy - only 1 booster dose required Both doses must be completed within 8 months POG.
4
1 dose in 2nd Trimester
2 doses (1 month apa) 2nd Trimester
1 dose anytime as soon as possible in pregnancy
2 doses (1 month apa) as soon as possible in pregnancy
Social & Preventive Medicine
Vaccines
cf8e5a38-98cd-40ca-a3e9-2bd9e2935d23
multi
Ancylostoma enters the human body by -
Ancylostoma enters the human body by penetration of skin. ANCYCLOSTOMA DUODONALE (Hookworm): Host - Man. Infective form - 3rd stage filariform (L3) larva. Mode of transmission- penetration of skin by 3rd stage filariform (L3) larva (by walking bare foot in dampen soil). Habitat- small intestine.
3
Ingestion
Inhalation
Penetration of skin
Inoculation
Microbiology
Parasitology Pa 2 (Helminthology)
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single