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Most common type of lung cancer is?
Ans. is B Adenocarcinoma "Adenocarcinoma of the lung is the most frequent histological type". -- Sabiston Remember o Adenocarcinoma is the overall most common type of lung carcinoma. o Adenocarcinoma is the most common type of lung carcinoma in non-smokers and females o Squamous cell (epidermoid) carcinoma is the most ...
2
Small cell carcinoma
Adenocarcinoma
Squamous cell carcinoma
Large cell carcinoma
Pathology
Clinical Aspects of Neoplasia
31a7d1e8-26fb-411e-8f38-bb590297e882
multi
Zygote with zona pellucida reaches uterine cavity by-
Ans-B lets revise some imp points:- 1-morula=16 cell stage 2-blastocyst hatching/ZP removal/implantation=5-12 days after fertiization(5-7 days) 3-sequence of reactions is alphabetical=acrosome rxn f/b cortical rxn f/b zona reaction. 4-conceptus reaches uterine cavity in 32cell stage. 5-transvaginal insertion of coceptu...
2
2 days
4 days
5 days
6 days
Gynaecology & Obstetrics
Internal Generative Organs
4c6441a6-4d7f-4ff6-a1f2-01daa8c9db2a
single
A male was brought unconscious to the hospital with external injuries. CT brain showed no midline shift, but basal cisterns were compressed with multiple small hemorrhages. What is the diagnosis:
null
4
Cortical contusion
Cerebral laceration
Multiple infarcts
Diffuse axonal injuries
Surgery
null
3e18ab5b-1726-40d0-9b66-3c4f68f9fb21
multi
Rosettes are characteristically seen in
Ref Robbins 7/e p1442; neuropathology for the neuroradiologist : rosette and pseudorosettes by F.J.wipopld and A.perry Rosettes consist of a Halo or spoke wheel arrangements of cells surrounding a central core or hub Rosettes may be considered primary or secondary manifestation of tumor architecture . Primary rosettes ...
1
Retinoblastoma
Melanoma
Dysgerminoma
Lymphoma
Anatomy
General anatomy
ab87b6d8-eb7a-44a2-9a52-94a0f572fbea
multi
Which structure of Hb can do function?
In case of any protein, Primary & secondary structures -NO function. Function stas from Teiary structure.
4
Primary, secondary , teiary
Primary & secondary
Primary, secondary , teiary, quaernary
Teiary & quaernary
Biochemistry
Proteins bonds and structure
01f1b9ea-0d71-41ff-805f-35dca9309898
single
The law stating that "the relative frequency of each gene allele tend to remain constant from generation to generation" is known as ?
Ans. is 'b' i.e., Hardy-Weinberg law Hardly-Weinberg law The hardly-weinberg law states that "The relative frequencies of each gene allele tends to remain constant from generation to generation". Thus, the study of gene frequencies, and the influences which operate to alter the "gene pool" and their long term consequen...
2
Mendel's law
Hardy-Weinberg law
David-Morgan's law
Lamarck's law
Social & Preventive Medicine
null
cbc8fece-dfdc-40a9-b4bd-d73c7ce82098
multi
In patients with asthma due to an allergic cause, the serum levels of which immunoglobulin increases?
null
4
IgD
IgM
IgA
IgE
Microbiology
null
68234dac-3ab7-4ae2-b6c9-a1b436551673
multi
Varicella zoster virus belongs to which family of DNA viruses ?
Ans. is `b' i.e., Herpesviridae DNA viruses Poxviridae :- Variola, vaccinia, cowpox, monkeypox, tanapox, molluscum contagiosum Herpesviridae :- HSV-1, HSV-2, varicella-zoster, EBV, CMV, HTLV- 1, RK-virus Adenoviride Adenovirus Parvoviridae Parvovirus, Adenosatellovirus, Densovirus Papovaviridae Papilloma virus (HPV), P...
2
Poxviridae
Herpesviridae
Adenoviridae
Papovaviridae
Microbiology
null
40e6a323-b491-468f-86ec-e8e342b22fea
single
What is the definitive finding of G6PD-
null
2
Bite cells
Intravascular hemolysis
Splenomegaly
Hemoglobinuria
Medicine
null
0e5f2f16-f2b8-4d8b-9be6-f05ef76e4bf4
single
A 60-year-old alcoholic woman presents to the emergency room with fever, chills and shoness of breath. The sputum is rusty-yellow and contains numerous neutrophils, red blood cells and Gram-positive cocci. A chest X-ray shows diffuse haziness over both lungs. One week following admission, the patient develops empyema. ...
Complications of bacterial pneumonia include pleuritis (extension of inflammation to the pleural surface), pleural effusion, pyothorax (infection of pleural effusion), pulmonary abscess and pulmonary fibrosis. Empyema is a loculated collection of pus with fibrous walls that follows the spread of bacterial infection to ...
4
Blood
Bronchi
Interstitial space
Pleural space
Pathology
Infectious Lung Disease: Pneumonia
6aaad4ec-69e6-4ae9-92ac-9094ac28ae61
multi
In a 60-year-old female with polydipsia, water deprivation test was performed and the values obtained are as following -Baseline: Na - 139 mEq, K-3.6mEq. Osm.plasma-274 mosm/l, Osm. urine-150 after vasopressin: Na-142mEq, K-3.9mEq, Plasma osm-271 mosm/ l,Urine osm - 489 mosm/l. These findings suggest a diagnosis of -
null
1
Cranial diabetes insipidus
Psychogenic polydypsia
Nephrogenic diabetes insipidus
SAIDH
Medicine
null
ab98aecc-fc88-45dd-90bc-3d05e20058ac
single
Follow ing are the side effects of thiazides except-
Ans. is 'b' i.e., Hypocalcemia Following are the side effects of thiazides:o Hypokalemiao Acute saline depletion, hemoconcentration and increased risk of peripheral venous thrombosiso Dilutionsalhyponatremiao Nausea omitting diarrheao Rarely headache, giddiness, weakness, parethesias, impotenceo Hearing losso Rashes, p...
2
Hypokalemia
Hypocalcemia
Hepatic coma
Impotence
Pharmacology
Diuretic
7ca31620-ebd9-4a42-854d-368d10229f3e
multi
In a ceain population, there were 4050 bihs in the last one year. There were 50 still-bihs. 50 infants died within 7 days whereas 150 died within the first 28 days. What is the neonatal moality rate
Ans. b. 50
2
50
62.5
12.5
49.4
Social & Preventive Medicine
null
bfbd4474-0933-4911-adb4-7f7083cf0cad
single
Bacterial meningitis in children (2 months-12 years) is usually due to the following organisms EXCEPT:
- Listeria is an impoant cause of meningitis in the neonatal period, but not in older children. - MCC of acute bacterial meningitis in children are Streptococcus pneumoniae, Neisseria meningitides, H. influenzae
4
Streptococcus pneumoniae
Neisseria meningitides
H. influenzae type B
L. Monocytogenes
Pediatrics
CNS infections
da2b1385-ef83-4d0d-8cdf-9ae5e3a73b75
multi
A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP - 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any o...
This is a case of Salmonella infection. The image shows faint, salmon coloured blanching maculopapular rash located on trunk and chest (Rose spots). Gram stain shows gram negative bacillus. Salmonella Does not ferment lactose Relative bradycardia Pulsus dicroticus is seen. Typical rash called rose spots Drug of choice ...
4
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Unknown
Integrated QBank
fadac01d-2d9c-40bd-bf98-d848bfcbb106
multi
Mrs. A is hesitant about children having kinky hair disease because her two sisters had sons who had died from kinky hair disease. Her mother's brother also died of the same condition. Which of the following is the possible mode of inheritance in her family? (AI 2004)
Kinky hair disease /Menkes syndrome is: X- linked Recessive disorder. Mutations is genes encoding for copper- transpoing protein ATP7A , leading to copper deficiency. Characteristic findings include kinky hair, growth failure, & nervous system deterioration. Manifested only in males. Females are not affected, so they m...
1
X-linked recessive
X-linked dominant
Autosomal recessive
Autosomal dominant
Pathology
Genetics
fb7ec0c3-1a1d-4ecd-8409-3d15a7ac9bec
single
All the following are indications for termination of pregnancy in APH patient except :
Ans. is c i.e. Transverse lie As discussed earlier, active management is done when: Patient is bleeding heavily / bleeding is continuing Pregnancy > 37 weeks Patient is in labour Patient is in exsanguinated state Gross fetal malformation/dead fetus Fetal distress present As far as lie is concerned : Friends, why would ...
3
37 weeks
IUD
Transverse lie
Continuous bleeding
Gynaecology & Obstetrics
null
afe92ef1-fdc3-486c-a0da-f89a871fcea0
multi
Risk of malignancy in cold nodule of thyroid is
Risk of malignancy in hot nodule is 4%. Risk of malignancy in cold nodule is 20%.
3
0.10%
2%
20%
30%
Surgery
null
3ef30e8e-3b06-4ab0-b1a7-50a6af74c33f
single
Which of the following presents as a cutaneous vasculitis in patients with lepromatous leprosy?
Lucio phenomenon Lucio phenomenon is a cutaneous vasculitis in patients with lepromatous leprosy and tends to affect people who have not taken their medication regularly. Lucio phenomenon presents as odd-shaped red patches and ulcers on hands, wrists, ankles and feet. It is associated with fever, ahritis, liver and kid...
3
Lepra type I reaction
Lepra type II reaction
Lucio phenomenon
Reversal phenomenon
Dental
Mycobacterial Infections
77a5a3db-692a-4b63-b349-aceec02bfb77
single
All of the following vaccines can prevent pneumonia except:
Common causes of pneumonia in children: Str. pneumoniae & H. influenza. So Pneumococcal vaccine & Hib vaccine can prevent pneumonia. Measles decreases the cell mediated immunity in children so predisposes the child to infections Therefore on giving measles vaccine it prevents some amount of infections too.
2
Measles
Rubella
Pneumococcal
H. influenza
Pediatrics
Other Respiratory Disorders
6505f60e-8cff-4e8f-bc60-2c5f1630be2e
multi
Regarding amoebic liver abscess which of the following is true:
The M/C extra intestinal manifestation of Amoebic dysentery is amoebic liver abscess. This frequently presents without history of prior intestinal symptoms. Physical examination shows intercostal tenderness. Abscesses are most commonly single and in the right lobe of the liver Without prompt treatment, amoebic abscesse...
3
Multiple abscess are more common
Most of the patients have a history of dysentery at the time of presentation
May rupture into the pleural cavity
For asymptomatic luminal carriers metronidazole is the drug of choice
Medicine
parasitic infection
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multi
The projection of ameloblast into the enamel matrix, is known as
The surfaces of the ameloblasts facing the developing enamel are not smooth. There is an interdigitation of the cells and the enamel rods that they produce. This interdigitation is partly a result of the fact that the long axes of the ameloblasts are not parallel to the long axes of the rods. The projections of the ame...
2
Tomes fibers
Tomes process
Tomes fibrils
Tomes network
Dental
null
44c865b9-141a-4630-8534-b92aab6a59d1
single
The arrow is pointing towards which of the following structures?
null
4
Spleen
Renal AERY
BOWEL LOOP
Pancreatic tail
Radiology
CT SCAN
165581e8-47af-4249-aea0-788ba776894b
single
Fraying and cupping of metaphyses of long bones in a child does not occur in:
B i.e. Lead poisoning Remember : Lead poisoningQ (Bismuth, Arsenic, P, mercury fluride, radium also), Radiation & Hypervitaminosis D leads to solitary dense metaphyseal band not cupping & fraying. Causes of Cupping & Fraying of metaphysis Metaphyseal Cupping Metaphyseal Fraying RicketsQ (with widening & fraying of grow...
2
Rickets
Lead poisoning
Metaphyseal dysplasia
Hypophosphatasia
Radiology
null
338c0291-ec76-4172-b17f-f944ae06d228
single
Bih and death registration act came into force on 1st april,------
Amendments of the Registration of Bihs and Deaths Act, 1969 - PIB Sections of the act
2
1968
1969
1970
1971
Social & Preventive Medicine
Demography and family planning
a5144c61-22ab-4b10-b7e7-248d96189b18
single
Gustatory hallucinations are most commonly associated with -
null
1
Temporal lobe epilepsy
Grand mal epilepsy
Anxiety disorders
Tobacco dependence
Medicine
null
dde5f80f-b545-43f5-b88e-d77f44a5afbe
multi
Behaviour therapy to change maladaptive behaviour using the response as reinforcer uses the principles of-
Reinforcement is used in operant conditioning.
4
Classical conditioning
Modeling
Social learing
Operant conditioning
Psychiatry
null
e1db8da4-88e4-4078-bd23-fda9c3503acb
single
In X-Ray right border of mediastinum is formed by all except:
C i.e. Right Ventricle Right hea border on chest x-ray PA view is formed by right atrium with its draining tributaries SVC & IVCQ. Right aspect of ascending thoracic aoa and right innominate/brachiocephalic vesselsQ are also involved sometimes in forming right border. But right ventricle does not form the right border ...
3
SVC
Right Atrium
Right Ventricle
Right Brachiocephalic Vein
Radiology
null
e5a624a9-c446-422f-8dd8-dc56fcc1d608
multi
All are toxicities seen with Amiodarone therapy except aEUR'
Productive cough Amiodarone is a class III antiarryhthmic drug and thus blocks potassium channel. It acts by increasing the action potential duration and effective refractory period. In spite of its present classification as class 3 drug, amiodarone also significantly blocks inactivated sodium channels. It also has wea...
4
Pulmonary fibrosis
Corneal micro-deposits
Cirrhosis of liver
Productive cough
Pharmacology
null
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multi
All of the following drugs can cause gynaecomasia except
Ref-KDT 7/e p589 Drugs which causes gynaecomasia are Cimitidine Cytotoxic agents Digoxin Spironolactone Flutamide
2
Digoxin
Amiloride
Cimetidine
Spironolactone
Anatomy
Other topics and Adverse effects
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multi
Out of 10 relatives exposed to a primary case, of measles, 6 developed measles. Secondary attack rate of measles-
Ans. is 'b' i.e., 6/10 Secondary attack rate (SAR)o SAR is defined as "the number ofexposed persons developing the disease within the range of incubation period, following exposure to primary caseSAR=No of exposed persons developing disease withinthe range of the incubation period-----------------------Total number of ...
2
10-Apr
10-Jun
6-Apr
4-Jun
Social & Preventive Medicine
Measurement of Mortality and Morbidity
58ad6717-f4ce-4186-b40b-e17540281d4e
single
A 50 year old male with positive family history of prostate cancer has come to you for a screening test. The MOST sensitive screening test to pickup prostate cancer is:
The risk of being diagnosed with prostate cancer increases by a factor of two if one first-degree relative is affected and by four if two or more are affected. The American Cancer Society (ACS) recommends that physicians offer PSA testing and a digital rectal examination (DRE) on an annual basis for men older than age ...
3
DRE
PSA
DRE + PSA
Endorectal Coil MRI with TtW and T2W images
Surgery
null
63aa0ce0-cde9-4726-9e4a-4063966a5891
single
Ranson's critaria for prognosis in acute pancreatitis include all except :
Answer is D (Serum amylase > 350 1U) Serum amylase does not form any cieria for prognosis in acute pancreatitis. (Remember this fact) Therefore, if amylase is present as any of the options, you can easily and safely exclude it.!! Ranson's criteria for prognosis in acute pancreatitis include :(Adverse factors) At the ti...
4
WBC>16,000 cells/cumm
Age over 55 years
AST > 250 U/100 ml
S. amylase > 350 I.U.
Medicine
null
b0d2771c-f0f6-433c-ac53-aae3178ae7b7
multi
True about anaerobic glycolysis is
Energy Yield from Glycolysis During anaerobic (oxygen deficient) condition - i. During anaerobic (oxygen deficient) condition, when one molecule of glucose is conveed to 2 molecules of lactate, there is a net yield of 2 molecules of ATP. ii. 4 molecules of ATP are synthesized by the 2 substrate level phosphorylations (...
1
2 ATP from 1 glucose
32 ATP from 1 glucose
26 ATP from 1 glucose
28 ATP from 1 glucose
Biochemistry
Metabolism of carbohydrate
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multi
1 meq/ L of hardness of water is equivalent to presence of:
Hardness of water is expressed in meq/L. 1 meq/L of hardness producing ion is equal to 5o mg of calcium bicarbonate in 1 litre of water. Ref: Park 21st edition page: 671.
2
25 mg calcium bicarbonate in 1 litre of water
50 mg calcium bicarbonate in 1 litre of water
100 mg calcium bicarbonate in 1 litre of water
150 mg calcium bicarbonate in 1 litre of water
Social & Preventive Medicine
null
ddb9fe18-4e25-42dc-9bc8-c7a2003c7258
single
Which of the following is characterised by typical ash - grey slough
Ash - grey slough is typical of carbuncle.
2
Furuncle
Carbuncle
Erysipeals
Cellulitis
Surgery
null
02e7d609-30d8-4004-86d0-d5e40a32e8ee
single
Umbilical vesicle attains full development in?
B i.e. 4 week
2
2 week
4 week
6 week
7 week
Anatomy
null
aca7e49e-2808-4355-95d1-f06fb37b8be0
single
All are derivatives of Rathkes pouch except ?
Ans. is 'c' i.e., NeurohypophysisThe derivatives of Rathke's pouch give rise to the various components of the anterior pituitary :Anterior lobePars tuberalisPars distalisPars intermedia
3
Pars intermedia
Pars tuberalis
Neurohypophysis
Pars distalis
Anatomy
null
8aa0693b-8b69-498f-85c0-ab6785f03174
multi
True of the following -
null
1
Interstitial nephritis is associated with salt losing nephropathy
Idiopathic hypercalciuria is a X-linked recessive disease
Calcitonin deficiency causes hyperphosphatemia
Idiopathic hypercalciuria commonly presents with hematuria
Medicine
null
7346d809-dc1e-4f50-a507-54da02f8b2e2
multi
In Burkitt's lymphoma, translocation seen is chromosome -
null
2
12 - 14 translocation
8 - 14 translocation
4 - 8 translocation
12- 18 translocation
Pathology
null
00069d02-14a1-410f-8e8f-01f35eea2c4b
single
A 40-year-old male complained of tachypnea. On examination his respiratory rate is 32/min with pulmonary hypeension and BP 132/90 mmHg. JVP was raised. What is your diagnosis?
The above clinical scenario describes that the patient is suffering from Right ventricular hyperophy. The most common aetiology of right ventricular hyperophy is severe lung disease. The disorders that induce pulmonary hypeension and secondary right ventricular hyperophy include the following: Pulmonary aerial hypeensi...
4
Aoic dissection and rupture
Esophageal rupture
Tension pneumothorax
Right ventricular hyperophy
Anatomy
FMGE 2019
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single
Larval control is an impoant method of mosquito control. All of the following are larval control measures, EXCEPT:
The organochlorine compounds (e.g., DDT, HCH) are not recommended for larviciding operations because of their long residual effect, water contamination and increased risk of developing resistance in the vector mosquitoes. Anti-larval measures: Environmental control (e.g., intermittent irrigation) Chemical control Miner...
1
DDT
Paris green
Gambusia
Intermittent irrigation
Social & Preventive Medicine
null
a82c73df-faf9-4215-bd73-c8672392f26b
multi
Calcium channel blocker used in subarachnoid hemorrhage
Nimodipine is a cerbroselective calcium channel blocker used in SAH.Ref: KD Tripathi 6th ed pg 532
3
Nefidipine
Nicardipine
Nimodipine
Nitrendepine
Pharmacology
Central Nervous system
d058a9a0-96cd-443a-84cc-99d097abed78
single
A 25 year old G2P, at 39 weeks gestation is electing to have spinal anaesthesia for a repeat cesarean section. 5 minutes after bupivacaine spinal injection, the patient becomes hypotensive and is complaining of tingling in her fingers with subjective difficulty breathing. Her oxygen saturation remains 100% and blood pr...
In pregnancy, CSF volume is decreased, thereby decreasing dose requirement of local anaesthetic. This facilitates spread of local anaesthetic when spinal anaesthesia is given. Option D would have been correct, if question mentioned Epidural anaesthesia.
3
Severe patient anxiety
Increased peripheral nerve sensitization to local anaesthetics
Decrease in volume of CSF in subarachnoid space facilitated higher spread of local anaesthetics
Engorgement of epidural veins contributed to inadvertent intravascular injection of local anaesthetic
Anaesthesia
null
24876de2-e604-4932-9965-65f811d42f2d
single
Which is autosomal recessive?
autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic kidney disease Autosomal Recessive Inheritance Cystic fibrosis Phenylketonuria Tay-Sachs disease Se...
2
Achondraplasia
Beta thalassemia
Marfans syndrome
Hereditary spherocytosis
Pathology
General pathology
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single
The most common causative organism for lobar pneumonia Is
null
3
Staphylococcus aureus
Streptococcus pyogenes
Streptococcus pneumoniae
Haemophilus influenzae
Medicine
null
795e502c-fd92-4dd0-bba3-2a373092ffca
single
Larval form in stool is found in ?
Ans. is 'a' i.e., Strongyloides; 'b' i.e., Ancylostoma duodenale; c i.e., Necator americanas
4
Strongyloides
Ancylostoma duodenale
Necator americanus
All
Microbiology
null
96ef6d61-2d47-4f24-bafd-735e2c3f9f44
multi
Muscle attached to the tubercle of 1st cervical vertebrae
null
2
Scalenus anterior
Scalenus medium
Scalenus minimum
Scalenus posterior
Anatomy
null
f4e188ef-e2c0-47b8-835f-db80d6d3c0a9
single
Which of the following Schistosoma is seen in the veins of the bladder and Pelvic Organs?
The schistosome life cycle begins after mating in the hepato-poal circulation when the conjoined couple uses their suckers to ascend the mesenteric vessels against the flow of blood. Guided by unknown stimuli, S japonicum enters the superior mesenteric vein, eventually reaching the venous radicals of the small intestin...
3
Schistosoma japonicum
Schistosoma mansoni
Schistosoma haematobium
Schistosoma intercalatum
Microbiology
parasitology
b39d99f9-36da-4423-b622-1750910619dc
single
A tumour arising in a burns scar is likely to be
SCC is a malignant tumour of keratinising cells of the epidermis or its appendagesSCC is the second most common form of skin cancer (after BCC)It is strongly-related to cumulative sun exposure and damage SCC is also associated with chronic inflammation (chronic sinus tracts, pre-existing scars, osteomyelitis, burns, va...
2
Basal cell carcinoma
Squamous cell carcinoma
Malignant melanoma
Fibrosarcoma
Surgery
General surgery
f7dc4a0b-b554-4d48-ba49-5cb1ced137c1
single
All the following increases drug metabolism by activating cytochrome enzyme, EXCEPT:
null
2
Tetracycline
Cimetidine
Rifampicin
Phenobarbitone
Pharmacology
null
bf66889b-9c76-4707-bdc5-20f498101bdc
multi
Which of the follow ing interleukin is secreted by T helper 2 cells -
Ans. is 'd' i.e. IL 13 T helper -1 (TH1) secretes - 1L-2 and interferon - gT helper - 2 (TH2) secretes - IL-4, IL-5, IL-6, IL-13.
4
IL 11
IL7
IL l
IL13
Unknown
null
1e40fe2d-2b30-4e7c-b4d6-6332509362bc
single
During starvation, Brian utilizes
Brain and starvation: During starvation, a significant pa (60-70%) of the energy requirement of the brain is then met by ketone bodies (Fig. 8.1) Brain and acetoacetate: The brain is unable to utilize fatty acids as a source of fuel since the fatty acids complexed to albumin are unable to traverse the blood-brain barri...
3
Glycogen
Fattey acids
Ketone bodies
null
Biochemistry
Metabolism of carbohydrate
7c8bf7fb-f9a0-4a0b-b5b7-6c2c005c8190
multi
ECT in depressive phase of MDP is useful because it-
ECT shortens the duration of depressive episode. It doesn’t prevent the recurrence unless given as a maintenance treatment.
3
Produces recurrence
Reduces recurrence
Shortens duration
Increases drug effects
Psychiatry
null
b40f3eac-fe5c-4e4b-a8bd-eae89f8e4ec3
single
In chronic obstructive pulmonary disease all are seen EXCEPT -
null
2
Low FEV1
Increased FEV1 / VC ratio
Smoking strongly associated
Partially reversible by bronchodilator therapy
Medicine
null
7820261c-85b5-4d8e-add2-be1b67e8eaf7
multi
The granules discharged in mycetoma contains -
Ans. is 'b' i.e.. Fungal colonies o Granules are microcolonies of the etiological agents. o Colour of the discharging granules (grains) vary with the different agents causing the disease.
2
Bone specules
Fungal colonies
Pus cells
Inflammatory cells
Microbiology
Mycology
c7813f49-158b-4aec-8e1e-2073090ffa45
single
The most likely cause for suture leak after colon resection and anastomosis for cancer sigmoid is ?
Ans. is 'd' i.e., Ischaemia
4
Subclinical malnutrition
Infection of anastomotic site
Mechanical disruption due to colonic pressure and contractility
Ischaemia
Surgery
null
94a743d9-539d-4bcb-a6f1-b9732f7b2c56
single
A 36 year old man shows positive Rinne test. His condition is:
The Rinne tuning fork test is sensitive in detecting conductive hearing losses. A Rinne test compares the ability to hear by air conduction with the ability to hear by bone conduction. Normally and in the presence of sensorineural hearing loss, a tone is heard louder by air conduction than by bone conduction. This is t...
4
Wax in ear
Chronic suppurative otitis media
Otomycosis
Normal
ENT
null
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Which one of the following clinical features is NOT seen in Phaeochromocytoma?
(D) Diarrhea # PHAECHROMOCYTOMA Clinical Features:> Skin sensations, flank pain, elevated heart rate, elevated Blood pressure, palpitations, anxiety, diaphoresis, headache, pallor, weight loss, localized amyloid deposits found microscopically, and elevated blood glucose level.
4
Hypertension
Episodic palpitations
Weight loss
Diarrhea
Medicine
Miscellaneous
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A simple bacterial test for mutagenic carcinogens is -
Ames test is a simple test developed by Bruce Ames that measures the potential of a given chemical compound to promote mutations in a specialized bacterial strain (mutagenic carcinogenesis)
1
Ames test
Redox test
Bacteriophage
Gene splicing
Biochemistry
null
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A 53-year-old woman is being treated for tuberculosis with INH and rifampin.For the above patient with new symptoms, select the most likely acid base disorder.
INH can result in impaired oxygen utilization, leading to lactic acidosis (type B), accumulation of lactate, and increased anion gap.
1
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
Medicine
Oncology
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Western equine encephalitis virus is transmitted by ?
Ans. is 'B' i.e., Culex mosquito
2
Anophales mosquito
Culex mosquito
Sandfly
Aedes mosquito
Social & Preventive Medicine
null
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A 45-year-old woman is being examined as a candidate for cosmetic breast surgery. The surgeon notes that both of her breasts sag considerably. Which structure has most likely become stretched to result in this condition?
The suspensory ligaments of the breast, also known as Cooper's ligaments, are fibrous bands that run from the dermis of the skin to the deep layer of superficial fascia and are primary supports for the breasts against gravity. Ptosis of the breast is usually due to the stretching of these ligaments and can be repaired ...
4
Scarpa's fascia
Pectoralis major muscle
Pectoralis minor muscle
Suspensory (Cooper's) ligaments
Anatomy
Upper Extremity
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A doctor treats a person who has met with an accident and sustained severe injuries. In this case, consent from the patient is not mandatory. Which of the following section says that consent is not required in emergency situations
Refer the byte "legal sections".
3
Sec 90 IPC
Sec 84 IPC
Sec 92 IPC
Sec 87 IPC
Forensic Medicine
null
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Which is the most common complication of high myopia:
Ans. Retinal detachment
4
Glaucoma
Cataract
Haemorrhage
Retinal detachment
Ophthalmology
null
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An 16 year old boy was brought in emergency with acute testicular pain, awakening him from sleep. On examination,the right testis is enlarged and tender. There is no history of any injury. what is the likely diagnosis?
The above case scenario is indicative of testicular torsion as there is presence of acute onset of testicular pain and no history of injury. There are two types of testicular torsion. Neonatal torsion Adult torsion occurs either in utero or sholy after bih not associated anatomic defect typically is seen in adolescence...
2
Testicular vasculitis
Testicular torsion
Testicular neoplasm
Acute orchitis
Pathology
Male Genital Tract
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More false positive cases in a screening test is due to -
Ans. is 'a' i.e., Low prevalenceo If a population has more false positive cases : -i) Screening test is more sensitiveii) Positive predictive value of the test is low.iii) Prevalence of disease is low.o If a population has more false negative casesi) Screening test is more specificii) Negative predictive value of the t...
1
Low prevalence
High specificity
High PPV
Low sensitivity
Social & Preventive Medicine
Screening for Disease
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All of the following are approaches to health education except :
Ans is 'd' i.e. Mass media According to Alma-Ata declaration (1978), "Health education is a process aimed at encouraging people to want to be healthy to know how to stay healthy to do what they can individually and collectively to maintain health and seek help when needed".Health education is the act of getting people ...
4
Service approach
Regulatory approach
Health education approach
Mass media
Social & Preventive Medicine
Health Education & Communication
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Investment material used for high fusing base metal partial dentures
Silica bonded • Silica is the binder which may be derived from ethyl silicate or silica gel • Used for high fusing base metal partial denture alloys • In addition to setting shrinkage "green shrinkage" occurs due to loss of alcohol and water from the gel. • The investment can be heated upto 1200°C
3
Gypsum bonded.
Phosphate bonded.
Silica bonded.
All of the above.
Dental
null
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Which of the following occurs in both cytoplasm and mitochondria:
Ans. (b) GluconeogenesisRef : Harper's Biochemistry 30th edn. /142-144* Glycolysis occurs in cytoplasm.* There are two major sites for gluconeogenesis, the liver and the kidneys.* The liver accounts for 90% of gluconeogenesis in the body and the remaining 10% occur in the kidney and other tissues of the body.* The live...
2
Glycolysis
Gluconeogenesis
Glycogenolysis
Glycogenesis
Biochemistry
Gluconeogenesis
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Stages of death was given by
null
3
Ronald Ross
Kurt - Schneider
Kubler Ross
Sigmond Freud
Psychiatry
null
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The floor of the nasal cavity in children is made of
"The floor of the nasal cavities, which also form the roof of the mouth, is made up by the bones of the hard palate: the horizontal plate of the palatine bone posteriorly and the palatine process of the maxilla anteriorly".(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2007)
4
Palatine bone and vomer
Sphenoid and ethmoid
Nasal bone and maxilla
Palatine bone and maxilla
Pediatrics
All India exam
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Enterovirus causes all except -
Coxsackie viruses cause herpangina and aseptic meningitis REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:491
1
Haemorrhage fever
Pleurodynia
Herpangia
Aseptic Meningitis
Microbiology
Virology
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Treatment of choice in severe depression is -
Make it very clear in your mind that the initial treatment of choice for severe depression is antidepressant medications. ECT is the treatment of choice when severe depression is associated with a suicidal tendency or when severe depression is associated with psychotic features or when severe depression is refractory t...
1
Fluoxetine
Alprazolam
ECT
null
Psychiatry
null
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Leishmania is cultures in.....media-
Blood or aspiration material from various organs can. E used for NNN (novy,macneal,nicolle)culture incubated at 22-24 degree Celsius promastigote form can be demonstrated contains rabbit blood with added antibiotics (refer pgno:41 baveja 3 rd edition).
2
Chocolate agar
NNN
Tellurite
Sabourauds
Microbiology
parasitology
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Which is not seen in urine in obstructive jaundice:
Urobilinogen
1
Urobilinogen
Direct bilirubin
Both
None of the above
Physiology
null
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Which of the following reaction is due to lipid peroxidation ?
Ans. is 'b' i.e., Rancidity Peroxidation (auto-oxidation) of lipids exposed to oxygen is responsible not only for deterioration of foods (rancidity) but also for damage to tissues in vivo. Lipid peroxidation is a chain of reaction generating free radicals that initiate fuher peroxidation.
2
Saponification
Rancidity
Hydrogenation
Soap formation
Biochemistry
null
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Which of the following drug does NOT cause Gynaecomastia?
Pyrazinamide is not known to cause gynecomastia. Adverse effects associated with its use are hepatic damage, hyperuricemia, nausea, vomiting, ahralgia, dysuria, malaise and fever. Some drugs cause gynecomastia by 1) synergetic action with estrogen due to intrinsic estrogen like propeies of the drug 2) the production of...
4
INH
Cimetidine
Digitalis
Pyrazinamide
Pharmacology
null
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A 35 year old lady complains dysphagia, Raynaud's phenomenon, sclerodactyly. Investigations show antinuclear antibody. The likely diagnosis is -
null
2
Systemic lupus erythematosis
Systemic sclerosis
Mixed connective tissue disorder
Rheumatoid arthritis
Medicine
null
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Which of the following has minimum MAC ?
Methoxyflurane has minimum MAC and is most potent. Order of potency in decreasing order (MAC in increasing order) :- Methoxyflurone (MAC= 0.16%)> Trilene (0.2%) > Halothane (0.74%) > Chloroform (0.8%) > Isoflurane (1.15%) > Enflurane (1.68%) > Ether (1.92%) > Sevoflurane (2.0%) > Desflurane (6.0%) > Cyclopropane (9.2%...
1
Methoxyflurane
N2O
Halothane
Desflurane
Anaesthesia
null
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In sensorineural hearing loss, weber's test is lateralized to
In Sendeafness deafness: Lateralised to better ear. In conductive deafness: Lateralised to worse ear. Ref: Dhingra; 6th Edition; pg no 22
1
Normal ear
Defective ear
Not lateralized
May alternate
ENT
Ear
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True about coding strand of DNA:
C i.e. Runs at 5'- 3' direction
3
Template strand
Minus strand
Runs at 5- - 3' direction
Runs at 3' - 5' direction
Biochemistry
null
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A 75-year-old woman presents with a pruritic vulvar lesion. Physical examination reveals an irregular white, rough area involving her vulva. If this area of leukoplakia is due to lichen sclerosis, then biopsies from this area will most likely reveal
Several pathologic conditions are associated with the formation of white plaques on the vulva, which are clinically referred to as leukoplakia. Lichen sclerosis is seen histologically as atrophy of the epidermis with underlying dermal fibrosis. This abnormality is seen in postmenopausal women, who develop pruritic whit...
1
Atrophy of epidermis with dermal fibrosis
Epidermal atypia with dysplasia
Epithelial hyperplasia and hyperkeratosis
Individual malignant cells invading the epidermis
Pathology
miscellaneous
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SABE is most commonly due to: March 2013
Ans:C i.e. Streptococcus viridans Subacute bacterial endocarditis/Endocarditis lenta It can be considered a form of Type III hypersensitivity. It is usually caused by a form of streptococci viridians bacteria that normally live in the mouth and throat (Streptococcus mutans, mitis, sanguis or milleri). Osler's nodes can...
3
Staphylococcus aureus
Streptococcus pneumonia
Streptococcus viridans
HACEK group bacteria
Pathology
null
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Which of the following inhalational agent is contraindicated in renal disease -
Ans. is 'c' i.e., Methoxyflurane Inhalational agents and renal diseaseo Methoxyflurane is contraindicated. Enflurane and sevoflurane should also be avoided.o Desflurane is the inhalational agent of choice. Isoflurane is an alternative. Halothane is also safe.o Anaesthesia is maintained with desflurane (or isoflurane) i...
3
Desflurane
Isoflurane
Methoxyflurane
Halothane
Anaesthesia
Anesthesia for Kidney Disease
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Vision 2020 "The right to sight" includes all except –
Vision 2020 : The Right to Sight : Global Initiative for Elimination of Avoidable blindness After the realization that unless blindness control efforts are intensified, the prevalence of blindness will double by 2020 AD, the WHO along with an International Partnership committee launched the Vision 2020 Initiative in ...
2
Trachoma
Epidemic conjunctivitis
Cataract
Onchocerciasis
Social & Preventive Medicine
null
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multi
Tonography helps you to determine:
Tonography is a noninvasive technique for determining the facility of aqueous outflow. Ref: Parson's Diseases of The Eye, 18th Edition, Page 7226
2
The rate of formation of aqueous
The facility of outflow of aqueous
The levels of intraocular pressure at different times.
None of the above
Ophthalmology
null
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multi
A 55-year-old man involved in an automobile accident is unresponsive and is intubated at the scene. On arrival in the emergency department, he responds to painful stimulation. His systolic BP is 60 mm Hg, his HR is 140 bpm, his neck veins are distended, and his breath sounds are absent on the left side. Immediate manag...
The patient has tension pneumothorax, as evidenced by distended neck veins and absent breath sounds. Increased intrathoracic pressure interferes with venous return to the heart, resulting in shock. Immediate management should be insertion of a large-bore needle in the left second intercostal space, followed by insertio...
2
Insertion of a central venous line on the right side
Insertion of an 18-gauge needle in the left second intercostal space
Pericardiocentesis
Peritoneal lavage
Surgery
Wounds, Tissue Repair & Scars
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Hysteria is characterized by
C i.e. Indifference to suffering- Flight of ideas & Pressure speech are features of Mania. Autism is found in Schizophrenia (Bleuler's 4-A)- La -Belle-Indifference : It is lack of concern towards the symptoms despite severe disability. It is found in Hysteria (Conversion Disorder)Q, Paial lobe lesion, Multiple Sclerosi...
3
Flight of ideas
Pressure on speech
Indifferene to suffering
Autistic Thinking
Psychiatry
null
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A village affected with epidemic of cholera, what is the 1st step which should to be taken in village to decrease the death from cholera
null
2
Cholera vaccination to all individuals
Safe water supply and sanitation
Primary Chemoprophylaxis
Treat everyone in the village’ with tetracycline
Social & Preventive Medicine
null
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Acute Immoral renal transplant rejection is characterized by the following except -
Harshmohan textbook of pathology 7th edition. In humoral immune reaction there is preformed circulating antibodies due to pre sensitization of the recipient before transplantation. It is characterised by acute rejection vasculitis and foci of necrosis in small vessels. The mononuclear cell infiltrate is less marked as ...
2
Presence of anti-donor antibodies
Interstitial and tubular mononuclear cell infiltrate
Necrotizing vasculitis
Acute coical necrosis
Pathology
General pathology
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Which of the following is used for medical adrenalectomy?
medical adrenelectomy or pharmacological adrenelectomy means- using medications or drugs to suppress the production of hormones from the adrenal gland Mitotane is highly effective in the long-term management of Cushing's syndrome but has a slow onset of action. Mitotane combined with fast-acting steroidogenesis inhibit...
1
Mitotane
Methotrerate
Doxorubicin
5-Fluorouracil
Pharmacology
Endocrinology
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single
Which of the following is not associated with Diabetes mellitus?
ANSWER: (C) HypothyroidismREF: Harrison's 18th ed ch: 344Endocrinopathies associated with Diabetes are:AcromegalyCushings syndromeGlucagonomaPheochromocytomaHyperthyroidismSomatostatinomaAldosteronoma
3
Cushing's syndrome
Acromegaly
Hypothyroidism
Pheochromocytoma
Medicine
Diabites & Inappropriate Antidiuretic Hormone
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Delusions are seen in all the following except :
A. i.e. OCD
1
Obsessive compulsive disorder
Depression
Mania
Schizophrenia
Psychiatry
null
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multi
Definition of severe acute malnutrition includes which of the following?
b. Wt for Ht <-3SD(Ref: Ghai 9/e p 97)Wt for Ht <-3SD on WHO growth standard is one of the diagnostic criteria for severe acute malnutrition.
2
Wt for Ht <- 2 SD
Wt for Ht <- 3 SD
Wt for age <-2 SD
Wt for age <-3 SD
Pediatrics
Nutrition
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Acid fast staining can be positive with?
Ans. d (All).(Ref. Microbiology by Ananthnarayan, 7th/357; Harsh Mohan, Pathology, 4th ed., 32)ACID FAST STAINING IS POSITIVE with {Mnemonic = MMC BLINC) :- Mycobacterium tuberculosis, - Mycobacterium leprae, - Cyclospora, - Bacterial spores, - Lipofuschin pigment,- Isospora, - Nocardia, - Cryptosporidium.Educational p...
4
Tubercle bacilli
Nocardia
Lipofuschin
All
Microbiology
Bacteria
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All of the following are true in a randomized control trial (RCT) except -
.
4
Baseline characteristics of intervention and control groups should be similar
Investigator's bias is minimized by double blinding
The sample size required depends on the hypothesis
The drop-outs from the trial should be excluded from the analysis
Social & Preventive Medicine
Biostatistics
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multi
Which is the nerve root of Biceps jerk?
Ans. A C5-C6Ref: Gray's Anatomy, 41st ed. pg. 792* Biceps jerk (C5, 6) The elbow is flexed to a right angle and slightly pronated. A finger is placed on the biceps tendon and struck with a percussion hammer; this should elicit flexion and slight supination of the forearm.Extra Mile* Triceps jerk (C6-8) The arm is suppo...
1
C5-C6
C6-C8
C7-C8
C8-T1
Anatomy
Upper Extremity
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Which among the following is the allosteric activator of acetyl CoA carboxylase?
Acetyl-CoA carboxylase is an allosteric enzyme and is activated by citrate, which increases in concentration in the well-fed state and is an indicator of a plentiful supply of acetyl-CoA. Citrate promotes the conversion of the enzyme from an inactive dimer to an active polymeric form, with a molecular mass of several m...
3
Malonyl CoA
Acetyl CoA
Citrate
Biotin
Biochemistry
null
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multi
All of the following are branched chain amino acids EXCEPT:
There are three branched chain amino acids: Valine, Leucine and Isoleucine. Branching is a difficult thing to be done (just an idea to learn). So, all these branched chain amino acids are essential (required in diet). Extra Information: Branched Chain Amino Acids All are non-polar (Isoleucine is most non-polar) Leucine...
2
Leucine
Lysine
Isoleucine
Valine
Biochemistry
Classification and metabolism of amino acids
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