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A d-xylose test was requested on a patient with history of long standing steatorrhea '5' hour urine sample showed <4.0 gm excretion after giving 25 gm of d-xylose. The most likely diagnosis is : | Answer is D (Celiac sprue) A Positive d-xylose test suggests a diagnosis of celiac disease Decreased urinary excretion of d- xylose (<5.0 gm) 5 hours after administration of 25 gm D- xylose (positive test) suggests malabsorption due to intestinal mucosal disease in the proximal small bowel (duodenum and jejunum). Celia... | 4 | Chronic Pancreatitis | Bacterial overgrowth syndrome | Ileal disease | Celiac sprue | Medicine | null | 451fb279-0912-4459-a1a8-46edec29a4a4 | single |
Guanylin is secreted by : | Paneth cells are endocrine cells located in crypts of lieberkuhn. | 2 | C-cells. | Paneth cells. | Neurohypophysis. | All of the above. | Physiology | null | ddd55a01-d868-4a14-895b-c132e5b15b8c | multi |
Which among the following is NOT a feature of adipocere formation? | Adipocere has a offensive rancid or an unpleasant sweetish smell. It occurs as a result of hydrolysis and hydrogenation of preexisting fats into higher fatty acids which later combines with calcium and ammonium ions to form soluble soap which resists putrefaction. Ref: Textbook of Forensic Medicine and Toxicology by Na... | 3 | Develops in moist clay soil | Due to hydrolysis and hydrogenation of fat | Cheesy odour | First seen in subcutaneous fat deposit of cheek, buttocks etc | Forensic Medicine | null | 5014a223-b313-4cec-83b5-d5b524f0b9e9 | single |
Following injury to a blood vessel, immediate haemostasis is achieved by | null | 2 | Fibrin deposition | Vasoconstriction | Platelet adhesion | Thrombosis | Pathology | null | 8296c41e-bf34-4481-9c59-06ddd7ac86eb | single |
Floor of sinus is closest to the | null | 1 | Roots of first molars | Roots of second premolar | Roots of first premolar | Roots of 2nd molar | Dental | null | ead145e7-ffa1-40ad-a09c-b3a93a2857ca | single |
Which of the following have the capability to produce extra cellular polysaccharides | null | 1 | Strep. mutans | Strep. pyogenes | Peptostreptococcus | Enterococcus | Microbiology | null | ff350ca0-3d1d-4123-ba6e-16eac634d748 | single |
A 68-year-old man is seen in the emergency room after an unwitnessed syncopal episode. His wife heard a strange noise and found him confused and on the floor of the living room where he had been watching television. His wife tells you that he has no ongoing medical problems, does not take any medications, and does not ... | Though syncope is often due to a cardiovascular cause, the presence of a tongue laceration and urinary incontinence suggest syncope due to a seizure. Furthermore, patients with syncope due to cardiac causes usually recover normal mentation within a few minutes. Prolonged drowsiness is a common postictal phenomenon that... | 1 | MRI scan of brain | Lumbar puncture | Holter monitor | CT scan of head | Medicine | C.N.S. | f83fefd7-da63-4e39-a103-e98e4ad14bdb | multi |
Punishment for adultery is | Man who commits the offence of adultery shall be punished with imprisonment up to 5 years or with fine or both. Ref: FORENSIC MEDICINE AND TOXICOLOGY DR PC IGNATIUS THIRD EDITION PAGE 308 | 2 | 2years | 5 years | 7 years | 10years | Anatomy | Sexual offences and infanticide | 8c8425c8-d70f-4cfb-98db-80a6e01826c5 | single |
Secondary osteosarcoma is associated with | Causes of secondary osteosarcomaPaget&;s DiseaseFibrous dysplasiaRadiationEnchondromatosisHereditary multiple exostosesChronic osteomyelitisBone infarction (Refer: Manish Kumar Varshney's Essential Ohopedics Principles & Practice, 1st edition, pg no. 191, 192) | 1 | Paget's disease | Osteogenesis imperfect | Melhoreostosis | Anklyosing spondylitis | Orthopaedics | All India exam | 30e40f08-c939-47dd-9ffe-ed317ec0c2a0 | single |
A patient on warfarin sodium following myocardial infarction reports for an oral surgical procedure. Which one of the following Laboratory tests should be preferred to ascertain the fitness | null | 1 | Prothrornbin time | Tourniquet time | Clotting time | Bleeding time | Pathology | null | 8734cad9-3d87-4647-9aa2-7d22cf6a9f2a | single |
When the soft palate is horizontal and extends posteriorly with minimal muscular activity, the posterior palatal seal should be: | null | 1 | Broad | Medium. | High | Very narrow. | Dental | null | a890d126-8ed7-47e2-9f1c-0a389e6c78f0 | single |
Drug used in heparin overdose aEUR' | 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. The best managem... | 1 | Protamine sulfate | Phylloquinone | Ticlopidine | Clopidogrel | Pharmacology | null | cdc243b3-0b72-4410-8386-f519f7c5ebae | multi |
Dosage of topical tobramycin eye drops : | null | 3 | 1 mg/ml | 2 mg/ml | 3 mg/ml | 4 mg/ml | Pharmacology | null | b9a68566-bb41-418d-90c4-805a720e6f2b | single |
Digestion in intestinal mucosa is inhibited by ? | Ans. is 'b' i.e., G lamblia . Giardia lambia inhabits small intestine and cause malabsorption. . It is believed that symptoms of malabsorption are clinical signs of loss of brush border enzyme activities. | 2 | V cholera | G lamblia | Enterokinase | S haematobium | Microbiology | null | d3a32ea7-c426-4552-bc8f-f19bdbce23d1 | single |
For better detection of an early lesion use: | For better detection of an early lesion use:
Low KVp
Low mA
Low exposure time | 4 | Low KVp | Low mA | Low exposure time | All of the above | Radiology | null | 3045f62a-6fb8-4d8d-b576-3143e7f6ff91 | multi |
All the following drugs are used in hepatic encephalopathy, except -a) Mannitolb) Metronidazolec) Lactulosed) Phenobarbitone | null | 3 | b | c | ad | ab | Medicine | null | e5777086-83bf-407d-9f9c-53b6c43018f9 | multi |
Bullet which is left inside the body for long is referred to as - | Ans. is 'a' i.e., Souvenir bullet o Projectile is an object propelled by force of rapidly burning gases. In shotgun these are lead shots and pellets (recently steel is also used instead of lead) and in rifled weapons (pistal, rifle, revolver), these are bullets. Tip of the bullet is knwon as nose. Varieties of bullets ... | 1 | Souvenir bullet | Tracer bullet | Tumbling bullet | Tandem bullet | Forensic Medicine | Death and Investigations | 29eb4f9c-bb8d-4e69-9085-163869e58316 | single |
A 43 - year - old lady presents with colicky right upper quadrant pain which radiates to right shoulder and is exacerbated by eating fatty foods. Which of the following radiological investigations should you request first ? | Clinical presentation is suggestive of Gall stones. 1st investigation to be performed is abdominal ultrasound, as most of the gall stones are radiolucent. | 1 | Abdominal ultrasound | Abdominal CT | Abdominal X - ray | Magnetic resonance cholangiopancreatography | Radiology | Gastrointestinal Radiology | f7e9f0fb-a248-447a-ad30-80b9c82b2c54 | single |
A 25-year-old man experiences pain in the right knee while skiing, causing his knee to twist and him to fall to the ground. His knee is swollen. He cannot bear full weight or fully extend or bend his leg. There is tenderness over the medial joint line (Figure below). Emergency- room x-ray findings were normal, and the ... | Restriction of motion ("locking"), effusion ("swelling"), and medial joint-line tenderness are the hallmarks of meniscal tears. Stability-to-stress testing eliminates collateral ligament rupture, and the ability to elevate the straight leg eliminates patella dislocation and quadriceps tendon ruptures. In addition, pate... | 4 | Anterior cruciate ligament | Tuberosity | Transverse genicular ligament | Medial meniscus | Surgery | Trauma | 9a8f368f-6ad9-49d4-9f0e-3b500cf652e4 | multi |
Which of the following tests is most sensitive and specific test during antenatal check-up for a pregnant lady with family history of Thalassemia? | Naked Eye Single Tube Red Cell Osmotic Fragility Test - NESTROFT (sensitive but less specific) Hemoglobin electrophoresis does not give quanititative results for different Hb fractions HPLC (High performance liquid chromatography), best among the options given HPLC gives HbA2 percentage. HbA2 > 4% (3.5-8%) is diagnosti... | 3 | Hemoglobin electrophoresis | NESTROFT | High performance liquid chromatography | P. smear and reticulocyte count | Pathology | FMGE 2017 | 1917711b-23ab-4f45-a258-0beeba161682 | single |
All are symptoms of lacunar infarct except | *Clinical manifestations include pure motor hemiparesis, pure sensory stroke, ataxic hemiparesis and dysahria and a clumsy hand. Lacunar infarcts are small infarcts (2-20 mm in diameter) in the deep cerebral white matter, basal ganglia, or pons, presumed to result from the occlusion of a single small perforating aery s... | 4 | Pure sensory type seen | Unilateral ataxia | Dysahria-hand clumsiness | Transient loss of consciousness | Medicine | C.N.S | 62d86b23-21f2-4cc1-9515-c19466274f12 | multi |
The most common route of administration of insulin is: | null | 2 | Intradermal | Subcutaneous | Intramuscular | Intravenous | Pharmacology | null | a18bf0f7-b2e9-4d0a-86a1-763240f88c1a | single |
Which muscle relaxant increases intracranial pressure ? | Succinylcholine increase ICT, IOT and intra-abdominal (intragastric pressure). | 3 | Mivacurium | Atracurium | Suxamethonium | Vecuronium | Anaesthesia | null | 530c7f0c-74b3-405e-bb2d-b9aa7bd78580 | single |
Brush burn is a type of? | null | 4 | Bruise | Confusion | Laceration | Abrasion | Forensic Medicine | null | db60da05-ea36-467b-ac66-27970c98e94a | single |
Sexual intercourse by a human being with a lower animalis ? | Ans. is 'a' i.e., Bestiality Section 377 IPC defines unnatural sexual offences as sexual intercourse against the order of nature with any man, woman or animal and lays down punishment for the same. These offences are sodomy, buccal coitus, tribadism (lesbianism), and bestiality. Sodomy Sodomy is sexual intercourse thro... | 1 | Bestiality | Cunnilingus | Tribadism | Sin of gomorrah | Forensic Medicine | null | 8304c15c-5f3a-4aa2-a541-c0324e2874c0 | single |
Which of the milestones develop first | *Mirror play is attained by 6 months *Crawling by 8 months *Creeps by 10 months and creeps well by 12 months *Immature pincer grasp by 10 months *Mature pincer grasp by 12 months Ref : OP GHAI - ESSENTIAL PEDIATRICS - 8 TH edition page no 4 and 52 | 1 | Mirror play | Crawling | Creeping | Pincer grasp | Pediatrics | Growth and development | 34524ef4-95a0-49e2-9107-ab204ae1eab5 | single |
Capsule of Bacillus Anthracis is stained by - | Ans. is 'c' i.e., Methylene blue * When blood films containing anthrax bacilli are stained with polychrome methylene blue for a few seconds and examined under microscope, an amorphous purplish material is noticed around bacilli. This represents the capsular material and is characteristic of the anthrax bacillus. | 3 | Gram stained | PAS | Methylene blue | Calcoflour white | Microbiology | Bacteria | bdc79862-7957-4e9a-881a-72693389e30d | single |
Features of Acute Fulminant Hepatic failure include all of the following Except: | Answer is A (Hyperglycemia) : Fulminant hepatic failure is associated with hypoglycemia and not with hyperglycemia Hypoglycemia is a common complication of severe .fulmincmt hepatic failure. The pathophysiology of hypoglycemia is multifactorial including impaired hepatic glucose release, impaired hepatic gluconeogenesi... | 1 | Hyperglycemia | Hypomagnesemia | Hepatorenal syndrome | Intracranial hemorrhage | Medicine | null | 03c58eb6-3603-4003-9c47-3d099ea99375 | multi |
Salivary gland stone is most common in which salivary gland? | Ans is 'b' i.e., Submandibular gland * Eighty per cent of all salivary stones occur in the submandibular glands because their secretions are highly viscous.* Eighty per cent of submandibular stones are radio-opaque and can be identified on plain radiography | 2 | Parotid gland | Submandibular gland | Sublingual gland | Minor salivary gland | Surgery | Salivary Gland | a0758eee-aedc-47b9-8a07-c68169c2a6aa | single |
What is the technique depicted below which has the tremendous role on very low bih weight infants? | Neonatal cold injury occurs in even late preterm infants in low-resource settings and can be prevented with skin-to-skin (kangaroo mother) care and polyethylene plastic wraps.Ref: Neldon; chapter 106; Page no: 892 | 1 | Kangaroo Mother Care | Aiding sleep technique | Technique to avoid SIDS | None of the above | Pediatrics | All India exam | 8e1db7f8-3b8b-4d3d-97b1-d1d12267647f | multi |
Which of the following is a local type III reaction? | The Ahus reaction is a type of local type III hypersensitivity reaction. Type III hypersensitivity reactions are immune complex-mediated and involve the deposition of antigen/antibody complexes mainly in the vascular walls, serosa (pleura, pericardium, synovium) and glomeruli. Type 1 HSR- Production of IgE- immediate r... | 4 | Atopic dermatitis | DTH | Serum sickness | Ahus reaction | Medicine | Miscellaneous QBank | 977baa4b-2ad3-4463-9312-c83a45797578 | single |
Definition of perjury comes under ? | Sec 191 IPC : Definition of perjury.
Sec 193 IPC : Punishment for perjury. | 1 | Sec 191 IPC | Sec 193 IPC | Sec 184 IPC | Sec 207 IPC | Forensic Medicine | null | a7d19059-62bd-4d1f-aeee-998295e0eaab | single |
Chemical used in vaginal sponge is | Vaginal sponge is a small polyurethane foam sponge saturated with spermicide, nonoxynol-9 It comes under barrier method of contraception Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 495 | 4 | Ethynil estradiol | Progesterone | Mifepristone | Nonoxynol-9 | Social & Preventive Medicine | Demography and family planning | 5793302f-b370-47b3-b879-6e3605975d50 | single |
To suppress lactation in mother with rheumatic fever, Rx of choice is : | Bromocriptine | 3 | D-Norgesterol | Pyridoxine | Bromocriptine | DMPA | Gynaecology & Obstetrics | null | 1af581dc-aa67-478c-afbf-401fbab951ca | single |
Berkesonian bias is due to? | ANSWER: (C) Different rates of admission to hospital due to different diseasesREF: Park 20th edition page 68, 69, style="color: rgba(0, 0, 0, 1); font-family: Times New Roman, Times, serif">, 18. pdf, http://carcin.oxford jour nals. org/content/19/12/2063. full, pdfBias is any systematic error in the determination of t... | 3 | Presence of confounding factors in both cases & controls | Questioning the cases more thoroughly as compared to controls | Different rates of admission to hospital due to different diseases | Better recall by the cases as compared to controls | Social & Preventive Medicine | Epidemiological Study | ba4ced04-df09-468d-992f-5ef4517d9620 | multi |
Mallampati score is used in: | Mallampati score is used to predict difficult tracheal intubation based on the size of tongue base relative to the oropharyngeal space. Mallampati classification: Class I: soft palate, fauces,entireuvula, pillars Class II: soft palate, fauces,poionof uvula Class III: soft palate, base of uvula Class IV: hard palate onl... | 4 | Thoracoabdominal angular curvature during respiration | Flexion and extension of neck during intubation | Free rotation | To assess difficulty in intubation in oral cavity | Anaesthesia | Pre Anesthetic Evaluation | d2bde4aa-5c9f-4d8d-b543-bb8810f77ef0 | multi |
Denominator for calculating infant moality rate is: September 2005 | Ans. C: 1000 live bihs IMR = Number of deaths of children less than 1 year of age in a year X 1000/number of live bihs in the same year IMR is universally regarded a s not only as a most impoant indicator of the health status of a community but also the level of living of people in general, and effectiveness of MCH ser... | 3 | 1000 population | 1000 bihs | 1000 live bihs | 1000 pregnancies | Social & Preventive Medicine | null | 4c3409b5-580b-44a0-b5ad-1507798bc1c1 | single |
Lucid interval is seen in : | A i.e. Insanity | 1 | Insanity | Malignant disease | Electrical shock | Syphilis | Forensic Medicine | null | 1e7b489b-65e1-4c16-bf39-f0e3b026def3 | single |
Characteristic fat distribution seen in HIV patient is ? | null | 2 | Cheek | Abdomen | Temple | Buffalo hump | Medicine | null | 1a2df78f-004b-4819-a91a-3f1365e7a468 | single |
Which of the following genes involved in the synthesis of immunoglobulins are linked on a single chromosome? | The genes for the synthesis of the entire heavy chain are present on human chromosome 14. Of the options given above, the only genes that are present on one chromosome are for the C (constant) regions of the heavy chains. Remember, the heavy chains determine the identity of the immunoglobulin isotypes: IgG, IgM, IgA, I... | 1 | C gene for gamma chain and C gene for alpha chain | C gene for gamma chain and C gene for kappa chain | V gene for kappa chain and C gene for the epsilon chain | V gene for lambda chain and C gene for kappa chain | Microbiology | null | c2163ff3-5879-423d-b69b-388654dd7f42 | single |
True about fallopian tubes are all except : | The two uterine tubes are each about 4 in. (10 cm) long and lie in the upper border of the broad ligament. Each connects the peritoneal cavity in the region of the ovary with the cavity of the uterus. The uterine tube is divided into four pas: The infundibulum is the funnel-shaped lateral end that projects beyond the b... | 1 | Lined by cuboidal epithelium | Isthmus is the narrower pa of the tube that links to the uterus | Tubal ostium is the point where the tubal canal meets the peritoneal cavity | MUllerian ducts develops in females into the Fallopian tubes | Anatomy | null | 1eaeea00-b61b-46ca-a19b-799c4da4285f | multi |
Mechanism of action of theophylline in Bronchial asthma include all of the following Except ? | Ans. is 'd' i.e., Beta-2 receptor stimulation Proposed mechanisms of action of theophylline Phosphodiesterase inhibition (Non selective) Adenosine receptor antagonism (A1, A2) Increased histone Deacetylase activity (|red efficacy of coicosteroids) Inhibition of intracellular calcium release Stimulation of catecholamine... | 4 | Phosphodiesterase inhibition | Adenosine receptor antagonism | Increased histone deacetylation | Beta-2 receptor stimulation | Anaesthesia | null | bd98d855-daeb-48f3-a0d5-8f3aff2c34f6 | multi |
The most common complication of modified ECT | Ans:D i.e. AmnesiaModified ECT-Both electricity and anesthetic agents and muscle relaxants are used to cause the convulsions. Methohexital is the most commonly used anesthetic.Common Complications:Memory disturbances-Retrograde amnesia(M/C)Headaches, muscle aches, fractures, tooth dislocationsProlonged seizures>180seco... | 4 | Intracerebral bleed | Fracture spine | Body ache | Amnesia | Psychiatry | null | 64bc88cf-bf29-4011-a4c9-5db290ca407f | single |
If a diabetic patient being treated with an oral hypoglycemic agent develops dilutional Hyponatremia, which one of the following could be responsible for this effect | Refer KDT 6 /e p 267 Chlorpropamide is a first generation Sulfonylureas It increases the risk of hypoglycemia Other adverse effects of Chlorpropamide are ADH like action leading to dilutional Hyponatremia Cholestatic jaundice Disulfuram like reaction | 1 | Chlorpropamide | Tolbutamide | Glyburide | Glimepride | Pharmacology | Endocrinology | 17040da4-37dc-41a9-938e-7c631fd62682 | single |
Pulsatile exopthalmus is seen in | Wyburn Mason syndrome/Cerebrofacial aeriovenous metameric syndrome (CAMS)is Retinocephalic vascular Malformation with po-wine stain, pulsatile exophthalmos, and seizures. Carotico Cavernous fistulas with basal skull fractures also show pulsatile exophthalmos with a prominent superior ophthalmic vein. MRI axial image sh... | 3 | Wyburn Mason syndrome | Caroticocavernous fistula | Both | None of the above | Radiology | Neuroradiology | 61e80448-9c93-4dce-bb1c-1cb17c57690f | multi |
High risk of hypoplastic left heart syndrome occurs with maternal intake of | Nitrofurantoin poses high risk of hypoplastic left heart syndrome in fetus. | 3 | Aminoglyocides | Chloramphenical | Nitrofurontoin | Sulfonamides | Gynaecology & Obstetrics | null | ac83893d-ca3f-4922-b018-77a3ed8ba888 | single |
Which of the following statements about platelet function defects is true? - | Answer is option 1, normal cell count with increased bleeding time A disorder of platelet function is suspected on the basis of the history and physical examination and is confirmed by the finding of a prolonged bleeding time in the presence of an adequate number of platelets. A specific diagnosis often requires measur... | 1 | Normal platelet count with prolonged bleeding time | Thrombocytopenia with prolonged bleeding time | Thromobocytosis with prolonged bleeding time | Normal platelet count with normal bleeding time | Pathology | Haematology | 9f1632aa-1ad1-4006-954e-f30d7c5ba899 | multi |
WHO recommend evaluation of child vaccination in age group? | .in case of mass immunisation programmes implemented by WHO ,including the immunisation programmes ,evaluation of the aaccessibility of such programmes to the populations is usually done among children of age 12 to 23 months. ref:park&;s textbook,22 nd ed,pg 189 | 3 | 0-12m | 6-12 m | 12-23 m | 9-12 m | Social & Preventive Medicine | Epidemiology | 15668b8b-f538-4ca4-93bd-abb3ad6dcbdc | single |
Sudden cardiac death may occur in all of the following except | Sudden cardiac death (SCD) is defined as natural death due to cardiac causes in a person who may or may not have previously recognized hea disease but in whom the time and mode of death are unexpected. Ref Davidson edition23rd pg 436 | 4 | Dilated cardiomyopathy | Hyperophic cardiomyopathy | Eisenmenger's syndrome | Ventricular septal defect | Medicine | C.V.S | a27286af-988c-4461-828a-5f20b72ea36f | multi |
As per the revised norms for Anganwadi centers, how many centers are needed for a population of 1950 people in a rural area? | The required number of AWC's in rural/urban projects is given below 1 AWC's for 400 - 800 people 2 AWC's for 800 - 1600 people 3 AWC's for 1600 - 2400 people And then add 1 AWC's for every multiple of 800. In case of mini AWC the norm is 1 mini AWC for 150 - 400 population. Ref: Park, 21st Edition, Page 544. | 3 | 1 | 2 | 3 | 4 | Social & Preventive Medicine | null | 2833d914-a5cb-469a-80f5-875d62ace1f0 | single |
An 8-month-old girl with Turner syndrome is brought to the emergency room by her parents, who complain that their daughter is breathing rapidly and not eating. Physical examination reveals tachypnea, pallor, absent femoral pulses, and a murmur heard at the left axilla. There is hypertension in the upper extremities and... | Aortic coarctation is common, accounting for 6% of all cases of congenital heart disease. Coarctation usually occurs in the thoracic portion of the descending aorta, distal to the takeoff of the left subclavian artery at the site of the ductus arteriosus. The incidence of a bicuspid aortic valve in association with coa... | 3 | Aortic valve stenosis | Atrial septal defect | Coarctation of aorta | Patent ductus arteriosus | Pathology | C.V.S | 96ff8cdf-577b-4441-8686-6515784e0170 | multi |
A 5–year old child is assessed to have a developmental age of one year. His developmental quotient would be – | null | 4 | 100 | 80 | 60 | 20 | Pediatrics | null | 73c3e954-c5c1-4f36-b318-4827702afe79 | single |
Primordial Germ cell of ovary are developed from ? | Ans. is 'c' i.e., Endoderm | 3 | Ectoder | Mesoderm | Endoderm | Coelomic epithelium | Anatomy | null | ee09d5fb-da20-459e-a507-8a976758da7b | single |
A leprosy person is presented with involvements of sural and radial nerve . Which type of regimen you will give: | Answer (b) Multibacillary treatment X 12 month It is a pure neuritic type of leprosy.It is a case of Multibacillary leprosy for therapeutic purpose (according to WHO classification, more than one nerve trunk involvement is termed as multibacillary for treatment purpose.many consider that pure neuritic leprosy belongs t... | 2 | Multibacillary treatment X 9 month | Multibacillary treatment X 12 month | Multibacillary treatment X 15 month | Paucibacillary treatment X 6 month | Social & Preventive Medicine | null | 83d7c453-1252-47aa-98db-5c1b965e863c | single |
The operating temperature in an ethylene oxide sterilization during warm cycle is : | null | 2 | 20-350C | 49-630C | 68-880C | 92-1100C | Microbiology | null | 57297f57-688d-4f56-8d7f-c3b465400090 | single |
Which of the following is/are not the features of henoch-Schonlein purpura (HSP) – | HSP is characterized by tetrad of palpable purpura, arthritis, glomerulonephritis and abdominal pain.
Less common skin lesions are : nonpalpable macules & patches, urticaria, bullous lesions, vesicles, splinter hemorrhage and ulcerations.
Rarely epistaxis may occur. | 3 | Abdominal pain | Splinter hemorrhage | Thrombocytopenia | Epistaxis | Dental | null | 058f28fc-af89-474a-82ad-c2f69e88ea51 | single |
There was a sudden increases in the size of thyroid swelling along with pain. Most likely cause is - | null | 1 | Hemorrhage within the cyst (Thyroid) | Malignant change | Nodular goiter | Colloid goiter | Surgery | null | 941de5c2-4e5a-40c1-8331-5f307a9a37ce | single |
All are true for multiple myeloma except - | In multiple myeloma ,hypercalcaemia is due to destruction of bones; hyperuricaemia from necrosis of tumour mass & from uraemia related to renal failure . On serum electrophoresis ,the paraprotein usually appears as a single narrow homogeneous M-band component .Reference :Harsh mohan Textbook of pathology sixth edition ... | 3 | Hypercalcemia | Hyperuricemia | Serum alkaline phosphatase | Monoclonal M band | Medicine | Haematology | d11daab4-55df-4af3-ad08-ce1f3f432c07 | multi |
Chorionic villous sampling done before 10 weeks may result in - | Ans. is 'c' ie Oromandibular limb defects " Chorionic villous sampling is usually performed at 10-13 weeks and is associated with several complications but studies suggests that limb reduction and oromandibular limb hypogenesis is more common if CVS is done before 9 weeks so CVS is done after 9 wks because it is more s... | 3 | Foetal loss | Fetomatemal haemorrhage | Oromandibular limb defects | Sufficient material not obtained | Gynaecology & Obstetrics | Antenatal Screening | 6a788250-badb-4888-93b7-e02837940c07 | single |
Mechanism of action of aminoglycosides is ? | Ans. is 'a' i.e., Inhibition of protein synthesis | 1 | Inhibition of protein synthesis | Damage to cell membrane | Coagulation of proteins | Inhibition of cell wall synthesis | Pharmacology | null | e6db8b2e-8cd7-45ca-8476-8873376d5c54 | multi |
Long-term tamoxifen therapy may cause: | Long-term tamoxifen therapy is a predisposing factor for endometrial hyperplasia and cancers.
Malignancies caused by Long-term tamoxifen therapy:
Carcinoma endometrium-it is the most common carcinoma associated with it.
Uterine sarcoma.
Rarely liver cancer with a long-term high dose.
Non-malignant effects of tamoxife... | 1 | Endometrium Ca | Ovary Ca | Cervix Ca | Vagina Ca | Gynaecology & Obstetrics | null | bc35b7c4-3565-4b2e-9e50-3b2d182a61d2 | single |
A 24yr old with married life of 4 years visits infeility clinic with his recurrent aboion On fuher workup she found to be having septate uterus which surgery has better reproductive outcome | ref : shaw gynecology | 3 | stranssmann metroplasty | Jones metroplasty | Tompkins metroplasty | Trans cervical Hysteroscopic resection of septum | Gynaecology & Obstetrics | All India exam | 62074ae9-01de-416d-9907-4c3e2d5fed2b | single |
Dysplasia is characterized by all except | Robbins basic pathology 9th edition page no 166 When dysplastic changes are marked and involve the entire thickness of the epithelium, the lesion is referred to as carcinoma in situ, a preinvasive stage of cancer. | 4 | High nuclear to-cytoplasmic ratio | Loss of architecture(DNB Nov. 13 Pattern | Pleomorphism | Invasion | Pathology | General pathology | 7fb35bde-5508-4fa2-8049-32aaa89eebdf | multi |
Child while playing has sudden loss of consciousness and appears pale. There is no significant medical history and the child was otherwise healthy. Which of the following is the most probable diagnosis? | Ans. is 'b' i.e., Breath holding spell [Ref.: Nelson 20th/e p. 175)* The clues in the question are that the child was otherwise healthy and that the event might have occurred due to frustration during playing. Although such episodes are precipitated by scolding or upsetting the child, no such history is mentioned in th... | 2 | Attention deficit hyperkinetic disorder | Breath holding spell | Autism | Rett's syndrome | Pediatrics | Growth, Development, and Behavior | 17bf74c4-7570-4828-838b-375b7d5a16f8 | single |
Malignant hydatidosis is caused by | . | 2 | Echinococcus granulosus | Echinococcus multilocularis | Echinococcus vogelli | Echinococcus oligahus | Anatomy | G.I.T | 0c8f98b2-8f99-421d-91e2-66d502d69a70 | single |
Hyperacute graft rejection occurs after how much time? | Ans. a. 12 hoursRef: Robbins and Cotran Pathologic Basis of Disease 9th Ed; Page No. 233Hyperacute Graft RejectionOccurs within minutes to hoursDue to preformed antibodies due to transfusions, multiparity, or previous organ transplants (type II cytotoxic hypersensitivity)Antibodies bind to the grafted tissue and activa... | 1 | 12 hours | 2 weeks | 1 month | 3 months | Pathology | Immunity | 0b86db79-943d-4699-8a53-0d5b8e396007 | single |
For pain control in a patient having history of G I bleeding, which of the following is given? | SELECTIVE COX-2 INHIBITORS- Rofecoxib,etoricoxib,celecoxib They cause little gastric mucosal damage; the occurrence of peptic ulcer and ulcer bleeds is clearly lower than with traditional NSAIDs. They do not depress TXA2 Production by platelets (COX-I dependent); do not inhibit platelet aggregation or prolong bleeding ... | 3 | Nimesulide | Ibuprofen | Rofecoxib | Pentazocin | Pharmacology | Autacoids | 76025377-3b97-4f6f-816a-399b57a21c2f | single |
A 28-year-old man is evaluated for recurrent peptic ulcer disease, apparently refractory to pharmacologic intervention. Serum gastrin is markedly elevated. These findings are most characteristic of which of the following? | - Recurrent intractable peptic ulcer disease is suggestive of Zollinger-Ellison syndrome characterized by excess gastrin production, most often from a gastrinoma. - Cushing syndrome results from excess of coisol caused d/t adrenal/ pituitary adenoma. - Glucagonoma is rare neuroendocrine tumor of pancreatic alpha cells,... | 4 | Cushing syndrome | Glucagonoma | Whipple triad | Zollinger-Ellison syndrome | Pathology | Adrenal Gland | 406baaec-899d-426a-94c7-a296a8c2740e | single |
Which of the following full thickness flap is contraindicated for endodontic surgeries: | As collagen fibers and blood vessels run parallel to the root, In trapezoidal flap more number if collagen fibres and blood vessels are cut in turn it delays healing. | 3 | Triangular flap. | Rectangular flap. | Trapezoidal flap. | Envelope flap. | Dental | null | 50aa4778-83a7-43e9-ac47-3515aec7b874 | single |
A company executive, who travels world wide, presents with upper abdominal mass and + ye casoni's test. The organism is - | Ans. is 'a' i.e., Echinococcus . Upper abdominal mass and positive casoni's test suggest the diagnosis of hydatid cyst caused by Echinococcus. . Casoni test is an immediate (type I) hypersensitivity reaction. | 1 | Echinococcus | Entamoeba histolytica | Hepatitis | Ascariasis | Microbiology | null | 85f3b292-fd73-4b91-861d-425c40153954 | single |
Which of the follow ing is not a chest radiographic feature of left atrial enlargement? | Ans. is 'a' i.e., Double left heart border Ref: Sutton 7th/ep. 280; 350]Sings of left atrial enlargementStraightening of left heart border (due to enlargement of left atrial appendage).Elevation of left main bronchus with widening (Splaying) of carina.Double density (atrial) sign.Posterior displacement of esophagus on ... | 1 | Double left heart border | Elevated left main bronchous | Splaying of carina | Enlargement of left atrila appendage | Radiology | Cardiac and Pericardiac Imaging | e1b45ddb-a7e7-404b-b624-5a8ea8ec19d9 | single |
Main source of energy in 1min is | Why body stores glucose as glycogen and not as glucose itself? Possible Reasons 1. Being insoluble it exes no osmotic pressure, and so does not disturb the intracellular fluid content and does not diffuse from its storage sites. 2. It has a higher energy level than a corresponding weight of glucose (though energy has t... | 1 | Glycogen | FFA | Phosphates | Glucose | Biochemistry | Respiratory chain | 37bc6250-0327-40e9-bd36-a2b27b9b6cb7 | single |
H2S inhibits which complex of ETC | Ans. is `d' i.e., IV | 4 | I | II | III | IV | Biochemistry | null | ac759d83-c8bc-4402-b05c-3888bc8c8c14 | single |
Nerve velocity is increased by: | Ans: A (Myelination) "Greater the diameter of a given nerve fibre, the greater is its speedfbecause a large fiber offers less resistance to local current"- A. K. jain 5th/l 47In myelinated fibres, the speed of conduction is approximately 6 times the fiber diameter The diameter of myelinated fibers range from 1-20 pm, t... | 1 | Myelination | Smaller axon diameter | Decreased temperature | Increase in intracellular calcium | Physiology | Nerve Physiology | 1578ae3d-d7f6-4668-8273-cd1cd6a2ae16 | multi |
Therapeutic index of drug is indicator of: | Ans. B. SafetyTherapeutic index is ratio of LD50 and ED50. LD50 is defined as lethal dose which kill 50 % animals who are given the dose. ED50 is defined as effective dose which is effective in 50 % of the population. It is also known as margin of safety. | 2 | Potency | Safety | Efficacy | All | Pharmacology | General Pharmacology | a046af7c-d687-4308-931c-60c981c5437f | multi |
Mechanism of action of IUCD is A/E - | Ans. is 'b' i.e., Anovulation IUCD does't affect ovulation. Mechanism of actions of IUDs 1) Most accepted Induce a foreign - body reaction that results in chronic inflammatory reaction --> cellular and biochemical changes in the endometrium and uterine fluids. These changes impair the bility of the gamete and thus redu... | 2 | Chronic endometrial inflammation | Anovulation | Tubal motility alteration | Endometrial atrophy | Social & Preventive Medicine | null | 3b13d408-bcf9-4bf7-b672-8e9059ebd42b | single |
A patient with human immunodeficiency virus (HIV) infection has progressed to developing AIDS (clinical category C). Which of the following conditions is considered an AIDS-defining illness? | The current case definition of AIDS in a patient with HIV infection is done by symptoms and CD4+ T-lymphocyte cell count. Any category C symptoms (e.g., cervical cancer, mycobacterium avium infection, CMV, retinitis, Kaposi sarcoma, etc.) indicates frank AIDS as does a CD4+ T-cell count <200/mL regardless of symptoms. ... | 3 | antibodies to HIV | palpable lymphadenopathy | Kaposi sarcoma | oral candidiasis (thrush) | Medicine | Infection | f2a836f4-4590-4987-b8ad-924b9bbdbb07 | single |
Which is NOT an oncogenic virus : | Ans. is 'b' i.e. Herpes Simplex * Viruses associated with cancersFamilyVirusHuman Cancer* Papova viridae* Human Papilloma VirusGenital tumourssq.cell caoropharyngeal ca* Herpes viridae* E B virusNasopharyngeal CaAfrican Burkin's Lymphoma B cell lymphoma* Hepadnaviridae* Hepatitis B virushepatocellular carcinoma* Retrov... | 2 | HTLV-1 | Herpes simplex | Papilloma virus | HBV | Microbiology | Oncogenic Virus | bfcbad0a-9642-4f7e-8f6e-7c8055babe53 | single |
Not a strategy for measles elimination - | Ans. is 'a' i.e., Mop up: Vaccinate kids left with routine vaccination o WHO's measles elimination strategy comprises a three part vaccination strateev. i.e.i) Catch-upOne-time, nationwide vaccination campaign targeting usually all children aged 9 months to 14 years regardless of history of measles disease or vaccinati... | 1 | Mop up: Vaccinate kids left with routine vaccination | Catch up: One time nation wide vaccination 9 month- 14 years old children | Keep up: Vaccinate > 95% successive birth | Follow up: Nationw ide vaccination every 2-4 years | Social & Preventive Medicine | Measles | 03d116b2-2ecc-4555-8aa4-44bec4882258 | single |
A 65-year-old man dies after a protracted battle with meta- static colon carcinoma. At autopsy, the liver is filled with multiple nodules of cancer, many of which display central necrosis (umbilication). Which of the following best explains the pathogenesis of tumor umbilication in this patient? | Angiogenesis is a requirement for the continued growth of cancers, whether primary or metastatic. In the absence of new vessels to supply the nutrients and remove waste products, malignant tumors do not grow larger than 1 to 2 mm in diameter. In general, causes of tumor cell death in situ include (1) programmed cell de... | 4 | Biphasic tumor | Chronic inflammation | Granulomatous inflammation | Ischemia and infarction | Pathology | Neoplasia | a5a9d3ca-91dc-4d39-805d-ce37e90e3223 | single |
A case of Gestational Trophoblastic Neoplasia belongs to high risk group if disease develops after: | High risk gestational trophoblastic disease.
FIGO in 2000 devised a staging system for categorisation of gestational trophoblastic neoplasia into good prognostic (low risk) and bad prognostic (high risk) disease.
Good prognosis (Low risk)
Short duration (< 4 months)
Serum β-hCG < 40,000 mIU/ml
Metastasis limited to lu... | 2 | Hydatidiform mole | Full term pregnancy | Spontaneous abortion | Ectopic pregnancy | Gynaecology & Obstetrics | null | 189909e3-3985-4ec3-bf79-ba17a0612d1b | single |
The function of the coupling agent in a restorative resin is to allow: | null | 3 | Adhesion of resin particles | Bonding between filler crystals | Bonding between filler and resin | Bonding between tooth and resin | Dental | null | a96609b2-e771-49a6-ac86-44ca40165ef4 | multi |
A 9 month child was taken to pediatric OPD by his mother. Mother complained of the child having lethargy, convulsions, fine tremors, failure to thrive & areas of patchy hair loss on scalp. On investigation, serum ammonia and glutamine levels were increased. Microscopic examination reveals following findings in hair. Wh... | Microscopic analysis of the hair shaft showing breaks located at nodes in the hair (Trichorrhexis nodosa) and longitudinal breaks Based on above complains & investigations findings the child is suffering from Arginosuccinic aciduria. It is due to arginosuccinate lyase deficiency. It is characterised by symptoms of othe... | 4 | Carbamoyl phosphate synthase l | Ornithine transcarbamoylase | Arginosuccinate synthase | Arginosuccinate lyase | Unknown | Integrated QBank | a66463db-653d-4a6a-ad70-c45f3f55ff12 | multi |
Aspergillus is best described by which of the following statements? | Aspergillosis, caused by a number of species of Aspergillus, is characterized in direct smear by septate hyphae, dichotomously branched. A. flavus and A. fumigatus are often seen as saprophytes in the laboratory but also account for the major species isolated from patients with aspergillosis. Differentiation of species... | 1 | Widespread in environment; conidia may be inhaled; microscopic appearance in specimen reveals dichotomous branching and septate hyphae | Round, black sporangia filled with endospores; sporangia unbranched, rising from a runner called a stolon | Single-tipped sporangiophores; no rhizoids or stolons; non septate hyphae, which show branching | Yeast forms with budding blastoconidia often showing pseudo hyphae; positive germ tube test; chlamydospores present | Microbiology | Mycology | 2ca6ea12-a6ad-4a0f-862b-9da8dec49611 | multi |
Hanging cast is used for? | Ans. is 'c' i.e., Humerus Cast/ Brace Used In Hanging cast & "Sugar tong" or Coaptation splintsCylinder castFracture shaft humerusFracture patellaMinnerva cast, Halo deviceCervical spineRisser's cast, Milwaukee braceBoston braceScoliosisPalvic harness, Von Rosen splint,Ilfeld or Craig splintCongenital (Developmental)Dy... | 3 | Femur | Radius | Humerus | Tibia | Surgery | null | dd66bfe0-b1de-424d-aad9-74b3cf36e75a | single |
Second common malignancy in Patients of Retinoblastoma is: | Osteosarcoma | 4 | Osteoblastoma | Osteochondroma | Osteoclastoma | Osteosarcoma | Ophthalmology | null | 1564c860-4bea-41a4-be9f-e69e618bcc5c | single |
Which of the following circulating antibodies has the best sensitivity and sepcificity for the diagnosis of celiac disease - | IgA anti-endomysial antibodies are found in 90% coeliac patients. They are a very specific & sensitive marker for coeliac disease and dermatitis herpetiformis. The anti-endomysial antibody test has been suggested to be 98% sensitive and 98% specific for clinical or subclinical coeliac disease Ref Davidson edition23rd p... | 1 | Anti-endomysial antibody | Anti-tissue transglutaminase antibody | Anti-gliadin antibody | Anti-reticulin antibody | Medicine | G.I.T | 4231f925-95a9-4303-807f-eed46b94d16a | single |
Sterilization and disinfection of blood spills is done by: | ANSWER: (B) Sodium hypochloriteREF: Park 20th ed p. 118, Ananthnarayan 8th e p. 35Halogens (hypochlorides)Cheap, effective and act by release of free chlorine and effective against viruses.Chlorine-releasing agents are chemicals disinfectants which are effective against blood-borne viruses and are rapid in action.They ... | 2 | Formaldehyde | Sodium hypochlorite | Tincture iodin | Phenols | Unknown | null | 059a8364-a8fd-4182-b64a-b15f216b0994 | single |
"Sunray appearance" on x-rays is suggestive of : | Osteosarcoma - New bone is laid down along the blood vessels within the tumor growing centrifugally giving rise to a 'Sun -ray appearance' on x -ray. Chondrosarcoma- "Speckled" calcification on x-ray Ewings sarcoma - Second most common malignant. Classic x-ray appearance is the "onion skin" | 3 | Chondrosarcoma | Metastatic tumor in the bone | Osteogenic sarcoma | Ewing's sarcoma | Radiology | Musculoskeletal Radiology | 77683f0a-bcfb-4551-86a7-1af1a33c577c | single |
Healthy thinking includes all except: | B i.e. Constancy | 2 | Continuity | Constancy | Organization | Clarity | Psychiatry | null | 5f0803a1-2342-4e93-8ddf-1843d824bd21 | multi |
A HIV patient complains of visual disturbances. Fundal examination shows bilateral retinal exudates and perivascular haemorrhages. Which of the following viruses are most likely to be responsible for this retinitis - | CMV retinitis is the most common ocular infection in AIDS patient.
CMV retinitis
Presentation :
Presents as a painless progressive loss of vision.
Patients may also complain of 'blurred vision', Floaters and scintillations.
Opthalmoscopic findings : (Bilateral)
Characteristic retinal appearance ofperivascular haemo... | 3 | Herpes simplex virus | Human herpes virus 8 | Cytomegalovirus | Epstein-Barr (EB) virus | Medicine | null | bfad2c71-8ce7-49ff-97c1-1d4c4351e160 | single |
The incisal edges and the incisal thirds of facial surfaces of mandibular incisors and canines generally oppose lingual surfaces of maxillary incisor and canines: | null | 1 | Within the incisal thirds | At the junction of middle and cervical thirds | At the linguo cervical ridges | Immediately incisal to cingulam | Dental | null | 8f66ca4b-4997-46bc-ba84-a9277be5d220 | multi |
All the following indicate reversible injury, except | The two main morphological features of reversible injury are cellular swelling and fatty change. Cellular swelling is the result of the failure of energy-dependent ion pumps leading to inability to maintain fluid and ion homeostasis. Microscopic examination reveals distended and pinched off segments of ER known as hydr... | 2 | Vacuoles destruction | Karyorrhexis | Fat accumulation | Cell wall swelling | Pathology | General pathology | 2f0a9488-82d5-4db0-97d1-0fb22d61c93c | multi |
Calcareous degeneration occurs most commonly in which type of fibroids : | Ans. is b i.e. Subserous Ref. Dutta Gynae 4/e, p 256 Calcareous degeneration usually involves the subserous fibroids with small peduncle or myomas of postmenopausal women. It is usually preceded by fatty degeneration. There is precipitate of calcium carbonate or calcium phosphate within the tumour, when whole of the tu... | 2 | Submucous | Subserous | Interstitial | Cervical | Gynaecology & Obstetrics | null | 3307fa1f-e0ff-4ed9-abe4-690c7e26d3e0 | single |
Which of the suprahyoid muscle is supplied by both facial nerve and mandibular nerve - | Ans, is 'c' i.e., Digastric o Anterior belly of digastric is supplied by nerve to myelohyoid (a branch of mandibular nerve) and posterior belly is supplied by facial nerve. Suprahyoid musclesMuscle1. Digastric (DG)has two belliesOrigin(a) Anterior belly (DGA) from digastric fossa of mandible(b) Posterior belly (DGP) fr... | 3 | Stylohyoid | Mylohyoid | Digastric | Hyuglossus | Anatomy | Triangles of Neck | 3c547201-d44c-4747-9305-3e10facb783d | multi |
A patient was given radiotherapy for head and neck cancer. After 6 months chemotherapy was staed. The patient presented with the features shown in Figure after sta of chemotherapy. It is likely due to which drug? | The history and the figure shows the characteristic 'Radiation recall syndrome'. It is caused by Doxorubicin (Anthracyclines). | 1 | Doxorubicin | Cisplatin | Imatinib | Methotrexate | Pharmacology | Cytotoxic Anticancer Drugs | 94945444-c185-48b1-b524-663e537484a9 | single |
Which of the following produce both polar and peritrichous flagella. | Polar flagella : Vibrio, pseudomonas, legionella, spirilla, campylobacter, H. pylori, spirochetes. – V. parahemolytic produce both polar and peritrichous flagella. | 1 | V. parahemolytic | Pseudomonas | Legionella | Spirilla | Microbiology | null | 744af84e-0933-475c-9cc9-4f4cf60ca27c | multi |
Delayed prolonged bleeding is caused by - | Ans. is `d' i.e., Direct injury to endothelial cellso Delayed prolonged leakage is caused either by the direct effect of injurious agent or by cytokine mediated endothelial retraction. | 4 | Histamine | Leukocyte dependent injury | IL-1 | Direct injury to endothelial cells | Pathology | null | 46a34b21-5086-4adb-a3ae-00053ea40b43 | single |
In congestive hea failure patients | Diuretics are given orally in hypeension, given slow iv in CCF for rapid onset of action. Diuretics although donot treat the pathologic changes in HF they are used as main stay for symptomatic treatment to remove excess fluid.Switching to iv or infusion bypasses the GI tract and helps in over coming diuretic resistance... | 3 | Volume of distribution is increased | Hepatic clearance of drugs is not changed | Orally administered diuretics may not be effective, may work parenterally | Inotropic action of digoxin is attenuated | Pharmacology | Cardiovascular system | 0280d63d-65dd-448c-a9cb-64302662e908 | multi |
Gland homologous to prostate in females is? | Ans. B. Skene's glandIn female human anatomy, Skene's glands or the Skene glands known as the lesser vestibular glands, paraurethral glands, or homologous femaleprostate are glands located on the anterior wall of thevagina, around the lower end of the urethra. | 2 | Ganer's gland | Skene's gland | Baholin's gland | Cowper's gland | Gynaecology & Obstetrics | null | a678d9e6-29df-4b8a-8823-13d88e92c7e7 | single |
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