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Actinomycetoma is caused by:
Bacteria
1
Bacteria
Virus
Fungus
Protozoa
Microbiology
null
0fd3e639-13c0-483f-bf26-d94aaf84bb17
single
An important clinical feature of a concussed tooth is:
Concussion  Tooth is not displaced. Mobility is not present. Tooth is tender to percussion because of edema and hemorrhage in the periodontal ligament. Pulp may respond normal to testing.
1
Tooth is markedly tender to percussion
Tooth is displaced from the socket
Evidence of haemorrhage at gingival margin
Clinically crown appears shorter
Dental
null
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multi
Which component of the eye has maximum refreactive index
centre of the lens Repeat from Nov 08 Refractive index of each component of the eye as optical system Refractive medium Refractive index Air 1.000 Cornea ea 1.376 Aqueous humour 1.336 Lens (coex-core) 1.386-1.406 Vitreous humour 1.336 "The refractive indices of the successive layers of the lens increase from the periph...
3
Anterior surface of the lens
Posterior surface of the lens
Centre of the lens
Cornea
Ophthalmology
null
33aeb759-0e02-48f7-b681-239eaf45cdea
single
Which of the following extraocular muscle of the eye is involved in intorsion, depression and abduction of the eyeball?
Superior oblique muscle of the eye innervated by the trochlear nerve is involved in intorsion (primary action), depression (secondary action) and abduction (teiary action) of the eyeball. Action of extraocular muscles: Muscle Primary action Secondary action Teiary action Medial rectus Adduction Lateral rectus Abduction...
4
Inferior rectus
Superior rectus
Inferior oblique
Superior oblique
Ophthalmology
null
a0a77e03-b143-41ef-9b2e-9e0228b4bb9c
multi
Which layer of epidermis is underdeveloped in the VLBW infants in the initial 7 days:
D i.e. Stratum corneum
4
Stratum germinativum
Stratum granulosum
Stratum lucidum
Stratum corneum
Skin
null
ef86c349-c7fa-4f18-8bd4-459bba39746d
single
All of the following are side effects of tacrolimus, EXCEPT:
Side effects with the use of tacrolimus includes nephrotoxicity, hepatotoxicity, hypeension, tremor, seizures, diabetes mellitus, neuropathy and blurring of vision. No ototoxicity has been observed. Ref: KDT 6th Edition, Page 840; Immunopharmacology By Manzoor M. Khan, Pages 91-3; Goodman and Gilman's The Pharmacologic...
2
Nephrotoxicity
Ototoxicity
Neurotoxicity
Hepatotoxicity
Pharmacology
null
87cda92f-93e7-4e1d-be94-a8ca00ac5243
multi
Bacillus anthracis -
Anthrax is an endemic zoonosis in many countries; it causes human disease following inoculation of the spores of Bacillus anthracis. B. anthracis was the first bacterial pathogen described by Koch and the model pathogen for 'Koch's postulates' (see Box 6.1, p. 100). It is a Gram-positive organism with a central spore. ...
4
Produces an endotoxin
Produces terminal bulging spores
Is an anaerobic organism
Capsule is demonstrated by M'Fadyyean's reaction
Medicine
Infection
8768ab05-55fa-44af-a3e5-1c5dc1ec2ccf
single
Weight gain is seen in all, except -
null
1
Phaeochromocytoma
Insulinoma
Myxoedema
Cushing's disease
Medicine
null
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multi
Shift to right of oxygen dissociation curve is caused by all, EXCEPT:
Three impoant conditions affect the oxygen-hemoglobin dissociation curve: the pH, the temperature, and the concentration of 2,3-biphosphoglycerate (BPG; 2,3-BPG). A rise in temperature or a fall in pH shifts the curve to the right. When the curve is shifted in this direction, a higher PO2 is required for hemoglobin to ...
3
Fall in pH
Rise in temperatures
Decrease in 2,3 BPG
None of the above
Physiology
null
5ea216c9-2566-4ccd-9373-5111cb3d15ab
multi
Paralysis of 3rd, 4th, 6th nerves with involvement of ophthalmic division of 5th nerve, localizes the lesion
A i.e. Cavernous sinus Abrupt (sudden/ very rapid) onset of marked systemic features (high grade fever) with proptosis, chemosis especially with prostration, sequential ophthalmoplegia (i.e. initial lateal gaze involvement), bilateral involvement and mastoid edemaQ strongly suggest the diagnosis of cavernous sinus thro...
1
Cavernous sinus.
Apex of orbit.
Brainstem
Base of skull.
Ophthalmology
null
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single
False about Haptens is
Haptens are low molecular weight molecules.
1
Haptens are high molecular weight molecules
Lack immunogenicity
Retain antigenicity
Complex haptens contain two or more epitopes
Microbiology
null
2d6ba7c0-65de-43e3-b944-b9691304a125
multi
True about N2O –
N2O is least potent (MAC = 105%). It has a good analgesic but poor muscle relaxant activity.
2
Good muscle relaxant
Low potency and good analgesia
High potency and poor analgesia
null
Anaesthesia
null
bd5e31c8-6bf8-43c3-ac5b-13af3a3bdfe3
multi
Incidence of absent of kidney is
(1500) (1305-LB) (1286-B & L 25th)* An absent or grossly atrophic kidney is found in about 1:1400 individuals (1305-LB)* Renal ectopia - In approximately 1:1000 people, the kidney does not ascend, ectopic kidneys are usually found near the pelvic brim (1306-LB)
2
300
1500
3000
5000
Surgery
Kidney & Ureturs
327dff34-716a-478e-afa3-6af8e8f134d2
single
BCG is not given to patient with -
<p>BCG Aim- To induce a benign,aificial primary infection which will stimulate an acquired resistance to possible subsequent infection with virulent tubercle bacilli, and thus reduce the morbidity and moality from primary tuberculosis among those most at risk. WHO recommends the &;Danish 1331&; strain for vaccine produ...
4
Generalised Eczema
Infective dermatosis
Hypogammaglobulinaemia
All of the above
Social & Preventive Medicine
Communicable diseases
d8bc84af-f2d2-4b8c-af71-a8b24c4f337b
multi
Depression of consciousness level in hypothermia stas when the core body temperature falls below: COMEDK 14
Ans. 32degC
4
35degC
34degC
33degC
32degC
Forensic Medicine
null
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multi
Most prevalent incidentaloma is:
Adrenal Incidentaloma- - Incidentally detected adrenal mass through imaging performed for unrelated disease Nonfunctioning adenoma - 82% of incidentalomas Preclinical cushing - 5% Pheochromocytoma - 5% Adrenocoical Ca - 5% Metastatic Ca - 2% Aldosterone producing adenoma - 1%
4
Cushing's adenoma
Pheochromocytoma
Adrenocoical carcinoma
Non-functioning adenoma
Surgery
Parathyroid and adrenal glands
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Indomethacin can antagonize the diuretic action of loop diuretics by:
Loop diuretics release PGs that induce intrarenal hemodynamic changes which secondarily affect salt output. Indomethacin and other NSAIDs inhibit the formation of PG. Therefore, NSAIDs blunt the action of loop diuretics.
1
Preventing prostaglandin mediated intrarenal-hemodynamic actions
Blocking the action in ascending limb of loop of Henle
Enhancing salt and water reabsorption in distal tubules
Increasing aldosterone secretion
Pharmacology
Kidney
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Human Development Index is
Ans. b (Knowledge, Longevity and Income). (Ref. Park PSM 22nd /pg. 16).# HUMAN DEVELOPMENT INDEX- Consist of three dimensions:- Longevity (life expectancy at birth);- Knowledge (Adult literacy rate and mean years of schooling); and- Income (real GDP per capita in purchasing power).- The HDI ranges between 0 to 1.- In I...
2
Infant mortality, Longevity and Income
Knowledge, Longevity and Income
Infant mortality, Health infrastructure and Income
Environment, Longevity and Income
Social & Preventive Medicine
Concept of Health and Disease
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Anti–Parkinsonism drug that is a selective COMT inhibitor :
null
1
Entacapone
Ropinirole
Pergolide
Pramipexole
Pharmacology
null
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single
Method of sterilization which is least effective is:
Ans. is d i.e. Hysteroscopic tubal occlusion Coplc tubal occlusion Cauterisation (Failure rate 30%) Sclerosants (Failure rate 15%) I - Due to high failure rate these methods are obsolete now Hysteroscopic tubal occlusion is done by 2 methods and both these methods have high failure rates. Also Know : Pomeroy's method 0...
4
Pomeroy's technique
Laparoscopy
Vaginal fimbriectomy
Hysteroscopic tubal occlusion
Gynaecology & Obstetrics
null
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single
The drug of choice for prevention of seizures in a patient with severe preeclampsia is
given by i.v. infusion, it has been used for long to control convulsions and to reduce BP in toxaemia of pregnancy. As per WHO, it is the drug of choice for prevention and treatment of seizures in preeclampsia and eclampsia Ref: KD Tripathih 8th ed. page 333
2
Phenytoin
Magnesium sulphate
Diazepam
Nidedipine
Pharmacology
Central Nervous system
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single
All of the following forces are involved in antigen antibody reaction, EXCEPT:
Answer is D (Covalent bond) : The combination between antigen and antibody is effected during the primary stage of an Ag-Ab reaction. This reaction is essentially reversible and effected by the weaker intermolecular forces such as: Vander Waal's, Hydrogen bonds, Ionic bonds and not by the firmer covalent bonds. Frequen...
4
Vander Waal's forces
Electrostatic bond
Hydrogen bond
Covalent bond
Medicine
null
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multi
Not true about deep cervical lymph nodes
The deep cervical lymph nodes are situated along the internal jugular vein, and include the jugulodigastric node below the posterior belly of the digastric and the jugulo-omohyoid node above the inferior belly of the omohyoid Ref : B D Chaurasia's Human Anatomy, seventh edition, volume 3 , pg. no. 100 ( fig. 8.28 - pg....
1
Lie along external jugular vein
Tonsil is drained by jugulodigastric nodes
Lie deep to sternocleidomastoid
Tongue drains into juguloomastoid
Anatomy
Head and neck
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multi
Which anesthetic agent is contraindicated in porphyria:
Ans: (c) ThiopentoneRef: KDT 6th ed./374* Thiopentone is an ultrashort acting thiobarbiturate because of rapid redistribution.* It has poor analgesic property.* I/v injection is very painful. Therefore it is contraindicated unless opioids or N2O has been given.* Contraindicated in porphyria patientsAlso Know*Etomidatei...
3
Propofol
Ketamine
Thiopentone
Etomidate
Anaesthesia
Miscellaneous General Anesthesia
d39195a7-ef88-4fcc-94e6-bc40558deb78
single
Biconcave shape of RBC is due to binding of spectrin to-
Ans. is 'a' i.e., Ankyrin * RBCs biconcave shape is due to membrane cytoskeleton.* RBC membrane cytoskeleton contains a filamentous meshwork of proteins that form a membrane cytoskeleton along the entire cytoplasmic surface of membrane. The most abundant and most important protein in this membrane cytoskeleton is Spect...
1
Ankyrin
Actin
Myosin
Adducin
Physiology
Heart, Circulation, and Blood
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single
Lipid peroxidation of polyunsaturated lipids of subcellular membranes produces -
Lipofuscin is an insoluble pigment, also know n as lipochrome or wear-and-tear pigment. Lipofuscin is composed of polymers of lipids and phospholipids in complex with protein, suggesting that it is derived through lipid peroxidation of polyunsaturated lipids of subcellular membranes. Lipofuscin is not injurious to the ...
2
Hemosiderin
Lipofuscin
Both of above
None of above
Pathology
null
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multi
A 35 years old man gets up from sleep with sudden onset breathlessness, anxiety, palpitation, shaking hand, profuse sweating, discomfort in chest & fear of dying. There is history of similar episodes in past. Physical examination is normal. Probable diagnosis is-
Ans. is 'a' i.e., Panic attack * Sudden onset of breathlessness, anxiety, palpitation and feeling of impending doom suggest the diagnosis of panic attack (severe anxiety)* A panic attack has following characteristics: -A. Discrete episode of intense fearB. Abrupt onset (sudden onset)C. Reaches as maximum within few min...
1
Panic attack
Anxiety disorder
Conversion disorder
Acute psychosis
Psychiatry
Anxiety & Stress
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Rhinophyma complicates-
Ans: B
2
Acne vulgais
Acne rosacea
Psoriasis
Phemphigus
Unknown
null
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single
Hypoglycemia in new born is seen in:a) IUGRb) Mother with hypothyroidismc) Rh incompatibilityd) Macrosomiae) Hyperthyroidism
Hypoglycemia is defined as blood glucose of less than 40 mg/dL, irrespective of the gestational age. Causes of hypoglycemia Let us see each option one by one. Option ‘a’ IUGR “Hypoglycemia is due to shortage of glycogen reserve in the liver as a result of chronic hypoxia” Dutta Obs. 6/e, p 465 Option ‘b’ Mother with hy...
2
b
ad
ac
ab
Gynaecology & Obstetrics
null
b08cf1a0-d950-4b06-b41a-94db605cbc42
single
Which of the following is the major anaplerotic enzyme?
Ans. a)Pyruvate carboxylase Anaplerotic (gap-filling) reactions are the reactions that replenish the depleted TCA cycle intermediates that were used up in the biosynthetic reactions. Oxaloacetate is the catalyst of TCA cycle. Thus, production of oxaloacetate is the major anaplerotic reaction. Intermediate Depleted (use...
1
Pyruvate carboxylase
Acetyl-CoA carboxylase
Pyruvate dehydrogenase
Succinate dehydrogenase
Biochemistry
Gluconeogenesis
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single
Toxoid is prepared from -
Ans. is 'a' i.e., Exotoxin Toxoids o Ceain organisms produce exotoxins e.g., diphtheria and tetanus bacilli. o The toxin produced by these organisms are detoxicated and used in the preparation of vaccines. o The antibodies produced neutralize the toxic moiety produced during infection, rather than act upon the organism...
1
Exotoxin
Endotoxin
Both
null
Social & Preventive Medicine
null
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multi
In pancoast tumor, following is seen except?
Answer is 'c' i.e. Haemoptysis Haemoptysis is seen in central tumors or endobronchial growth (Pancoast tumor is a peripheral tumor) Pancoast's tumor (also k/a superior sulcus tumor) Is a tumor of the apex of the lung It may grow to cause shoulder and arm pain - d/t involvement of C8, TI & 72 nerves Erosion of ribs Home...
3
Homer's syndrome
Rib erosion
Haemoptysis
Pain in shoulder and arm
Surgery
null
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multi
In prophylaxic of Manic depressive psychosis, drug used is -a) Lithium carbonateb) Carbamazepinec) Valproated) Haloperidol
null
1
abc
bc
acd
bcd
Psychiatry
null
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single
A patient presented with a 1 x 1.5 cms growth on the lateral border of the tongue. The treatment indicated would be.
Ans- B Interstitial brachytherapy Ref- Although this study is retrospective, the results are noteworthy, considering its long follow up and the description of results in terms of LCR, toxicities, and functional outcome. Our study recommends treating patients with brachytherapy alone in T1 stage and demonstrates the nee...
2
Laser ablation
Interstitial brachytherapy
External beam radiotherapy
Chemotherapy
Unknown
null
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single
Colour of nitrous oxide cylinder is?
N2O (blue) Cyclopropane (orange) Oxygen (black & white) Entonox (blue & white)
1
Blue
Blue body with white shoulder
White
Black
Pharmacology
FMGE 2019
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single
A 45 year old female presents with 48 hour history of right upper quadrant pain, dyspnea, non-productive cough, fever with chills and rigor. The pain radiates to right shoulder tip. She has history of perforated duodenal ulcer repair 3 weeks ago. Temperature 39.3degC. O/E there is acute tenderness over right hypochondr...
Ans. (b) Subphrenic abscessRef: Bailey 26th edition Page 977* Bailey says- "Pus Nowhere, Pus Some where- search Pus Under the Diaphragm"* In a post op case (patient lying)- most dependent site of abscess formation is Subphrenic Space
2
Acute pancreatitis
Subphrenic abscess
Acute cholangitis
Pyonephrosis
Surgery
Miscellaneous
780efbc7-f97e-4458-8f0e-7fdb689ef333
single
Donovan bodies are seen in ?
Ans. is 'd' i.e., Calymmatobacteriumgranulomatis
4
Leishmaniadonovani
Chlamydia trachomatis
Klebsiella
Calymmatobacteriumgranulomatis
Skin
null
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single
Stroke volume is increased by -
Ans. is 'c' i.e., Increased end-diastolic volume and decreased end-systolic volume o The stroke volume is the amount of blood pumped out by left ventricle in each stroke.o Stroke volume is given by the difference between end-diastolic ventricular volume (the volume of blood in the left ventricle at the end of diastole;...
3
Increased end-diastolic and end-systolic volumes
Decreased end-diastolic and end-systolic volumes
Increased end-diastolic volume and decreased end-systolic volume
Decrased end-diastolic volume and increased end- systolic volume
Unknown
null
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single
When do we have to start antibiotics to prevent post-operative infection?
Prophylactic antibiotics are administered before the skin incision is made. Repeat dosing occurs at an appropriate interval, usually 3 hours for abdominal cases or twice the half-life of the antibiotic. Perioperative antibiotic prophylaxis generally is not continued beyond the day of surgery.
4
2 days before surgery
After surgery
1 week before surgery
1 hour before surgery & continue after surgery
Surgery
null
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single
Which is not a manifestation of congenital toxoplasmosis -
null
4
Chorioretinitis
Hydrocephalus
Intracranial calcification
Cerebellar atrophy
Medicine
null
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single
Tumor represented as T3N2M0 is:
null
4
Stage1.
Stage 2
Stage 3
Stage 4
Pathology
null
ad7eb2f7-27de-4544-b81f-16aa8d41672a
single
Comment on the diagnosis of the ECG tracing shown below.
Symmetry in PR interval before and after the missed beat --> Indicating Second degree AV block type 2: infranodal. In Second degree AV block type 1 --> Serial lengthening of PR interval before and after the missed beat. In Third degree AV block --> complete dissociation b/w atria and ventricles.
3
First degree AV block, intranodal
Second degree AV block type1, intranodal
Second degree AV block type 2, infranodal
Third degree AV block
Medicine
ECG and Arrhythmia 2
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A businessman notices a lump in front of his ear while shaving one morning. His wife thinks it has been there for several months. What is the most likely cause of a mass in the parotid gland in this patient? SELECT ONE.
Benign mixed tumor (pleomorphic adenoma) requires appropriate excision (superficial parotidectomy). If the tumor is shelled out, recurrence is likely. Approximately 80% of tumors of the salivary glands occur in the parotid gland.
4
Lymphoma
Squamous cell carcinoma
Metastatic skin cancer
Benign mixed tumor
Surgery
Salivary Gland
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single
Grenz zone is absent in which type of leprosy
LEPROSY:- Ref:- Review of Dermatology by Alikhan; pg num:-303
1
TT
BT
BB
LL
Dental
Bacterial infections
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single
Bone density is decreased in which of the following -
Osteoporosis is characterized by an abnormally low bone mass (reduced bone density) and defects in bone structure.
1
Osteoporosis
AVN of bone
0steopetrosis
Fracture and collapse of cancellous bone
Orthopaedics
null
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single
Flexion of metacarpophalangeal joint is produced by?
Ans. is 'd' i.e., All of the aboveMetacarpophalangeal joints o These are ellipsoid joints between head of metacarpals and base of proximal phalanx. Movement at MCP joints are flexion, extension, abduction and adduction.Movement Muscles producing movementsFlexion Main muscles :- The lumbricals and the interossei. Suppoi...
4
Lumbricals
Dorsal interossei
Palmar interossei
All of the above
Anatomy
null
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multi
Thornwaldt cyst is also called as:
Thornwaldts bursa is also called as nasopharyngeal bursa, hence thornwaldts cyst is also called as Nasopharyngeal cyst.
2
Laryngeal cyst
Nasopharyngeal cyst
Ear cyst
null
ENT
null
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multi
Best treatment for meningioma with low recurrence rate is
The best treatment for meningioma of low recurrence rate is complete tumour resection including resection of underlying bone and associated dura. The constant principles in meningioma resection are the following: If possible, all involved or hyperostotic bone should be removed. The dura involved by the tumor as well as...
4
Tumour excision with cyst of dura mater removal
Excision surgery followed by radiotherapy
Chemotherapy
Preop embolization + Excision surgery
Surgery
Urology
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Condyloma acuminata is repoed on pap-smear as -
Ans. is'd'i.e.LSIL Cervical Precursor lesion associated with both low and high risk HPV subtypes.This category includes:Flat mature LSIL (flat condyloma or CIN-I)Mature Exophytic LSIL (exophytic condyloma, condyloma acuminatum)Extensive Exophytic LSIL (giant condyloma)Immature Exophytic LSIL (immature condyloma, squamo...
4
Inflammatorycondition
Carcinoma
Carcinoma in situ
LSIL
Gynaecology & Obstetrics
null
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single
Angle of jaw (or) skin over angle of mandible is supplied by
null
1
Great auricular nerve
Lesser occipital nerve
Greater occipital nerve
Posterior auricular nerve
Anatomy
null
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single
Minamata disease in Japan is caused by toxicity of
(A) Mercury > Minamata disease (Chisso-Minamata disease), is a neurological syndrome caused by severe mercury poisoning. Symptoms include ataxia, numbness in the hands and feet, general muscle weakness, narrowing of the field of vision and damage to hearing and speech. In extreme cases, insanity, paralysis, coma and de...
1
Mercury
Arsenic
Lead
Silver
Medicine
Miscellaneous
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single
A test which produces similar results when repeated, but values obtained are not close to actual/true value,is:
null
1
Precise but inaccurate.
Precise but accurate.
Imprecise and accurate.
Imprecise and inaccurate.
Dental
null
ddec0360-fd1d-4f7e-93cb-80c95aefaa7b
multi
Glucose transpo along cell membranes occurs along with
The co-transpo system may either be a sympo or an antipo. In sympo, (Fig. 2.12) the transpoer carries two solutes in the same direction across the membrane, e.g. sodium-dependent glucose transpoer (Chapter 8). Phlorhizin, an inhibitor of sodium-dependent co-transpo of glucose, especially in the proximal convoluted tubu...
2
K+
Na+
CI
HCO3
Biochemistry
Respiratory chain
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single
Verocytotoxin of E. coli acts by -
Ans. is 'c' i.e., Decreasing protein synthesis
3
Increasing cAMP
Decreasing cAMP
Decreasing protein synthesis
Decreasing cGMP
Microbiology
null
cff7b4ff-3420-43d9-8b18-1f6f9ec1227b
single
A patient with acute psychosis, who is on haloperidol 20 mg/day for last 2 days, has an episode characterized by tongue protrusion, oculogyric crisis, stiffness and abnormal posture of limbs and trunk without loss of consciousness of last 20 minutes before presenting to casualty. This improved within a few minutes afte...
Antipsychotic drugs Extrapyramidal symptoms- dur to D2 blockade in limbic system Extrapyramidal symptoms Clinical features Special DOC Acute dystonia Oculogyric crisis ocular muscles spasm and opisthotonos Toicollis Protrusion of tongue leading to laryngospasm Grimacing Earliest to develop (days) Anticholinergic drugs ...
1
Acute dystonia
Akathisia
Tardive dyskinesia
Neuroleptic malignant syndrome
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
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single
Blanket/ mass treatment is indicated in all EXCEPT: September 2004
Ans. D i.e. Dengue fever
4
Trachoma
Malaria
Yaws
Dengue fever
Social & Preventive Medicine
null
e989ce58-fde9-4146-8381-80f067d5b7a2
multi
Hoffbauer's cells are present in
null
3
Pituitary gland
Parathyroid
Placenta
Pineal gland
Anatomy
null
643a6440-e1e2-4c25-8725-f7ef36e63bdb
single
Mucin layer tear flilm deficiency occurs in:
A i.e Keratoconjunctivitis sicca
1
Keratoconjunctivitis sicca
Lacrimal gland removal
Canalicular block
Herpetic keratitis
Ophthalmology
null
2d3252ca-332e-4444-9274-c63b132bcda6
single
Reactive ahritis is a result of exposure to all of the following, EXCEPT:
Reactive ahritis is an inflammatory condition that occurs after exposure to ceain gastrointestinal and genitourinary infections, paicularly Chlamydia species, Campylobacter jejuni, Salmonella enteritidis, Shigella, and Yersinia. Patients may give a history of an antecedent genitourinary or dysenteric infection 1 to 4 w...
4
Chlamydia species
Campylobacter jejuni
Salmonella enteritidis
None of the above
Medicine
null
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multi
Dose of Vit D in children with malnutrition -
Vitamin A deficiency treatment: Vitamin A on days 1,2 and 14 each Age >12 months - 200,000 IU Age 6-12 months - 100,000 IU for age 0-5 months - 50,000 IU Ref: Guidelines for the inpatient treatment of severely malnourished children, WHO Pgno : 23
3
100 IU
200 IU
50,000 IU
10,000IU
Social & Preventive Medicine
Nutrition and health
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single
All are components of basement membrane except
Ans. is 'd' i.e. Rhodopsin Basement membrane is a part of extracellular matrix Extracellular matrix is composed ofCollagenThey are family of proteins which provide structured support to the multicellular organisms.It is the main component of tissues such as fibrous tissue, bone, cartilage, valves of heart, cornea, base...
4
Nidogen
Laminin
Entactin
Rhodopsin
Pathology
Glomerular Diseases
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multi
The following are the contraindications of BAL except:
BAL (British anti-lewisite, dimercaprol): It is used in arsenic, lead, bismuth, copper, mercury, gold and other heavy metal poisoning. Dose: 10% solution in oil, 3-5 mg/kg IM 4 hourly for 2 days, 6 hourly on 3rd day and then 12 hourly for next 10 days. Side effects: Nausea, vomiting, headache and hypeension. Contraindi...
4
G6PD deficiency
Iron poisoning
Cadmium poisoning
Gold poisoning
Forensic Medicine
Toxicology - 1
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multi
A neonate presented on day one of life with bilious vomiting. First investigation to be done is:
Ans. b. Babygram (Ref: Nelson 19/e p1278; Sabiston 19/e p1841-1842; Schwartz 9/e p1427-1428; Bailey 26/e 120, 25/e p85; Shackelford 7/e p811-813)A neonate presented on day one of life with bilious vomiting. First investigation to be done is Babygram (full body radiograph of the baby) to rule out duodenal atresia. Babyg...
2
Chest skiagram
Babygram
Ultrasound
Manometry
Pediatrics
Stomach and Intestines
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single
In atrial septal defect, the aoa is
The chest x-ray film is often, but not always, abnormal in patients with significant ASD. Cardiomegaly may be present from right hea dilation and occasionally from left hea dilation if significant mitral regurgitation is present in the patient with an ostium primum ASD. Right hea dilation is better appreciated in later...
1
Small
Normal
Enlarged
Aneurysmal
Medicine
All India exam
9176e5b4-1fdd-4de6-a0d2-f80f6357df63
multi
Which complex in mitochondria is not involved in proton transpor during ETC ?
Ans. is 'b' i.e., Complex IIInner mitrochondrial membrane is impermeable to protons; therefore, proton pumps are required to pump protons (hydrogen ions) from mitochondrial matrix to the intermembrane space.The complex I (Site I), complex III (Site II) and complex IV (Site III) act as proton pumps ejecting protons (hyd...
2
Complex I
Complex II
Complex III
Complex IV
Biochemistry
null
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single
False statement is
D i.e., Regulator gene is inducible
4
Repressor binds operator gene
Regulator genes produce repressor subunits
IP TG is inducer but not substrate
Regulator gene is inducible
Biochemistry
null
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multi
Parvovirus B19 does not cause:
Ans. is 'a' i.e. Roseola infantum ParvovirusParvovirus is the smallest virus.It is a nonenveloped icosahedral virus with linear single stranded D.N.A.Pathogenesis of parvovirusParvovirus is highly tropic for human erythroid cells.The cellular receptors for parvovirus is blood group P antigen.P antigen is expressed on m...
1
Roseola infantum
Aplastic anemia in sickle cell disease
Fetal hydrops
None of the above
Microbiology
Parvovirus
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multi
Barbiturates excretion in urine may be increased by-
In barbiturate poisoning, forced alkaline diuresis is used.
2
Diuretics
Alkalinization
Acidification
Dialysis
Forensic Medicine
null
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single
All are features of raised intracranial tension in adults except:
Ans. Sutural diastasis
4
Erosion of dorsum sella
Erosion of posterior clinoid process
Inner table convolutions
Sutural diastasis
Radiology
null
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multi
Which of the following is not a branch of ophthalmic nerve?
null
4
Frontal nerve
Lacrimal nerve
Nasociliary nerve
Middle ethmoidal nerve
Anatomy
null
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single
Superantigens area) Erythrotoxin of Staph. aureusb) Clostridium difficile toxinc) Staphyloccocal toxic shock syndrome toxind) Cholera toxin
null
4
a
bc
ad
ac
Microbiology
null
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single
The periphery of the retina is visualized with
The technique of examining the fundus of the eye is called ophthalmoscopy. In indirect ophthalmoscopy, a real and inveed image is formed between the condensing lens and the observer. The advantage of stereopsis (depth perception) and a larger field of view makes indirect ophthalmoscope (IDO) more useful both in retina ...
1
Indirect binocular ophthalmoscopy
Direct ophthalmoscopy
Contact lens
Goldman's three mirror contact lens
Ophthalmology
Anatomy, Development and clinical examination
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single
Which of the following statement is true regarding race determination?
null
3
Negroid - Cut section of hair elliptical & mesaticephalic skull
Mongoloid - Cut section of hair Round & Dolicocephalic skull
Caucasoids - Cut section of hair Round & Mesaticephalic skull
Negroid - Cut section of hair oval & brachycephalic skull
Forensic Medicine
Human identification
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multi
Anacrotic pulse in felt in-
null
4
AR
MR
MS
AS
Medicine
null
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single
Which of the following is a false statement about the respective fungal infections?
Microsporium doesn't involve nail. Trychophyton involves skin, nail and hair.
3
Candida albicans causes skin infection
Superficial layers of skin are involved
Microsporium involves nail
Epidermophyton doesn't involve hair
Skin
null
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multi
Cell-matrix adhesions are mediated by?
The cell adhesion molecules (CAMs) are classified into four main families:- * Immunoglobulin family CAMs *Cadherins * Integrins: bind to extracellular matrix (ECM) proteins such as fibronectin, laminin, and osteopontin providing a connection between cells and extracellular matrix (ECM) * Selectins
2
Cadherins
Integrins
Selectins
Calmodulin
Pathology
General Concepts
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single
The Hb level is healthy women has mean 13.5 g/dl and standard detion 1.5 g/dl, what is the Z score for a woman with Hb level 15.0 g/dI -
Ans. is 'd' i.e., 1.0 Thus the Z score for the woman in question is 1.0. Very simple funda to calculate Z score Normal variate indicates that the given observation is how many standard detion away from the mean. Here mean is 13.5 g/c11, SD is 1.5 g/dl and observation is 15 g/dl. That means observation (15 g/dl) is 1 SD...
4
9
10
2
1
Social & Preventive Medicine
null
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single
Development of pellagra like skin lesion in carcinoid syndrome is due to:
One of the main secretory products of carcinoid tumors involved in the carcinoid syndrome is serotonin which is synthesized from tryptophan. Up to 50% of dietary tryptophan can be used in this synthetic pathway by tumor cells, and this can result in inadequate supplies for conversion to niacin; hence, some patients (2....
1
Inadequate conversion of Tryptophan to Niacin
Dietary Niacin deficiency
Serotonin induced skin rash mimicking pellagra
Paraneoplastic manifestation
Medicine
null
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single
Drug of choice for absent seizures
Many children appear to have a genetic predisposition to absence seizures. In general, seizures are caused by abnormal electrical impulses from nerve cells (neurons) in the brain. Ref: KD Tripathi 8th ed.
4
Clonezapam
Diazepam
Phenytoin
Valproate
Pharmacology
Central Nervous system
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single
Which of the following is low flow Oxygen delivery device
A nasal cannula is generally used wherever small amounts of supplemental oxygen is required, without rigid control of respiration, such as in oxygen therapy. Most cannulae can only provide oxygen at low flow rates--up to 5 litres per minute (L/min)--delivering an oxygen concentration of 28-44%. Rates above 5 L/min can ...
1
Nasal cannula
Venti-mask
Bag & mask ventilation
Aerosol system
Anaesthesia
Anaesthetic equipments
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single
Which of the following is not an ester –
Bupivacaine is an amide.
4
Amethocaine
Benzocaine
Procaine
Bupivacaine
Anaesthesia
null
89869129-75b9-4038-a5e4-65e2114c20db
single
How will you check the quantitative assessment of liver function -
The determination of the galactose elimination capacity with the method according to Tygstrup is the only test which detects the "functional hepatocyte mass" and thus constitutes a quantitative test for the metabolic function of the liver. In this determination of the maximum hepatic elimination capacity, differences w...
3
Degree of Transaminases
Degree of Alkaline phosphatase
Galactose metabolism
All the above
Medicine
G.I.T
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multi
Which of the following is detected by the antigen detection test used for the diagnosis of P. Falciparum malaria
A useful approach is immunodiagnosis of malaria by detection of parasite-specific antigens using monoclonal antibodies The Para-Sight-F test (BD) is a dipstick antigen capture test targeting the "histidine-rich protein-2" (HRP-2), specific for P.falciparum. The test is sensitive, specific and rapid, results being ready...
4
Circum-sporozoite protein
Merozoite surface antigen
Histidine-Rich-Protein I (HRP-I)
Histidine-Rich-Protein II (HRP-II)
Microbiology
parasitology
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single
Iron overload occurs in all except
Ref Harrison 19 th ed pg 626, 673 Increased erythropoietin leads to increased haematopoasis and an increased demand for iron producing a state of iron deficiency. Polycythemia vera being a state of increased erythropoietin is a cause of iron deficiency rather than iron overload.
3
Thalassemia
Myelodysplastic syndrome
Polycythemia vera
Sideroblastic anemia
Anatomy
Haematology
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multi
A child is brought to the emergency depament with signs of meningeal irritation. She had suppurative otitis media in the last week. Infection of middle ear can spread to CNS through:
In the setting of middle ear infection, bacterial infection can invade through the round window causing acute suppurative labyrinthitis. From the labyrinth, bacteria gain access to the cochlear aqueduct, forming a conduit between the perilymph and the cerebrospinal fluid (CSF) resulting in meningeal infiltration.
2
Venous plexus
Cochlear aqueduct
Cochlear nerve sheath
Bloodstream
ENT
null
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single
Strategies for prevention of Neonatall Tetanus include all of the following except -
<p> Injection penicillin to all neonate. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:310-313. <\p>
2
5 clean practices
Giving penicillin to all the new borns
2 doses of TT to all pregnant women
Immunizing all married women
Social & Preventive Medicine
Communicable diseases
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multi
Antibody in cold agglutin disease is
Cold agglutinin disease (CAD): This designation is used for a form of chronic AIHA that usually affects the elderly. First, the term cold refers to the fact that the autoantibody involved reacts with red cells poorly or not at all at 37degC, whereas it reacts strongly at lower temperatures. As a result, hemolysis is mo...
4
IgA
IgG
IgE
IgM
Microbiology
Immunology
8bb969e7-ffde-4467-a438-5ac6c31a97e1
single
Type I hypersensitivity is mediated by which of the following immunoglobulins ?
Harshmohan textbook of pathology 7th edition. *type 1 or anaphylactic or atopic reaction mediated by humoral antibodies of IgE type or reagin antibodies in response to antigen.
4
Ig A
Ig G
Ig M
Ig E
Pathology
General pathology
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single
Coronal suture completely fuses by the age of:
Actually Coronal suture completely fuses by 50-60 years, but the maximum age given in this question is 45 years and hence the answer. Age from Skull Sutures- Two halves of mandible unite at- 2 years. Metopic suture (2 halves of frontal bone) closes at: 3 years. Coronal, Sagittal, Lambdoid sutures sta to close on inner ...
4
20yrs.
30 yrs.
40 yrs.
45 yrs.
Surgery
null
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single
Position of the patient should be as described except
Bladder should be empty during a transvaginal ultrasound
3
Diagnostic laparoscopy- trendlelnburg with about 30 degree tilt
Colposcopy - Lithotomy
Transvaginal sonography in Gynecology - Lithotomy with full bladder
Hysteroscopy - Lithotomy
Gynaecology & Obstetrics
Gynaecological diagnosis and operative surgery
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multi
An adult whose both lower limbs are charred along with genitalia has burns -
null
4
18%
19%
36%
37%
Surgery
null
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multi
Mitral valve vegetations do not usually embolise to
Ref Harrison 19 th ed pg 820 Mitral valve vegetation would obviously not go to the lung, as that would involve a backward flow
1
Lung
Liver
Spleen
Brain
Anatomy
General anatomy
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multi
Most common type of veex presentation:
M.C. position of veex is Left occipito Transverse(40%) LOT > LOA M.C. malposition of veex presenting pa is Right Occiputo posterior.
2
Right occipito posterior
Left occipito transverse
Right occipito anterior
Left occipito anterior
Gynaecology & Obstetrics
Labour - III
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single
Cephalic index of Mongolians is
Cephalic index (Index of Breadth) is Maximum Breadth of Skull / Maximum Length of Skull. From the Cephalic index, race can be determined in 85 - 90% of cases. The skull of an Indian is Caucasian with a few Negroid characters. Type of skull Cephalic index Race Dolicocephalic (long-headed) 70-75 Pure Aryans, Aborigines, ...
4
<70
70-75
75-80
>80
Forensic Medicine
Identification
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single
In nephrotic syndrome, which infection is more commoner in children: September 2010
Ans. D: Bacterial peritonitis
4
Cellulitis
Pneumonia
UTI
Bacterial peritonitis
Pediatrics
null
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single
Shoulder dystocia is suspected during a delivery after the delivery of the head, obstetrician asks the assistants to sharply flex the legs towards the abdomen. What is this maneuver?
The McRobes maneuverThe maneuver consists of removing the legs from the stirrups and sharply flexing the thighs up toward the abdomen. The procedure caused straightening of the sacrum relative to the lumbar veebrae, rotation of the symphysis pubis toward the maternal head, and a decrease in the angle of pelvic inclinat...
1
McRobes maneuver
Rubin's maneuver
Wood Corkscrew maneuver
Zavanelli's maneuver
Gynaecology & Obstetrics
General obstetrics
3655236d-ad6a-455e-b46f-fd3711518bd2
single
Sclerostin is produced by?
Sclerostin (SOST) is a glycoprotein produced by osteocytes. They also synthesize receptor activator of nuclear factor kappa B ligand (RANKL). Both of these are involved in regulating bone formation and resorption. EXTRA EDGE: Romosozumab, a humanized monoclonal antibody that binds to sclerostin, prevents sclerostin fro...
1
Osteocytes
Osteoblasts
Osteoclasts
Chondrocytes
Medicine
Miscellaneous QBank
31007be7-664e-4bcd-a99f-8653ed623b48
single
Which of the following is false about Digoxin
Refer kDT 7/e p516.. Medical useEdit Irregular heabeatEdit The most common indications for digoxin are atrial fibrillation and atrial flutter with rapid ventricular response, though beta blockers and/or calcium channel blockers are often preferred. There is tentative evidence that digoxin may increase the risk of death...
1
Dosage reduction is required in hepatic disease
Dosage direction is required in renal failure
It can cause bradycardia
It increases the force of contraction in congestive hea failure
Pharmacology
Cardiovascular system
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multi
Renal Cortical imaging is done by -
Ans. is 'b' i.e., DMSAo For imaging of renal cortex Tc-99m-DMS A is used,o Other three agents (of options) are used for dynamic renal scintigraphy.Renal scintigraphy1) Static renal scintigraphyFor static renal scintigraphy Tc - 99m - DMSA (Dimercaptosuccinic acid) is used. DMSA is cleared by renal tubules. When DMSA is...
2
DTPA
DMSA
MAG3
UIH
Radiology
Genito Urinary System
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single
In liver, ethanol is conveed to ?
Ans. is 'c' i.e., Acetaldehyde
3
Methyl alcohol
Pyruvate
Acetaldehyde
Oxaloacetate
Biochemistry
null
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single