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A 27 years pregnant female with flamingo pink color tympanic membrane comes with history of traumatic ossicular discontinuity. Type of curve expected on tympanometry:
(Refer: PL Dhingra, Textbook of Ear, Nose, Throat, 6th edition, pg no: 24) Otosclerosis (Otospongiosis) Disease of bony labyrinth where the normal dense enchondral bone is replaced by foci of irregularly laid spongy bone. 50% patients have positive family history, inherited as autosomal dominant White races are affect...
1
As
Ad
B
C
Unknown
null
3b31d8db-2955-4077-b8ec-0b9c8297c71d
single
A 41 year old woman presented with a history of aches and pains all over the body and generalized weakness for four years. She cannot sleep because of the illness and has lost her appetite as well. She has lack of interest in work and doesn't like to meet friends and relatives. She denies feelings of sadness. Her most ...
B i.e. Major depression For ruling outFor diagnosing Major depression* Somatization disorder, look for 4 pain, 2 gastrointestinal, 2A. essential criteriasexual & 1 pseudoneurological symptomsQ1. Depressed/Low mood* Dissociative disorder, look for2. Loss of interest or pleasureQ- Dissociative amnesia for stressful event...
2
Somatoform pain disorder
Major depression
Somatization disorder
Dissociative
Psychiatry
null
23c1e7d1-8767-475b-ae5a-c6c9f67089e3
multi
Most common type of hypospadias is ?
Hypospadias is classified according to the position of the meatus into: * Glanular hypospadias. This is most common type and does not usually require treatment. The normal site of the external meatus is marked by a blind pit, although it occasionally connects by a channel to the ectopic opening on the underside of the ...
1
Glandular
Penile
Scrotal
Perineal
Surgery
Urology
4b70d1e5-f821-4003-a195-dfb751453c6e
single
Which of the following are stress bearing areas?
null
4
Buccal shelf area, incisive papilla and palatine rugae
Slopes of residual ridge, palatine rugae and midpalatine raphe
incisive papilla, slope of the residual ridge and crest of the residual ridge
slope of residual ridge, buccal shelf area and hard palate
Dental
null
2795f004-8d09-4fc7-a9ec-3ab623f2f322
single
Small for date baby has bih weight -
They weigh kess than 10th percentile for the gestational age.REF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-494
1
<10 percentile
<50 percentile
<60 percentile
null
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
842de55e-2c2b-4abe-9450-0a5a52edbbb3
multi
Specificity; All are true except:
null
4
Identifies those who don't have the disease
Increased specificity decreases false positive
ELISA is more sensitive, while western blot is more specific
Identifies true positive
Dental
null
5812a75b-ca15-4a6b-b485-06f9af91053a
multi
Which of the following is the drugs of choice for corneal herpes?
Acyclovir is the drug of choice for treatment of herpetic infection of eye, skin and genitals. It acts selectively against the herpes. It penetrates the intact corneal epithelium and stroma and produces therapeutic concentration in the aqueous humor. Vidarabine is active against a number of DNA viruses and is indicated...
2
Idoxuridine
Acyclovir
Vidarabine
Amantadine
Ophthalmology
null
74f2d3dd-5316-4589-a5e6-2a0c3abce9d1
single
Dermatomyositis test of choice -
Ans is 'a' i.e., CPK Investigations for Dermatomyositiso Muscle enzymes CPK Elevation (mostsensitive), aldolase elevation, myoglobin levation, 24 urinary creatine excretion.o Autoantibodies ANA antibodies, anti Jo-i (20% cases), anti- Mi-2 (5-10%)o Others ESR, RF factor, skin & muscle biopsy, EMG
1
CPK
24hr urine creat
SGOT
SGPT
Skin
Autoimmune Skin Disorders
fb8bdd12-fede-4ebe-a2fd-94bf8442d73c
single
Decidual casts bleeding per vaginum suggestive of :
Tubal aboion
3
Inevitable aboion
Threatened aboion
Tubal aboion
null
Gynaecology & Obstetrics
null
d194ca1e-2bea-4e85-ba32-4a4b70db18ea
multi
Which of the following malignant tumours is radioresistant?
Ans. Osteosarcoma
3
Ewing's sarcoma
Retinoblastoma
Osteosarcoma
Osteosarcoma
Radiology
null
dc0a73e6-fc1f-4223-be5b-fefb9ead44e9
single
Most common paraneoplastic syndrome in HCC
Ans. (a) HypoglycemiaRef: Sabiston 20th edition page 1459Paraneoplastic Syndrome:* Less than 1% cases present with paraneoplastic syndrome most commonly Hypercalcemia, Hypoglycemia, Erythrocytosis.* Hyper Cholesterolemia is the MC Paraneoplastic Syndrome > Hypoglycemia.
1
Hypoglycemia
Hypertension
Hypercalcemia
Erythrocytosis
Surgery
Liver
ff158414-2d6f-4eaf-976e-19c3a625484a
single
Cancer caused by chronic parasitic infection -
null
1
Cholangiocarcinoma
Hepatic cell Ca
Ca GB
Ca pancreas
Medicine
null
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single
To do myringotomy in ASOM, the incision is given in posteroinferior region, this is the preferred region for all the following reasons except.
In SOM, myringotomy is done in antero-inferior quadrent because:It is relatively avascular area. blood loss is lessNo impoant structures are present here. No possibility of them being damaged.To stimulate Eustachian tube (which also lies in antero inferior quadrant)
4
It is easily accessible
Damage to ossicular chain does not occur
Damage to chorda tympani is avoided
It is the very vascular region
ENT
null
89efa662-0907-4c1d-94b2-4cb56d3ebe1a
multi
Amino acid with dissociation constant closest to physiological pH is -
Each amino acid have two ionizable group: (r) c-carboxyl group (-COOH), and (ii) c-amino group (-NHr). Beside these two groups, some amino acids have special ionizable groups. e.g. -SH of cysteine, imidazole of histidine. Dissociation constant (pka) is the value of pH at which any ionizable group of amino acid is in 50...
3
Serine
Proline
Histidine
Threonine
Biochemistry
null
cdd7e1e5-fa37-4be6-b5b9-6d63e095c6e1
single
Which is not a branch of cavernous pa of internal carotid aery
Ophthalmic aery The internal carotid aery begins at the level of the upper border of the thyroid cailage as one of the terminal branches of the common carotid aeryIts course is divided into four pas:Pas of ICABranches(A) Cervical paNo branches(B) Petrous pa* Caroticotympanic a.* Pterygoid a.(C) Cavernous pa* Cavernous ...
4
Cavernous branch
Inferior hypophyseal
Meningeal aery
Ophthalmic aery
Anatomy
null
79ad239e-1109-4152-8a1c-b68f97a853b3
single
Which of the following is caused by bilateral parietal lesions leading to visuomotor difficulty?
Balint&;s syndrome is an uncommon and incompletely understood triad of severe neuropsychological impairments: inability to perceive the visual field as a whole (simultanagnosia), difficulty in fixating the eyes (oculomotor apraxia), and inability to move the hand to a specific object by using vision (optic ataxia).Bali...
1
Balint's syndrome
Hallervorden spatz syndrome
Alzheimer's disease
Coicobasal degeneration
Microbiology
All India exam
cd23fdfe-596e-4e1b-8d84-4e6f63300e79
multi
Delusion is not seen in
Delusion is psychotic symptom, can be associated with schizophrenia, depression with psychotic symptoms, mania with psychotic symptoms. anxiety disorder is a type of neurosis here the patients will have insight they will present with palpitations, breathlessness, ruminations, worries, distress and fear of impending doo...
2
Depression
Anxiety
Schizophrenia
Mania
Psychiatry
Symptoms and signs in psychiatry and classification
edfee157-a46e-4d7b-ae7a-af91cd58b662
single
The genome of HIV virus contains which of the following?
HIV is an enveloped icosahedral sphere. It has 2 identical, non complementary strands of RNA and 3 enzymes (reverse transcriptase, integrase and protease) packed in a cone shaped protein core. This core is surrounded by a protein coat called capsid. This capsid along with the enclosed nucleic acid is called nucleocapsi...
2
Single stranded DNA
Single stranded RNA
Double stranded DNA
Double stranded RNA
Microbiology
null
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single
A 3-year-old boy is brought to the outpatient clinic with a swelling in the side of his neck. Physical examination reveals a congenital mass of tissue anterior to the superior third of the sternocleidomastoid muscle. The swelling is asymptomatic, non-painful, and soft. Which of the following is the most likely diagnosi...
(a) Source: GAS 970-971; GA 492-493 Pharyngeal (branchial) cleft cysts are the most common congenital cause of a neck mass. They are epithelial cysts that arise anterior to the superior third of the sternocleidomastoid muscle (1) from a failure of obliteration of the second branchial cleft in embryonic development. The...
1
Branchial cleft cyst
Ruptured sternocleidomastoid muscle
Lymph node infl ammation
Torticollis
Anatomy
Head & Neck
f672c17d-1148-4312-b307-324d43a46e0d
single
What is the mode of inheritance of APKD?
Ans is 'a' i.e., Autosomal dominant Summary of Renal cystic disease InheritancePathologic featuresClinical features of ComplicationsAdult polycystic kidney diseaseAutosomal dominantLarge multicystic kidneys, liver cysts, berry aneurysmsHematuria, flank, pain, urinary tract infection, renal stones, hypertensionChildhood...
1
Autosomal dominant
Autosomal recessive
X-linked recessive
Mitochondrial inheritance
Pathology
Kidney
04e30115-8312-4a36-a6d7-dbebc87bde2f
single
Receptive relaxation is a characteristic of the following pa of gastro intestinal tract:
The ability of the stomach to relax as its volume increases is essential to its reservoir function. The process by which this occurs is referred to as receptive relaxation, and results in a drop in gastric pressure immediately after eating that persists until all solids have been emptied from the stomach. It has two ph...
1
Stomach
Colon
Jejunum
Rectum
Physiology
null
ed877b51-a8b0-49ac-8787-43c38f393eea
single
A 46-year-old man presented to the casualty with acute onset of seeing lizards all all around him in the room. He has been violent towards members of his brother who tried to bring him to hospital. On history he has a longstanding history of drinking alcohol and using cannabis for 7 years. He had missed his drinks for ...
The clinical presentation suggests severe alcohol (ethanol) withdrawal or Delirium Tremens. The immediate management includes the use of long-acting benzodiazepines. In the given choices both Chlordiazepoxide (Librium) and Diazepam are long acting. However, Chlordiazepoxide (Librium) is longer acting than diazepam. The...
2
Diazepam
Chlordiazepozide
Morphine
Carbamazepine
Psychiatry
null
6d037e82-e2e8-47f9-ae49-dcfb815adc4f
multi
Silicosis can be controlled by: September 2004
Ans. B i.e. Rigorous dust control
2
Effective implementation of factories act
Rigorous dust control
Adequate personal hygiene
BCG vaccination
Social & Preventive Medicine
null
41f6b8e1-0644-46a5-ad1b-e7ca88a45292
single
Which of the following coagulation factors causes cross linking and stabilization of clot.
A i.e. Factor XIIIFactor XIII (13) also known as fibrin stabilizing factor, when gets activated (by thrombin) cause formation of covalent cross linkages and provide three dimensional strength to fibrin meshwork (stbilization)QFactor XIII (a) conves a loose mesh of interlacing fibrin strands to a tightly dense aggregate...
1
Factor XIII
Thrombin
Factor VIII
Factor IX
Physiology
null
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single
ETHER DAY is celebrated on
Ether Day," Friday 16 October 1846 marks the first successful demonstration of the inhalation of ether vapour as a means of overcoming pain of surgery by the dentist William Thomas Green Moon Ref ganong's review of medical physiology 25e 561
2
20-Oct
16-Oct
20-Nov
16-Nov
Physiology
All India exam
e81871b7-1d9c-4836-832c-8031e85d5944
single
Most afferent fibers from the lateral nucleus terminate in the primary visual cortex is
Like almost all other portions of the visual cortex, the primary visual cortex has six distinct layers. Also, as is true for the other sensory systems, the geniculocalcarine fibres terminate mainly in layer 4.
3
Layer 1
Layer 2 & 3
Layer 4
Layer 5 & 6
Physiology
null
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single
True about mucosa associated lymphoma -a) H. Pylori predisposesb) Chemotherapy sensitivec) Multiple lymphomasd) Stromal polyp
null
2
ac
ab
ad
bc
Medicine
null
a5f49dee-8275-4140-af1a-8459704450ec
multi
Group of alleles that are closely linked together at a genomic locus & inherited together as a cluster is/are:
Ans. (B) Haplotype( )The entire human genome now can be divided into blocks known as haplotypes, which contain varying numbers of contiguous single nucleotide polymorphisms on the same chromosome that are in linkage disequilibrium & hence inherited together as a clusterA haplotype refers to a group of alleles that are ...
2
Idiotype
Haplotype
Genotype
Phenotype
Biochemistry
null
9197fa9b-86c3-4357-920c-30dd3a509d62
multi
Which ion channel is effected in hypokalemic periodic paralysis?
Hypokalemic periodic paralysis is due to calcium channel mutations. Hypokalemic periodic paralysis, in which serum potassium drops during a paralytic episode, is the most common of the inherited periodic paralyses. Ref Davidson 23rd edition pg 366
4
K+
Na+
CI-
Ca2+
Medicine
Fluid and electrolytes
fa172468-6b8e-4eea-b136-5e86b7ee5dcc
single
All of the following are paraphilias EXCEPT:
Ans. (d) BisexualityRef: The Essentials ofFSM by K.S. Narayan Reddy 31st ed. / 402-403* Paraphilias: Abnormal 8c unorthodox sex play by using unusual objects or parts are know as paraphilia eg. Sadomasochism, Transvestism, Bestiality, Frotteurism, Homosexuality etc.* Bisexuality means hermaphrodite; an individual with ...
4
Bestiality
Frotteurism
Sadomasochism
Bisexuality
Forensic Medicine
Sexual Offenses and Dowry Death
c127f494-c976-4628-93c1-d870fb161b50
multi
The theory of "epidemiological web of causation" was forwarded by
For explaining the causation of such non-communicable diseases, in paicular, McMahon and Colleagues (McMahon and Pugh T. Epidemiology: Principle and methods 1st Ed, 1970) forwarded the theory of "epidemiological web of causation" Ref: McMahon and Colleagues. Text book on Public Health and Community Medicine pg: 19.
2
Robe Koch and Louis Pasteur
McMahon and Colleagues
Henle-Koch
John Stua Mill
Social & Preventive Medicine
Concept of health and disease
c598384f-985a-4de5-971d-cf6ba7cb9df9
single
The type of Diphtheria with highest moality is -
Ans. is 'c' i.e., Laryngeal
3
Pharyngeal
Nasal
Laryngeal
Conjuctival
Microbiology
null
be43dbf6-88d7-4abb-997f-a9d02efdc642
single
Stress-induced hyperglycemia is due to:
A i.e. Glucocoicoids; B i.e. GH; C i.e. Epinephrine
4
Glucocoicoids
GH
Epinephrine
All
Physiology
null
4a6a166f-6890-4afe-ae3e-2649c0c3f256
multi
A 63-year-old man presents with weakness and hemoptysis, but no fever, cough, or sputum. He has a 60-pack-per-year history of smoking. The chest x-ray (CXR) reveals a lung mass with mediastinal widening. On examination, there is a blue purple discoloration of the upper eyelids and erythema on his knuckles. He has proxi...
This man has dermatomyositis, a paraneoplastic phenomenon of many cancers. The most common tumors associated with DM have been bronchogenic carcinomas, ovarian cancers, breast cancers, and melanoma but many others have occurred. The malignancy may antedate or postdate the myositis. Older age makes malignancy more likel...
3
SLE
scleroderma
dermatomyositis (DM)
polyarteritis
Medicine
Miscellaneous
1678c7e9-8148-4257-9d22-05bc7b8bb4a6
single
Quinidine exes its action on the hea by
It is d-isomer quinidine is used as an antiarrhythmic drug. Quinidine blocks myocardial Na channels. Class 1a group of drugs- quinidine, procainamide, disopyramide Ib: Lidocaine, phenytoin Ic-encainide, flecainide Ref: KD tripathi 8th ed.
2
Ca2+ channel blockade
Na+ channel blockade
K+ channel opening
Cl- channel opening
Pharmacology
Cardiovascular system
75628e87-c633-4d6b-8c8e-68916fd44ff4
single
STYLOHYOID muscle is supplied by ?
Ans. is 'a' i.e., Facial
1
Facial
Glossopharyngeal
Ansa cervical
Vagus
Anatomy
null
8c4fa907-8658-4ab6-9dcc-7f0d4c5c6564
single
Which of the following does NOT scavenge free radicals in the lens?
Vitamin A Repeat from - May 08 & May 07 Antioxidant mechanisms within lens - Superoxide dismutase - Glutathione peroxidase - Catalase - Vitamin C (Ascorbic acid) - Vitamin E
1
Vit A
Vit C
Vit E
Catalase
Ophthalmology
null
717e0ca6-1712-4e05-a3d4-452a3d9a4cb7
single
Best indicator of Ovarian reserve :
None of the ovarian reserve tests currently in use are accurate predictors for pregnancy With current methods, basal FSH concentration is simplest and most widely used to test ovarian reserve. Levels greater than 10 IU/L (10-20 IU/L) have high specificity (80-100%) for predicting poor ovarian response to ovulation. Ser...
1
AMH
Estradiol
LH
FSH/LH Ratio
Gynaecology & Obstetrics
Gynaecological diagnosis and operative surgery
196bd06c-f0f2-48c0-a38e-872d7239a8db
single
Which line represent the disease directly causing death, in death certificated -
Ans. is 'a' i.e., Ia * The basis of mortality data is death certificate. For ensuring national and international comparability, it is necessary to have a uniform and standardized system of recording and classifying deaths. For this purpose WHO has recommended international death certificate.* Consist of four lines:-# L...
1
Ia
Ib
Ic
II
Social & Preventive Medicine
Concept of Health and Disease
abfcb3fd-ad28-4155-abd0-def8d2de879e
single
Spliting of the glomerular basement membrane is seen in -
Ans. is 'c' i.e., Membranoproliferative glomerulonephritis
3
Acute glomerulonephritis
Membranous glomerulonephritis
Membranoproliferative glomerulonephritis
Good pasture's syndrome
Pathology
null
d35c7122-eaa0-482a-b4c0-e2e06803e424
single
Cochlear microphonic potentials exhibits
i.e. (Produced by outer hair cells):COCHLEAR MICROPHONIC (CM) - when basilar membrane moves in response to sound stimulus, electrical resistance at the tip of hair cells changes allowing flow of K+ through hair cells and produces voltage fluctuations called cochlear microphonic. It is an alternating current (AC) potent...
1
Produced by outer hair cells
Produced by inner hair cells
Electrodes have to be inserted over round window
Surface electrodes can not measure it
ENT
Ear
b2e9c1ab-efa9-488e-b1ff-09dc981c678c
single
Which has the maximum bioavailability?
Among statins, fluvastatin is having a good oral bioavailability Pravastatin- approved for children above 8 years Ref: KD Tripathi 8th ed
1
Fluvastatin
Atorvastatin
Pravastatin
Simvastatin
Pharmacology
Cardiovascular system
15d6ad1c-48a8-453f-ba1b-61b1e568f8f9
single
Adult patient with multiple scaly macules over chest and back, test which can diagnose this condition is/ are?
Ans. is 'd' i.e., All the above Information in this question Adult patient Hypopigmented macule With scales Over chest and back Most probable diagnosis is: Pityriasis versicolor Diagnosis of Pityriasis versicolor Examination of scales in 10% KOH shows sho hyphae and round spores (Sphagetti and meat ball appearance). Wo...
4
10% KOH moun
Wood Lamp examination
Skin biopsy
All the above
Skin
null
d3b128de-a388-45e0-b307-a5ec1205b267
multi
Parasympathetic stimulation results in
Parasympathetic stimulation results in increased peristalsis. Generally, the stimulation of parasympathetic nerves(PNS) causes an increase in the activity of the entire enteric nervous system. This, in turn, enhances the activity of most gastrointestinal functions. PNS stimulation causes: Contraction of smooth muscles ...
2
Sphincter closure of gall bladder
Increased peristalsis
Decreased GI motility
Decreased pancreatic secretion
Physiology
G.I.T
36e9efee-2dbd-4d5b-b4d0-3f31a35f8fc1
multi
Radiographically 'Sequestrum' formed in osteomyelitis is:
null
1
More opaque than healthy bone
Same opaque than healthy bone
Less opaque than healthy bone
None of the above
Radiology
null
11fa9501-0fd6-44e7-98ca-d9afc9adb908
multi
Down beat nystagmus could be due to-a) Cerebellar lesionb) Arnold - Chiari malformationc) Optic neuritisd) Pontine lesion
Upbeat nystagmus → lesions of central tegmentum of brain stein. Downbeat nystagmus → Cerebellar lesions and Arnold chiari syndrome. It is due to posterior fossa disease and compression at foramen magnum level.
3
ac
a
ab
bc
Ophthalmology
null
e3623a20-3c5a-438a-97e3-b6147c5ab373
single
Following surgical removal of a firm nodular cancer swelling in the right breast and exploration of the right axilla, on examination the patient was found to have a winged right scapula. Most likely this could have occurred due to injury to the :
Ans. is 'c' i.e. Long Thoracic nerve Winging of the scapula ie. excessive prominence of the medial border of the scapula (Normally the pull of serratus anterior muscle keeps the medial border against the thoracic wall) is seen in injury to the long thoracic nerve. Long thoracic nerve supplies the serratus anterior musc...
3
Subscapular muscle
Coracoid process of scapula
Long thoracic nerve
Circumflex scapular artery
Anatomy
Breast Region
bf758514-da58-4a93-a923-7aa297ffed51
single
Isotope used for liver scan is:
Ans. Technetium
1
Technetium
Its'
Cobalt 60
null
Radiology
null
d786b963-6c15-47f5-bd05-f9240ac1e63b
multi
Appropriate material for antenatal diagnosis of genetic disorders includes all of the following except :
Ans. is d i.e. Maternal Urine Prenatal genetic diagnosis can be made by : Method Sample and study material Chorion villus sampling Amniocentesis Cordocentesis Maternal serum alpha feto protein Triple test Chorion villi -Trophoblastic cells are obtained from Amniotic fluid Fibroblasts Fetal blood White blood cells of fe...
4
Fetal blood
Amniotic fluid
Chorionic villi
Maternal urine
Gynaecology & Obstetrics
null
e40f11c9-24b1-480f-86a7-1f381d1fa348
multi
Most common site of berry's aneury sm is-
Ans. is 'c' i.e., Junction of anterior cerebral artery and anterior communicating arteryBerry aneurysmo The further away the aneurysm from the anterior circulation or from the circle of willis , the less common will be its rate of occurance.o Berry aneurysm orSaccualr aneurysm or Congenital aneurysm is the most frequen...
3
Vertebral artery
Basilar artery
Junction of anterior cerebral artery and anterior communicating artery
Posterior cerebral artery
Pathology
Cerebrovascular Diseases
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single
In a positive tuberculin skin test, helper T cells assist in which of the following ways?
In a tuberculin skin test, T cell proliferation is increased by secretion of interleukins. An extract of tuberculin (an antigen of lipoprotein composition obtained from the tubercle bacillus) is injected into the skin of a person who has had tuberculosis or has been immunized against tuberculosis. Merriory helper T cel...
3
Autocrine-mediated inhibition of proliferation of helper T cells
The down regulation of IL-2 receptors on helper T cells
Secretion of interleukins that promote T cell proliferation
Secretion of IL-I
Unknown
null
9d4e072d-2f8c-484e-a62f-04dbbd003c7d
single
Telefono means -
Ans. is 'c' i.e., Beating on ears o Telefono: Simultaneous beating of both ears with the palm of hands. This may lead to rupture of tympanic membrane, causing pain, bleeding and hearing loss. It is difficult to detect this. The external ear may also get tom during pulling of the ears.o Falanga : beating of soles with b...
3
Beating on soles
Beating on palms
Beating on ears
Pulling of hair
Forensic Medicine
Forensic Psychiatry
88cb9d26-505c-4eb7-abbb-dfd5b107668b
single
With respect to dating of a bone, a bone more than 100 years old contain:
Dating of skeletal remains 1.Nitrogen content <50 years old:4-5 g%, 50-100 years old: 3.5g% 2.Amino acids: Total: 15 AA (glycine & alanine Predominant) > 50 years: Hydroxyproline and proline disappear. > 100 years old: 7AA 3.Blood pigment tests positive for upto 100 years. 4.UV fluorescence: Fresh bone will fluoresce a...
1
7 amino acids
9 amino acids
6 amino acids
8 amino acids
Forensic Medicine
Human identification
cf587815-fd68-43db-a172-5734e0f70ff1
single
Schwartz s sign is seen in:
Ans. (a) OtosclerosisRef: Dhingra 5th Ed. /. 461, 98-99* Schwartz sign is a pink reflex, seen through intact tympanic membrane, in the area of oval window. It indicates active otosclerosis usually during pregnancy.* Otosclerosis is an abnormal bone growth in the middle ear that causes hearing loss.Symptoms* Hearing los...
1
Otosclerosis
Meniere's disease
Retrocochlear lesion
null
ENT
Otosclerosis
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multi
Which of the following is a classical symptom of depression?
Ans: C (Guilt) Ref: Synopsis of psychiatry-, Kaplan & Sadock, 10th editionExplanationDepressionIt is a common psychiatric syndrome characterized by persistent & pervasive sad mood,Because of such sad mood, the person might feel guilty, which in turn gives rise to thoughts like worthlessness, hopelessness & helplessness...
3
Altered sleep pattern
Weight loss
Guilt
Decreased appetite
Psychiatry
Major Depression
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single
Tangier disease is characterized by
DyslipoproteinemiasDefectRemarksFamilial alpha-lipoprotein deficiencyTangier diseaseFish-eye diseaseApo-A-I deficienciesAll have a low or near absence of HDLA tendency toward hyperiacylglycerolemia as a resultof the absence of apo C-ll, causing inactive LPL. Low LDLlevels. Atherosclerosis in the elderlyRef: Harper&;s b...
1
Low HDL
Defective LDL receptors
No chylomicrons
Overproduction of VLDL
Biochemistry
miscellaneous
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single
Muscle pain, nephropathy with proximal tubule proteinuria caused by which metal poisoning?
(B) Cadmium[?]CADMIUM POISONINGoThe disorder of reabsorption proteins appears as a tubular proteinuria.oIt is observed in case cadmium poisoning, hypoxia, burns, septicemia.oModerate tubular in sufficiency is characterized by rather albumins & other proteins with weight up to 40 kD is characterized in urine (selective ...
2
Arsenic
Cadmium
Mercury
Lead
Forensic Medicine
Toxicology
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single
In which case Anterior resection is the method of t/t -
Anterior resection is the general term used to describe operations in which rectosigmoid part is resected from an abdominal approach with no need for perineal, sacral or other incision. Resection of the rectosigmoid colon performed above the pelvic peritoneum is called high anterior resection, whereas an operation in w...
2
Ca sigmoid colon
Ca rectum
Ca colon
Ca anal canal
Surgery
null
70c1cb7b-3a55-4af8-8b2f-5c06bbfc3cb7
single
Drug that can be used against anaerobic: streptococci: March 2007
Ans. D: Clindamycin Clindamycin is used primarily to treat infections caused by susceptible anaerobic bacteria, including infections of the respiratory tract, skin and soft tissue infections, and peritonitis. In patients with hypersensitivity to penicillins, clindamycin may be used to treat infections caused by suscept...
4
Penicilin
Erythromycin
Vancomycin
Clindamycin
Pharmacology
null
5b22f337-8641-413e-857d-3480a61ad8a4
single
Which of the following is prophylactic treatment of Rheumatic hea disease?
Prevention of rheumatic fever/ hea disease: Type Adults Children Remarks Primary prevention Benzathine benzyl Penicillin 1.2 million unit Benzathine benzyl Penicillin 600,000 units Single dose intramuscular Secondary prevention Benzathine benzyl Penicillin 1.2 million unit Benzathine benzyl Penicillin 600,000 units Rec...
3
Ampicillin
Penicillin G
Benzathaine penicillin
Phenoxy-methyl penicillin
Social & Preventive Medicine
NCDs: CHD, HTN, DM, RF, Cancers, Obesity, Blindness
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single
The millet rich in calcium is -
Calcium content of ragi is 344.0 per 100gram.And that if bajra is 42.0 and of jowar is 25.0.(Ref.PARK'S textbook of social and preventive medicine 21st edition page no.579 table 18)
2
Rice
Ragi
Jowar
Bajra
Social & Preventive Medicine
Nutrition and health
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single
Which of the tumours are of viral origin ?
Ans. is 'a' i.e., Laryngeal papilloma; 'b' i.e., Nasopharyngeal carcinoma; 'c' i.e., Lymphoma Impoant tumors of viral etiology Virus Tumor HPV Cervical, vulvar & penile cancers squamous cell carcinoma EBV Nasopharyngeal Ca. Burkitt's lymphoma HBV, HCV Hepatocellular Ca. HIV Kaposi sarcoma, Non-hodgkins lymphoma, SCC HT...
4
Laryngeal papilloma
Naspharyngeal carcinoma
Lymphoma
All
Pathology
null
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multi
When an inddividual is resting in a room with the air temperature 21degC and the humidity of 80%, the greatest amount of heat lost from body is by
During intense exercise, the body loses 85% of its heat through sweating. Radiation (similar to heat leaving a woodstove). This normal process of heat moving away from the body usually occurs in air temperatures lower than 68degF (20degC). The body loses 65% of its heat through radiation. Ref: guyton and hall textbook ...
4
Elevation of body metabolism
Vaporisation of sweat
Respiration
Radiation
Physiology
Nervous system
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single
Wilson's disease is due to mutation in which gene
Wilson's disease is due to mutation of ATP7B gene on chromosome 13q
2
WT - 1
ATP7B
ATP7A
LMK - 2
Pathology
null
bd59f375-a145-469c-94ac-b9e54f547526
single
True about Giardia is
Giardia can cause traveller's diarrhea. Other protozoal causes of traveller's diarrhea Entamoeba histolytica Cyclospora Cryptosporidium Giardia inhabits the proximal small intestine i..e, duodenum and upper jejunum (not ileum) The infective stage for giardia infection is a cyst (not trophozoites).
1
May cause traveller's diarrhoea
Giardia inhabits ileum
Trophozoites are infective to man
None of the above
Microbiology
null
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multi
Middle deft upper lip due to failure of fusion b/w
Defect Caused by Cleft upper lip Failure of fusion between maxillary process and medial naral process Medial deft upper lip Failure of fusion between maxillay process and medial and lateral naral process Oblique facial deft Failure of fusion between maxillary process and medial lateral naral process Lower lip d...
2
Maxillary process
Medial naral process
Medial and lateral naral process
Medial naral process and maxillary process
Anatomy
null
93c49d73-aacb-49df-97ba-5109efd6af13
single
Community health centers provide ?
Ans. is 'b' i.e., Secondary health care
2
Primary health care
Secondary health care
Teiary health care
Any of the above
Social & Preventive Medicine
null
446f1358-b97c-4238-aac3-86fc02c7109f
multi
Trotter triad not included is ?
Ans. is 'd' i.e., Seizures Trotter's triad Trotter's triad occurs in nasopharyngeal carcinoma It includes :- i) Conductive deafness (due to Eustachian tube blockage) ii) Temporo - parietal neuralgia (due to involvement of ipsilateral Vth cranial nerve) iii) Palatal paralysis (due to involvement of Xth cranial nerve)
4
Conductive deafness
Temporoparietal neuralgia
Palatal paralysis
Seizures
ENT
null
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single
In Complete ACL rupture the tibia moves over the femur in which direction -
Ans. is 'a' i.e., Forward ACL injuryo ACL is the most commonly injured ligament of knee.o Most common mechanism of injury is twisting (medial rotation) with valgus injury on semiflexed kneeo Often with this mechanism MCL and medial meniscus are also injured. This triple injury of ACL, MCL and medial meniscus is called ...
1
Forward
Backward
lateral
Medial
Orthopaedics
Knee Ligament Injuries
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single
Serum lithium levels for mania should be maintained in between
Lithium is a mood stabilizer It is used for the treatment of mania it was introduced by John F Cade it is a liver friendly drug it should not be given in patients with renal abnormalties it has a narrow thereaputic index above 0.8-1.2 meq/L it leads to lithium toxicity TOC for lithium toxicityis HEMODIALYSIS Therapeuti...
2
0.2-0.8 meq/l
0.8-1.2 meq/l
2-2.5 meq/l
1.2-2 meq/l
Psychiatry
Mood disorders
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single
Removal of bacteria is:
null
1
Better with slow sand filter
Better with rapid sand filter
Equal with both
Depends on hardness of water
Dental
null
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multi
The apex of the Bonwill's Triangle is located at the:
Bonwill triangle - An equilateral triangle formed by lines from the contact points of the lower central incisors, or the medial line of the residual ridge of the mandible, to the condyle on either side and from one condyle to the other.
4
Anterior tip of the incisive papilla
Upper central incisor's contact point
Anterior most point on the chin
Lower central incisor's contact point
Dental
null
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single
Gas in great vessels of fetus indicates:
Fetal death
3
Fetal distress
Post mature fetus
Fetal death
Premature fetus
Gynaecology & Obstetrics
null
c30f1903-2597-4593-9967-b560b44ebba0
single
Bile acids are reabsorbed from ?
Ans. is 'd' i.e., Ileum
4
Duodenum
Proximal jejunum
Distal jejunum
Ileum
Physiology
null
db7baad8-90d3-4b56-9d7c-699589ad3a35
single
Substance utilized for barium meal follow through study: September 2011
Ans. B: Barium sulphate Since there is no natural contrast in the alimentary tract, its radiographic demonstration required the use of aificial contrast medium Barium sulphate, through which X-rays can not pass, is the contrast universally employed in performing alimentary tract studies
2
Barium carbonate
Barium sulphate
Barium oxide
Barium hydroxide
Radiology
null
756443b5-fe79-4cd0-8a9f-1ef989141080
single
Physiological jaundice in preterm infant lasts upto: September 2011
Ans. D: 14 days Physiological jaundice usually appears on 2nd and 3rd day and disappears by 7-10th day, a little later in premature neonates Jaundice in paediatrics: Unconjugated bilirubinemia: - Criggler Najar syndrome (I and II) - Physiological jaundice - Breast milk jaundice Conjugated bilirubinemia: - MC cause: Idi...
4
5 days
7 days
10 days
14 days
Pediatrics
null
7c19f021-11ea-457e-ab98-27e6672222bc
single
Hernia that is least likely to strangulate is ?
Ans. is 'b' i.e., Direct inguinal hernia "As the neck of the sac is wide direct inguinal hernias do not often strangulate".A hernia is said to be strangulated when the blood supply of its content is seriously impaired.Most constricted pa of the hernia is its neck.Therefore strangulation develops in hernias in which nec...
2
Femoral hernia
Direct inguinal hernia
Indirect inguinal hernia
Umbilical hernia
Surgery
null
c3c44b2d-0b29-41d3-9d7c-bbea8fcfbeb4
single
RNA primer in eukaryote is formed by -
Ans. is 'b' i.e., RNA polymeraseo DNA synthesis cannot commence with deoxyribonucleotides because DNA polymerase cannot add a mononucleotide to another mononucleotide.o Thus, DNA polymerase cannot initiate synthesis of complementary DNA synthesis strand of DNA on a totally single stranded template.o For this, they requ...
2
Ligase
RNA polymerase
Topoisomerase
Helicase
Biochemistry
Transcription
1986ed83-f421-4602-af1b-6b9d33b2b6b4
single
A 5-year-old child is brought to the hospital with the complaint of fever, cough, breathlessness and chest pain. On examination he is found to be dull, but irritable with fast pulse (116/min), rapid breathing (RR 50/min) and indrawing of lower chest during inspiration, wheezing, crepitations and mild ...
Since the child is seriously ill, a fast and more predictable action of the antibiotic is needed; a parenteral route of administration is appropriate. Moreover, oral dosing may be difficult in  this  case  as  the  child  is  dull  and  irritable.  Entering  a  vein  for  i.v.  injection  is  relatively difficult  in  ...
3
Oral
i.m.
i.v.
s.c.
Pharmacology
null
7ffa620c-aa61-4cf2-a7ca-5061d91c3c82
multi
True statement of Buerger's desease is/are -a) Small and medium sized vessels involvedb) Commonly involves upper limb than lower limbsc) Common in maled) Common in female
Buerger's ds. may involve both upper or lower extremity. It is more common in lower limbs
3
a
bc
ac
b
Surgery
null
f797d23c-609a-4fe1-9c47-c2e96c6b1060
multi
Which of the following muscles is included in 'Triceps surae'?
The superficial muscles - gastronemius, plantaris and soleus are referred as triceps surae or gastro- soleus. This is responsible for plantar flexion. Triceps surae is supplied by posterior tibial nerve.
1
Plantaris
Popliteus
Extensor hallucis longus
Extensor digitorum longus
Anatomy
Muscles of Lower Limb
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multi
Secretory vesicles are transported -
Ans. is 'd' i.e., Have no relation with concentration gradientExoevtosiso Exoevtosis is a reverse of endocytosis. This process is involved when secretory granules are extruded from the cell. When secretory vesicle comes in contact with inside of cell membrane, the membrane of the vesicle fuses with cell membrane and th...
4
Along concentration gradient
Against concentration gradient
May be along or against concentration gradient
Have no relation with concentration gradient
Physiology
Pituitary
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single
Most common complication of Colies fracture is:
Ans: a (Malunion) Ref: Maheswari, 4th ed, p. 95Most common complication of colies fracture is stiffening of fingers followed by malunion.Remember - A colies fracture always unites but malunites.Complications of Colle's fracture:1. Finger stiffness-- most common complication2. Subluxation of inferior radio-ulnar j oint3...
1
Malunion
Non-union
Sudek's osteodystrophy
Gunstock deformity
Orthopaedics
Injuries Around the Fore Arm & Wrist
1985faa3-dd5a-44e7-a527-27c69f753f8a
single
Red velvety appearance of stomach mucosa is seen in the poisoning of
(Refer: Rajesh Bardale - Principle of Forensic Medicine & Toxicology, 1st edition, pg no: 430)
2
Lead
Arsenic
Copper
Mercury
Pathology
All India exam
4b5b9ff9-6ea9-4894-9879-3c38e073f1de
single
Centrally acting sympatholytic agent used as anti hypeensive agent is:
Clonidine, moxonidine,relminidine are centrally acting antihypeensives They cross the blood-brain barrier and stimulates alpha2A receptors in vasomotor Centre and decreases sympathetic outflow from VMC. This lead to a decrease in blood pressure. (REF: ESSENTIALs OF MEDICAL PHARMACOLOGY-K.D TRIPATHI 8th Edition)
2
Propanolol
Moxonidine
Prazosin
Phenoxybenzamine
Pharmacology
Cardiovascular system
cbc0a5e9-b329-4ec2-8ede-dd844df856df
multi
A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs of last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5`h fingeron left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrica...
Answer is A (Polyaeritis nodosa): Renal disease manifesting as hypeension without RBC cast in urine (No glomerulonephritis) is characteristic of polyaeritis Nodosa Digital gangrene is usually associated with vasculitis of medium sized vessels. Amongst options provided PAN is a medium vessel vasculitis and presence of d...
1
Polyaeritis nodosa
Systemic lupus erythematosus
Wegener's granulomatosis
Microscopic polyangitis
Medicine
null
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multi
Acute and transient psychotic disorder, onset of symptoms -
Ans. is B < 2 weeks Acute and transient psychotic disorder o These psychotic disorders are characterized by an abrupt (less than 48 hours) or an acute (Less than 2 weeks) onset of symptoms. Three types have been recognized (according to ICD-10). 1) Acute polymorphic psychotic disorder without symptoms of schizophrenia ...
2
< 1 weeks
< 2 weeks
< 3 weeks
< 4 weeks
Unknown
null
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single
Agoraphobia is a disorder characterized by all, except
Visual hallucinations
1
Visual hallucinations
Avoidance of situations in which it occurs
Presence of panic symptoms
Avoidance of being outside alone
Psychiatry
null
cc5abe04-d93a-4ef1-9c89-c4665a3915d2
multi
The following organisms are known to develop resistance to Penicillin except :
null
4
Staphylococcus
Streptococcus
Pneumococcus
Treponema
Pharmacology
null
8c92fb7f-ea97-4e89-94da-ebdd2a386897
multi
In the presence of ADH, greatest fraction of the filtered water is reabsorbed from:
65%-70% of the filtered water is reabsorbed from the PCT. This is called obligatory water reabsorption and occurs irrespective of the osmolarity of ECF. In the complete absence of ADH action, 88% of the filtered water is reabsorbed from various segments of nephron. 10%-12% water is reabsorbed from collecting duct under...
1
PCT
Loop of Henle
DCT
Collecting duct
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
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single
Ganga Ram a 19 years old male with a sho history of pain in the right groin that worsens at night time and has a small circumscribed sclerotic swelling over diaphysis of femur. Likely diagnosis is:
Osteoid Osteoma - Night pain relieved on taking salicylates (NSAID) - Coical tumor "thickened coex" (CT) - In diaphysis shows Nidus- Lytic center with sclerotic margin Rx: Radio-frequency Ablation -Preferred X-ray CT scan
4
Osteoclastoma
Osteosarcoma
Ewing's sarcoma
Osteoid osteoma
Orthopaedics
Ohopaedics Q Bank
a7313472-2eb0-4e6d-aa36-8a5b5904a506
multi
Which of the following drugs is used for the treatment of multiple sclerosis?
Ans. is 'b' i.e. Interferon - beta Treatment of multiple sclerosis o Multiple sclerosis is an autommune disease characterized by chronic inflammatory demylination that affects the CNS. o The most common course of the disease is the relapsing-remitting subtype, which is characterized by unpredictable acute attacks (rela...
2
Interferon-alpha
Interferon-beta
Interferon-gamma
Infliximab
Pharmacology
null
3555ea44-3929-43c5-9f38-a15a43236c51
single
Which of the following is purification of water at large scale - a) Disinfection of well b) Rapid sand filterc) Slow sand filterd) Household purification
Purification of water Purification of water is of great importance in community. The method of treatment to be employed depends upon the nature of raw water, and the desired standards of water quality. For example ground water (deep well, tube well and springs) may need no treatment. On the other hand surface water (...
1
bc
c
ac
ad
Social & Preventive Medicine
null
dfab8b27-9396-4660-be44-cd76e04a1ff4
single
Accidendal chocking of respiratory passage by bolus of food -
Ans. is 'c' i.e., Cafe coronary TermsMeaningAutoerotic hangingVictims usually young males (with masochism or transvestism) enhance sexual pleasure by compressing the blood vessels of neck by any means.LynchingWhen several persons acting jointly and illegally over power an individual and hang him.Mugging (choke-holding)...
3
Gaging
Overlying
Cafe coronary
Burking
Forensic Medicine
Injuries
2ff9b420-862b-4ce3-9764-030f7d3b6965
single
Patch test is read after –
Patch test Patch test is done in cases of contact dermatitis to establish the etiological agent. This is a simple test involves application of suspected allergen as a patch, usually over upper back. The patch is removed after 48-72 hours and the reading is done and the skin is examined for any signs of dermatitis (er...
2
2 hours
2 days
2 weeks
2 months
Dental
null
78893da9-d103-4bfc-b80a-03c400c26c7f
single
The following statement is not true about the use of clonidine in the treatment of hypeension ?
Ans. is 'b' i.e., Increase in LDL-cholesterol on prolonged use o Clonidine is a selective a2 receptor agonist. It can act on peripheral a2 receptors also but its major hemodynamic effects result from action on central sites primarily in medulla (Vasomotor centre) o It stimulates a2 receptors present mainly postjunction...
2
Reduction in central sympathetic outflow
Increase in LDL-cholesterol on prolonged use
Sedation and xerostomia are common side effects
It can be combined with vasodialators
Pharmacology
null
154dae6c-79d3-448b-a1bf-71f9adeb0da4
multi
Treatment of hyperkinetic syndrome includes
CNS stimulants are the first choice agents in that they have been shown to have greatest efficacy with generally mild tolerable side effect. Excellant safety record is documented fro sho and sustained release preparations of Methylphenidate, dextroamphetamine and dextroamphetamine and amphetamine salt combinations. Met...
2
Imipramine
Methylphenidate
Haloperidol
Clozapine
Psychiatry
Child psychiatry
b9468c3e-6af6-4fac-8203-d63a448e1519
single
Group function occlusion is common in:
null
3
10-14 years
15-25 years
Above 30 years
Edentulous patients
Dental
null
d05070a9-5c58-471c-9f4f-a3de81c84dcf
multi
Modified Cornoy's solution, used as a chemical cauterization agent, has which of these components missing from original Cornoy's solution?
100% ethanol: chloroform: glacial acetic acid in 6:3:1 radio with ferric chloride. Modified versions are chloroform free, however their effectiveness is not clear.
1
Chloroform
Glacial acetic acid
Ferric chloride
Alcohol
Surgery
null
17f33a4e-9a44-4fb1-bec5-d4be4874dc72
single
Which of the following feature on second trimester ultrasound is not a marker of Down's syndrome:
USG findings in downs syndrome are Intrauterine growth restriction Mild cerebral ventriculomegaly Choroid plexus cysts Increased nuchal fold thickness Cystic hygromas Diaphragmatic hernia Echogenic intracardiac foci Congenital hea defects Increased intestinal echogenicity Duodenal atresia ("double-bubble sign") Renal p...
3
Single umbilical aery
Choroids plexus cyst
Polycystic kidneys
Duodenal atresia
Gynaecology & Obstetrics
Prenatal Diagnosis
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single