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TB spine most commonly affects?
ANSWER: (C) ThoracicREF: Tuberculosis of skeletol system SM tuli 3rd e p, 192Important points about skeletal TBMost commonSite: vertebralSite in vertebra: lowerthoracic or dorsolumbar Route of spread: hematogenousType: paradiscalSymptom: back pain
3
Lumbar vertebra
Cervical
Thoracic
Sacral
Orthopaedics
Skeletal Infections
71c5cc98-fa07-4c11-992d-6354347b55ff
single
Drug of choice in Neonatal ITP is -
Ans. is 'd' i.e., Gammaglobulin Treatment of neonatal ITP o Prenatal administration of coicosteroids to mother. o IV immunoglobulin or sometime coicosteroids to the infant after delivery. Treatment of ITP in children IV immunoglobulin is the treatment of choice. Glucocoicoids are often used in combination.
4
Platelet transfusion
Prednisolone
Dexamethasone
Gammaglobulin
Pediatrics
null
2e213595-b5c7-4b8b-836a-8f12af757ac4
single
Reduvid bug is a vector for the transmission of-
null
4
Relapsing fever
Lyme's disease
Scrub typhus
Chaga's disease
Microbiology
null
76103740-d2d7-4d7d-9cac-21ae39fcb06e
single
Foreign body from trachea most common goes to right bronchus due to -
Ans. is 'b' i.e., Wider & in continuous line with trachea o Trachea bifurcates at Carina (at Lower border of T4 vertebra at T4-T5 disc space) into right and left principal (primary) bronchi.o Right principal bronchus is wider, shorter (2-5 cm long), and more vertical in the line of trachea (25deg with median plane).o T...
2
Right bronchus shallow
Wider & in continuous line with trachea
Right bronchus is longer
Right bronchus is horizontal
Anatomy
Trachea
dfc07ffb-c35b-4ae6-88b6-eb90f858dfe3
multi
On Contrast.radiography which among thefollowing is false?
Distal pa of duodenum has a cap The first pa of the duodenum has the duodenal cap or bulb and not the distal pa.The first pa of the duodenum is visible as a triangular shadow on barium studies and is k/a duodenal cap.The small intestine contains mucosal folds known as plicae circulares or valvulae conniventes that are ...
4
>Ileum is featureless
>Colon has haustrations
>Jejunum is feathery
Distal pa of duodenum has a cap
Anatomy
null
5e0f3950-2174-41ef-8fd4-51c9a790d7cd
multi
Golden yellow jelly fungus is ?
Ans. is 'c' i.e., Trenella mesenterica The term jelly fungus is sometimes applied to any fungus with a jelly like fruiting body, but it is especially appropriate for the members of a group of texa traditionally assigned to the order Tremellales. Largest genus is Tremella, which consists of about 80 species. Tremella me...
3
T tursurans
T montegrophytes
Trenella mesenterica
E floccosum
Microbiology
null
7549773e-0180-4fa6-95ed-15eee96cbaf9
single
A patient after road traffic accident presented with tension pneumothorax. What is the first line of management?
Ans. a. Insert wide bore needle in 2nd intercostal space (Ref: Sabiston 19/e p1599; Schwartz 9/e p138; Bailey 25/e p342)First line of management in tension pneumothorax: Insert wide bore needle in 2nd intercostal space.'Treatment of tension pneumothorax consists of immediate decompression by rapid insertion of a large-...
1
Insert wide bore needle in 2nd intercostal space
Immediate chest X-ray
CT scan
Emergency thoracotomy
Surgery
Thoracic Injury
fec0a7c7-1799-4b0b-b045-cc32347bf132
single
Peau de orange appearance is due to
Ans. (d) Blockade of Subdermal lymphatics(Ref: Bailey and love 26/e, p 816)* Peau d orange - is due to infiltration of sub dermal lymphatics* Adherence to cooper's ligament - Tethering/Dimpling/Puckering
4
Hematogenous dissemination
Adherence of cooper's ligaments
Chest wall fixation
Blockade of sub dermal lymphatics
Surgery
Breast
dbeaf028-39cf-4a3f-872a-e379ec16177d
multi
Not involved in the stability of ankle joint
null
2
Deltoid ligament
Spring ligament
Anterior Talofibular ligament
Posterior Talofibular ligament
Orthopaedics
null
af293ae1-6b41-477a-9bf4-b87dd13676f5
single
Delusions are seen in all of the following, Except -
Conversion disorder is a neurosis. There are no delusions or hallucinations in neurosis.
4
Shizophrenia
Depression
Dementia
Conversion Disorder
Psychiatry
null
60a692e8-727a-4bbc-aec8-6376b75bf86a
multi
Ammonia in brain is trapped by -
Ans. is 'b' i.e., Glutamine o Ammonia is produced in most of the tissues. However, it should be transported to liver as urea cycle (formation of urea) occurs only in liver. Since free ammonia is highly toxic, it is never transported in free form in bloodo Two mechanisms are available for transport of ammonia from the p...
2
Alanine
Glutamine
Ornithine
Aspartate
Biochemistry
Urea Cycle and Disorders
3c0993dd-b9d5-461b-af56-a6f5b0aec65c
single
Automatization is:
The process of shifting a hydrogen atom from one carbon to another to produce enediols is referred to as automatization.
1
Shift of hydrogen
Shift of carbon
Shift of both
None of these
Unknown
null
a5c6498c-0da8-4d1b-b649-62f98781ecf8
multi
Antral puncture is done through:
In proof puncture or antral lavage, the lateral wall of inferior meatus is punctured with Lichtwitz trocar and cannula. This site is selected as bone is very thin here.
2
Superior meatus
Inferior meatus
Middle meatus
All
ENT
null
f9195113-8573-4cfe-a46a-0dab47591a12
multi
Highly toxic insecticide, according to WHO classification, are coded as:
Ans. c. Vellow (Ref: lhttp://en.wikipedia.org/wiki/Toxicity_ label)Highly toxic insecticide, according to WHO classification, are coded as Yellow.Toxicity labelsToxicity labels viz: red label, yellow label, blue label and green label are mandatory labels employed on pesticide containers in India identifying the level o...
3
Red
Green
Yellow
Blue
Social & Preventive Medicine
Environment and Health
00763b4b-5087-4811-8925-5c4e62d27c33
single
The most common etiology of sho stature is?
Sho stature Defined as height below third centile or more than 2 standard detions below the median height for age and gender according to the population standard. Children whose stature is more than 3 SD below the population mean for age and gender are more likely to be suffering from pathological sho stature as compar...
4
Thyroxine deficiency
Growth hormone deficiency
Systemic diseases
Constitutional growth delay
Pediatrics
Growth and development
75c4567e-b5c8-4b1d-aa7e-c96241a79aae
single
True about parosteal osteosarcoma -
This question is quite different from previous one. Though medullary cavity is not involved in parosteal osteosarcoma, some dedifferentiated type (grao sarcoma may involve medullary cavity. -- DD of bone tumor.
3
Same prognosis as medullary type
Never go to medulla
May involve medulla
All of the above
Orthopaedics
null
9f60650f-2765-4d57-8329-15aaccdc979c
multi
Which of the following shows deposition of IgA in dermal papilla -
Ans. is 'a' i.e., Dermatitis herpetiformis Immunopathological appearance of vesicobullous disorders* Bullous pemphigoid-Linear band of IgG or C3 in epidermal basement membrane* Pemphigus vulgaris-Cell surface deposits of IgG on keratinocytes* Pemphigus foliaceous-Cell surface deposits of IgG on keratinocytes* Pemphigoi...
1
Dermatitis herpetiformis
IgA papillomatosis of childhood
Bullous pemphigoid
Gestational herpes
Unknown
null
0ef228fe-7b48-45ff-b243-1ce54a492ba6
single
The condition known as REM sleep is -
C i.e. Referred to as paradoxical sleep
3
That point at which the
Indivudual becomes aware and ale.
Referred to as paradoxical sleep.
Characterized by total lack of all muscular activity
Physiology
null
ba064af8-7de8-47f5-8087-bce18a2ed1e1
multi
Valve of heister is seen in -
Ans. is 'a'- i.e., Cystic duct o The mucous membrane of the cystic duct forms a series of 5-12 crescentic folds, arranged spirally to form the so called spiral valve of Heister. This is not a true valve.o This question is a direct repeat from NBE based AI-2013
1
Cystic duct
Common bile duct
Common hepatic duct
Pancreatic duct
Anatomy
Hepatobiliary System
a1201ff6-7397-443e-ab41-ef0eb36c0d6a
single
Which of the following is most useful for reversing severe ergot induced vasospasm?
Nitroprusside is a mixed dilator and is highly effective agent against ergot induced vasospasm. It is also the drug of choice for most of the hypeensive emergencies.
3
Ergotamine
Methysergide
Nitroprusside
Phenoxybenzamine
Pharmacology
Histamine, 5-HT and PGs
66b82d7e-d09c-4a3e-b760-feca47a1ad17
single
Man is an intermediate host in life cycle of: September 2004
Ans. A i.e. Malaria Man is an intermediate host in Plasmodium Echinococcus Tinea solium Toxoplasma gondi
1
Malaria
Tuberculosis
Filariasis
Relapsing fever
Microbiology
null
0f7b3396-a3fa-42d7-92a7-21bb52a7ecc0
single
Most common tumor of middle mediastinum:
MC common tumor of Middle Mediastinum: Lymphoma. MC common mass of Middle Mediastinum: Brachogenic cyst***.
4
Pericardial cyst
Aneurysm
Mesenchymal tumors
Lymphoma
Surgery
null
571bc1de-a01a-49dd-918f-3c9148d12cfb
single
True about posttraumatic stress disorder :
A ie. Recall of traumatic events; B i.e. Associated with major trauma; C i.e. Disturb Sleep
4
Recall of traumatic events
Associated with major trauma like pelvic
Disturbed sleep
All
Psychiatry
null
6a87151d-c4c9-477b-85ce-e266556caa67
multi
wAll of the following are Digastric muscle, except
The digastric muscle has two bellies united by an intermediate tendon. ORIGIN- a.Anterior belly from digastric fossa of mandible. b.Posterior belly from mastoid notch of temporal bone. FIBRES- a. Anterior belly runs downwards and backward b.Posterior belly runs downwards and forwards INSEION- Both heads meet at the int...
4
Muscle fibers in the ligament of Treitz
Omohyoid
Occipitofrontalis
Sternocleidomastoid
Anatomy
Head and neck
6b38d0b4-41fa-4fc7-b4ff-1768e76c9a9c
multi
CSF Rhinorrhea occurs d/t
Commonest area of # causing CSF Rhinorrhea → cribriform plate of ethmoid bone as it is extremely thin. Other possible areas of # causing CSF Rhinorrhea Frontal sinus (Posterior wall) or of the anterior cranial fossa. Difference between CSF Rhinorrhea & allergic or vasomotor rhinitis CSF contains glucose which can be de...
3
Roof of orbit
Frontal sinus
Cribriform plate of ethmoid bone
Sphenoid bone
ENT
null
d2639fbf-9bcb-4d81-8092-37625b3baa06
single
True regarding pertusis is all, except -
null
1
Infectivity is highest in paroxysmal state
Cross immunity is not seen with B. parapertusis
Chronic carrier state is not seen
Secondary attack rate is 90%
Social & Preventive Medicine
null
266f075a-36cb-4117-9f8c-6e26ae5dec74
multi
The casting shrinkage in gold alloys is maximum in
null
2
Class II MOD inlays
Large class V restoration
Class II MO Restoration
Class 1 inlay
Dental
null
0e48ef42-601a-4cdc-ad2b-cc98ed701ca9
multi
Socio-security measures that are provided to the workers by which of the follow ing Act/Acts ?
Ans. is 'a' i.e., Factory Act; 'b' i.e., Central Maternity Benefit Act; 'c' i.e., Workman compensation Act o Factory laws have been framed in every country to govern the conditions in industry and to safeguard the health and welfare of the worker.
4
Factory Act
Central Maternity Benefit Act
Workman compensation Acts
All
Social & Preventive Medicine
null
ad0bf49b-081a-4f53-839b-6b02b9e7a164
multi
Which of the following associated with the highest cardiac moality
Refer kDT 6/e p 534 Angiotensin receptor blocker like losaan and Beta blocker like my temporal all are cardioprotective in congestive hea failure. This decrease the moality Nicorandil is a potassium channel openers used in angina. It is cardioprotective in causing ischaemic preconditioning Rofecoxib is a selective COX ...
1
Rofecoxib
Nicorandil
Losaan
Metaprolol
Pharmacology
Cardiovascular system
cdecebd7-fc63-4eee-8918-b89acb4c65f6
single
All of the following are associated with low complement levels except
Causes of glomerulonephritis associated with low serum complement - Post-infection glomerulonephritis- Subacutebacterialinfection: especially endocarditis- Systemic lupus erythematosus- Cryoglobulinaemia- Mesangiocapillaryglomerulonephritis, usually complementRef: Davidson's 22/e p501
3
Lupus nephritis
Mesangio capillary glomerulonephritis
Diarrhea-associated hemolytic uremic syndrome
Post-infections glomerulonephritis
Medicine
All India exam
95b463d7-6fad-46b6-98b7-ad2cb1c3b642
multi
Drug of choice for herpes simplex keratitis is :
null
1
Acyclovir
Ganciclovir
Amantadine
Interferon
Pharmacology
null
824b0d22-4cfd-4674-ba68-0850014d1ab6
single
Massive PPH may warrant following interventions:a) Hysterectomyb) Thermal Endometrial ablationc) Internal iliac A. ligation d) Balloon tamponadee) Uterine artery embolisation
null
4
bce
bde
abcd
acde
Gynaecology & Obstetrics
null
b47af644-021e-454b-ad65-3c9483de3af7
multi
Radiation protection shields are made up of-
Ans. is 'c' i.e., Lead o Effective preventive measure for high risk group e.g., X-ray technician is to use lead shields and lead rubber aprons.
3
Copper
Silver
Lead
Tin
Social & Preventive Medicine
null
ff68eadb-a891-49c6-a990-70522e31c63d
single
A female patient has dysphagia, intermittent epigastric pain. On endoscopy, esophagus was dilated above and narrow at the bottom. Treatment is:
Ans is 'd' i.e. Heller's Cardiomyotomy Ref: CSDT 13/ep430 This patient is having Achalasia cardia."A laparoscopic Heller myotomy and partial fundoplication is the procedure of choice for esophageal achalasia..... A laparoscopic Heller myotomy allows excellent relief of symptoms in the majority of patients and should be...
4
PPIs
Esophagectomy
Dilatation
Heller's Cardiomyotomy
Surgery
Esophageal Motility Disorders
fbb5df1e-6261-4ebc-b2d8-d3c23121153d
multi
Amount of oestrogen in MALA - D is :
30 pg
1
30 pg
50 lig
10 pg
80 pg
Gynaecology & Obstetrics
null
bb8db3e8-a179-44d7-a11d-3a0180413098
single
TRUE about Renshaw cell inhibition is:
D i.e. Inhibition of feed back propogation
4
Add on collateral sensation
Increases by local anaesthetics
Has memory for spinal cord.
Inhibition of feed back propogation
Physiology
null
42a8dc13-3cdf-4f6b-9baa-e6ea6da855c3
multi
All are true about Pthisis bulbi except
IOP will not increase in Pthisis bulbi.
3
Size of eye decreases
Calcification occurs in Bowman's layer of cornea
IOP increases in later stages
Treatment is enucleation operation
Ophthalmology
null
cef7c477-6819-4d73-8b86-e3fa894f8a71
multi
Normal intracranial pressure in a child is ?
Ans. is 'b' i.e., 50-80 mm of H20 CSF finding Pressure - 50-80 mm of H20 Leucocyte - < 5, . 75% lymphocyte Protein - 20-45 mg/dl Glucose - > 50 (2/3 of serum glucose
2
30-70 mm of H20
50-80 mm of H20
100-150 mm of H20
50-150 mm of H20
Pediatrics
null
a2697d3c-6709-4924-a6a2-3cb896359544
single
A man, after skinning a dead animal, developed a pustule on his hand. A smear prepared from the lesion showed the presence of Gram positive bacilli in long chains which were positive for McFadyean's reaction. The most likely aetiological agent is-
null
3
Clostridium tetani
Listeria monocytogenes
Bacillus anthracis
Actinomyces sp
Microbiology
null
c7d26f39-62ad-40d7-93c2-94cf13da4a66
single
At 34 weeks multigravida with previous 2 normal delivery has an unstable lie with the present pregnancy. It can be due to:
Placenta pre can be associated with several other conditions, including malpresentation, unstable lie, preterm premature rupture of membranes, and intrauterine growth restriction. There may also be an increased risk of congenital anomalies; however, there is no association with any specific anomaly. Ref: Wagner S.A. (2...
2
Oligohydramnios
Placenta pre
Pelvic tumor
Uterine anomalies
Gynaecology & Obstetrics
null
f6b4d85f-abda-4add-b61a-0615aacbc419
single
The commonest cause of acute otitis media in children is
The commonest cause of Acute otitis media is Streptococcus pneumoniae in all age groups.Other agents- H. Influenzae, Moraxella catarrhalis, and Pseudomonas.Ref: Hazarika; 3rd ed; Pg: 149
2
H influenza
S pneumonia
S aureus
Pseudomonas
ENT
Ear
da12f59e-3afb-44a4-8a1e-1107246d6fd3
single
Most specific indicator of liver injury?
Most specific indicator of liver injury is: ALT: SGPT (product present in cytosol that come in blood due to injury) AST: SGOT, present in cardiac tissue/liver so it's not specific SAP: (Cholestasis marker) Do not indicate hepatocyte necrosis 5' nucleotidase: Cholestasis marker
1
ALT
AST
SAP
5' nucleotidase
Medicine
Hepatic encephalopathy & hepatic failure
4abf75fd-004f-490a-aae5-90165c495022
single
Treatment of choice for panic attack is?
Ans is 'b' i.e. Benzodiazepines Treatment of Panic disorders* Two most effective treatment are:-A. Pharmacotherapy : - The cornerstone of drug therapy is antidepressants. SSRIs (Fluoxetine or other) are the preferred agents. Because therapeutic effect of antidepressants takes some time to develop, initially Benzodiazep...
2
Beta blockers
Benzodiazepines
TCAs
Neuroleptics
Psychiatry
Miscellaneous
e2f849be-43f8-4284-83e8-17aa0bc1ddb1
single
One of the longer acting analogue among uterine stimulants
Carbetocin is a newer longer acting analogue of oxytocin . Now a days oxytocin use is reduced and this newer acting analogue is being used. Ref: katzung 12th ed, endocrinology.
2
Di hydro ergotamine
Carbetocin
Atosiban
Magnesium salts
Pharmacology
All India exam
b3d081d4-b51c-4563-9aae-f1324c0ce1a5
single
Which of the following anaesthetic drugs is contraindicated in chronic renal failure –
Pethidine (Meperidine) is metabolized to form normeperidine (long half life) which is excreted by the kidney. Administration of pethidine to a patient with Chronic Renal Failure causes toxic accumulation of this metabo­lite and is hence contraindicated.
3
Morphine
Fentanyl
Pethidine
Atracurium
Anaesthesia
null
a075c7cc-0efd-4b2d-a1d6-936e0e8f9a5c
single
In colles fracture not seen is:
D i.e. Medial rotation
4
Proximal impaction
Lateral rotation
Dorsal angulation
Medial rotation
Surgery
null
3c81f635-ae2f-4c99-ba08-098dde6c0896
single
All are seen in Samters triad except?
Ans. is 'c' i.e., Bacterial infection Samter's triad Samter's triad is a medical condition consisting of asthma, aspirin sensitivity, and nasaL'ethmoidal polyposis. It occurs in middle age (twenties and thiies are the most common onset times) and may not include any allergies. o Most commonly, the first symptom is rhin...
3
Asthma
Nasal polyp
Bacterial infection
Aspirin sensitivity
ENT
null
f8ccef64-835c-450b-9591-f1c2c36c5268
multi
Filters of which metal that is used to remove long wave length X-rays from the primary beam is:
null
2
Platinum
Aluminium
Copper
Lead
Radiology
null
d3607462-ec28-484e-bb57-18e376b2c2ad
single
Highest rate of impulse generation is given in:
Answer is A (SA Node) The rate of impulse generation/rate of discharge is highest in the SA node. Note: Highest Rate of impulse generation in seen in : SA NodeQ Highest Rate of conduction is seen in : Purkinje SystemQ
1
SA node
AV node
Bundle of HIS
Purkinje system
Medicine
null
3efdbf8b-b01c-4d6c-8571-fa3a363f3996
single
The shoest diameter in fetal head is:
IMPOANT FETAL SKULL PARAMETERS Sub occpito brematic 9.5 cms : Sub mento bregmatic 9.5 cms Biparietal diameter 9.5 cms Mento veical 14 cms Submento veical 10cms Bi temporal diameter 8 cms Bimastoid: 7.5 cms
2
Biparietal diameter
Bimastoid diameter
Occipito frontal diameter
Bitemporal Diameter
Gynaecology & Obstetrics
Obstetrics
856e3bea-c9f5-40c2-82ff-4c20bea7e1a2
single
Supposititious child is: March 2013 (d, h)
Ans. B i.e. Fictitious child Supposititious children are fraudulent offspring. These arose when an heir was required and so a suitable baby might be procured and passed off as genuine.
2
Illegitimate child
Fictitious child
Battered child
Posthumous child
Forensic Medicine
null
9ad7cad8-d585-499b-830b-1da706368814
single
A 29-year-old man presents to the clinic because he is concerned about blue fingers. He reports no other symptoms and is otherwise healthy. On physical examination, his vital signs are normal except for an oxygen saturation of 87% on room air. His lung and cardiac exams are normal but there is bluish discoloration of h...
The primary pathology is likely to be located in the respiratory center. Cyanosis, especially when asleep, is caused by a combination of polycythemia and hypoxia. The symptoms of alveolar hypoventilation are caused by both hypercarbia and hypoxemia.
4
cerebral cortex
kidney
heart
respiratory center
Medicine
Respiratory
49780525-b8eb-4f12-9b2a-4cfd10416bdc
multi
Invesstigation of choice for interstitial disease is
null
2
Chest X-ray
HRCT
Gallium-67 DTPA scan
MRI
Medicine
null
0ec11e01-ddcf-4264-943b-ecbb846bedb4
multi
A 50-year-old woman who was obese and hypertensive, came with complaints of bleeding and abdomen pain, diagnosed to be endometrial cancer. Which of the following gene is mutated?
Ans: (b) PTENRef: WHO, FGT, Page 29-34Going with PTEN because it's the most common one mutated (Ref: WHO - >50%). P53 mutation is seen only in type 2 carcinomas, incidence of which is less. PTEN is seen in both type 1 and type 2 carcinomas.FeaturesType 1Type 2Prototypic formEndometrioid carcinomaUterine (papillary) ser...
2
P53
PTEN
Beta catenin
CHD4
Gynaecology & Obstetrics
Carcinoma Endometrium
f4d4c6cf-7952-4b8a-97e3-10cee2b5e8eb
single
What is the percentage of immunoglobulins present in proteins
Immunoglobulins constitute 20 to 25% of total serum proteins. Based on physiochemical and antigenic differences, five classes of immunoglobulins have been recognized: IgG, IgA, IgM, IgD, and IgE.(Ref: Ananthanarayan 9th edition, p93)
3
5-10%
10-15%
15-20%
20-25%
Pathology
All India exam
b27b122f-1111-46c5-8f34-e0d1d73fb833
single
Which of these is not a complication of recurrent packed RBC transfusion?
Complication of recurrent packed RBC transformation - Acute lung injury (due to release of cytokines) - TRALI (transfusion related acute lung injury) (mainly due to donor antibodies) - G.V.H.D can be prevented by used of leucodepeleted blood or irradiated blood.
1
Circulatory overload
Acute lung injury
Jaundice
Diarrhoea
Medicine
Blood Bank & Transfusion Therapy
97c3257d-4e42-40d1-86bf-2f44c89ed699
single
Most common type of sarcoma of breast
Ans. (a) Angioarcoma(Ref. Sabiston page 842,20th edition)* Angiosarcoma most commonly follows RT to the axilla.* Characterized by Bluish purple nodule clinically
1
Angiosarcoma
Rhabdomyosarcoma
Kaposi sarcoma
Synovial
Surgery
Breast
e13c4cbb-c4ad-45e5-955d-e638b30a3572
single
Treatment of congenital cataract is:
A i.e. Needling & aspiration Surgical techniques employed for removal of paediatric (congenital or developmental) cataract include - lens aspirationQ, lens aspiration with anterior vitrectomy, lensectomy ( limbal or pars plana route), and extracapsular cataract extraction (ECCE) preferrably by phacoemulsificationQ. Pre...
1
Needing and aspiration
Intracapsular extraction
Extracapsular extraction
Cryotherapy
Ophthalmology
null
ac85f7d0-73fe-497a-9bd8-0955136c060c
single
MOST common mutation seen in heriditary hemochromatosis is:
The most common mutation in hereditary hemochromatos is a homozygous G to A mutation resulting in a cysteine to tyrosine substitution at position 282 (C282Y). Another relatively common mutation (H63D) results in a substitution of histidine to aspaic acid at codon 63. Mutations like transferrin receptor 2 TFR2 mutation ...
1
C282Y
H63D
TFR2
SLC11A3
Pathology
null
7a15a410-a77d-4d10-8f04-092de4e2b694
single
The point marked with arrow in sagittal plane of mandibular movement depicts:
null
2
ICP: Intercuspal position
CR: Centric relation
EEP: End to end position
PP: Postural position
Dental
null
a32a8517-df1e-4fb5-8989-f96be29c85a8
single
Which of the following organism does not cause invasive diarrhea
Answer is A (Bacillus cereus) Bacillus cereus causes non invasive diarrhea secondary to small bowel hypersecretion, as a result of preformed bacterial toxins. Rotavirus, Aeromonas sp and Shigella are all invasive organism known to cause invasive diarrhea.
1
Bacillus cereus
Aeromonassp
Rota virus
Shigella
Medicine
null
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single
Which of the following parts of the mind develops at approximately the time a child starts first grade?
The superego develops at approximately the time a child starts first grade (6 years of age). The superego controls id (the sexual and aggressive aspects of the mind) impulses and represents moral values and con­science. The ego (the personality) and the id develop at earlier ages. The unconscious and the conscious mind...
3
Ego
Unconscious
Superego
Conscious
Unknown
null
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single
Causes of conjugated hyperbilirubinemia is -
Ans. is 'a' i.e., Rotor syndrome Breast milk jaundice -o Decrease bilirubin uptake across hepathocyte membrane.o Entero-hepatic recirculation,o Leads to indirect hyperbilirubinemia.Rotor syndrome & Dubin-Johnson syndrome - (Nelson 17th/e Chapter 354)o Defect in hepatocyte secretion of conjugated bilirubin,o Leads to di...
1
Rotor syndrome
Breast milk jaundice
Crigler najjar syndrome
Gilbert syndrome
Pediatrics
Liver and Biliary System
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single
Recommend time for using8% glulataraldehyde for pulpotomy:
2%, 4% and 8% buffered glutaraldehyde solutions can be used.  2% is used for pulpotomies in primary teeth. The recommended time for 4% is 4 min and 8% is 2 min.
3
30sec
1minute.
2minute.
4minute
Dental
null
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single
Inhaled forgein body usually lodges in the:
Inhalation of foreign bodies into the lower respiratory tract is common, especially in children.Pas of teeth may be inhaled while a patient is under anesthesia during a difficult dental extraction.Because the right bronchus is the shoer (2.5 cm), wider and more direct continuation of the trachea, foreign bodies tend to...
2
Apex of right lung
Lower lobe of right lung
Apex of left lung
Lower lobe of left lung
Anatomy
null
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multi
Bloody pericardial effusion can be due to ?
Ans. is 'd' i.e., All of the above
4
Uremic pericarditis
Tuberculosis pericarditis
Tumour infiltration
All of the above
Pathology
null
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multi
Corynebacterium minutissimum causes?
Ans. B. ErythrasmaERYTHRASMA is caused by Corynebacterium minutissimum. It is a chronic superficial bacterial infection of skin involving the body folds and toe, webs, sometimes becoming generalized. It is characterized by presence of sharply demarcated, dry, brown slightly scaly and slowly spreading patches.SOME IMPOR...
2
Erysipelas
Erythrasma
Erythema ab igne
Erythroplasia
Skin
Bacterial Infection of Skin
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single
The criteria for carrying out a mitral valvuloplasty includes all of the following except-
null
4
significant symptoms
Isolated mitral stenosis
Mobile noncalcified valve
Left atrial thrombus
Medicine
C.V.S
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multi
Antiemetic action is produced through:
Mechanism of action of antiemetic drugs are: Anticholinergic e.g hyoscine H1 antihistaminics e.g promethazine,diphenyhydramine,cyclizine. 5-HT3 antagonists e.g ondansetrone,granisetron Prokinetics. 5HT4 agonists e.g cisapride. Motilin agonist e.g erythromycin. CTZ contains histamine dopamine,cholinergic,opioid and sero...
1
Decreased CTZ stimulation
H1 agonistic action
D1 antagonistic action
Olfactory apparatus stimulation
Pharmacology
Gastrointestinal tract
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single
Which of the follow is the component/subcomponent of Box A
null
4
Environment
School
Job
All of the above
Dental
null
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multi
All are true regarding basal electrical rhythm of intestine except?
Ans. (a) Tone of contraction is related to amplitude of stimulus(Ref: Ganong, 25th ed/p.497)Tone of contraction is proportional to the number and frequency of actional potentials and not the amplitude
1
Tone of contraction is related to amplitude of stimulus
Tone of contraction is related to frequency of stimulus
Frequency of contraction is 6/min
Threshold of contraction is -50 mV
Physiology
G.I.T.
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multi
Methemoglobinemia is seen with
Methemoglobinemia is seen with benzocaine, prilocaine and with EMLA.
2
Tetracaine
Prilocaine
Bupivacaine
Procaine
Anaesthesia
null
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single
Tourniquet test is carried out?
null
3
To know platelet count
To measure clotting time
To measure capillary-platelet interphase
To measure clot retraction
Surgery
null
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single
Fluoroquinolone with highest oral bioavailability
Fluoroquinolones:- * Gemifloxacin is a third generation fluoroquinolone having absolute oral bioavailability. * All third generation fluoroquinolones: Sparfloxacin, Gatifloxacin and Gemifloxacin have 100% oral biovailability. * Among the Fluoroquinolones, Norfloxacin has the least oral bioavailability. Ref:- HL & KK Sh...
1
Gemifloxacin
Norfloxacin
Ciprofloxacin
Levofloxacin
Pharmacology
Chemotherapy
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single
A patient on oral lithium therapy posted for surgery what is the recommendation.
Lithium is stopped 24- 48 hour prior to surgery. Lithium potentiates neuromuscular blockers thus stopped prior to surgery
2
Continue till the day of Sx
Stop 24 - 48 hours prior To Sx
Stop 48-72 hours prior to Sx
Stop 1 week prior to Sx
Anaesthesia
Monitoring in Anesthesia
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single
Alpha paicle has: September 2011
Ans. D: 2 protons, 2 neutrons Alpha paicles are simple helium nuclei (i.e. consisting of 2 protons and 2 neutrons) Remember: Alpha rays: Most ionizing Gamma rays: Maximum penetration power Cesium-137, cobalt and radium emits predominantly: Gamma rays
4
1 proton, 2 neutrons
1 proton, 1 neutron
2 protons, 1 neutron
2 protons, 2 neutrons
Radiology
null
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single
Treatment of endometriosis in an infeile female:
Clomiphene
2
Danazol
Clomiphene
Gn RH analogue
Progesterone
Gynaecology & Obstetrics
null
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single
The skin pigmentation in bronze diabetes is due to-
Skin pigmentation in bronze diabetes (Hemochromatosis) →Predominantly due to increased epidermal melanin production →Partly attributed to hemosiderin deposition in dermal macrophages and fibroblasts.
4
Hemosiderin
Lipofuscin
Melanin
Both melanin & hemosiderin
Pathology
null
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multi
A 35-year-old man has a 5-year history of episodic wheezing and coughing. The episodes are more common during the winter months, and he has noticed that they often follow minor respiratory tract infections. In the period between the episodes, he can breathe normally. There is no family history of asthma or other allerg...
This history is typical of nonatopic, or intrinsic, asthma. There is no family history of asthma, no eosinophilia, and a normal serum IgE level. The fundamental abnormality in such cases is bronchial hyperresponsiveness (i.e., the threshold of bronchial spasm is intrinsically low). When airway inflammation occurs after...
2
Accumulation of alveolar neutrophilic exudate
Bronchial hyperreactivity to chronic inflammation
Emigration of eosinophils into bronchi
Hyperresponsiveness to Aspergillus spores
Pathology
Respiration
084c57d8-716a-49a9-91c2-22967ab01a27
multi
In Millard Gubler syndrome all are involved except
Millard-Gubler syndrome (MGS) is one of the classical brainstem-crossed syndromes caused due to a unilateral lesion in ventral pons, manifesting as ipsilateral palsy of CN VI and VII with contralateral hemiplegia Ref Harrison20th edition pg 2234
1
Occulomotor nerve
Optic nerve
Hypophysis cerebri
Trochlear nerve
Medicine
C.N.S
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multi
All of the following are physiological changes which occur during pregnancy, EXCEPT:
During pregnancy the renal plasma flow is increased by 50- 75%. It reaches the maximum value by 16 weeks and is maintained until 34 weeks. During pregnancy: Kidney enlarges in length by 1cm. GFR is increased by 50%. Increase in GFR causes reduction in maternal plasma level of creatinine, BUN and uric acid. Ureter becom...
4
Reabsorption of glucose decreases
Creatinine decreases
Urea decreases
Decrease in renal plasma flow
Gynaecology & Obstetrics
null
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multi
All of the following are true about the stationary phase used in high-pressure liquid chromatography, EXCEPT
Stationary phase in HPLC is made up of fine silicone paicles - option a is correct As there are a lot of fine paicles, the surface area is increased and resistance to the mobile phase is increased. That is why we apply high-pressure - option b and c are correct As the surface area is high, the chance interaction betwee...
4
Made up of fine paicles
Provides high resistance
Provides more surface area
Provides low resolution
Biochemistry
Classification and metabolism of amino acids
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multi
Astigmatism is considered to be:
Ans. Spherical abberation
1
Spherical abberation
Curvatural ametropia
Axial ametropia
Index ametropia
Ophthalmology
null
748d6f09-d778-4569-8df4-1325f4cf554f
single
Which one of the following hepatitis viruses have significant prenatal transmission?
Ans. is 'c' i.e., Hepatitis B virus
3
Hepatitis E virus
Hepatitis C virus
Hepatitis B virus
Hepatitis A virus
Pediatrics
null
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single
Characteristics of SIRS include all of the following except:
SIRS (Systemic Inflammatory Response Syndrome)- Mediators of SIRS* IL - I* IL - 6* TNF - a- It is body's inflammatory response to infectious or non-infectious insult - Parameters of SIRS* Temperature (>38deg C Or < 36deg C)* HR > 90 / min* Respiratory rate > 20/min* WBC count (> 12000/ml or < 4000/ml or >10% immature c...
2
Leukocytosis
Thrombocytopenia
Tachycardia
Oral temperature more than 38degC
Surgery
Shock
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multi
A 60 year old male presented with acute chest pain of 4 hours duration. Electrocardiographic examination revealed new Q wave with ST segment depression. He succumed to his illness within 24 hours of admission. The hea revealed presence of a transmural haemorrhagic area over the septum and anterior wall of the left vent...
Patient had a myocardial infarction, histology of the cardiac muscle fibres done at 24 hours after an MI shows necrotic myofibres with presence of neutrophils. Ref: Robbins Pathology, 6th Edition, Page 558
2
Edema in between normal myofibres
Necrotic myofibres with presence of neutrophils
Coagulative necrosis of the myocytes with presence of granulation tissue
Infiltration by histiocytes with haemosiderin laden macrophages
Pathology
null
9fb3a45e-2928-43ab-867d-6493a89fd7d8
multi
Most common glycogen storage disease presenting with hypoglycemia and normal glycogen structure -
Ans. is 'a' i.e., Von Gierke disease Liver glycogenoses |Hypoglycemia| | |HepatomegalyCirrhosis|||| |RenomegalyHypoglycemia unresponsive to glucagon/epinephrineNo renomegaly Hypoglycemia corrected by glucagon/epinephrineType IV(Anderson) (Abnormal glycogen structure)||| | | Von Gierke's disease (Type I) (Normal glycoge...
1
Von Gierke disease
Pompe's disease
Me Ardle's disease
Forbe's disease
Biochemistry
Glycogen Metabolism and Glycogen Storage
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single
About test of significance between two large population, one of the following statements is true -
null
4
Null hypothesis states that 2 means are equal
Standard error of difference is the sum of the standard error of 2 means
Standard error of means are equal
Standard error of difference between populations calculated
Social & Preventive Medicine
null
2231bfd3-923d-4749-bdfa-9bc96ae2940e
multi
The brush border bound hydrolase linked with sucrase is
Hydrolysis of sucrose (optical rotation +66.5deg) will produce one molecule of glucose (+52.5deg) and one molecule of fructose (-92deg). Therefore the products will change the dextrorotation to levorotation, or the plane of rotation is inveed. Equimolecular mixture of glucose and fructose thus formed is called inve sug...
1
Alpha dextrinase
Glucose hydrolase
Trehalase
Alpha fructase
Biochemistry
nutrition and digestion
44d622b6-68cd-4b6b-89a9-2e10c3f91f93
single
Maximum iron is in which nut ?
parks textbook of preventive and social medicine 23rd edition. *among the commonly used nuts ,cashewnut and almonds are good source of iron,but pistachio is the richest containing 14mg of iron per 100g .
1
Pista
Cashew
Peanut
Walnut
Social & Preventive Medicine
Nutrition and health
3eb92877-d30f-451a-9359-59c94d172c23
single
Samter's triad include sensitivity to which drug?
Samster's triad : Nasal polyp Bronchial asthma Asprin sensitivity Ref: Dhingra 7e pg 510.
3
Ibuprofen
Indomethacin
Aspirin
Ketorolac
ENT
Nose and paranasal sinuses
1da62bd1-f210-451c-aeee-60658c9e155d
single
True statement about pulmonary embolism
Unfractionated Heparin UFH anticoagulates by binding to and accelerating the activity of antithrombin, thus preventing additional thrombus formation. UFH is dosed to achieve a target activated paial thromboplastin time (aPTT) of 60-80 s. The two principal indications for inseion of an IVC filter are (1) active bleeding...
2
Prompt heparin therapy will dissolve thrombi
Known risk factors include gastric cancer, AIDS
Most patients manifest dyspnea, pain, hemoptysis
Free floating iliofemoral thrombi are an indication for a caval filter
Medicine
Respiratory system
a44b9657-2085-466c-aeae-edae2c66ec88
multi
which of the following is Marble bone disease ?
*Osteopetrosis is also known as marble bone disease or Albers- Schonberg disease. *Paget's disease is known as Osteitis deformans. *Osteogenesis imperfecta is known as Brittle bone disease. *Osteoporosis is known as Fragile bone disease. Ref: Maheshwari 9th/e p.307
3
Osteoporosis
Paget's disease
Osteopetrosis
Osteogenesis imperfecta
Orthopaedics
Metabolic and endocrine disorders
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single
A case of obstructed labor which was delivered by Cesarean section complains of cyclical passage of menstrual blood in urine. Which is the most likely site of fistula:
null
3
Uretherovaginal
Vesico-vaginal
Vesico-uterine
Uretero-uterine
Gynaecology & Obstetrics
null
9758e6d3-07e7-42c7-be1b-8d1be49ffac7
single
Appendix of testis is derived from ?
, Cranial end of paramesonephric duct
3
Cranial end of mesonephric duct
Caudal end of mesonephric duct
Caudal end of paramesonephric duct
Caudal end of paramesonephric duct
Anatomy
null
7c71e7e0-ca54-4d6a-b7f2-29ca6d03d5b0
single
Farmer's lung result from exposure to
(B) Thermophilic actinomycetes # FARMER'S LUNG is due to the inhalation of mouldy hay or grain dust. In grain dust or hay with a moisture content of over 30 per cent bacteria and fungi grow rapidly, causing a rise of temperature to 40 to 50deg C.This heat encourages the growth of thermophilic actinomycetes, of which Mi...
2
Aspergillus
Thermophilic actinomycetes
Cotton dust
Silica
Social & Preventive Medicine
Miscellaneous
e7e18651-60be-4f8b-9223-a3d113cb3dc2
single
Genital (vulval) was are asymptomatic white papillary growths, small at first, tend to coalesce. Which is most commonly implicated in genital was?
Condylomata acuminata (genital was) are caused by the human papilloma virus (HPV), mainly types 6 and 11. Other types of HPV, paicularly 16, 18, 45, 31, and 52, are responsible for intraepithelial and invasive neoplasia in the vagina, cervix, vulva, oropharynx, perineum, and perianal areas. Ref: Bornstein J. (2013). Ch...
4
HPV 16
HPV 18
HPV 31
HPV 6
Gynaecology & Obstetrics
null
3c6cef60-8aa5-41e2-bafe-858b39a947a7
multi
ORS required during 4 hours in a 20 kg child
ORSThe aim of oral rehydration therapy is to prevent dehydration and reduce moality.Oral fluid therapy is based on the observation that glucose given orally enhances the intestinal absorption of salt and water and is capable of correcting electrolyte and water deficit.At first the composition of oral rehydration salt r...
4
200-400 ml
400-600 ml
600-800 ml
1200-2200 ml
Social & Preventive Medicine
Communicable diseases
765c9649-915e-43f4-84dc-fa2ab63dfa33
single
The artery most frequntly responsible for bleeding in massive hemoptysis is-
Ans- is 'a' i.e., Bronchial Artery Schwartz writes -"Cavitary lesions are characteristic pathological lesion in pulmonary tuberculosis. Due to intense inflammatory process in the periphery of cavity, hypertrophy of bronchial arterial and pulmonary arterial branches occur. These hypertrophied arterial branches can be er...
1
Bronchial Artery
Pulmonary Artery
Interseginental .Artery
Interostal Artry
Medicine
Blood
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single
Association of deafness & nephritis is seen in
Answer is B (Alpo's syndrome): Alpo's syndrome is an inherited disorder characterized by hereditary nephritis, sensorineural deafness and ocular abnormalities paicularly lenticonus.
2
Pickwickian syndrome
Alpo's syndrome
Fabry's disease
Lawrence Moon Biedl syndrome
Medicine
null
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single