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The layers of amnion are deprived of the following structure:
Five separate layers of amnion are present. The inner surface, which is bathed by amnionic fluid, is a single layer of cuboidal epithelium. This epithelium is attached firmly to a distinct basement membrane that is connected to the acellular compact layer, which is composed primarily of interstitial collagens. On the o...
4
Smooth muscle cells
Lymphatics
Blood vessels
All of the above
Gynaecology & Obstetrics
null
710e428d-a02c-4b8b-b8ce-3b66a58c4963
multi
Denominator in negative predictive value ?
Ans. is 'd' i.e., True negative + false negative
4
True positive + false positive
False negative + true positive
True negative + false positive
True negative + false negative
Social & Preventive Medicine
null
1ee37cd9-0ce1-4fd9-ae5e-344480bf8210
multi
Symptomatic treatment is not required in withdrawal of
A i.e. Cannabis
1
Cannabis
Morphine
Alcohol
Cocaine
Psychiatry
null
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Spermicidal jelly acts through :
Ans. is d i.e Disruption of cell membrane Spermicides : "Spermicides are contraceptive chemical agents. They comprise,of a chemical capable of destroying sperm, incororated into an ine base. The commonly used spermicidal agents contgain nonionic surfactants which alter sperm surface membrane permeability, causing osmot...
4
Acrosomal enzyme
Cervical enzyme alteration
Glucose uptake inhibition by sperms
Disruption of cell membrane
Gynaecology & Obstetrics
null
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single
Evaluation of a patient with post menopausal bleeding is done by :
Ans. is a, b and c i.e. Pap smear; USG; Endometrial biopsy; and Dilatation & curettage Investigations to be done in a case of postmenopausal bleeding Pap's smeardeg * Endometrial sampling through biopsydeg Hysteroscopydeg * D & Cdeg Pelvic USG" paicularly TVS or sonohysterography. (Endometrial thickness < 6mm measured ...
4
Pap smear
USG
Endometrial biopsy and Dilatation & curettage both
All
Gynaecology & Obstetrics
null
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multi
Unconjugated hvperbilirubenemia is seen in all except
(B) Dubin Johnson's syndrome# Common causes of raised bilirubin and urobilinogen> Raised conjugated bilirubin (bilirubinuria)> Hepatocellular disease and post-hepatic or cholestatic disease (intrahepatic and extrahepatic), including drug toxicity as well as pancreatic causes of obstructive jaundice.> Inherited defects ...
2
Gilbert's syndrome
Dubin Johnson's syndrome
Criggle Najar syndrome
Neonatal physiological jaundice
Pediatrics
Miscellaneous
ca2adc9e-1692-49ef-af1e-7464b528d878
multi
Liquefactive necrosis is seen in all except:
Ans: b (Myocardial infarction) Ref: Robbins, 7th ed,p."Myocardial infarction is an example of coagulative necrosis"Necrosis:Morphological changes that follow cell death in living tissue due to degradative action of enzymes on lethally injuried cells.TypesCoagulative necrosis:* Basic outline is preserved* Characteristic...
2
Wet gangrene
Myocardial infarction
Sepsis
Brain abcess
Pathology
Cellular Pathology
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multi
Aim of damage control laparotomy are:a) Arrest hemorrhageb) Prevent Coagulopathyc) Control contaminationd) Provide fascial closuree) Prevent infection
null
3
ab
bc
abc
bcd
Surgery
null
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single
Prions include:
Answer is C (Proteins): Prions are infectious proteins devoid of any nucleic acid (RNA or DNA)
3
DNA and RNA
Only RNA
Proteins
Only DNA
Medicine
null
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single
A patient posted for surgery has raised intracranial tension. Which of the following anesthetics would be preferred in him?
Ans. c. Isoflurane
3
Enflurane
Sevoflurane
Isoflurane
Desflurane
Anaesthesia
null
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single
Enterovirus 72 is
Hepatitis A virus belongs to Enterovirus (picomavirus family) and was originally designated as “enterovirus-72” Hepatitis ‘A' virus  HAV is a non enveloped RNA virus.  It is classified in genus Hepatovirus under family picomavirus.  Originally called as enterovirus 72.  It is the only human hepatitis virus which can ...
1
Hepatitis A
Hepatitis E
Hepatitis G
Hepatitis C
Microbiology
null
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single
The common cause of bilateral internuclear ophthalmoplegia is
Multiple sclerosis It is a demyelinating disorder of unknown etiology, affecting women more often than men, usually in the 15-50 years age group. Pathologically, the condition is characterised by a patchy destruction of the myelin sheaths throughout the central nervous system. Clinical course of the condition: It is ma...
2
Diabetes mellitus
Multiple sclerosis
Lead toxicity
Diphtheria
Ophthalmology
Ocular motility and squint
37deaf41-88bb-4a69-8baa-68f4f726c4b8
single
Trapezoid body is associated with
Ans: a (Auditory pathway) Ref: IB Singh 6th ed/p. 107Trapezoid body is concerned with auditory pathway.Auditory Pathway:First order neurons start from the spiral ganglion and end in the dorsal and ventral cochlear nuclei.From there, the second order neurons end in superior olivary nucleus of both sides. Some fibres do ...
1
Auditory pathway
Visual pathway
Touch pathway
Pain pathway
Physiology
Nervous System
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single
A surgeon sees a necrotic bowel when operating a child for inguinal hernia. What is true about the resection and anastomosis of the bowel
The standard technique used currently for resection and anastomosis of the bowel is one layer--Extra mucosal suture techniqueThis technique has now become widely accepted, although it is essential that this is not confused with a seromuscular suture technique. The extramucosal suture must include the submucosa because ...
3
The surgeon must use chromic Catgut
The surgeon must not include the submucosa in the sutures
The surgeon must use the single layer, Extra mucosal suture technique
The surgeon must use the single layer seromuscular suture technique
Anatomy
G.I.T
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The parents of a dead woman complained that their daughter's in-laws used to demand for dowry frequently. Their daughter had died within 5 years of marriageunder suspicious circumstances. The magistrate can authorize the autopsy of this case under which of the following sections:
In this above case, the history raises the suspicion of dowry death. Such death under peculiar circumstances can be investigated by the orders of the Magistrate. Section 176 CrPc is concerned with Magistrate's Inquest. This section of the law deals with the inquiry of the Magistrate into the cause of the death. A magis...
4
Section 302 IPC
Section 174 CrPc
Section 304 IPC
Section 176 CrPc
Forensic Medicine
null
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Insulin having longest duration of action is:
null
2
Isophane insulin
Protainine zinc insulin
Insulin zinc suspension
Plain insulin
Pharmacology
null
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True about Mantle cell Lymphoma is all except
Mantle cell Lymphoma is an acquired genetic disorder. It is neither communicable nor inheritable.
4
Type of Non-Hodgkin's Lymphoma
Carries poor prognosis
Common in old people
It is inheritable Lymphoma
Surgery
null
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multi
Lithium is used in prophylaxis of
Ans. is 'd' Recurrent manic depressive attacks Lithium is used in prophylaxis of manic depressive illness.
4
Recurrent phobia
Alcohol dependence
Paranoid Schizophrenia
Recurrent manic depressive attacks
Psychiatry
Bipolar Disorder
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At 24 Weeks the fundus height reaches to :-
Pubic symphysis - 12 week Umbilicus - 24 weeks Xiphoid process - 36 weeks 1-2 finger width below costal arch - 40 weeks Please note that these are rough estimates of fundal height and their correlation with the gestational age> These can vary significantly if the patient is very thin or very obese.
1
At level of umbilicus
Midway between symphysis pubis to umbilicus
Midway between umbilicus to xiphi sternum
At Xiphi sternum
Gynaecology & Obstetrics
Physiological Changes of Pregnancy
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Single Sitting RCT is indicated in all except?
null
3
An anterior single rooted tooth where esthetics is of more concern
In a patient who require sedation for the management of involved tooth
Severe anatomic & procedural difficulty
Tooth with pulpal exposure because of trauma
Dental
null
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multi
Amount of Protein present in 100ml of breast milk is
Amount of Protein present in 100ml of breast milk is: 1.1 g/dl
2
2.2 g
1.1 g
0.55g
3.3g
Pediatrics
JIPMER 2019
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single
Ferning of cervical mucus depends on :
Estrogen
1
Estrogen
Progesterone
FSH
LH
Gynaecology & Obstetrics
null
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single
Immature senile cataract can be best differentiated from mature senile cataract by:
Ans. Distant direct ophthalmoscopy
4
Iris shadow test
Oblique illumination examination
Visual acuity testing
Distant direct ophthalmoscopy
Ophthalmology
null
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Examination of mouth of a patient with HIV/AIDS may commonly reveal
null
2
Macroglossia
Periodontal diseases
Loss of sensation of taste
Red tongue
Dental
null
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Which of the following is not included in neonatal moality: September 2010
Ans. C: Post neonatal moality Early neonatal moality refers to a death of a live-born baby within the first seven days of life, while late neonatal moality covers the time after 7 days until before 28 days. The sum of these two represents the neonatal moality. Some definitions of the PNM include only the early neonatal...
3
Early neonatal moality
Late neonatal moality
Post neonatal moality
None of the above
Social & Preventive Medicine
null
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multi
A farmer presenting with fever off-and on for the past 4 years was diagnosed to be suffering from chronic brucellosis. All of the following serological tests would be helpful in the diagnosis at this state except -
null
1
Standard Agglutination test
2 Mercapto-ethanol test
Complement fixation test
Coomb's test
Microbiology
null
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multi
The 5a reductase inhibitor that has been found to be effective both in benign prostatic hyperophy and male pattern baldness is:
Finasteride and dutasteride are 5 alpha reductase inhibitors. Flutamide is androgen receptor antagonist. Prazosin is alpha blocker. Minoxidil is potassium channel opener.
2
Flutamide
Finasteride
Prazosin
Minoxidil
Pharmacology
Endocrine
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multi
Following are Arboviral diseases -
kyasanur foerst disease a hemorrhagic fever found in karnataka. It is arboviral disease REF:ANANTHANARYANAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.524
1
KFD
West Nile Fever
Ganjam virus
RSV
Microbiology
Virology
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A sewer worker presents with highgrade fever, neck rigidity, and signs of meningismus. Laboratory findings are suggestive of renal failure and elevated liver enzymes. The most appropriate drug to be prescribed in this case is ____
The clinical picture is suggestive of leptospirosis. Hence, the drug to be prescribed in this case is penicillin. Following points are in or of leptospirosis: A sewer (an underground conduit for carrying off drainage water and waste matter) worker Signs of meningismus Laboratory diagnosis of renal failure and elevated ...
2
Ciprofloxacin
Pencillin
Cotrimoxazole
Azithromycin
Microbiology
Bacteriology
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single
A toxin of clostridium tetanus, tetanospasmin causes muscular rigidity by blocking
null
1
Gamma amino butyric acid
Dopamine
Serotonin
Glutamine
Medicine
null
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single
Sullivan index denotes: September 2006
Ans. B: Life expectancy excluding disability free period This index (expectation of life free of disability) is computed by subtracting from the the life expectancy the probable duration of bed disability and inability to perform major activities, according to cross-sectional data from the population surveys. It is one...
2
Life expectancy at bih
Life expectancy excluding disability free period
Contraceptive failure rate
Hookworm density in stool
Social & Preventive Medicine
null
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single
Which among the following is TRUE regarding tumorigenesis during aging?
Telomerase is a ribonucleoprotein that is expressed in stem cells and most cancer cells, but not in somatic cells. More than 90% of human cancers express high levels of telomerase that prevent telomere shoening to critical levels and allow indefinite cell proliferation. Ref: Longo D.L. (2012). Chapter 84. Cancer Cell B...
1
Telomerase reactivation
Telomerase inactivation
Increased apoptosis
Suppression of proto-oncogenes
Biochemistry
null
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multi
Chemoprophylaxis can be done for the following except-
Chemoprophylaxis implies the protection from or prevention of disease. This may be achieved by causal prophylaxis of a disease or by clinical prophylaxis. 1)causal prophylaxis implies the complete prevention of infection by the early elimination of the invading or migrating causal factor 2)clinical prophylaxis implies ...
2
Meningitis
Typhoid
Cholera
Diphtheria
Social & Preventive Medicine
Epidemiology
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multi
Complete wound strength is gained by?
Wound Strength Carefully sutured wounds have approximately 70% of the strength of normal skin When sutures are removed, usually at 1 week, wound strength is approximately 10% of that of unwounded skin this increases rapidly over the next 4 weeks Wound strength reaches approximately 70% to 80% of normal by 3 month never...
1
Never regained
1 month
6 months
1 year
Pathology
General pathology
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single
Disease not included under International surveillance
Disease under international surveillance Rabies Malaria Relapsing fever Human Influenza Salmonellosis Typhus fever (Louse borne) Poliomyelitis
1
Yellow fever
Poliomyelitis
Malaria
Relapsing fever
Social & Preventive Medicine
null
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single
All of the following mediate erection of penis except -
The erection of penis is by parasympathetic supply in which afferent is by pudendal nerve and sacral plexus while efferent is by pelvic splanchnic nerve (nervi erigentis).
3
Pudendal nerve
Sacral plexus
Hypogastric plexus
Nervi erigentes (S234)
Anatomy
null
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multi
Progression of dental caries on pit and fissure occurs from
null
3
Apex of the pit and fissure
Wide end of the pit and fissure
Lateral surface of the pit and fissure
Bottom of the pit and fissure
Pathology
null
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The given below instrument used in:
Ans. (A) Cesarean section(Ref: DC Dutta's Text book of Obstertics 8th Ed; Page No 751)The given image is Doyen's Retractor.Material: Stainless steelSterilization: AutoclavingUses:#ObstetricCesarean sectionCesarean hysterectomyf Exploratory laparotomy for ruptured tubal ectopic pregnancy#GynecologicAbdominal hysterectom...
1
Cesarean section
Vaginal hysterectomy
Fothergill surgery
Suction evacuation
Gynaecology & Obstetrics
Operative Obs
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single
Decreased bone conduction in an audiogram indicates:
Bone conduction is a measure of cochlear function. This is tested either by Schwabach test or absolute bone conduction test or audiometrically by placing the vibrator on the mastoid bone. Decreased bone conduction or loss of it indicates hypoactive or non-functioning cochlea. All other conditions listed in (a), (b) and...
4
Tympanic membrane perforation
Ossicular dislocation
Ossicular fixation
Damage to cochlea
ENT
Ear
5bd5d445-0715-4735-b4e7-21e1ee9f20a3
single
Which is not a finding in a massive left sided pneumothorax?
The ECG pattern in the left sided group has been more conspicuous and more striking, and has consisted of a lower voltage of QRS-1, flattening of T waves in Lead 1, a change in the contour of QRS complexes in the chest leads, and a definite inversion of T waves in the chest leads; these T wave inversions being the most...
4
Absent R wave
T wave inversion
ST segment change
Left axis detion
Medicine
null
76dd051e-41fc-4524-bf3d-1acff121affa
single
Iron and folic acid supplementation forms -
Ans. is 'b' i.e., Specific protection o Option 'c' is also correct because specific protection is a type of primary prevention. o But we will have to choose one option for All India enterance examination. o Option 'b' (specific protection) is the best answer (unlike previous question where more than one option can be c...
2
Health promotion
Specific protection
Primordial prevention
Primary prevention
Social & Preventive Medicine
null
6bc55201-4e14-40a7-9207-58f0579ec1a1
single
Fertilization of ovum normally occurs in which part of fallopian tube?
Ans. c (Ampulla) (Ref. Dutta Obstetrics, 6,h/pg. 21; Shaw's Gynecology, 14th/pg.l77)# Fertilization is the process of fusion of the spermatozoon with the mature ovum. It begins with sperm collision and ends with production of a mononucleated single cell called zygote.# Almost always, fertilization occurs in the ampulla...
3
Isthmus
Intramural part
Ampulla
Fimbria
Gynaecology & Obstetrics
Uterine Tubes
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multi
Physiologic shunt refers to:
If some pa of the lung does not have ventilation but has blood perfusion, blood leaving this pa will remain mixed venous blood. That is, this blood will not be oxygenated. And, it will mix with aerial blood in left ventricle. This is called physiologic shunt or venous admixture. Atelectasis is the most common cause of ...
4
shunt between bronchial and pulmonary circulation
airflow from small to large alveoli
Wasted ventilation
Perfusion more than ventilation
Physiology
Respiratory System Pa 1
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multi
The nerve responsible for Cremasteric reflex is:
Genito femoral nerve
2
Hypogastric nerve
Genito femoral nerve
Ilioinguinal nerve
All of the above
Anatomy
null
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multi
A boy gets hit by a tennis ball in the eye following which he has complaints of decreased vision. Which of the following tells that blunt injury is due to the ball?
Amongst the given options, only vitreous base detachment is pathognomonic for blunt trauma and is associated with retinal detachment. "Blunt trauma to eye can cause linear tears of retina along the anterior border or posterior border of vitreous base. Such tears are most common superonasally and inferotemporally and m...
3
Optic neuritis
Pars planitis
Vitreous base detachment
Equatorial edema
Ophthalmology
null
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multi
What is the shown abnormality in shape is called?
Globodontia can be seen in primary and permanent dentition. Canine and molars becomes larger, but no effect on incisors.
2
Megalodontia
Globodontia
Acrodontia
None of the above
Pathology
null
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multi
Carbonic anhydrase is an example of:
Metalloenzymes:  These enzymes hold the metals rather tightly which are not readily exchanged. e.g., alcohol dehydrogenase, carbonic anhydrase, alkaline phosphatase, carboxypeptidase and aldolase contain zinc. Phenol oxidase (copper) Pyruvate oxidase (manganese) Xanthine oxidase (molybdenum) Cytochrome oxidase (iron a...
3
Lipoprotein
Phosphoprotein
Metalloprotein
Chromoprotein
Biochemistry
null
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Which of the following can infect ovary -
Ans. is 'a' i.e., Mumps virus o Mumps begins as a primary infection in the respiratory tract and spreads by viremia to glandular tissues including the salivary glands, pancreas, testes and ovaries.
1
Mumps virus
EBV
CMV
Measles virus
Microbiology
Myxo Viruses
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Brain perfusion means
MAP is the average blood pressure during one cardiac cycle and can be directly measured through invasive hemodynamic monitoring or can be calculated as the systolic blood pressure, plus two times the diastolic blood pressure, divided by three. The normal range of MAP is 70 to 100 mm Hg. Ref: guyton and hall textbook of...
1
Mean aerial pressure - Intracranial pressure
Mean aerial pressure + Intracranial pressure
Mean aerial pressure - CVP
Mean aerial pressure + CVP
Physiology
Nervous system
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Most common type of carcinoma lung is?
Ans. is 'b' i.e., Adenocarcinoma
2
Small cell carcinoma
Adenocarcinoma
Squamous cell carcinoma
Large cell carcinoma
Pathology
null
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Polysacharide pneumococcal vaccine used in all EXCEPT
(Less than 2 years of age): (914-Nelson 19th edition) (1158-59- H 18th edition; 147-685- Davidson 21st)* Immunologic responsiveness and efficacy following administration of pneumococcal polysaccharide vaccines is unpredictable in children < 2 years of age (914- Nelson 19th/ed)* High risk children > 2yr of age, such as ...
2
Sickle cell anemia
Less than 2 years of children
More than 65 years of man
Asplenia
Medicine
Miscellaneous
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multi
In triage green color indicates
null
1
Ambulatory patients
Dead or moribund
High priority treatment or transfer
Medium priority or transfer
Surgery
null
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Rhabdomyolysis is caused by -
sea snake Venom -- myotoxic Rhabdomyolysis is a condition that occurs due to the breakdown of muscle tissue. REF;THE SYNOPSIS OF FORENSIC MEDICINE:KS NARAYANA REDDY;28th EDITION;PAGE NO322
1
Sea snake
Cobra
Viper
Krait
Forensic Medicine
Poisoning
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Which of the following are true about obsession except:
Ans: D. Disorder of content of thought(Ref Fish's Clinical Psychopathology/p22-24; Niraj Ahuja 7/e p95; Kaplan Synopsis 10/e p234; CDTP 2/e p106, 274, 749)Strictly speaking, obsessions are disorders of "possession" qr thought and not "content" of thought.Obsessions - Defined as:Recurrent and persistent thoughts, impuls...
4
May be present in schizophrenia
Ego-dystonic
Persists on resistance and causes depression and anxiety
Disorder of content of thought
Psychiatry
null
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multi
Diazoxiben is a:(2001)
dRef: KDT, 4th ed, p. 613
4
Lipoxygenase inhibitor
Prostacyclin synthetase inhibitor
Cycloxygenase inhibitor
TXA2 inhibitor
Pharmacology
Prostaglandins
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Which of the following nerve arise from the lateral cord of the brachial plexus?
Musculocutaneous nerve arise from the lateral cord of the brachial plexus. Other nerves arising from the lateral cord are lateral root of median nerve and lateral pectoral nerve. Branches of the medial cord of the brachial plexus are:Medial root of median nerveMedial pectoralMedial cutaneous nerve of forearmMedial cuta...
2
Ulnar nerve
Musculocutaneous nerve
Medial root of median nerve
Medial cutaneous nerve of arm
Anatomy
null
d67fbbee-5ce4-4fff-a9e5-9cf50171b66f
single
Meibomian glands secrete which component of sweat-
Oily layer of tear film. Ref khurana 6th edition REF IMG
4
Water {aqueous}
Mucin
Protein
Lipid
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
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single
Development of breast is related with: March 2013
Ans. B i.e. Tanner scale
2
GC scale
Tanner scale
Ranson criteria
MESS score
Surgery
null
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A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with polygonal raised areas in the palpebral conjunctiva is:
D i.e. Vernal Keratoconjunctivitis
4
Trachoma
Phlyctenular conjunctivitis
Mucopurulrnt conjunctivitis
Vernal kerato conjunctivitis
Ophthalmology
null
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The Eosinophils secrets all EXCEPT -
Ans. is 'b' i.e., Hydrolytic enzyme Eosinophils produce o Major basic protein o PAF o Neurotoxin o Reactive oxygen species o Leukotrienes o Peroxidase o Eosinophilic cationic protein
2
Major basic protein
Hydrolytic enzyme
Reactive form of 0,
All
Pathology
null
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multi
Deficiency of enzyme a-keto acid decarboxylase leading to a block in the metabolism of branch chain amino acids is observed in -
Ans. is 'a' i.e., Maple Syrup urine diseaseMAPLE SYRUP URINE DISEASE In this disorder, the branched-chain keto acids derived from isoleucine, leucine, and valine appear in the urine, giving it a maple syrup-like odor.This condition results from a deficiency in the branched-chain -keto acid dehydrogenase.It is a mitocho...
1
Maple syrup urine disease
Hanup's disease
Alkaptonuria
Phenylketonuria
Pediatrics
null
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Alcoholic hyaline, in alcoholic liver disease is composed of-
Ans. is 'b' i.e., Eosinophilic intracytoplasmic inclusions
2
Lipofuscin
Eosinophilic intracytoplasmic inclusions
Basophilic intracytoplasmic inclusions
Hemozoin
Pathology
null
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single
Sphenopalatine foramen opens in relation to which of the following wall of pterygopalatine fossa?
Medial wall of pterygopalatine fossa is formed by perpendicular plate of the palatine. It has the opening sphenopalatine foramen to the nasal cavity which transmits the sphenopalatine aery and nasopalatine nerve.Structures forming boundaries of pterygopalatine fossa are:Anterior wall is formed by posterior surface of m...
1
Medial wall
Lateral wall
Superior wall
Inferior wall
Anatomy
null
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multi
Antiglomerular basement antibody is seen in-
Goodpasture's syndrome is characterized by acute renal failure due to RPGN and pulmonary hemorrhages. The disease results from damage to the glomeruli by anti-GBM antibodies which cross-react with alveolar basement membrane and hence, produce renal as well as pulmonary lesions. The evidence in suppo is the characterist...
2
Membranous glomerulonephritis
Goodpasture's syndrome
Alpo's syndrome
Henoch-Schonlein purpura
Pathology
Urinary tract
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Exposure keratopathy is due to involvement of which cranial nerve: March 2012
Ans: D i.e. 7th cranial nerve Exposure keratopathy is due to any cause which may produce exposure of the cornea due to incomplete closure of the eyelids (lagophthalmos), such as extreme proptosis as in exophthalmic ophthalmoplegia or orbital tumour, paralysis of the orbicularis (neuroparalytic keratopathy etc.) Keratop...
4
4th cranial nerve
5th cranial nerve
6th cranial nerve
7th cranial nerve
Ophthalmology
null
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Dermatome of UMBILICUS is:
Ans. (A). T10 A dermatome is an area of skin that is mainly supplied by afferent nerve fibers from a single nerve which forms a part of a spinal nerve. There are 8 cervical nerves (C1 being an exception with no dermatome), 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves. Each of these nerves relays sensation (i...
1
T10
L2
L3
L4
Anatomy
Abdomen & Pelvis
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single
Which of the following endocrinological condition may be associated with hydatiform mole : 46 XX
Hypehyroidism
2
Hypothyroidism
Hypehyroidism
Diabetes
Hyperprolactinemia
Gynaecology & Obstetrics
null
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Which pathway takes place partly in mitochondria and partly in cytoplasm
Heme synthesis Urea cycle  Gluconeogenesis Mnemonic : These 3 pathways HUG cytoplasm and Mitochondria These 3 pathways take place partly in cytoplasm and partly in mitochondria
4
Electron transport chain
Link reaction
Fatty acid synthesis
Gluconeogenesis
Biochemistry
null
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Prevalence is calculated by formula(2018)
Relationship between prevalence and incidence Prevalence depends upon 2 factors, the incidence and duration of illness. Given the assumption that the population is stable, and incidence and duration are unchanging, the relationship between incidence and prevalence can be expressed as : P= IxD = incidence x mean duratio...
4
Incidence x Mean durationx100
Incidence/ Mean duration x 100
Incidence/Mean duration
Incidence x Mean duration
Social & Preventive Medicine
All India exam
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single
A sputum sample was brought to the laboratory for analysis. Gram stain revealed the following: rare epithelial cells, 8 to 10 polymorphonu-clear leukocytes per high-power field, and pleomorphic Gram-negative rods. As the laboratory consultant, which of the following interpretations should you make?
Many sputum specimens are cultured unnecessarily. Sputum is often contaminated with saliva or is almost totally made up of saliva. These specimens rarely reveal the cause of the patient's respiratory problem and may provide laboratory information that is harmful. The sputum in question appears to be a good specimen. Th...
4
The sputum specimen is too contaminated by saliva to be useful
The patient has pneumococcal pneumonia
The patient has Vincent's disease
The appearance of the sputum is suggestive of Haemophilus pneumonia
Surgery
null
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A neonate is born at term with multiple problems. He is small for gestational age and has cataract, hepatosplenomegaly and thrombocytopenia with purpura. Fuher studies demonstrate patent ductus aeriosus, bone lucency, pneumonia, and meningoencephalitis. The mother is a 17-year-old girl who had no prenatal care and had ...
The rubella virus is one of the causes of devastating prenatal infection. In adults and older children, the virus can cause asymptomatic infection or a relatively mild febrile illness (German measles) with upper respiratory symptoms, lymphadenopathy, maculopapular rash, and sometimes joint symptoms. The effects on the ...
2
Congenital cytomegalovirus infection
Congenital rubella
Congenital syphilis
Congenital toxoplasmosis
Microbiology
null
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multi
If a patient with a suspected fracture of the pelvis has some bleeding from the urethra and is unable to pass urine. What should be the next appropriate step in the management?
Urogenital injuries are common in pelvic fractures (5-10%), especially in men. These injuries should be suspected in conscious patients Who is unable to void or who has gross hematuria Bloody urethral discharge Swelling or ecchymosis of the penis or perineum High riding or floating prostate on rectal examination Manage...
4
He should be encouraged to pass urine after being given antibiotics and analgesics
He should be immediately catheterized in the ward
A hot water bottle should be given followed by injection of carbachol
He should be prepared for surgery and catheterization attempted in the O.T.
Surgery
null
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multi
Most common virus leading to post transplantation lymphoma is?
MC virus leading to post transplantation lymphoma - EBV MC virus leading to Graft Failure in Post kidney transplantation - CMV
1
EBV
CMV
Herpes
Aspergillus
Medicine
viral infection
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single
Preaccelerin is ?
Ans. is 'c' i.e., Facter VII
3
Eater II
Facter V
Facter VII
Facter X
Physiology
null
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single
Treatment of choice for acoustic neuroma is
Acoustic neuroma is surgically removed through translabyrinthine, middle cranial fossa, suboccipital or combined translabyrinthine- suboccipital approach. Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 127
4
Steroids
Radiotherapy
Anti-neoplastic drugs
Surgery
ENT
Ear
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Hallucination is a disorder of
Hallucination A hallucination is a perception experienced in the absence of an external stimulus. The hallucinations can be in the auditory, visual, olfactory, gustatory oactile domains. Auditory hallucinations are commonest types of hallucinations in non-organic psychiatric disorders like schizophrenia. visual halluci...
2
Thought
Perception
Memory
Intelligence
Psychiatry
Symptoms and signs in psychiatry and classification
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Which of the following is true about medullary CA of thyroid
Answer- B. Elevated levels of Serum calcitoninIn Medullary carcinoma serum calcitonin is increased, whose function is to lower serum calcium levels.So hypocalcemia maybe found associated with MTC.Seen in MEN II A and BAssociated with RET Protooncogene
2
Associated with MET oncogene
Elevated levels of Serum calcitonin
Seen in MEN I syndrome
Most common thyroid cancer
Surgery
null
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Pneumocystis carinii is diagnosed by:
Ans: aRef: Harrison, 16th ed, p. 1195
1
Sputum examination for trophozoites and cyst under microscope
Culture
Positive serology
Growth on artificial media
Medicine
Infection
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single
Mirizzi's Syndrome is
Mirriz's syndrome(Functional hepatic syndrome) It is defined as obstruction of the common hepatic duct or CBD by external compression or by erosion of stone in the Hamann pouch or cystic duct. External compression has been classified as type I where as erosion as type II Mirriz's syndrome by McSherry Ref: Sabiston 20th...
1
GB stone compressing common hepatic duct
GB carcinoma invading IVC.
GB stone causing cholecystitis
Pancreatic carcinoma
Anatomy
G.I.T
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A 55 year old lady presenting to OPD with postmenopausal bleeding for 3 months has a 1 x1cm nodule on the anterior lip of cervix, The most appropriate investigation to be done subsequently is
Post menopausal bleeding with a visible cervical growth needs a tissue diagnosis, done by a punch biopsy of the lesion. Paps smear is a screening test, done in asymptomatic patients. Colposcopy + biopsy is a diagnostic test, indicated in symptomatic patients, like those with postmenopausal or post coital bleeding, or i...
2
Pap smear
Punch biopsy
Endocervical currettage
Colposcopy & biopsy
Gynaecology & Obstetrics
Cervical Carcinoma
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Side effect of salmeterol is -
Ans. is 'a' i.e., Tremor o Salmeterol is a beta - 2 agonist taken by inhalational route and a adverse effects are usually not a problem with beta-agonists when given by inhalation. The most common side effects are muscle tremor and palpitations, which are seen more commonly in elderly patients.o There is a small fall i...
1
Tremor
Seizure
Hypertension
Hyperkalaemia
Pharmacology
Asthma
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single
Viruses causing hearing loss are all except -
Ans. is 4d' i.e., Rota virus Viral infection and hearing losso Severe viral infections can sometimes cause hearing loss.o It is thought to be due to oxygen depletion as a result of inflammation in the ear.o The hearing loss that occur after viral infection is often sudden in onset, with many patients reporting that the...
4
Measles
Mumps
Rubella
Rota virus
ENT
Ear
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multi
Plasma half life of Carbimazole is
Refer KDT 6/e p 250 Half life of Carbimazole is around 8 hours Where'as propylthiouracil has t1/2 of 2hrs
2
4 hrs
8 hrs
16 hrs
24 hrs
Pharmacology
Endocrinology
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single
Level of which hormone is likely to increase after hypothalamic ablation?
Prolactin secretion from the pituitary is normally inhibited by hypothalamic inhibitory factors, one of which is dopamine. Histamine also inhibits prolactin secretion, whereas serotonin and thyrotropin releasing hormone (TRH) stimulate its release. Causes of Hyperprolactinemia Lesions obstructing the inhibitory influen...
2
Growth hormone
Prolactin
FSH
ACTH
Medicine
Disorders of pituitary gland
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single
In which of the following conditions would the Coisol level be highest?
The secretory rates of CRF, ACTH, and coisol are high in the early morning but low in the late evening. Addison's diseaseresults from an inability of the adrenal coices to produce sufficient adrenocoical hormones. Persons with Addison's disease havediminished secretion of both glucocoicoids (coisol) and mineralocoicoid...
3
Addisons disease
Normal person after giving dexamethasone
Normal person after weakening in morning
Late evening
Physiology
NEET Jan 2020
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single
A 27-year-old woman with a goiter comes to the hospital for surgical treatment. The surgeon must ligate the superior laryngeal aery before surgically resecting the goiter, so care must be taken to avoid injury to which of the following nerves?
The Internal laryngeal nerve accompanies the Superior laryngeal aery, External laryngeal nerve accompanies the superior thyroid aery The superior laryngeal, hypoglossal, and vagus nerves are NOT closely associated with the superior laryngeal aery.
2
External laryngeal nerve
Internal laryngeal nerve
Superior laryngeal nerve
Hypoglossal nerve
Anatomy
Pharynx, larynx and trachea and cranial nerves 3,4,6
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multi
A 50 year old man with a history of smoking, hypertension, and chronic exertional angina develops several daily episodes of chest pain at rest compatible with cardiac ischemia. The patient is hospitalized. All the following would be part of an appropriate management plan except
null
4
Intravenous heparin
Aspirin
Intravenous nitroglycerin
Lidocaine by bolus infusion
Medicine
null
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multi
Liver biopsy is done through 8th ICS midaxillary line to avoid
Liver biopsy is done through 8th ICS in mid axillary line to avoid lung Liver Biopsy Needle biopsy has proved to be most useful technique to obtain representative liver tissue for analysis For accurate and reliable grading and staging of chronic viral hepatitis, a biopsy specimen of 2cm in length or longer containing a...
1
Lung
Pleural cavity
Subdiapragmatic space
Gall bladder
Anatomy
G.I.T
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multi
A 58-year-old man is undergoing cardiac catheterization for evaluation of chest pain symptoms. He is worried about the risks, and as part of obtaining informed consent, you advise him about the risks and benefits of the procedure. Which of the following aspects of angiography is true?
Contrast media used in cardiac catheterization may result in renal impairment. The group at highest risk includes diabetics with renal disease and those with preexisting renal failure. Good hydration is essential. Other manifestations of contrast media include nausea and vomiting (common), and anaphylactoid reactions c...
4
it is contraindicated in the presence of cyanosis
it is considered noninvasive
it is generally performed with cardiopulmonary bypass
it may cause renal failure
Medicine
C.V.S.
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multi
Negative symptom of schizophrenia ?
Ans. is 'c' i.e., Ambivalance Symptoms of schizophrenia can be divided into :? Positive symptoms :- Positive symptoms are psychotic symptoms not seen in normal individuals but are "actively expressed" in patient, i.e., hallucinations, delusions and bizarre motor acts. Positive symptoms are more common in acute schizoph...
3
Hallucination
Delusion
Ambivalance
Motor hyperactivity
Psychiatry
null
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multi
A 29 year old woman was found to have a hemoglobin of 7.8 g/dl. with a reticulocyte count of 0.8%. The peripherial blood smear showed microcytic hypochromic anemia, Hemoglobin A2 and hemoglobin F levels were 2.4% and 1.3% respectively. The serum iron and the total iron binding capacity were 15 micro g/dl, and 420 micro...
Answer is A (Iron deficiency anemia) Hypochromic microcytic anemia with decreased serum iron and an increased total iron binding capacity (TIBC) suggests a diagnosis of 'iron deficiency anemia' Parameter Normal index Patient in question Inference Hb Male 14-18 g/dl Female 12-16 g/dl 7.8 g/dl 4, Serum Iron 50-150 lig/di...
1
Iron deficiency anemia.
Beta-thalassemia minor
Sideroblastic anemia
Anemia due to chronic infection
Medicine
null
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single
Trendelenberg sign is positive in paralysis of all except:
C i.e. Gluteus maximusGluteus medius and gluteus minimus muscles are dominantly (mainly) supplied by superior gluteal aery(deep branch); and gluteus maximus by inferior gluteal aery.The aeries of gluteal region arise directly or indirectly, from internal iliac aery. The main branches include 1) superior gluteal 2) infe...
3
Gluteus medius
Gluteus minimus
Gluteus maximus
Tensor facia lata
Anatomy
null
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multi
Commonest histological finding in benign hypertension is
(C) (Hyaline arteriosclerosis) (495, 96- Robbins 8th) (678- Harshmohan 7th)* Hyaline arteriosclerosis consists of homogenous pink hyaline thickening of the wall of the arterioles with loss of underlying structural detail.* Encountered frequently in elderly patients whether normotensive, or hypertensive hyaline arterios...
3
Proliferative endarteritis
Necrotizing arteriolitis
Hyaline arteriosclerosis
Cystic medial necrosis
Pathology
Blood Vessels
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single
Mallika, 21 year old married female brought to ER with abdominal pain and slight vaginal bleeding. Her urine pregnancy test was positive two days ago. For ruling out ectopic pregnancy, the test that CANNOT be used is:
Ectopic pregnancies are identified with the combined use of clinical findings along with, Transvaginal sonography Serum beta-hCG level--both the initial level and the pattern of subsequent rise or decline Serum progesterone level Uterine curettage Laparoscopy and occasionally, laparotomy The hysterosalpingography (HSG)...
4
Pelvic examination
USG
HCG levels
Hysterosalpingography
Gynaecology & Obstetrics
null
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multi
Which of the following is true about a child with severe acute malnutrition?
Diagnostic criteria for severe acute malnutrition in children between 6 months to 5 year age include: 1. Weight/height or Weight/length < -3 Z score, using the WHO Growth Standards 2. Presence of bipedal edema of nutritional origin 3. Mid- upper arm circumference (MUAC) < 115 mm Criteria for discharge of a child with s...
3
His height for age should be < -3 z score
His weight for age should be < -3 z score
His weight for height should be < -3 z score
His mid arm circumference should be < 13.5 cm
Pediatrics
Malnutrition
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multi
The "String of pearl" colonies on Nutrient agar is produced by -
Ans. is 'c' i.e., Bacillus String of pearl reactiono String of pearl reaction is used to differentiate B. anthracis from B. cereus and other aerobic spore forming bacteria,o When B. antharcis is grown on a solid medium containing penicillin, the cells become larger, spherical and occur in chains on the surface of the a...
3
Klebsiella
Proteus
Bacillus
Salmonella
Microbiology
Bacteria
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single
The premature baby is :
Less than 38 weeks
2
Less than 36 weeks
Less than 38 weeks
Less than 40 weeks
None ot the above
Anatomy
null
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multi
Pyridoxal phosphate is needed in:
Ans-A Ref: Harper's Illustrated Biochemistry,28th edition Explanation: Glycogenolysis is the breakdown of glycogen. Glycogen Phosphorylase catalyzes the phosphorolytic cleavage of the (l-4) glycosidic linkages of glycogen, releasing glucose-1- phosphate as the reaction product. Glycogen (n residues)+ Pi - glycogen (n-1...
1
Glycogenolysis
Fatty acid oxidation
Glvcogenesis
Gluconeogenesis
Unknown
null
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single
Simplest and most effective method to prevent nosocomial infection-
Ans. is 'd' i.e., Hand washing o As hand contact is the most common mode of transmission, the best preventive measure of nosocomial infection is proper hand hygiene.
4
Use of antibiotics
Use of laminar airflow
Use of filters
Hand washing
Microbiology
Sterilization and Disinfection
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single
Which of the following does NOT changes
D i.e. Hematocrit Hematocrit does not changes with ageQAge related physiological changes
4
FEVI
Glomerular filtration rate
Glucose tolerance test
Hematocrit
Physiology
null
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single