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Pudendal nerve block
Pudendal Nerve BlockIt is a peripheral nerve block that provides local anesthesia over S2-4 dermatomes (majority of perineum and inferior quaer of vagina)It does not block the superior bih canal so the mother is able to feel the uterine contractions(Refer: Morgan and Mikhail's Clinical Anaesthesiology, 5th edition, pg ...
2
S1-3
S2-4
S3-5
S4,5
Anaesthesia
All India exam
410b0c7a-c75d-4391-a224-7b3290f350b4
single
IQ (Intelligence quotient) of a child means –
tasks in relation to other children of same age.
2
The creative effciency of child
The capability of the child to perfrom intellectual tasks in relation to other children of same age
The efficiency of memory of child
Quantification of the learning ability of child
Pediatrics
null
6b73cbe5-7a9f-4a26-a021-3abf51c0bf9c
single
Which of the following surgical therapies is least effective in treatment of myoma associated with heavy menstrual bleeding
Endometrial ablation technique has high failure rate.
3
Myomectomy
Hysteroscopic resection
Endometrial ablation
Hysterectomy
Gynaecology & Obstetrics
null
101707b6-c457-45b9-b2cf-29bd5c8bb3b2
single
Febuxostat is used for?(DNB 2012-section-1)
Ans. (b) HyperuricemiaRef.-.Harrison's 18/e, ch 333
2
HyperKalemia
Hyperuricemia
Hypernatremia
Hypercalemia
Pharmacology
Hypolipidemic
b4760558-30be-4823-984c-bf959cf0178c
single
Fluoride content is least:
C i.e. Isoflurane Isoflurane has least & methoxyflurane has highest fluride contentQ. Methoxyflurane causes vasopressin resistant high output renal failure.Q.
3
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Anaesthesia
null
432282d6-99ca-4fc2-8c8d-7694aa98206c
single
The following protein defects can cause hereditary spherocytosis except -
Hereditary spherocytosis occurs due to defect in : - Ankyrin                   Band 3 (Anion transport protein) Spectrin            Band 4.2 Note: Band 4.2 is also known as palladin.
3
Ankyrin
Palladin
Glycophorin C
Anion transport protein
Pathology
null
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multi
One of the following diseases has more than one route of transmission -
<p> Leprosy Mode of transmission includes droplet infection,contact transmission,insect bite, breast feeding... Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:317. <\p>
2
Influenza
Leprosy
Cholera
Typhoid fever
Social & Preventive Medicine
Communicable diseases
9517cd0b-fb3d-49e9-9c82-034bb79f526e
single
Commonest injury in blunt abdominal trauma
Splenic injury can be a subcapsular hematoma, laceration or hilar injury. It can be associated with other organ injuries It can cause torrential hemorrhage and shock. It is the most common organ injured in blunt injury abdomen (Ref; SRB,s Manual of Surgery,5th edition, pg no. 149)
4
Kidney
Liver
Bladder
Spleen
Surgery
Trauma
b56f7521-5d90-4be7-b368-6e5a1a2be279
single
Adverse Adverse effects of phenytoin include all of the following except?
Phenytoin interferes with calcium metabolism by desensitizing target tissue to vit. D, this causes hypocalcemia (not hypercalcemia). At therapeutic level (10-20microg/ml) - Gum hyperophy, hirsutism, hypersensitivity (rashes, lymphadenopathy, DLE, neutropenia), hyperglycemia due to inhibition of insulin release, megalob...
3
Lymphadenopathy
Ataxia
Hypercalcemia
Hirsutism
Pharmacology
All India exam
782036e4-c414-42b3-9fff-ca4710e7a087
multi
Paranoid psychosis with cocaine is due to:
The occurrence of the psychotic symptoms depends on the dose, the duration of use, and the individual user's sensitivity to the substance. Paranoid delusions are the most frequent psychotic symptoms. Paranoid delusions and hallucinations can occur in up to 50 percent of all persons who use cocaine. Ref: Kaplan and Sado...
4
Tolerance
Withdrawal
Reverse tolerance
Intoxication
Psychiatry
null
3ebc8061-9fb2-4801-948a-d9bffc3b5e5e
single
All of the following are true about brain metastasis except:
M/c brain tumor is Metastasis M/C primary site for brain metastasis is Ca Lung > Ca breast Frontal lobe is the most common site Lesions are located at the gray-matter and white-matter junction Treated with both Surgery and Radiotherapy (whole brain Radiotherapy) Chemotherapy is not helpful Exceptions: - Can be used in ...
3
Frontal lobe is the most common site
Lesions are located at the gray-matter and white-matter junction
Most common primary site is breast cancer
Chemotherapy can be used in brain metastases due to small cell lung cancer and seminomas
Surgery
CNS Tumors
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multi
Which of the following is a function of mixed oxidase enzyme?
It is a mixed function oxidase (mono-oxygenase). One molecule of O2 is needed in this reaction; out of which one atom is incorporated in the OH group and the other is reduced to water. This reaction also needs the electron carrier tetra- hydro-biopterin which is regenerated by the reduction of dihydro-biopterin by a re...
2
Incorporates H+
Incorporates 1 atoms of oxygen
Incorporates both atoms of oxygen
Incorporates nitrogen also
Biochemistry
Enzymes
98874e05-d035-48b2-b37e-cfbdff2cf68a
multi
Highly selective vagotomy preserves
Highly selective vagotomy includes denervation of only the fundus and body (parietal cell-containing areas) of the stomach (also called parietal cell vagotomy). It preserves the nerve supply of the antrum and pylorus(nerve of laterjee); a pyloric drainage procedure is not needed. ... This procedure is also called proxi...
2
Nerves of Latarjet
Nerve of Mayo
Nerve of Kuntz
All
Physiology
All India exam
f2613769-38a3-49a6-b5d1-5284f47a9173
multi
Which of following muscle has no action at shoulder joint
Movements of the shoulder joint are flexion, extension, adduction, abduction, medial and lateral rotation. These are mainly caused by the muscles pectoralis major, deltoid, latissimus dorsi, teres major and minor and supraspinatus. BD chaurasia 7th edition,page 149-table 10.1
2
Teres major
Pectoralis minor
Subscapularis
Trapezius
Anatomy
Upper limb
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single
After more than 1 hour of extraoral time, an avulsed tooth is soaked in sodium hypochlorite solution, then it should be soaked in:
Closed apex, extraoral dry time greater than 60 minutes, suggesting non-viable cells. Delayed replantation has a poor long-term prognosis.  The periodontal ligament will be necrotic and cannot be expected to heal. The goal in delayed replantation is, in addition to restoring the tooth for aesthetic, functional, and psy...
2
10% NaF for 10 min
2% NaF for 20 min
8% SnF2 for 10 min
2% SnF2 for 10 min
Dental
null
dc0dc576-4d5a-4d3f-85f4-91af70ff0511
single
Best suture for common bile duct is
Synthetic absorbable suture such as vicryl is preferred for CBD Vicryl sutures are used in general soft tissue approximation and vessel ligation Non absorbable sutures ordinarily remain when they are buried within the tissues. This can cause late complications such as the development of gallstones around Non-Absorbable...
1
Synthetic absorbable
Synthetic Non-Absorbable
Non-synthetic absorbable
Non-synthetic Non-Absorbable
Anatomy
G.I.T
6d839bc8-4195-4f71-acd4-6130b0d67211
single
99m Technetium labeled RBC scintigraphy is used in the diagnosis of
99m Technetium labeled RBC scintigraphy It is a means of detecting the origin of bleeding when a patient is being investigated for bleeding from the gut. Either Tc99m or Sulfur Colloid Tagged RBC's can be used as the radiotracer to detect GI bleeding Scintigraphy is about It) times more sensitive than angiography for t...
4
Hepatoma
Hepatic hemangioma
Left ventricular function wall motion
GI Bleeding
Radiology
null
45841755-0c19-4e2a-9923-91a41d8f5375
multi
Which characteristic applies to the toxin produced by C. diphtheriae
Corynebacterium diphtheriae secretes a protein of approximately 62,000 molecular weight that exhibits toxicity against mammalian cells. Therefore, it is called an exotoxin (i.e., a toxic protein that is secreted by bacterial cells). It is a single polypeptide chain held together by two disulfide bridges. Fragment A exh...
4
It has only local effects
It consists of lipid
It is a poor antigen
It is an exotoxin
Microbiology
Bacteriology
73db62af-2064-4d6b-a3ea-ea984b613912
single
All the following are the micro-manipulative methods in Assisted reproductive technique EXCEPT-
null
2
Intra-cytoplasmic sperm injection
Intra-uterine insemination
Zona drilling
Zona cracking
Medicine
null
5d2f9255-8c1a-4d92-888e-e77777561e70
multi
Mineralization inhibitors of calculus formation include all of the following except
null
4
Triclosan
Pyrophosphate
Zinc salts
Diphosphates
Dental
null
10322f21-eeb3-4de8-afbb-d232dfd14341
multi
Which of the following is an alpha-blocker without any effect on blood pressure
Ref: HL Sharma 3rd ed: Pg no:187 Tamsulosin is used to treat BPH specifically It acts only on receptors present on bladder and prostrate gland
2
Terazosin
Tamsulosin
Prazosin
Doxazosin
Pharmacology
Autonomic nervous system
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single
Non caseating granuloma are seen in all except
The fungal and mycobacterial granuloma are usually associated with central caseating necrosis ,but all large caseating granuloma come from small no caseating granuloma . granuloma can be seen in Hodgkin's disease and byssinosis So metastatic carcinoma of lung is the answer Ref Robbins 9/e p56
3
Byssinosis
Hodgkin's lymphoma
Metastatic carcinoma of lung
Tuberculosis
Anatomy
General anatomy
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multi
All are involved in fast axonal transport, except
Ans. is 'd' ie Neurofilament Intracellular transport is the one of the most important function of the eukaryotic cell. Nothing can function without the constant shuttling of intracellular components from place to place.Intracellular transport is orchestrated by a diverse constellation of molecular motor proteins that b...
4
Kinesin
Dynein
Lysosomes
Neurofilaments
Biochemistry
Membrane Structure & Function
3b111277-0f3f-4491-8562-98c9a099ac6f
multi
HIAA is a metabolite of:
Ans is 'a' i.e. SerotoninSerotonin or 5 hydroxytryptamine is catabolized to 5 Hydroxy indole acetic acid (5HIAA).The enzyme which catalyzes this reaction is - Monoamine oxidase.5 HIAA is excreted normally in urine. Normal adult excretes about 7 mg of HIAA per day.
1
Serotonin
Dopamine
Epinophrine
Histamine
Psychiatry
Drugs & Other Biological Methods of Treatment
3a6ea7e9-f776-47c8-9b89-514d7124061c
single
PI P2 is cleaved into IP3 and DAG by -
Ans. is 'b' i.e., Phospholipase o Activation of phospholipase (by stimulatory G protein) hydrolyses the membrane phospholipid phosphatidyl inositol 4, 5 bisphosphate (PIP2) to generate the second messenger inositol 1, 4, 5 - triphosphate (IP3) and diacylglycerol (DAG).o IP3 mobilizes Ca+2 from intracellular organelles ...
2
Protein kinase'C'
Phospholipase
cAMP
Caspases
Pharmacology
Pharmacodynamics
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single
Ureteric peristalsis is due to intact supply of
Ans. is 'd' i.e. Intrinsic smooth muscle pacemaker activity of renal calyces The walls of the ureter contains smooth muscle cells and are innervated by both sympathetic and parasympathetic nerves as well as by an intramural plexus of neurons and nerve fibres that extend along the entire length of the ureters.Specialize...
4
Sympathetic innervation
Parasympathetic innervation
Both sympathetic and parasympathetic
Intrinsic smooth muscle pacemaker activity of renal calyces.
Anatomy
KUB & Adrenal Gland
39ddf318-ede1-42f3-a1e1-ab83fcd008f4
multi
Barr body is absent in female having –
Barr body (Sex - chromatin) It is a densely staining inactivated condensed 'X' chromosome that is present in each somatic cells of the female. It is found in the nucleus. It is used as a test of genetic femaleness → it is possible to determine the genetic sex of an individual according as to whether there is a chromat...
2
46 XX genome
45 XO genome
47 XXX
All of above
Pediatrics
null
156dbb09-f630-4492-a816-45bd1e1f8d40
multi
Vecuronium acts on :
Ans. is 'b' i.e. Myoneural junction Vecuronium is a non depolarizing neuromuscular blocking agent.It acts on nicotinic receptor at neuromuscular junctions and blocks the depolarization by inhibiting Na+ channels.
2
Cerebral cortex
Myoneural junction
Muscle fibres
Spinal cord
Pharmacology
A.N.S.
16747724-0a25-4c69-b7ef-7cf673393ef0
single
True about inferior vena cava - a) Passes through diaphragm at level of D10 vertebra b) Rt. Suprarenal artery directly drains to it. c) It lies anterior to the renal vein. d) It forms the posterior wall of the epiploic foramen e) It is related to psoas muscle
Inferior vena cava passes diaphragm at the level of T8. Inferior vena cava does not receive blood from an artery. Epiploic foramen lies anterior to the inferior vena cava.
3
abc
bce
de
d only
Anatomy
null
85afa5a2-1690-4950-a1b2-b0e9b8a80ed4
multi
Post coital test (PCT) is done for:
Post coital test (Sims or Huhner's test) is a test for evaluation of the potential role of Cervical factor in infertility. It is designed to assess: The quality of cervical mucus. Presence and number of motile sperms in the female reproductive tract. after coitus. Interaction between cervical mucus and sperms. It give...
1
Cervical receptivity
Sperm motility
Absolute sperm count
Viable sperm count e. Endometrial function
Gynaecology & Obstetrics
null
8b1835d7-6195-4590-81f7-5cce5376563f
single
ENT examination of an old man shows roomy nasal cavities, crust formation and woody hard external nose; which are seen in:
Rhinoscleroma: It is a rare, chronic progressive granulomatous disease of the upper respiratory tract caused by Klebsiella rhinoscleromatis.
1
Rhinoscleroma
Rhinosporidiosis
Atrophic rhinitis
None of the above
ENT
null
447d3c3f-9c38-4c43-9335-767fdf4b7d97
multi
Which of the following breast lesions is considered to have the greatest potential for eventual progression to a malignant lesion?
While fibrocystic disease may have many components, including cyst formation, apocrine metaplasia (a benign alteration of cyst epithelium to resemble that of apocrine sweat glands), sclerosing adenosis, and fibrosis, only the epithelial hyperplasia (usual, atypical, or carcinoma in situ) is thought to indicate signific...
3
Apocrine metaplasia
Blue dome cyst
Epithelial hyperplasia
Fat necrosis
Pathology
null
11eead34-3fe4-4435-8446-fdd318eb6ec3
single
Characteristic CT finding in acute SDH is-
Ans. is 'a' i.e. Crescent shaped hyperdense lesion Appearance of hematomas on CT* Biconvex (lens shaped or lenticular) hyperdense(2/3rd) or mixed density lesion(l/3rd) - Epidural hematoma.* Crescent (concao-convex) hyperdense (<2 weeks) or isodense (2-4 weeks) or hypodense (>4 weeks) lesion - subdural hematoma.
1
Crescent shaped hyperdense lesion
Biconvex hyperdense lesion
Biconcave hyperdense lesion
Crescent shaped hypodense lesion
Radiology
Nervous System
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single
The functions of myoepithelial cells may be
null
4
Initiating contraction
Support for the end piece during active secretion of saliva
Provide signals to the acinar secretary cells for c) structural organization
All of the above
Dental
null
828731bf-c3d0-4b0e-aed4-afe35dca4512
multi
Which one of the following is not a Pyridoxine Dependent disorder
Methylmalonic acidemia is an autosomal recessive disorder of amino acid metabolism, involving a defect in the conversion of methylmalonyl-coenzyme A (CoA) to succinyl-CoA. Patients typically present at the age of 1 month to 1 year with neurologic manifestations, such as seizure, encephalopathy, and stroke. Reference: G...
2
Homocystinuria
Methyl-malonic-acidemia
Cystathioninuria
Xanthurenic aciduria
Pediatrics
Metabolic disorders
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single
False about Streptococcus pyogenes
A convenient method for the identification of S.pyogenes is based on Maxted's observation that they are more sensitive to bacitracin than other streptococci. a filter paper disc of 0.04 U is applied on the surface of an inoculated blood agar. After incubation, a wide zone of inhibition is seen with S.pyogenes, but not ...
4
Causes necrotizing fasciitis
Beta haemolytic
M protein is the virulence factor
Resistant to bacitracin
Microbiology
Bacteriology
41710c3b-bf58-4826-8709-9cd5bc686da6
multi
Ulcerative colitis stas from:
Rectal involvement (proctitis) is the hallmark of the disease, and the diagnosis should be seriously questioned if the rectal mucosa is not affected.
1
Rectum
Sigmoid colon
Ascending colon
Any pa
Surgery
Inflammatory bowel disease
744a68a1-570a-49d3-9b6f-1a39f1861518
single
Axillary nerve is a branch of which part of brachial plexus -
Ans. is 'd' i.e., Posterior cord Supraclavicular branches of brachial plexuso Branches of brachial plexus which are above the clavicle are called supraclavicular branches,o These arise from roots and trunks.Supraclavicular branches of brachial plexusFrom roots1. Nerves to scaleni and longus colli2. Branch to phrenic ne...
4
Trunk
Medial cord
Lateral cord
Posterior cord
Anatomy
Nerves of Upper Extremity
4309ceb9-93de-4a86-9601-309b974ab20e
single
TRUE about neurocysticercosis is:
Albendazole is the drug of choice, although albendazole and praziquantel are both effective treatments. Due to the following reasons albendazole is superior than praziquantel. Albendazole penetrates the subarachnoid space better than praziquantel The treatment course for albendazole is shoer (1 week) than that of prazi...
2
Seizures due to neurocysticercosis are resistant to anti epileptic drugs
Albendazole is superior to praziquantel in the treatment of neurocysticercosis
Steroids are used in the management of hydrocephalus
Common presentation is 6th Cranial Nerve palsy and hemiparesis
Medicine
null
05095fa2-1efc-4a5a-9a99-786f47f4448e
multi
Most Pit and fissure sealants are based on
The most common sealants are based on bisphenol A-glycidyl methacrylate (Bis-GMA) resin and are light-cured, although some self-cured products are also available. The viscous Bis-GMA resin is mixed with a diluent, such as triethylene glycol dimethacrylate, to produce a reasonably low-viscosity, flowable resin. Craig Ed ...
1
Bis GMA
TEGDMA
UDMA
All of the above
Dental
null
9451f608-96f8-47a8-ad55-ee1ed1b0b8e0
multi
Visceral larva migrans caused by:
Ans (b) Toxocara canis It generally seen when human infection occur with non human species of nematodes so larvae is unable to complete its normal development . It can also occur when parasitic nematodes infect immune person, so that its immunity does not allow normal progression of infection. Larva Migrans Cutaneous l...
2
Strongyloides
Toxocara canis
Ankylostoma
Dirofilaria
Microbiology
null
66f53bb8-5106-4c6d-b5b6-f5b8c6097f23
single
Main advantage of chisel edge finish line is:
null
1
Conservation of tooth structure
Provides adequate bulk of metal
Provides easy visualization on impression
All of the above
Dental
null
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multi
. The best parameter to measure air pollution is:
SO2
1
SO2
CO2
CO
N20
Social & Preventive Medicine
null
b0be1941-74e3-4bbb-8f1b-1315230ee330
single
The forced vital capacity is
The forced vital capacity (FVC), the largest amount of air that can be expired after a maximal inspiratory effort, is frequently measured clinically as an index of pulmonary function.
3
The amount of air that normally moves into (or out of) the lung with each respiration.
The amount of air that enters the lung but does not participate in gas exchange.
The largest amount of air expired after maximal inspiratory effort.
The largest amount of gas that can be moved into and out of the lungs in 1 min.
Physiology
null
2ed38205-788c-4cea-be2e-2dad91ac730a
multi
A 32 weeks pregnant woman presented with intermittent abdominal pain and vaginal discharge, on analysis of the cervicovaginal discharge showed fibronectin. What is the probable diagnosis?
Fibronectin is a glycoprotein normally present in cervical and vaginal secretions before 22 and after 37 weeks.It is the cement for the fusion of the chorioamniotic membranes with the decidua, a process that is completed after 22 weeks of gestation The biochemical marker of activation of the fetal membranes is the leak...
1
Preterm labour
IUGR
IUD
Vaginal infection
Gynaecology & Obstetrics
Preterm Labour
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single
Which of the following is not a part of the carotid sheath -(84-85-BDC-3) 6th Edition
(D) (Cervical plexus) (84-85-BDC-3) 6th EditionCarotid sheath* Carotid sheath is a local consideration of the prevertebral, the pretracheal, and the investing layers of the deep fascia.* Contents -a) Common and internal carotid artery.b) Internal jugular vein.c) Vagus nerve.d) Deep cervical lymph nodes.* Relations -1) ...
4
Carotid artery
Vagus nerve
Ansa-cervicalis
Cervical plexus
Anatomy
Head & Neck
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single
Transitional epithelium is seen in -
Ans. 'c' i.e., Urinary bladder o Transitional epithelium is a multilayered stretchable epithelium which has extra reserve of cells.Type of epitheliumTissue or organSimple squamousLung alveoliMesothelium lining serous surfacesEndocardium and endotheliumLoop of henle in nephronKeratinized stratified squamousEpidermis of ...
3
Esophagus
Vagina
Urinary bladder
Trachea
Anatomy
Epithelium and Intraepithelial Glands
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single
Quellung reaction is seen with:
Quellung reaction Capsular swelling due to serological reaction Pneumococcal Capsular antigen + Antibody causes Capsular swelling Note:- MC fadyean's reaction Done for bacillus anthracis capsule (polypeptide)
1
Pneumococcus
Gonococcus
Streptococcus
Staphylococcus
Microbiology
FMGE 2018
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single
Drug of choice for treatment of psoriasis involving <10% of BSA (body surface area) is
Topical steroids & topical calcipotriol can be used for treating psoriatic lesions involving <10% body surface area & calcipotriol is the drug of choice.
4
Methotrexate
Oral steroids
Topical steroids
Topical calcipotriol
Dental
null
c655ae07-65a8-4963-8a8c-94edb99189b9
single
A patient who is a known case of AIDS presents to the OPD with fever, chills, malaise and weight loss. The microscopic examination of the cutaneous lesion shown below revealed predominant neutrophilic infiltration. What is the most likely diagnosis?
The clinical vignette and the microscopic findings suggest the diagnosis of bacillary angiomatosis. Bacillary angiomatosis is a disease of severely immunocompromised patients, is caused by B. henselae or B. quintana, and is characterized by neovascular proliferative lesions involving the skin. It consists of lobular pr...
4
Verruca peruana
Cavernous hemangioma
Kaposi sarcoma
Bacillary angiomatosis
Microbiology
Bacteriology
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single
All the following are risk factors for fetal overgrowth except
Risk Factors for Fetal OvergrowthObesityDiabetesPostterm gestationMultiparityLarge size of parentsAdvancing maternal agePrevious macrosomic infantRacial and ethnic factorsReference: William's Obstetrics; 25th edition; Chapter 44; Fetal-Growth Disorders
3
Obesity
Diabetes
Primiparity
Previous macrosomic infant
Gynaecology & Obstetrics
General obstetrics
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Phenytoin is associated with:
null
1
Folic acid deficiency
Alzhiemer's disease
Cushing's syndrome
Vitamin C deficiency
Pharmacology
null
124b5dd7-ffc6-48ec-b1f6-1ad65f5b4e67
single
Bile acids are formed from
null
1
Cholesterol
Amino acids
Bilirubin
Lipoproteins
Biochemistry
null
fccf6440-321a-4d54-a6ba-297cc2ca6564
single
Special stain useful in the following condition
.
4
Alcian blue
Perls Prussian blue
Masson Fontana
Von kossa
Anatomy
All India exam
79744221-e50d-4ef0-9c6f-879df37bc853
single
In Nephrotic syndrome, all serum proteins are reduced except"
Ans. is 'b' FibrinogenExplained earlier.
2
Transferrin
Fibrinogen
Albumin
Ceruloplasmin
Unknown
null
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multi
Thiazides false is
Ans. is 'd' i.e. Increases calcium excretion in urine Thiazides are moderate efficacy diureticsThey inhibit NaCl reabsorption from the luminal side of epithelial cells in the DCT by blocking the Na+Cl- transporterThiazides increase calcium reabsorption in the kidney tubules thus, decreasing calcium excretion. But thiaz...
4
Used in CCF
Causes hyperglycemia
Increases uric acid concentration in serum
Increases calcium excretion in urine
Pharmacology
Diuretic
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multi
Periglomerular fibrosis is considered typical of
Chronic pyelonephritis is defined here as a morphologic entity in which predominantly interstitial inflammation and scarring of the renal parenchyma are associated with grossly visible scarring and deformity of the pelvicalyceal system. Chronic pyelonephritis is an impoant cause of chronic renal failure. It can be divi...
3
Chronic pyelonephritis
Chronic glomerulonephritis
Aerionephrosclerosis
Malignant hypeension
Pathology
Urinary tract
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single
Which is seen in the X-ray skull shown?
Ans. (a) Pepper pot skull.Image source - http://68.media.tumblr.com/d46412907ee7900476a488e26758513b/tumblr_n04rfkqznM1ru4rx5o1_1280.jpg
1
Pepper pot skull
Artifacts
Silver beaten appearance
Mug shot
Medicine
Disorder of Metabolism & Connective Tissue
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single
Pulmonary segments in middle lobe of right lung are:
A. i.e. Medial
1
Medial
Upper
Lower
All
Anatomy
null
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multi
Which of the following is false about advantages of Sod. Hypochlorite
null
2
Potent tissue solvent
Can dissolve only vital tissue
Has bleaching action
Has lubricating action
Dental
null
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ECG features of Athlete's Heart include all of the follow ing except-
Ans. is 'd' i.e., Shortened QT interval o Athletes Heart is associated with a prolonged QT interval and not a shortened QT intenal.o Athlete's Heart is usually associated with a prolonged QT interval because of bradycardia. When corrected for heart rate the QT interval (QT) is usually at the upper limit.Normal ECG find...
4
High QRS voltage
Early repolarization
Tall peaked T wave
Shortened QT interval
Medicine
Electrocardiography
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True statement about weakly basic drugs is:
Acidic drugs bind to plasma albumin whereas basic drugs to alpha-1 acid glycoprotein. Acidic drugs are excreted faster in alkaline urine whereas basic drugs in acidic urine. Acidic drugs are ionized in alkaline medium (as in intestine) whereas basic drugs are ionized in acidic medium (as in stomach) Non-ionized drugs c...
2
These are bound primarily to plasma albumin
These are excreted faster in acidic urine
Are highly ionized in the intestinal juice
These are absorbed mainly from stomach
Pharmacology
Pharmacokinetics
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Mivacurium false is:
Hypeension
1
Hypeension
Increasing the dose produces rapid onset of action
Bronchospasm
Flushing
Anaesthesia
null
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For diagnosing which of the following infection is Whiff test done?
The whiff test, is performed by adding a small amount of potassium hydroxide to a microscopic slide containing the vaginal discharge. A characteristic fishy odor is considered a positive whiff test and is suggestive of bacterial vaginosis. The presence of clue cells on wet mount is similar to the whiff test. Diagnosis ...
1
Bacterial vaginosis
Vaginal Candidiasis
Syphilis
Genital tuberculosis
Gynaecology & Obstetrics
null
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All of the following may be seen in Anorexia Nervosa, except
Repeated vomiting after meals
1
Repeated vomiting after meals
Increased commitment to work
Distoion of body image
Body weight < 85% of the predicted
Psychiatry
null
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The drugs which achieve concentration in bile are all except ?
Ans. is 'd' i.e., Alpha methyl dopa
4
Erythromycin
Tetracycline
Oral contraceptives
Alpha methyl dopa
Pharmacology
null
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NOT an indication for surgery in Ventricular septal defect
Eisenmenger's Syndrome is an absolute contraindication for Surgery in Ventricular septal defect.
4
Hepatomegaly
Suck- Rest-Suck cycle while feeding
Pulmonary: Systemic blood flow > 2:1
Eisenmenger's Syndrome
Pediatrics
null
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single
Granisetron is a:
5HT3 antagonist
2
5HT3 agonist
5HT3 antagonist
5HT2 antagonist
5HT3 agonist
Pharmacology
null
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Nucleosome core protein is made up of -
Ans. is 'c' i.e.. Histones Nucleosomeso Nucleosomes are primary structural units of chromatin. It consists of DNA bound to protein histones, i.e. core of protein histones wrapped with DNA. Histones are basic proteins rich in lysine and argininine. These positively charged amino acids interact with negatively charged ph...
3
DNA
RNA
Histones
null
Biochemistry
Chemistry of Nucleotides
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A 23-year-old woman is noticed to have irregular pupils on routine examination. She has one large pupil, which has minimal response to light stimulation, but it does respond to accommodation. The eye movements are normal and she experiences no double vision.For the above patient with a pupillary abnormality, select the...
The tonic pupil (Holmes-Adie syndrome) is caused by a parasympathetic lesion at or distal to the ciliary ganglion. The pupil is large and usually unilateral, with absent response to light. A bright room, by causing constriction of the normal pupil, accentuates the anisocoria. The tonic pupil can be associated with Shy-...
3
essential anisocoria
Horner syndrome
tonic pupils (Holmes-Adie syndrome)
Argyll Robertson pupils
Medicine
C.N.S.
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multi
Popliteal aery injury is commonly seen in which type of traumatic knee dislocation?
*Make it very clear in your mind that popliteal aery injury can occur with both anterior and posterior dislocation of knee. But it is more common in posterior dislocation. Clinical evaluation : (vascular exam) -Measure Ankle-Brachial Index (ABI) if ABI >0.9 >>>> then monitor with serial examination if ABI <0.9 >>>> -If...
2
Anterior dislocation
Posterior dislocation
Medial dislocation
Lateral dislocation
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
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Which of the following premalignant lesion has the highest potential of getting converted into malignancy?
Among all oral precancerous lesions, Erythroplakia has the maximum potential to convert to malignancy.
3
Apthous ulcer
Leucoplakia
Erythroplakia
Lichen planus
Dental
null
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A 44-year old male having a long history of cigarette smoking presented with gangrene of left foot. An amputation of the left foot was done. Representative sections from the specimen revealed presence of aerial thrombus with neutrophilic infiltrate in the aerial wall. The inflammation also extended into the neighboring...
BUERGER'S DISEASE (Thromboangiitis obliterans) - Segmental inflammatory disease, affecting small and medium sized aeries in upper and lower extremities - Inflammatory process involves neighboring veins and nerves - Typically seen in young, male smokers (not females and non-smokers) - Thrombus contain micro abscess . - ...
3
Takayasu aeries
Giant cell aeries
Thromboangiitis obliterans
Hypersensitivity angitis
Surgery
Aerial disorders
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Most common organ involved by congenital TB is:
Most common organ involved by congenital TB is: Liver
1
Liver
Pancreas
Kidney
Lung
Pediatrics
Impoant Bacterial Diseases in Children
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A group of sports-science researchers is trying to determine what physical characteristics are positive predictors for success at the quarterback position in high school sports. A thorough physical examination is planned for all high school participants, including ethnicity, height, weight. BMI, and other variables. On...
null
2
Hawthorne bias
Measurement bias
Procedure bias
Sampling bias
Social & Preventive Medicine
null
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A 30-year-old male presents to ER with multiple episodes of chest pain, lasting between 10-20 minutes over the last 2 hours. He admits that he did "a bit of coke" at a house pay. Clinical assessment reveals: Pulse: 95/min, Blood pressure: 135/93mm Hg, Sp02= 97% on room air. ECG during a fuher chest pain episode reveals...
Cocaine leads to coronary vasoconstriction & ECG will show ST elevation. Option A: No, PCI because it is not case of STEMI, it is case of Cocaine vasoconstriction so dilate the vessel. Option B: Enoxaparin given to prevent development of re-occlusion of blood vessel or to prevent redevelopment of thrombus in case of MI...
3
Percutaneous coronary intervention
Enoxaparin
Calcium channel blocker
Atenolol
Medicine
CVS
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Name the drug used for this procedure
Tolazoline is an alpha blocker used in peripheral aeriography as it produces vasodilatation and has more selective action on peripheral vessels. Refr: KD Tripathi 8th ed.
4
Metoprolol
Atenolol
Phenoxybenzamine
Tolazoline
Pharmacology
Autonomic nervous system
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ACE inhibitors are contraindicated in
Refer kDT 6/e p 484 Angiotensin-conveing enzyme inhibitors (ACEIs) are contraindicated in patients with bilateral renal aery stenosis due to risk of azotemia resulting from preferential efferent aeriolar vasodilation in the renal glomerulus due to inhibition of angiotensin II.
4
Diabetes mellitus
Hypeension in age old patient
Scleroderma
Bilateral renal aery stenosis
Pharmacology
Cardiovascular system
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Which of the following matrix metalloproteinase expression is increased in endometriosis
MMP-3 expression is significantly increased in women with endometriosis.
3
MMP-1
MMP-2
MMP-3
MMP-4
Gynaecology & Obstetrics
null
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multi
Garden spade deformity is seen in ?
Ans. is 'c' i.e., Smith's fracture Smith fracture (Reverse colle's fracture) It is a fracture of distal third of radius with palmar displacement. Hence, it is called as reverse colles fracture (In colles fracture there is dorsal displacement). It is less common than colles fracture and is caused by fall on the back of ...
3
Baon's fracture
Colle's fracture
Smith's fracture
Bennet's fracture
Surgery
null
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All are true regarding students t-test, except ?
Ans. is 'a' i.e., Standard error of mean is not calculated Student t test o Small samples do not follow normal distribution as large ones do. To overcome this problem 't' test was devised by W.S. Cassette whose pen name was 'student' and hence this test was called student 't' test. Application of test : o It is applied...
1
Standard Error of Mean is not estimated
Standard population is selected
Two samples are compared
Student's t-test map is required for calculation
Social & Preventive Medicine
null
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multi
Rajiv Gandhi Shramik Kalyan Yojana is associated with:
The Rajiv Gandhi Shramik Kalyan Yojana is a scheme which provide an unemployment allowance for employees covered under ESI scheme. The scheme came into effect from 1st April 2005. The allowance can be availed in one spell or in different spells of no less than 1 month. Ref: Park, Edition 21, Page - 758
2
Suppo for workers injured during their duty
Provision of unemployment allowance
Provision of jobs for widows of employees covered under ESI scheme
Provision of training for employees
Social & Preventive Medicine
null
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multi
Which of the following strains of Escherichia coli is commonly implicated in traveler's diarrhea mediated by heat stable enterotoxin and heat labile exotoxin?
Enterotoxigenic Escherichia coli (ETEC) is common cause of traveler's diarrhea. It is also associated with diarrhea in infants in developing countries. It causes watery diarrhea, abdominal cramps and low grade fever. The common etiologies of traveler's diarrhea may vary with location and with season. However, on a worl...
1
Enterotoxigenic
Enteroinvasive
Enteropathogenic
Enterohemorrhagic
Microbiology
null
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single
Pneumocystis carini pneumonia is diagnosed by
null
1
Interstitial penumonia
Eosinophils in septa
Alveolar type I cell damaged with eosinophils
All of the above
Medicine
null
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Keratoderma-Blenorrhagicum is pathogno-monic of
Ans. is 'b' i.e., Reiter's disease Keratoderma Blenorrhagica is the characteristic skin lesion seen in patients with Reactive Ahritis. "The Characteristic skin lesions in Reactive Ahritis, Keratoderma Blenorrhagica, consist of vesicles that become hyperkeratotic, ultimately forming a crust before disappearing. These ar...
2
Behcet's disease
Reiter's disease
Lyme's disease
Glucagonoma
Medicine
null
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single
Purpose of cavity preparation is
null
1
To receive restorating material
To cleanse the caries
To remove bacteria
null
Dental
null
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multi
Diagnostic investigation in carcinoma pan2
MDCT Diagnostic investigation in carcinoma pancreas is MDCT MDCT is investigation of choice for evaluation of lesions arising in the pancreas Investigation of choice for diagnosis, staging and follow up in CA pancreas : MDCT Ref:Sabiston 20th edition Pgno :1544
1
MDCT
PET scan
ERCP
MRCP
Anatomy
G.I.T
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single
A 23-year-old woman arrives at the emergency department with a swollen, painful forearm. An MRI examination reveals a compartment syndrome originating at the interosseous membrane between the radius and ulna. Which of the following type of joint will most likely be affected?
A synarthrosis joint is a fibrous connection that allows minimal to no movement. In this case, virtually no movement is allowed by the interosseous membrane joint between the radius and ulna. Symphysis joints are permanent fibrocartilaginous fusions between two bones; pubic symphysis is an example. Synchondrosis is a t...
1
Synarthrosis
Symphysis
Synchondrosis
Trochoid
Anatomy
Upper Extremity
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single
ATM gene is located on ?
Ans. is 'a' i.e., Chromosome 11Ataxia-Telangiectasia Is an autosomal recessive disorder characterized by an ataxic-dyskinetic syndrome beginning in early childhood, with the subsequent development of telangiectasias in the conjunctiva and skin, along with immunodeficiency. o The ataxia-telangiectasia mutated (ATM) gene...
1
Chromosome 11
Chromosome 7
Chromosome 5
Chromosome 8
Pathology
null
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A 54-year-old man presents with gnawing epigastric pain that occurs at regular intervals daily. The pain is paially relieved by antacids and food. Upper endoscopic studies reveal a duodenal lesion. Fuhermore, a biopsy confirms the benign nature of the lesion and demonstrates numerous Helicobacter pylori bacilli. Which ...
The gross specimen shows a typical peptic ulcer of the first poion of the duodenum. The great majority of these ulcers are associated with chronic H. pylori infection, which plays a pathogenetic role. Eradication of H. pylori is necessary not only for rapid healing of active ulcers, but also to prevent future recurrenc...
4
Aluminum or magnesium-containing antacid
H2-receptor blocking agent
Prostaglandin analog
Proton pump inhibitor plus antibiotic
Pharmacology
null
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A patient presented with multiple nodulocystic lesions on the face. The drug of choice is :
A i.e. Retinoids
1
Retinoids
Antibiotics
Steroids
UV light
Skin
null
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single
Percolating of blood to the lateral aspect of head behind the ear is indicative of
Black eye( Raccoon's sign) in case of anterior cranial fossa fracture, extravasation of blood around the eye and in the periorbital tissue can be observed. It is due to percolation of blood to the periorbital tissue. This is called black eye. Battle's sign in case of middle cranial fossa fracture, there may be percolat...
4
Cullen's sign
Grey- Turner's sign
Raccoon's sign
Battle's sign
Forensic Medicine
Mechanical injuries
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Maternal sources account for what percentage of fetal thyroxine at term
30% of fetal thyroxine at term is derived from mother.
2
10%
30%
50%
70%
Gynaecology & Obstetrics
null
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Incubatory carrier seen in -a) Cholerab) Bubonic plaguec) Mumpsd) Measles e) Influenza
null
3
ba
aec
cde
ce
Social & Preventive Medicine
null
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single
Dose of vitamin A for a 18 month old baby, with keratomalacia, weighing 10 kg is?
Vitamin A DEFICIENCY It is characterized by night blindness, conjunctival xerosis, Bitot spots, Keratomalacia and fundus changes in severe cases Treatment: <6 months of age - Vitamin A 50,000 IU orally/dose 6-12 months of age - Vitamin A 100,000 IU orally/dose >12 months of age - Vitamin A 2,00,000 IU orally/dose The s...
3
50,000 IU
1,00,000 IU
2,00,000 IU
5,00,000 IU
Pediatrics
FMGE 2018
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Non-noxious stimulus is perceived as pain in:
Allodynia Terminology of sensory disturbances: Allodynia perception of nonpainful stimulus as painful, even excruciating. Paraesthesia pins and needle sensation, tingling (may include a wide variety of other abnormal sensations, except pain) Dysesthesia all types of abnormal sensations including painful ones Hyperesthe...
1
Allodynia
Hyperalgesia
Paraesthesia
Hyperpathia
Surgery
null
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The flexometallic tube was designed by-
dr Franz Kessler designed flexometallic tube. Sir Ivan Magills contribution in Anaesthesia. Endotracheal tube, anaesthesia (The Magill endotracheal tube, oral & nasal designs) An anaesthetic breathing system (Magill circuit and expiratory valve) Intubating forceps (Magill forceps) Laryngoscope a straight bladed version...
1
Dr. Franz Kessler
Dr. Ivan Magill
Dr. Stanley Rowbotham
Gudel
Anaesthesia
Airway
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Spinal cord in adults terminates at which level of veebrae?
Spinal cord in adults terminates at the lower border of the L1 veebra. In children , it usually terminates at the upper border of the L3 veebra. Structure/ Space Terminal extent Spinal cord at bih L3 upper border Spinal cord at 2 years L1 lower border Adult spinal cord L1 lower border Filum terminale 1st coccygeal segm...
3
Upper border of L1
Upper border of L3
Lower border of L1
Lower border of L3
Anatomy
Brain
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Which of the following is the reference standard on which classification of protein-energy malnutrition is based –
For national and international comparisons and for monitoring, "reference or standard values" of growth are essential. The well known reference standards are - 1. Harvard (or Boston) standards Not in common used Have been replaced by WHO reference values 2. WHO reference values Most commonly used reference values f...
4
Gomez classification
10th percentile of weight for age of ICMR
80% of the 50th percentile of weight of ICMR
80% of the 50th percentile of weight for age of American standard
Pediatrics
null
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Barrett's esophagus is commonly associated with one of the following:
null
1
Adenocarcinoma
Squamous cell carcinoma
Sarcoma
Gastrointenstinal stromal tumor
Surgery
null
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