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Citelli's abscess is
Ans. is 'b' i.e., Formed over occipital bone Abscesses related to mastoid infection* Acute mastoiditis can be complicated by following abscesses:-1) Postauricular abscess:- This is the commonest subperiosteal abscess associated with acute mastoiditis. It occurs lateral to the cortex of mastoid in MacEwen's triangle.2) ...
2
Drained through external meatus
Formed over occipital bone
Presents as upper neck swelling
Retroorbital abscess
ENT
Ear
f7bc917e-82a0-44f3-b3e5-3192efbe3a2b
single
Primitive streaks remnants give rise to:-
SACROCOCCYGEAL TERATOMA Teratomas occur most frequently in the neonatal period, sacrococcygeal region is the MC siteQ. TREATMENT Complete surgical excisionQ through a chevron-shaped buttock incision.
3
Neuroblastoma
Wilm's tumor
Sacrococcygeal teratoma
Hepatoblastoma
Surgery
Pediatric Surgery
bd22147d-8dfd-4247-8609-75d36c0b1a74
single
A patient with ascites comes to your clinic for paracentesis and you decide to use a midline approach to drain the fluid.Which of these structures is not pierced in this approach
Transversus abdominis is not pierced when paracentesis is performed using the midline approach Layers of abdomen if pierced in the midline approach (from superficial to deep) *Skin *Superficial fascia *linea alba *transveralis fascia *Extraperitoneal fat *parietal peritoneum There are no muscles pierced in the midline ...
4
Transversalis fascia
Extraperitoneal fat
Campers and Scarpa
Transversus abdominis muscle
Anatomy
Abdomen and pelvis
8b618533-d31f-4160-bee6-96fd0922a510
single
A patient presents with symptoms of Hypoglycemia. Investigations reveal decreased blood glucose and increased Insulin levels. C-peptide assay is done which shows normal levels of C-peptide. The most likely diagnosis is:
For the production of insulin enzymes in the pancreatic beta cells cleave the proinsulin molecule into insulin and C peptide, which are both present in insulin granules and are released in equimolar amounts when insulin is secreted into blood stream. In accidental exogenous Insulin administration, beta cell function is...
3
Insulinoma
Accidental sulfonylurea ingestion
Accidental exogenous Insulin administration
Accidental Metformin ingestion
Medicine
null
89e26485-c1cd-4a5b-bfb5-708e8ba69139
single
Backwash ileitis is seen in
Ans. is 'a' i.e., Ulcerative colitis Ulcerative colitis always involves the rectum and extends proximally in continuous fashion to involve pa or all pa of the colon. Involvement of terminal ileum in ulcerative colitis is called backwash ileitis
1
Ulcerative colitis
Crohn's disease
Colonic carcinoma
heal polyp
Medicine
null
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single
Which of the following drug is a renin inhibitor?
ANSWER: (D) AliskirenREF: Goodman Gillman page 525, KDT 6th edition page 482, Katzung 12th ed page 190, 300Repeat from Pharmacology June 2010, December 2008RENIN INHIBITORSCleavage of angiotensinogen by renin is the rate-limiting step in the formation of ANG II and thus represents a logical target for inhibition of the...
4
Enalapril
Losartan
Clonidine
Aliskiren
Pharmacology
Anti-Hypertensive
eff97fb0-6200-4c40-9dd4-5149564cc1fd
single
Bacteria acquire characteristics by all the following except
null
2
Through Plasmids
Incorporating part of host DNA
Through bacteriophages
Through conjugation
Microbiology
null
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multi
Least common type of twins-
Ans. is d i.e., Conjoined twins Dizygotic twins 180%) o Result from fertilization of two ova, most likely ruptured from two distinct Graffian follicles usually from same or one from each ovary, bye two sperms during a single ovarian cycle. Monozygotic twins (20%) o Twinning may occur at different periods after fertiliz...
4
Diamniotic-dichorionic twins
Diamniotic -monochorionic twins
Monoamniotic-monochorionic twins
Conjoined twins
Gynaecology & Obstetrics
Multiple Pregnancy
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single
While doing thoracocentesis, it is advisable to introduce needle along -
The intercostal vessels and nerves pass along the lower border of the ribs. To avoid injury to these structures, it is advised to pass needle close to upper borders of the ribs, during thoracocentesis.
1
Upper border of the rib.
Lower border of the rib.
In the center of the intercostal space.
In anterior part of intercostal space.
Anatomy
null
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single
Violent vomiting after forceful retching present with sudden severe haematemesis. Diagnosis is
C. i.e. (Mallory weiss syndrome) (1016 - B & L 25th) (813 - S. Das 5th)* A history of vomiting followed by either malaena or haemotema suggest Mallory - Weis syndromeMALLORY -WEISS SYNDROME - vigorous vomiting produces a vertical split in the gastric mucosa immediately below the squamo columnar junction at the cardia i...
3
Haemangioma of esophagus
Carcinoma oesophagus
Mallory-weiss syndrome
Oesophageal varices
Surgery
Oesophagus
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multi
Which of the following statements about a basal cell carcinoma of the skin is TRUE?
null
3
It is also called a marjolin's ulcer
It metastases to the regional lymph nodes
It is radiosensitive
None of the above statements is true
Surgery
null
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multi
Torsades de pointes cause?
Ans. is 'c' i.e., Wide QT Torsades - de pointes is a cardiac arrhythmia, which may cause blackouts or even sudden death Q (d/t ventricular fibrillation).The phrase "Torsades de pointes" literally means "Twisting of the point referring to the characteristic appearance of the electrocardiogram during the rhythm abnormali...
3
Eide QRS
Short QRS
Wide QT
Short QT
Medicine
Arrhythmias
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single
Intraductal papillary mucin neoplasm is a precursor of-
Intraductal papillary mucinous neoplasm (IPMN) IPMN is a papillary neoplasm that arises within the main pancreatic duct (MPD) or its branches. IPMN is characterized by Intraductal, papillomatous growth pattern Excessive mucin secretion Excessive mucin secretion results in progressive ductal dilatation and cyst form...
3
Mucinous cystic neoplasm
Mucinous non-cystic neoplasm
Ductal adenocarcinoma
Solid pseudopapillary neoplasm
Pathology
null
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single
Stewa-Treves syndrome is used to described development of
Answer- A. LymphangiosarcomaStewa-Treves' syndrome:Ulceration, non-healing bruises and raised purple-red nodules in patients with lymphatic disorders, should lead to suspicion of malignancy.Lymphangiosarcoma was originally described in postmastectomy oedema (Stewa-Treves'syndrome)
1
Lymphangiosarcoma
Rhabdomyoma
Angiosarcoma
Mesothelioma
Surgery
null
b4c4eef9-2e69-429e-b766-8e2136fbe605
single
Which one of the following clinical situation would be LEAST likely to result in a newborn who is small for gestational age?
Pregnancies associated with, gestational diabetes mellitus usually produce newborns that are large for gestational age (macrosomia). Hyperglycemia in the mother causes fetal release of insulin, which increases the synthesis of fat and muscle. Fetal, placental, and maternal causes can result in a newborn that is small f...
4
Premature rupture of the membranes
Abruptio placentae
Congential CMV infection
Gestational diabetes mellitus
Surgery
null
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"Multibacillarv" is a spectrum of disease, seen in-
Ans. is 'a' i.e.. Leprosy ClassificationsRidley and JoplingIndianMadrido Tuberculoid (TT)o Indeterminate (I)o Indeterminateo Borderline tuberculoid (BT)o Tuberculoido Tuberculoid flat raisedo Borderline (BB)o Borderlineo Borderlineo Borderline lepromatous (BL)o Lepromatouso Lepromatouso Lepromatous (L.L)o Pure neuritic...
1
Leprosy
TB
Tetanus
Trachoma
Social & Preventive Medicine
Communicable Diseases
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single
Which is not a 2nd generation anti-histamine agents
Anti histamines are classified into first generation and second generation compounds on the basis of CNS penetration and anti cholinergic propeies. First generation anti-histamine can penetrate blood brain barrier and possess additional anti cholinergic propeies which are lacking in second generation drugs. Cyclizine i...
2
Cetirizine
Cyclizine
Loratidine
Fexofenadine
Pharmacology
Autacoids
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single
Mean transformation time for HIV and AIDS is:
Mean transformation time for HIV to AIDS is 10 years. The duration between primary infection and progression to clinical disease averages about 10 years. Facts about HIV infection (Jawetz): The typical course of "untreated HIV" infection spans around a decade (10 years) Following infection the period of clinical latenc...
2
7.5 years
10 years
15 years
12 years
Microbiology
Virology
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A multigravida at 35 weeks' gestation had the following finding on ultrasound. The following can be the causes except:
Ans. B. Posterior urethral valvePolyhydramnios is diagnosed when the AFI >24cm or the single deepest pocket measures >8cm.Causes of polyhydramnios:a. MC cause of mild polyhydramnios = idiopathicb. Multifetal pregnancyc. Maternal diabetesd. Cleft lip/palate (GIT anomalies >NTD)e. Esophageal atresia/duodenal atresiaf. An...
2
Diabetes
Posterior urethral valve
Rh alloimmunization
Anencephaly
Gynaecology & Obstetrics
Miscellaneous (Obs)
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multi
A person has history of steatorrhoea of long duration. D-xylose was ordered. 5 hour urine sample show < 4.5 g excretion after giving 25g D-xylose. What is the probable diagnosis a) Celiac disease b) Pancreatitis c) Blind loop syndrome d) Heal disease
null
1
ac
ab
ad
bd
Medicine
null
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Pink puffers are associated with?
Ans. is 'a' i.e., Emphysema * A "pink puffer" is a person where emphysema is the primary underlying pathology. In emphysema, not only there is less surface area for gas exchange, there is also less vascular bed for gas exchange. The body then has to compensate by hyperventilation (the "puffer"). Their arterial blood ga...
1
Emphysema
Chronic bronchitis
Pneumonia
Bronchiectasis
Pathology
Respiration
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single
In lesion of the right hypoglossal nucleus, the tip of the tonge on protrusion turns to:
Lesion of hypoglossal nucleus: Lesion of the hypoglossal nucleus, there is ATROPHY of the muscles of the IPSILATERAL one-half of the tongue. This is a lower motor neuron lesion. Upon closer examination, FASCICULATIONS (tiny, spontaneous contractions) can be seen. Both fasciculations and atrophy result from the loss of ...
3
Left side because of paralysis of left side tongue mscles
Right side because of paralysis of right side tongue mscles
Right side because of the unopposed action of left geniglossus muscle
Left side because of the unopposed action of left geniglossus muscle
Anatomy
null
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single
Multiple myeloma is diagnosis by-
Answer is option4, roulex formation in blood. Multiple myeloma Much rouleaux formation of the red cells is in this thick area of red cell distribution. This is pathologic rouleaux in contrast to normal stacking of red cells in a thick area of a normal blood smear. The background has a bluish tinge. Two small lymphocyte...
4
24 hour urine protein
Kidney biopsy
>10% plasmacytoma
Rouleaux formation in blood
Pathology
Haematology
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single
Approximate time, at the end of which, the quantity of ATP within ischemic cardiac myocytes is reduced to 10% of original is -
null
4
<2 minutes
10 minutes
20 minutes
40 minutes
Pathology
null
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single
Deep inguinal ring is a deficiency in the -
Deep inguinal ring lies lateral to rectus abdominis, as an opening in fascia transversalis.
4
Internal oblique muscle
Transversus abdominis muscle
Internal spermatic fascia
Transversalis fascia
Anatomy
null
470d1799-6fd8-4df1-bd7e-e6a8f8de53a4
single
Commonest cause for acute otitis media in children is
Most common organisms in infants and young children are Streptococcus pneumonia (30 c/o ), Haemophilus influenza(20%) and Moraxella catarrhalis(12%). Other organisms include Streptococcus pyogenes, Staphylococcus aureus and sometimes Pseudomonas aeruginosa. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg...
2
H influenza
S pneumonia
S aureus
Pseudomonas
ENT
Ear
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single
All of the following are the indications for myomectomy in a case of fibroid uterus except:
From the given options the answer is quite obvious as red degeneration of fibroid is managed conservatively not by any surgery. But let us rule out other options also. Indication of myomectomy: Myomectomy is specifically indicated in an infertile woman, in recurent abortions and patients with symptomatic fibroid but de...
4
Associated infertility
Recurrent pregnancy loss
Pressure symptoms
Red degeneration
Gynaecology & Obstetrics
null
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multi
In skeletal class III malocclusion will show
null
2
ANB of +8°
ANB of -6°
ANB of 0°
ANB of +2°
Dental
null
e638055b-b379-4fef-a75f-12e665fd3735
single
Sign of antemortem hanging is
Ans. is 'b' i.e., Eye is open * The important PM findings of Hanging are :i) Ligature mark is above thyroid cartilage, incomplete, bilaterally symmetrical and directed obliquely upward extending to the angles of mandible, then to mastoid and finally to occipital protuberance. Ligature mark is an example of imprinted/pr...
2
Ligature mark
Eye is open
Fracture of hyoid
Tardieu spots
Forensic Medicine
Death and Investigations
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Clinical diphtheria is caused by
Corynebacterium diphtheriae is the causative agent for diphtheria. The incubation period is 3-4 days. The site of infections is faucial, nasal, otitic, laryngeal, cutaneous. According to clinical severity, malignant, septic and hemorrhagic types are there. Reference: Textbook of Microbiology; Anathanarayan and panicker...
1
Corynebacterium diphtheriae
Corynebacterium parvum
Corynebacterium Ulcerans
Streptococcus pyogenes
Microbiology
Bacteriology
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single
The most common second malignant in survivors of retinoblastoma is –
Most common secondary tumor in survivors of retinoblastoma is osteosarcoma.
4
Thyroid cancer
Nasopharyngeal carcinoma
Optic glioma
Osteosarcoma
Ophthalmology
null
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single
All of the following statements about purification of water are true except
null
3
Sodium thiosulphate is used to neutralize certain contaminants
Coliforms must not be detectable in any 100 ml sample of drinking water
Presence of Clostridial spores indicates recent contamination of water
Coliforms may be detected by multiple tube method and indole production
Social & Preventive Medicine
null
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multi
Killer cells are associated with type....immunologic response -
A form of type II hypersensitivity is called antibody-dependent cell-mediated cytotoxicity (ADCC). Here, cells exhibiting the foreign antigen are tagged with antibodies (IgG or IgM). These tagged cells are then recognized natural killer cells (NK) and macrophages ( the Fc region) to the effector cell surface receptor, ...
2
Type I
Type II
Type III
Type IV
Microbiology
Immunology
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single
Neologism is
(B) Totally a new word # Neologisms are newly formed words or phrases whose derivation can not be understood.> These are created to express a concept for which the subject has no dictionary word.> Sometimes, normal words are used in an unconventional or distorted way but the derivation can be understood, even if bizarr...
2
Minting of words
Totally a new word
Has a some meaning
Modification of word
Medicine
Miscellaneous
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multi
Cholangiocarcinoma is associated with -
Ans. (a) Chlonorchis sinensisRef: Bailey 26th edition Table page 1115* Opisthorcis vivernii and Clonorchis sinensis are associated with Cholangiocarcinoma.
1
Chlonorchis sinensis
Schistosoma
Plasmodium
null
Surgery
Gall Bladder & Bile Ducts
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multi
The permeability of which of the following ion leads to resting membrane potential?
Ionic Basis of Nerve Resting Membrane Potential • RMP: Resting membrane potential is a potential difference across the cell membrane in millivolts, which is by convention -70 Mv. • RMP is established by the diffusion potential that results from concentration differences of permeable ions. • Resting membrane potential (...
3
Sodium
Calcium
Potassium
Chloride
Physiology
null
1629e079-2fa9-4027-aa60-639615beb317
single
Which of the following is absolutely essential for wound healing?
Fibroblasts require vitamin C to produce collagen. There is an increase in the tensile strength of the wound due to increased collagen, which is at first deposited in a random fashion and consists of type III collagen. The remodelling phase is characterised by maturation of collagen (type I replacing type III until a r...
3
Vitamin D
Carbohydrates
Vitamin C
Vitamin E
Surgery
General surgery
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single
Total numbers of codons are -
Ans. is 'd' i.e., 64 o The information needed to direct the synthesis of protein is contained in the mRNA in the form of a genetic code, which intum is transcribed from template strand of DNA and is therefore complementary to it.o The genetic code is the system of nucleotide sequences of mRNA that determines the sequen...
4
60
61
62
64
Unknown
null
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True about zafirlukast is :
Zafirlukast and montelukast are cysteinyl leukotriene receptor antagonists. They cause modest improvement in lung function and reduction in asthma symptoms and lessen the need for beta-agonist rescue therapy. These drugs can be considered as alternatives to low-dose inhaled corticosteroids in patients with persistent a...
4
It inhibit lipooxygenase pathway
It blocks LT receptor
It can be administered orally
All of these
Pharmacology
null
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multi
LES sphineter is relaxed by -
Answer is 'a' i.e. Nitrates
1
Nitrates
HL blockers
Morphine
All
Surgery
null
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multi
Most common muscle damaged in rotator cuff is
Refer Williams Vil 1.p 330 The tendons of the rotator cuff, not the muscle are most commonly involved and of the four, The supraspinatus us effected most frequently as it passes below the acromian
1
Supraspinatus
Infraspinatus
Subsacapularis
Teres minor
Anatomy
General anatomy
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A nulliparous woman in spontaneous labor was examined by you at 2pm and was found to be 6 cm dilated, 80% effaced with absent membranes, clear liquor and fully effaced cervix and vertex at 0 station and oxytocin was started to augment the contractions. At 6pm, she is reassessed and found to have same findings, but now ...
Ans. C. Shift her to OT for caesareana. The woman is diagnosed with arrest of active stage of laborb. ACOG has updated the definition of arrest of 1st stage of labor in woman undergoing spontaneous labor to decrease the incidence of first caesarean section.c. Arrest in dilatation in active labor is defined at more than...
3
Wait and watch for another two hours
Oxytocin augmentation
Shift her to OT for caesarean
Vacuum delivery
Gynaecology & Obstetrics
Miscellaneous (Obs)
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multi
Highest impulse discharge frequency from baroreceptors will be at what blood pressure?
- The range for baroreceptor function is 60-180 mm Hg. - The normal set point for baroreceptors is 100 mm Hg. - At 100 mm Hg, there is a steady impulse discharge from baroreceptors to the VMC. - When BP increases --> impulse discharge increases; when BP decreases --> impulse discharge decreases. - Thus, impulse dischar...
4
60 mm Hg
100 mm Hg
150 mm Hg
180 mm Hg
Physiology
Circulation
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single
Which antibiotic acts by inhibiting protein synthesis
Ref Goodman Gilman 11/e p 1173 Doxycycline is a tetracycline that act by inhibiting protein synthesis Cefotetan and oxacillin are beta lactam antibiotics that act by inhibiting cell wall synthesis Ciprofloxacin is a Fluroquinolone that acts by inhibiting DNA gyrase
2
Cefotetan
Doxycycline
Ciprofloxacin
Oxacillin
Pharmacology
Chemotherapy
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Atrial natriuretic polypeptide (ANP) acts by?
ANP is secreted by right atrium acts in many ways such as decreasing aldosterone production, decrease sodium absorption from renal tubules and also inhibit release of renin. (Ref: General pathology in Textbook of PATHOLOGY 6th Edition by HARSH MOHAN)
4
Decreasing aldosterone production
Decreasing sodium reabsorption from renal tubules
Inhibiting release of renin
All of the above
Physiology
General physiology
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multi
Malignant hyperthermia is associated with all of the following except?
Ans. is 'b' i.e., Dantrolene Drugs causing malignant hyperthermia* Succinylcholine, Desflurane, Tricyclic antidepressants, Halothane, Cyclopropane, Phenothiazines, Isoflurane, Ether, Lignocaine, Enflurane, Methoxyflurane, Sevoflurane & MAO inhibitors.* Succinylcholine is the most common cause of MH.* Amongst inhalation...
2
Succinyl choline
Dantrolene
Halothane
Methoxyflarane
Anaesthesia
Complications Of Anaesthesia
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multi
In Klippel flail syndrome all are seen except:
Ans: A (High...) ",Prominence of the trapezius muscle gives the appearance of webbing at the base of neck. The posterior hairline is much lower than the normal. Associated anomalies includes are common & includes hem iverteh rae, posterior arch defect, cenical meningomyelocele, thoracic defects, scapular elevation & vi...
1
High posterior hair line
Associated visceral anomalies present
Restriction of neck mobility'
Short neck
Orthopaedics
Miscellaneous
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multi
A person 'X' hits another person 'Y' with a wooden stick on provocation. This leads to the formation of a bruise 3 cm × 3 cm on the forearm. No other injuries are noted. Which of the following is true, regarding his punishment -
The person Y has developed simple hurt (non-grievous) without provocation and with a non-dangerous weapon. The punishment for voluntarily causing hurt (no provocation, non-grievous hurt, non-dangerous weapon) is imprisonment up to 1 year with or without a fine of 1000 Rs. (Sec 323 IPC).
1
Imprisonment for one year and/or fine of Rs. 1000
Imprisonment for two year and/or fine of Rs. 5000
Imprisomnent for 1 month and/or fine of Rs. 500
Rigorous imprisonment for six months.
Forensic Medicine
null
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multi
Asymptomatic hypercalcemia in a 30 year old young male is due to :
Answer is B (Primary Hyperparathyroidism) : The most likely cause of asymptomatic hypercalcemia in a patient aged 30 .years is primary hyperparathyroidism. Familial hypocalciuric hypercalcemia, is most often detected in the first ten years of life when hypercalcemia due to primary hyperparathyroidism is a rarity. Both ...
2
Occult primary malignancy
Primary Hyperparathyroidism
Familial hypocalciuria
Hyper-nephroma
Medicine
null
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single
Opioid that activates monoamine action is:
null
1
Tramadol
Pentazocine
Pethidine
Meperidine
Pharmacology
null
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single
Otto Loewi is famous for discovery of
Otto Loewi is famous for discovery of acetylcholine for which he received a Nobel price. so the option 2.(Reference: www.nobelprize.org)
2
Succinyl choline
Acetyl choline
Adrenaline
Noradrenaline
Physiology
General physiology
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single
All comprise inherent propeies of a screening test except-
Ref :Parks 23rd edition pg 140 Yield is not an inherent propey of screening test. Yield is the amount of previously unrecognized disease that is diagnosed as a result of screening effo. It depends on many factors : Sensitivity and specificity of the test Prevalence of disease Paicipation of individuals in the detection...
3
Sensitivity
Specifivity
Yield
Predictive accuracy
Social & Preventive Medicine
Screening
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The most common benign tumor of the lung is -
null
1
Hamartoma
Alveolar adenoma
Teratoma
Fibroma
Surgery
null
38350826-5120-4820-9799-c5bc334e5f78
single
Which is not a primary cutaneous disorder
Reiters disease
3
Lichen planus
Psoriasis
Reiters disease
Bowen Disease
Skin
null
ca6827c0-3853-4662-9784-425dabbaa29a
single
Temperature regulation is chiefly under the control of:September 2007
Ans. D: HypothalamusThermoregulation in both ectotherms and endotherms is controlled mainly by the preoptic area of the anterior hypothalamus.Such homeostatic control is separate from the sensation of temperature
4
Midbrain
Pons
Medulla
Hypothalamus
Physiology
null
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single
Polar amino acids are all except ?
Ans. is 'd' i.e., Methionine
4
Glutamic acid
Histidine
Glutamine
Methionine
Biochemistry
null
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multi
What is cutaneous Tuberculosis secondary to underlying tissue lymph node called
Cutaneous Tuberculosis Scrofuloderma:- It is a result of contiguous spread of infection to skin from underlying disease (usually cervical lymph nodes and bones); fluctuant nodules that develop sinus tracts, draining to skin, with tethered appearance. Ref:- Review of Dermatology by Alikhan; pg num:-302
1
Scrofuloderma
Lupus vulgaris
Spina ventosa
None of the above
Dental
Bacterial infections
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A boy can grasp a rattle & recently he become able to transfer objects, hand to hand. He can do-
Ans. is 'a' i.e., Babble o A child is able to grasp an object (palmar grasp) at the age of 7 months. o A child can transfer the object form one hand to another by the age of 5-7 months. o So, the age of this child is 7 months. o A 7 months old child can do :? 1) Holds the objects with crude grasp from palm (palmar gras...
1
Babble
Say 'mama' or dada
Sit without suppo
Stand with suppo
Pediatrics
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Choose the major fuel that is being used by the chest muscles used during weightlifting.
We will illustrate, in addition, how biochemical measurements can pinpoint a disorder and allow one to determine which enzyme is functioning improperly.a. Mouth(1). Salivary glands produce a-amylase, which cleaves a-1,4 bonds between glucose residues in dietary starch. (Pancreatic a-amylase catalyzes the same reaction....
4
Ketone bodies
Blood glucose
Fatty acids
Glycogen
Biochemistry
Carbohydrates
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single
All of the following statements about Sternberg Canal are true, except?
Sternberg's canal is located anterior and medial to foramen rotandum. It is also known as lateral craniopharyngeal canal.
4
Causes intrasphenoidal meningocele
Represents persistent craniopharyngeal canal
Located anterior and medial to Foramen Rotundum
Located posterior and lateral to Foramen Rotundum
Anatomy
null
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The term "id" was coined by
In response to the unstructured ambiguity and conflicting uses of the term "the unconscious mind", Freud introduced the structured model of ego psychology (id, ego, super-ego) in the essay "Beyond the Pleasure Principle" (1920) and elaborated, refined, and made that model formal in the essay "The Ego and the Id Accordi...
2
Weyker
Freud
Blueler
Skinner
Dental
miscellaneous
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Birbeck's granules in the cytoplasm are seen in
ref Robbins 9/e p622 Birbeck granules, also known as Birbeck bodies, are rod shaped or "tennis-racket" cytoplasmic organelles with a central linear density and a striated appearance. First described in 1961 (where they were simply termed "characteristic granules"), they are solely found in Langerhans cells.
1
Langerhan's cells
Mast cell
Myelocytes
Thrombocytes
Anatomy
General anatomy
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single
Which of the following is not a primary prevention strategy?
ANSWER: (A) Breast self examREF: Park 20th edition page 38, 334Indirect repeat from December 2009"Breast self examination is for early detection of breast cancer and its treatment as early as possible and hence it is a secondary prevention"Cancer education is a primordial prevention which is a type of primary preventio...
1
Breast self exam
Control of tobacco
Radiation protection
Cancer education
Social & Preventive Medicine
Concept of Control
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Widal test is specific for:
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4
Plague
Leprosy
Pemphigoid
Typhoid
Microbiology
null
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Beta blockers:
Beta-blockers provide quick symptomatic relief in thyrotoxicosis that result due to sympathetic overactivity like palpitations, tremors, sweating etc. They have no effect on the synthesis of the hormones in the thyroid gland. They are valuable in providing symptomatic relief while awaiting response to radioactive iodin...
1
Relieve symptoms of thyrotoxicosis.
Should not be used along with carbimazole.
Reduce the synthesis of hormones in the gland.
Should not be given before thyroid surgery.
Pharmacology
null
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Epispadias in relation to hypospadias -
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2
Is more common
Less common
Occures with the same frequency
Is difficult to treat
Surgery
null
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Shoest incubation period is seen in:
Influenza Incubation period is the time elapsed between exposure to the pathogenic organism and when symptoms and signs are first apparent. Incubation period of some pathogens are: Varicella (Chickenpox) - usually 14 to 16 days Measles (Rubeola) - usually 10 days from exposure to onset of fever, and 14 days to appearan...
4
Hepatitis A
Hepatitis B
Rubella
Influenza
Social & Preventive Medicine
null
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Toxic shock syndrome is caused by -a) Streptococcus pyogenesb) Staphylococcus aureusc) Strept albicansd) E.durans
Toxic shock syndrome TSS is a potentially fatal multisystem disease characterized by sudden high fever, fainting, watery diarrhea, headache and muscle ache. There are two types of TSS :- 1.    Staphylococcal TSS - Staphylococcal TSS results from the elaboration of toxic shock syndrome toxin type-1 (TSST-1) also kn...
2
ac
ab
ad
bc
Microbiology
null
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single
The most common source of embolism:
Ans. (a) DVT(Ref: Robbins 9th/pg 127; 8th/pg 126)MC cause of venous embolism is DVTMost arise in the deep leg veins above the level of the knee. Q
1
DVT
Trauma
Infection
Surgery
Pathology
Hemodynamics
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Finger by which all three major nerves of the upper limb can be tested -
null
3
Index
Ring
Thumb
Middle
Anatomy
null
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Complications of total thyroidectomy include all except:
Ans. (d) HypercalcemiaRef: Schwartz 10th edition page 1372* Hypocalcemia can happen on 2- 5 days after surgery due to vascular compromise for parathyroid glands
4
Hoarseness
Airway obstruction
Hemorrhage
Hypercalcemia
Surgery
Thyroid Gland
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All of the following are a part of the innate immunity except -
Alternate pathways of Complement , NK cells and Macrophages (as phagocytes) are the components of innate immunity B cell, T cell, Classical complement and Antigen presenting cell are components of adaptive/acquire immunity. Ref: Apurba Sastry’s Essentials of Medical Microbiology 1/e p97, Kuby’s Immunology 6/e p53
4
Complement
NK cells
Macrophages
T cells
Microbiology
null
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Best marker of SLE?-
Immunologically the SLE. is associated with an enomorous array of autoantibodies , Classically include Anti nuclear antibody. Anti-DNA antibody to native DNA in abnormal tier Robbins 9 th edition page no. 125
2
Anti Sm antibodies
Anti-ds DNA antibodies
Anti-Histone antibodies
Anti-Ro (SS-A) antibodies
Pathology
General pathology
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While giving injection minimum distance from biopsy site should be:
null
3
Over the margin of the lesion.
Above the lesion.
1cm away from the margin of the lesion.
Distance is not very significant factor
Surgery
null
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One of the following condition is not associated with clubbing :
Answer is B (Chronic bronchitis): Chronic bronchitis does not cause clubbing Some causes of finger clubbing Respiratory Cardiovascular Bronchial carcinoma, especially epidermoid (squamous cell) type (major cause) Cyanotic hea disease Chronic suppurative lung disese Subacute infective endocarditis Bronchiectasis Lung ab...
2
Primary biliary cirrhosis
Chronic bronchitis
Cryptogenic fibrosing alveolitis
Central bronchiectasis
Medicine
null
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Which antibodies can be detected in a patient suffering from polymyositis?
Anti-Jo1 antibody is specific for polymyositis and dermatomyositis.
3
Anti-SSH
Anti-Scl70
Anti-Jo1
Anti-ds DNA
Pathology
null
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single
Which of the following isotope is commonly used in teletherapy: September 2010
Ans. A: Cesium Cobalt-60 and Cesium-137 sources are the most common ones used in radiotherapy.
1
Cesium
Iridium
Technetium
Iodine
Radiology
null
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single
Alkaline diuresis is done for treatment of poisoning due to
Alkaline diuresis is useful for poisoning of acidic drugs as acidic drugs ionize in alkaline medium ionized drugs will get eliminated easily eg for acidic drugs- Barbiturates, benzodiazepines, tetracyclines, penicillins, sulphonamides, etc Ref: KD Tripathi pharmacology 7th edition (page.no: 81)
3
Morphine
Amphetamine
phenobarbitone
Atropine
Pharmacology
General pharmacology
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single
Vestibulo ocular reflex concerned with
Flocculonodular lobe is phylogenetically the oldest pa of cerebellum has vestibular connections and is concerned with equilibrium and eye movements ie vestibulo ocular reflex.Ref: Ganong&;s review of medical physiology; 23rd edition; pg:257.
3
Archicerebellum
Neocerebellum
Floculomodular lobe
Occipital lobe
Physiology
Nervous system
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single
Nails is formed in which week of IUL –
null
2
0 – 6 week
10 –12 week
14 – 18 week
20 – 24 week
Pediatrics
null
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single
Medusahead colonies on nutrient agar point the diagnosis of infection with
Bacillus anthracis-medusa hair appearance like growth on nutrient agar Ref: Textbook of Microbiology Baveja 5th ed Pg 220
1
Bacillus anthracis
Bacillus cereus
Anthracoid bacilli
Clostridium per fringes
Microbiology
Bacteriology
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single
Which of the following disease is associated with reactivation
Zoster or shingles occurs due to reactivation of latent VZV present in the trigeminal ganglia that occurs mainly in adult life. Rashes are unilateral and segmental, confined to the area of skin supplied by affected nerves Ref: essentials of Medical microbiology apurba sastry 1st edition page 438
2
Pleurodynia
Shingles
Infectious mononucleosis
Viral ahritis
Microbiology
Virology
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Most common tumor of the anterior mediastinum tumour is -
null
1
Thymoma
Lymphoma
Neurogenic tumour
Vascular cyst
Medicine
null
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single
Most important objective of doing a medicolegal autopsy is -
Important objectives of doing a medicolegal autopsy is to know the cause of death, time passed since death, and manner of death.
4
Time since death
Manner of death
Cause of death
All of the above
Forensic Medicine
null
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multi
Pheochromocytoma is characterized by: September 2007
Ans. D: All of the above Symptoms of phaeochromocytoma include the following: Headache Diaphoresis Palpitations Tremor Nausea Weakness Anxiety, sense of doom Epigastric pain Flank pain Constipation Weight loss The classic history of a patient with a pheochromocytoma includes spells characterized by headaches, palpitati...
4
Headache
Paroxysmal hypeension
Profuse sweating
All of the above
Medicine
null
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multi
Increased osmotic fragility seen in
Ans. is 'd' i.e., Hereditary spherocytosisOsmotic fragility of Red blood cells.Red blood cell osmotic fragility is the resistance of RBC hemolysis to osmotic changes.Normally RBC maintains osmotic equilibrium with the surrounding medium i.e., with serum that has 0.9% NaCI.As the surrounding medium becomes hypotonic flu...
4
Alpha thalasemmia
Beta thalassemia
Sickle cell anemia
Hereditary spherocytosis
Pathology
null
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single
Treatment of strangulated hernia is:
Ans: b (Immediate surgery)Ref: Bailey & Love, 24th ed, p. 1279 & 23rd ed, p. 1150
2
Observation
Immediate surgery
Manual reduction
Analgesics
Surgery
Hernia
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single
The substance essential for transfer of fatty acids across mitochondrial membrane:
C i.e. Carnitine
3
Cera tine
Ceratinine
Carnitine
Coenyzme A
Biochemistry
null
2426676c-c114-4e2c-b020-9347550372e3
single
Which part of ICA does not give any branch-
null
1
Cervical
Petrous
Cavernous
Cerebral
Anatomy
null
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single
Which of the following factors are deficient in patients under warfarin therapy:
Clotting factors 2,7,9,10 are vitamin K dependent factors. Six of the proteins involved in clotting require conversion of a number of glutamic acid residues to γ-carboxyglutamic acid residues before being released into the circulation, and hence all six are vitamin K-dependent. These proteins are factors II (prothrombi...
2
9,10
2,7,9,10
5,7,9,10
3,4,5,7,10
Physiology
null
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single
Most indicative sign of pneumonia in one year old child with cough and fever is -
<p> In pneumonia a child has fast breathing and fever of 38o or more . Fast breathing in <1 year child:50 breaths per minute or more in a child aged 2 months upto 12 months. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:169-171. <\p>
3
Intercostal retracion and fever
Grunting and resp. Rate more than 60
Temperature 39.5 oand 60 resp. Rate
None of the above
Social & Preventive Medicine
Communicable diseases
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multi
Lynching is:
Lynching : Form of homicidal hanging. A suspect, an accused or an enemy is overpowered by several persons, acting jointly and illegally, and hung him by means of a rope from a tree or some similar object. It was prevalent in Noh America, where it was practiced by whites on blacks.
2
Accidental hanging
Homicidal hanging
Accidental drowning
Homicidal drowning
Forensic Medicine
Hanging and strangulation
1061596c-e592-4ede-b560-c498a37373fc
single
Ohodromic conduction is
In the natural situation, impulses pass in one direction only, ie from synaptic junctions or receptors along axons to their termination. Such conduction is called ohodromic conduction. Ref: Ganong&;s review of medical physiology; 23rd edition; pg:88
1
An axon can conduct impulse in one direction only
An axon can conduct impulse in both direction
The jumping of depolarization from node to node
The print at which a runaway spike potential
Physiology
Nervous system
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multi
Ascending aoa Involvement is the commonest site of which aneuryam
Syphilitic aneurysm Teiary sypilis... Trepenomonas has affinity for vaso vasorum of mainly thoracic aoa leads to obliterative endaeritis leads to ischemic damage to the aoic media and aneurysm Ramdas Nayak page no. 379
1
Syphilitic
Atherosclerotic
Mycotic
None of the above
Pathology
Cardiovascular system
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multi
Parasitic subconjunctival cysts are caused by
Parasitic cysts such as subconjunctival cysticercus, hydatid cyst, and filarial cyst are not infrequent in developing countries. cyst with hooklets on the optic disc has been repoed who also had sub-cutaneous and cerebral involvement. The differential diagnosis of orbital cysticercosis includes idiopathic myositis, tum...
2
Toxoplasmosis
Cysticercosis
Leishmaniasis
Chagas disease
Ophthalmology
Conjunctiva
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single
Bacterial countindoudenum-
Ans. is 'a' i.e., 105 per gram It is 103-106 bacteria per gram.
1
105 per gram
108 per gram
1010 per gram
1012 per gram
Microbiology
null
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single
All of the following are true about lymph node metastasis except?
Impoant Lymph nodes Rotter's nodes - Interpectoral nodes (CA breast) Rouvier Nodes - Retropharyngeal Nodes (CA Nasopharynx) Delphian nodes - Pre-Cricoid / pre-tracheal / Pre-laryngeal lymph nodes Irish nodes - Nodes in left axilla (CA stomach) Sister Mary joseph nodes - Periumbilical metastatic cutaneous nodules Vircho...
3
Delphian:-Pretracheal
Virchow's node:- Left Supraclavicular LN
Rotter's :- retropharyngeal lymph node
Sister Mary Joseph nodule:- not a lymph node cutaneous metastatic deposit around umbilicus
Surgery
Oncology
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multi
Asbestosis is associated with all except-
null
1
Pleural fibroma
Bronchogenic cancer
Gastric cancer
Mesothelioma
Medicine
null
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multi
Reverse splitting of 2nd hea sound heard in -
In LBBB, Left ventricular depolarisation is late than RV depolarisation, so A2 appeares late than P2. Causes of Reverse splitting : RV pacemaker WPW syndrome Eisen menkers syndrome AS LVF LBBB Ref : Harrison's 20th edition pg 1448
2
RBBB
LBBB
Tricuspid stenosis
AR
Medicine
C.V.S
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single
What is the size of ideal mosquito net ? -
null
2
0.575 mm in one dimension
0.0475 mm in any dimension
0.475 mm in one dimension and 0.575 in other dimension
0.575 in both dimensions
Social & Preventive Medicine
null
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multi