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Wrapping up of the cerebellum around the brain stem in Chiari Malformation is called
Banana sign is due to the wrapping of cerebellum around the brain stem. Lemon sign is anterior bossing of frontal bone. Seen in Chiari II Malformation or spina bifida.
2
Lemon sign
Banana sign
Lambda sign
Tectal Beak
Radiology
Neuroradiology
fa538ca1-b2ad-42b8-b1b1-ee5723f2b309
multi
All of these cells are found in small intestine EXCEPT:
C i.e. Neck Cells Mucous Neck Cells are sho columnor cells, full of mucus with round nuclei, line the neck of gastric glands not the small intestineQ
3
Stem cells
Goblet cells
Neck cells
Paneth cells
Anatomy
null
326c5240-65ee-4624-b3c8-47d72e3c95d1
multi
GnRH analogue may be given in all of the following except
Ans. is b i.e Endometrial Ca GnRH agonist : Mechanism of action : GnRH agonist bind to GnRH receptors in the pituitary, and cause competitive inhibition of endogenous GnRH. Initially there is a supraphysiological release of FSH and LH from pituitary (Flare) followed by decrease in the synthesis and release of both FSH ...
2
Prostate Ca
Endometrium Ca
Fibromyoma - uterus
Precocious pubey
Gynaecology & Obstetrics
null
bcc7b01d-b3b9-42cf-94ef-6c6685684128
multi
Suicide is most commonly associated with which of the following disorders ?
null
2
Anxiety
Depression
Obsessive-compulsive disorder
Post-traumatic Stress disorder
Psychiatry
null
aaf258a4-82d0-4c8c-94b0-1926cd83a0a7
single
The type mutation that leads to replacement of valine for glutamate in sickle cell disease is
Sickle-cell anemia is caused by apoint mutation in the b-globin chain of hemoglobin, causing the hydrophilic amino acid glutamic acid to be replaced with the hydrophobic amino acid valine at the sixth position. The b-globin gene is found on the sho arm of chromosome 11. Ref ganong's review of medical physiology 25e
1
Point mutation
Silent mutation
Nonsense mutation
Any of above
Physiology
All India exam
d2561485-2454-45fc-bbb5-594a68bdba31
multi
Persistent foetal lobulation of adult kidney is due to:
null
4
Congenital renal defect
Obstructive uropathy
Intrauterine infections and scar
Is a normal variant
Surgery
null
f97293be-896a-4506-9fce-95cb989e0d76
single
6th day disease is?
Terminology Other names for the disease Etiology First disease Rubeola/ measles Measles virus Second disease Scarlet fever Streptococcus pyogenes Third disease Rubella/German measles/3- day measles Rubella virus Fouh disease Staphylococcal scalded skin syndrome/Ritter's disease Staphylococcus aureus Fifth diseases Eryt...
2
Erythema Infectiosum
Exanthema subitum
Erythema marginatum
Erythema nodosum
Pediatrics
FMGE 2019
c82a6438-6d3d-4649-b585-d719559bb19b
single
Non-nucleated cells are seen in______?
Ans. c. Stratum corneumStratum corneum also known as horny layer consists of cells without nucleus and hence does not divide.This layer functions as a mechanical barrier and prevents entry of microbes from environment into the body as well as prevents leakage of fluids from body to environment. This is called as Barrie...
3
Stratum lucidum
Stratum granulosum
Stratum corneum
All
Skin
Anatomy of Skin
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multi
The severity of mitral stenosis is assessed by
Mitral stenosis. A normal mitral valve will have an area of >4 cm2, but symptoms are usually only present once the stenosis is moderate-severe. Grading into mild, moderate, or severe disease is based on both the pressure needed to drive blood across the valve (mean pressure gradient) and the valve area. Ref Davidson 23...
4
Character of murmur
Splitting of S
Loudness of S,
S2-OS interval
Medicine
C.V.S
63329b01-dc68-4a5d-83b5-2bf04de06cbb
single
Reconstituted measles vaccine should be used with in -
<p>MEASLES VACCINE:- Live attenuated vaccine Person to person transmission of measles vaccine strains has never been documented. Freeze dried product. Before use ,the lyophilised vaccine is reconstituted with sterile diluent. Diluent must be cooled before reconstitution but it should not be freezed.After reconstitution...
1
1 hour
3 hour
6 hour
12 hour
Social & Preventive Medicine
Communicable diseases
3913356f-0633-43da-9fe2-48b0550a2c13
single
Which of the following is related to third pa of duodenum anteriorly ?
The third pa, or horizontal pa or inferior pa of the duodenum begins at the inferior duodenal flexure and passes transversely to the left, passing in front of the inferior vena cava, abdominal aoa, and the veebral column. The superior mesenteric aery and vein are anterior to the third pa of duodenum. Ref - BDC 6e vol2 ...
4
Poal vein
Head of pancreas
Hepatic aery
Superior mesenteric vein
Anatomy
Abdomen and pelvis
7b4375a3-ee31-47ef-9fad-8f0685c4046b
single
Friction locked pins are usually retained by
null
2
Threads on pin
Resiliency of dentine
Luting cement
Channel depth
Dental
null
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multi
'Boari's Operation' is
Bladder flap
3
Renal pelvic flap
Urinary diversion
Bladder flap
null
Gynaecology & Obstetrics
null
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multi
For each of the following statements, select whether it is applicable to one of the following medications.Inhibition of angiotensin converting enzyme I (ACE I).
Enalapril exerts its effect by inhibiting formation of angiotensin II. This lowers systemic vascular resistance. In addition, ACE inhibitors have a natriuretic effect by inhibition of aldosterone secretion.
2
losartan
enalapril
spironolactone
digoxin
Medicine
C.V.S.
88ecb8f7-828d-4e78-8c60-36df7cffcefe
multi
Most diffusable ion in excitable tissue is :
B i.e. K+ potassium ion is most diffusible ion
2
Na.
K.
PO4
Cl
Physiology
null
d95672c9-cd89-450a-a2fd-5c97bfb5435f
single
Which is the commonest site for extrapulmonary TB?
Extrapulmonary tuberculosis is tuberculosis (TB) within a location in the body other than the lungs. This occurs in 15-20% of active cases, causing other kinds of TB. These are collectively denoted as "extrapulmonary tuberculosis". Extrapulmonary TB occurs more commonly in immunosuppressed persons and young children . ...
2
Pleura
Lymph node
Intestine
Meninges
Medicine
Infection
433ed83b-a23a-4fe3-9e75-4ec2823852fd
single
Which of the following is not included in major Jone's criteria -
Ans. is 'd' i.e., Elevated E.S.R. * The jones criteria for rheumatic fever:Major criteriaMinor criteria* Carditis0Clinical* Migratory polyarthritis0* Fever0* Sydenham's chorea0* Arthralgia0* Subcutaneous nodules0Laboratory* Erythema marginatum0Elevated acute phase reactants0Prolonged PR intervalPLUS Supporting evidence...
4
Pancarditis
Chorea
Arthritis
Elevated ESR
Medicine
Rheumatic
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single
Drugs used in CCF are all except :
There is a significant evidence–practice gap in the treatment of CHF; particularly the underuse of ACE inhibitors and β-blockers and aldosterone antagonists which have been shown to provide mortality benefit. Treatment of CHF aims to relieve symptoms, to maintain a euvolemic state (normal fluid level in the circulatory...
4
Diuretics
Vasodilators
Dopamine/Dobutamine
Amiodarone
Unknown
null
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multi
Which method is used for destroying useless hospital waste products?
Ans: b (Incineration) Ref: Ananthanarayan, 7th ed, p. 25; Park, 18th ed, p. 599Incineration is an excellent method of safely destroying materials such as contaminated cloth, animal carcasses and pathological materials.Categorization of biomedical waste and its disposal:Cat IHuman anatomical wasteIncinerationCat IIAnima...
2
Hot air oven
Incineration
Autoclave
Heat sterilization
Microbiology
General
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single
While working in a neonatal ICU. Your team delivers a preamature infant at 27 weeks of gestation and weighing 1500gm. How soon will you request fundus examination by an ophthalmologist?
All babies weighing less than 1.5 kg at birth or having a gestation period of less than 32 weeks should be screened with indirect ophthalmoscopy for retinopathy of prenaturity, between 32 and 36 weeks post conception.
3
Immediately
3 – 4 weeks after delivery
At 34 weeks gestational age
At 40 weeks gestational age
Ophthalmology
null
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single
While calculating the incubation period for measles in a group of 25 kids, standard detion is 2 and the mean incubation period is 8 days, calculate Standard error.
STANDARD ERROR OF MEAN (SEMEAN) SEmean is the measure of difference between sample and population mean values whatever be the sampling procedure or the care taken while selecting sample, the sample estimates (statistics) will differ from population values (parameters) * SE is a 'measure of chance variation', and IT DOE...
1
0.4
1
2
0.5
Social & Preventive Medicine
Statistical Errors, p-value
00e47121-575c-4741-8b6c-3c6466a04103
single
Through what "permissive action" do glucocoicoids accelerate gluconeogenesis during fasting
.
4
Glucocoicoids stimulate the secretion of insulin, which activates gluconeogenic enzymes in the liver
Glucocoicoids inhibit the use of glucose by skeletal muscle
Glucocoicoids maintain the vascular response to norepinephrine
Glucocoicoids maintain the intracellular concentrations of many of the enzymes needed to carry out gluconeogenesis through effects on transcription
Biochemistry
All India exam
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single
Carhart's notch dips at:
Ans. (c) 2000 Hz* Carhart Notch is an audiogram finding and is an important feature in patients with Otosclerosis.* There is a sudden dip (notch) at 2000 Hz in bone conduction curve.* Carhart s notch disappears after stapedectomy.
3
2 Hz
200 Hz
2000 Hz
2000 MHz
ENT
Otosclerosis
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single
Intense itching is pathognomic feature of:
Ans. All of the above
4
Spring catarrh
Trachoma
Follicular conjunctivitis
All of the above
Ophthalmology
null
fca9f73e-80b5-4729-ba0f-a31639fe745c
multi
All of the following are responsible for internal rotation of shoulder joint EXCEPT
(A) Infraspinatus # Muscles responsible for internal rotation of shoulder joint: Teres Major Deltoid Pectoralis Major
1
Infraspinatus
Teres Major
Deltoid
Pectoralis Major
Anatomy
Misc.
52a3926e-266f-49e3-8752-415aa9b58a43
multi
Infection by which of the following agents leads to wart formation-
Ans. is 'b' i.e., HPV o Human papilloma virus (HPV) is the causative agent of all type of warts.Type of wartSite of involvementHPV types1. Verruca vulgaris (common wart)Most common type wart On Hands and fingers2 (most common), 4, 272. Verruca Plana (Flat wart)Face, hands3, 103. Verruca plantaris (Palmoplantar warts)Pa...
2
Herpes simplex virus
HPV
Molluscum contagiousum virus
Varicella zoster virus
Skin
S.T.D.
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single
Thalidomide is not used in:
HIV associated neuropathy
1
HIV associated neuropathy
HIV associated recurrent oral ulcers
Erythema nodosum leprosum
Behcets diseases
Pharmacology
null
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single
An immunocompetent person is infected with Cryptosporidium and developed diarrhea with abdominal cramps. All of the following are TRUE about Cryptosporidium, EXCEPT:
Oocysts measuring 4-5 m are passed in feces in enormous numbers and are immediately infectious. Oocysts shed into the intestinal lumen mature to contain four sporozoites; their cell wall provides the unusual propey of acid-fastness, allowing them to be visualized with stains generally employed for mycobacteria. EIA tes...
3
Spores are chlorine resistant
Acid fast spores
Spores are > 100 micro meters
Enzyme immune assay is done to diagnose
Microbiology
null
079cb4c5-f647-4571-be41-3074a167a837
multi
Renal vein thrombosis is most commonly associated with-
null
2
Diabetic nephropathy
Membranous glomerulopathy
Minimal change disease
Membrano-proliferative glomerulonephritis
Medicine
null
882782db-9622-403a-98ad-a51be7688398
single
Mucocele is commonly seen in which sinus?
A mucocele of a paranasal sinus is an accumulation of mucoid secretion and desquamated epithelium within the sinus with distension of its walls and is regarded as a cyst-like expansile and destructive lesion. The frontal sinus is most commonly involved whereas sphenoid, ethmoid, and maxillary mucoceles are rare. The si...
1
Frontal
Maxillary
Ethmoid
Sphenoid
ENT
Nose and paranasal sinuses
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single
A variety of causative factors have been implicated in the development of Ca esophagus. Which of the following is NOT a predisposing factor for Ca esophagus?
Etiologic Factors Believed to Be Associated with Esophageal Cancer: Excess alcohol consumption Cigarette smoking Other ingested carcinogens Nitrates (conveed to nitrites) Smoked opiates Fungal toxins in pickled vegetables Mucosal damage from physical agents Hot tea Lye ingestion Radiation-induced strictures Chronic ach...
3
Diveicula
Human papilloma virus
Mediastinal fibrosis
Caustic ingestion
Surgery
null
74ae9001-8018-485e-9108-78425dd1836f
single
Asteroid bodies are seen in histological examination in tissues infected with which of the following causative agent?
Asteroid bodies are seen in association with Sporotrichosis. Sporotrichosis is an infection caused by Sporothrix schenckii a thermally dimorphic fungus. In H&E stained tissue, the asteroid body consists of a central basophilic yeast cell surrounded by radiating extensions of eosinophilic material, which are depositions...
4
Histoplasmosis
Aspergillosis
Sporotrichosis
Nocardiosis
Microbiology
null
a789a338-692a-44a4-bd69-5aaa4fea6aea
single
Which of the following is the shortest acting mydriatic among the following:
null
4
Atropine.
Homatropine.
Cyclopentolate.
Tropicamide.
Pharmacology
null
e8869c15-399a-4d7f-a5c5-0b64c74fdb13
single
"Persona" is a method of -
Persona It is a microcomputer attached to a micro-labaratory. It measures the level if oestrone-3-glucuronide and LH in the morning urine by dipping a test stick in the urine. Green light shows contraception unlikely Red light shows feile period and warns the probable ovulation and contraception. The failure rate with ...
1
Natural contraceptive
Hormonal contraceptive
Barrier contraceptive
IUCD
Social & Preventive Medicine
Demography and family planning
2ce43e71-5496-43da-acdd-41cf548dc8a3
single
Which one of this drugs doesn't have interaction with pyridoxine?
Pyridoxine reduces the effect of Levodopa in the treatment of parkinsonism. It is co-decarboxylase and by facilitating decarboxylation of levodopa reduces its blood level. It interacts with isoniazid and reduces the toxicity of isoniazid in slow acetylators. The hypotensive effect of hydralazine is reduced if pyridoxin...
2
Isoniazid
Cyclosporine
Levodopa
Hydralazine
Pharmacology
null
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single
A 10-month-child weighing 5 kg and with 65 cm length, presents with cough and cold. He was found to have a respiratory rate of 48 per minute with no retractions, grunting, cyanosis. There is no history of convulsions. Which is true?
a. No pneumonia, only cough and cold(Ref: Nelson's 20/e p 2088-2093, Ghai 8/e p 379-381)Cut-off for fast breathing:Age<2 months2-12 months12-60 monthsRespiratory Rate>=60/min>=50/min>=40/minSo this baby does not have fast breathing; So this child has No pneumonia, only cough and cold, even though the child is malnouris...
1
No pneumonia, only cough and cold
Child has pneumonia
Severe pneumonia
Very severe disease
Pediatrics
Respiratory System
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multi
Management of a newborn when Mother has active Tuberculosis & is taking ATT –
BCG is given to all new born infants INH therapy for newborns is considered 'essential' these days. It is so effective that separation of mother and infant is no longer considered mandatory. Ideally INH therapy should be continued for at least 3 months after the mother has been shown to be sputum negative. However, an ...
3
BCG + Rifampicin + INH + Breast Feeding
BCG + Isolation of baby
BCG + INH for 6 week + Breast Feeding
BCG – F 1NH + with hold Breast Feeding
Pediatrics
null
a71fbbc9-e7a8-4e1c-8d79-eb817a27375c
single
Which structure resembles radiographically with PDL of maxillary 2nd molar?
Greater palatine foramen is seen as a radiolucent area (oval or round). Rarely, it is seen in the periapical film over the roots of first molar and sometimes at the apices of second premolar and second molar. This should not be confused with periapical pathologies.
1
Greater palatine foramen
Median palatine foramen
Zygomatic process
Angle of maxilla
Radiology
null
74a230d8-1e08-4104-824c-1aaece4dcb18
multi
Which of the following disappear in umbilical cord
D. i.e. Right vein
4
Left aery
Left vein
Right aery
Right aery
Anatomy
null
6bd9fdf3-2908-446c-87a5-b24340d39aea
single
True about nerve fiber C is
SPECIAL FEATURES 1)  Susceptibility to A) Hypoxia                     B > A > C B) Pressure                    A > B > C C) Local Anasthesia      C > B > A 2) Diameter A alpha > A beta > A gamma > A delta > B > C 3) Velocity A alpha > A beta > A gamma > A delta > B > C 4) a)Large axons are associated with  Proprioce...
2
Most susceptible to hypoxia
Unmyelinated
Preganglionic autonomic
Not for temperature and pain senses
Physiology
null
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multi
All of the following are the features of formocresol used as pulpotomy agent except:
formocresol crosses the apex.
3
It bind reversibly.
Small droplet has deeper penetration.
It does not cross the apex.
It is carcinogenic.
Dental
null
567b3f87-3da7-4cad-9ba6-b639414f3b1b
multi
Most common primary for brain metastasis is which of the following?
Most common Primary for brain metastasis is - LUNG CANCER Paicular Lung cancer which is notorious for causing CNS metastasis - SMALL CELL LUNG CARCINOMA Most common Primary malignant CNS tumor seen in children - MEDULLOBLASTOMA Most common Primary malignant CNS tumor seen in adults - GLIOBLASTOMA Most common Primary be...
1
Lung cancer
Head and neck cancer
Prostate cancer
Breast cancer
Pathology
FMGE 2019
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single
Current therapeutic status of milrinone in CHF is:
null
2
First choice drug for a patient of mild CHF
As an add on drug to tide over the crisis in refractory CHF
Best drug for long-term maintenance therapy of CHF
Used only to suppress digitalis induced arrhythmias
Pharmacology
null
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multi
Mechanism of action of cyanide poison is
(Inhibit cytochrome oxidase): (8.38- Parikh 6th edition)* Cyanide inhibits the action of cytochrome oxidase, carbonic anhydrase and probable of other enzyme system. It blocks the final step of oxidative phosphorylation and prevents the formation of ATP and its use as energy source.* Cyanide acts by reducing the oxygen ...
1
Inhibit cytochrome oxidase
Inhibit cytochrome p450 enzyme
Inhibit phosphodiesterase
Inhibit DNA replication
Forensic Medicine
Toxicology
30ba1199-89cb-40da-9371-5381563385f8
single
Which of the following is not associated with renal cell carcinoma
Ideal ans is none. But renal cell carcinoma produce number of para neoplastic syndrome, ascribed to abnormal harmone production, including polycythemia, hypercalcemia, hypeension ,Cushing syndrome, eosinophillic ,amyloidosis etc
3
A. Polycythemia
B. Amyloidosis
C. Cushing syndrome
D. Hypeension
Anatomy
Urinary tract
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single
A 59-year-old man has had increasing dyspnea on exertion for the past year. His dyspnea is worse in the upright position and diminishes when he is recumbent. On physical examination, he has clubbing of the fingers. Exercise induces a decrease in his PO2 that improves when he stops and lies down. Which of the following ...
Hepatopulmonary syndrome (portopulmonary hypertension) is described. The cause is obscure, but the result is pulmonary arterial vasoconstriction and ventilation-perfusion (V/Q) mismatches that lead to hypoxemia. The remaining choices are conditions that do not cause portal hypertension. Chronic inflammation and steatos...
3
Biliary obstruction
Chronic inflammation
Cirrhosis
Metastases
Pathology
Liver & Biliary Tract
98f0374b-a364-470e-a283-c6fa2665d6a7
single
Which of the following is a live attenuated bacterial vaccine?
ANSWER: (D) BCGREF: APPENDIX-46 below for "TYPES OF VACCINE"Live vaccines can me memorized as "BOMBEY-VT"; BCG, OPV (sabin), MMR (mumps, measles & rubella), Bubonic plague, epidemic typhus, yellow fever (17D), vaccinia, Oral Typhoid vaccine (Ty21a) APPENDIX - 46Types of VaccineTypeContentExamplesKilled vaccineskilled, ...
4
Tetanus
Hepatitis B vaccine
Injectable polio vaccine
BCG
Pediatrics
Immunization
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single
Kappa toxin released by clostridium perfringens is responsible for
Exotoxins produces by C. Perfringens *Alpha toxin(lecithinase) - detroys RBC& WBC *phi toxin- myocardial depression *kappa toxin-destruction of connective tissue and blood vessels Ref:Bailey and love 27th edition Pg no :420
4
RBC destruction
Myocardial depression
Rhabdomyolysis
Destruction of connective tissue and blood vessels
Anatomy
General anatomy
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single
The refractive power of emmatropic eye is
(58-D) (26-Khurana4rd)* The total dioptric power is +58 D, of which cornea contributes + 43 D and the lens + 15 DDimensions of an adult eyeballAnterior posterior diameter24 mmHorizontal diameter23.5 mmVertical diameter23 mmCircumference75 mmVolume6.5 mlWeight7 gm.
2
50 D
58D
65 D
68 D
Ophthalmology
Errors of Refraction
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single
The most characteristic and frequent feature of chronic rheumatic hea disease is the development of
Rheumatic fever (RF) produces both acute and chronic manifestations. Acute RF produces a pancarditis of all three layers of the hea. It is manifested by myocarditis, which is characterized histologically by the Aschoff body; pericarditis, which is referred to as "bread-and-butter" pericarditis; and verrucous endocardit...
4
Vegetations on the endocardium
Aschoff bodies within the myocardium
Incompetence of the pulmonic valve
Stenosis of the mitral valve
Pathology
Cardiovascular system
604de3ae-1911-483e-b008-8cdd156ad80f
single
MC valve involved in Rheumatic fever ?
Ans. is 'a' i.e., Mitral Mitral valve is involved most commonly. o RHD is the most common cause of mitral stenosis.
1
Mitral
Aoic
Pulmonary
Tricuspid
Pathology
null
ded88640-1570-45ee-b6d6-c47e42ac76f8
single
Child with erythematous non-blanching bosselated lesion on right side of face, Treatment is
A dye laser is a laser which uses an organic dye as the lasing medium, usually as a liquid solution. Compared to gases and most solid state lasing media, a dye can usually be used for a much wider range of wavelengths, often spanning 50 to 100 nanometers or more. The wide bandwidth makes them paicularly suitable for tu...
4
Nd-YAG laser
Erbium laser
Q ruby laser
Flash light pumped dye laser
Dental
miscellaneous
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single
In developmental milestones of children, first draws
(A) Zero > Scribbling on paper with a crayon or pencil. The child scribbles spontaneously by 12-24 months, copies arid draws a horizontal or vertical line at 2 years; a circle by 3 years, a cross (plus sign) by 4 years and tilted cross (multiplication sign) by 5 years. He can draw a rectangle by the age of 4 years and ...
1
Zero
Triangle
Quadrangle
Rectangle
Pediatrics
Miscellaneous
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single
Over 60% of the world's Multi Drug Resistant TB cases are seen in which of the following countries?
Overall 60% of all MDR-TB cases are in India, China, and the Russian Federation. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 1341
2
India, Brazil, Afghanisthan
India, China, Russian Federation
Africa, China, Brazil
India, Africa, Afghanistan
Medicine
null
a2646107-48de-427e-987a-a85c37e5586c
single
A 30 year-old male was bought to the emergency depament after a car accident. He sustained a severe injury to the anterior chest wall from the impact caused by the steering wheel. X-ray revealed fracture of the body of the sternum. Which of the following pa of the hea is most likely to be injured.
The area posterior to the sternum is occupied by the right ventricle and hence is most likely to be injured in this case. The convex anterosuperior surface of the right ventricle makes up a large pa of the sternocoastal aspect of the hea, and is seperated from the thoracic wall only by the pericardium. Ref: Gray&;s Ana...
3
Left atrium
Left Ventricle
Right Ventricle
Right atrium
Anatomy
Thorax
09e5ab6a-0226-4671-8867-fef46753f591
multi
Paramesonephric duct forms which of the following
B. i.e. Uterus
2
Ureter
Uterus
Bladder
Penis
Anatomy
null
96bed01e-d507-4e9b-875e-378a88d484d0
single
Black water fever is a special manifestation of malaria caused by;
Ans. A. P. falciparumBlackwater fever (BWF) is a severe clinical syndrome, characterized by intravascular hemolysis, hemoglobinuria (with passage of black urine), and acute renal failure caused by a variety of factors in patients with P. falciparum infestation.
1
P. falciparum
P. malariae
P. ovale
P. vivax
Microbiology
Parasitology
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In extraperitoneal rupture of bladder, urine extravasates in -
null
4
Groin
Intraperitoneal region
Extraperitoneal region
Perivesical space
Surgery
null
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single
Pain insensitive structure in brain is -
null
4
Falx cerebri
Dural sheath surrounding vascular sinuses
Middle meningeal artery
Choroid plexus
Anatomy
null
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single
Folding of protein chain is due to :
B i.e. Hydrogen bond
2
Amide bond
Hydrogen bonds
Phosphodiesterase bonds
Disulphide bond
Biochemistry
null
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Dislocation of lens is seen in all the following condition except -
Dislocation of lens types: I. Congenital displacements: (a) Simple ectopia lentis:In this condition displacement is bilaterally symmetrical and usually upwards. It is transmitted by autosomal dominant inheritance. (b) Ectopia lentis et pupillae:It is characterised by displacement of the lens associated with slit-shaped...
1
Congential Rubella
Marchesani's Syndrome
Marfan Syndrome
Homocystimuria
Ophthalmology
Lens
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WHICH OF THE FOLLOWING IS TRUE REGARDING BRACHYTHERAPY ?
CLINICAL APPLICATIONS * Brachytherapy can be used in combination with other therapies such as surgery, EB or chemotherapy, paicularly when the tumor is too large or is not easily accessible. * Brachytherapy has been most widely applied in the treatment of: Cervical Prostate Breast and skin cancers Brachytherapy can als...
3
ALWAYS GIVES HOMOGENOUS RADIATION
SAME AS TELETHERAPY
USEFUL IN CARCINOMA CERVIX
ALL THE ABOVE
Radiology
All India exam
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A 35 year old tall male from New Jersy has Marfan syndrome, an autosomal dominant disorder with features of subluxated lens of the eye, mitral valve prolapsed. The defect lies in:
Gene on chromosome 15 encoding fibrillin
1
Gene on chromosome 15 encoding fibrillin
Gene on chromosome 16 encoding fibrillin
Gene on chromosome 17 encoding fibrillin
Gene on chromosome 18 encoding fibrillin
Pathology
null
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Microangiopathic hemolytic anemia with thrombocytopenia and renal insufficiency is commonly seen in young children with:
b. Hemolytic uremic syndrome(Ref: Nelson's 20/e p 2508, Ghai 8/e p 492)Neurologic findings (due to microthrombi formed in vessels of CNS) are present in TTP in addition to the triad seen in HUS (Microangiopathic hemolytic anemia, Thrombocytopenia and Renal failure).
2
Sickle cell anemia
Hemolytic uremic syndrome
Malaria
SLE (systemic lupus erythematosus)
Pediatrics
C.V.S.
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single
Above which level of heat stress index it is not possible to work comfortably –
HSI 40-60 causes severe heat strain and it is not possible to work comfortably.
2
20 – 40
40 – 60
60 – 80
80 – 100
Social & Preventive Medicine
null
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multi
True about genetic code:
All
4
AUA codes for methionine in mitochondria
UGA codes for selenocysteine
AUG codes for initiator codon in mammalian cell and AGA & AGG act as chain terminator in mammalian mitochondria both
All
Biochemistry
null
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multi
Primase activity is present in
DNA polymerase alpha also known as Pol a is an enzyme complex found in eukaryotes that is involved in initiation of DNA replication Comparison of Prokaryotic and Eukaryotic DNA Polymerases (see treasure)
2
DNA polymerase II
DNA polymerase a
DNA polymerase b
DNA polymerase d
Biochemistry
Replication
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A 30-year-old non-smoker presented with cough and shoness of breath, fatigue, fever and night sweats for 3 weeks. On examination, specific skin lesions were noted over the lower limbs and on ophthalmoscopic examination anterior uveitis was diagnosed. Lab findings revealed elevated alkaline phosphatase levels along with...
This is a case of sarcoidosis. 1st image is of erythema nodosum. 2nd image shows maculopapular lesions on skin. Chest x ray shows bilateral hilar adenopathy, stage 1 disease. CT image shows patchy reticular nodularity, including areas of confluence HPE image shows an epithelioid cell granuloma. Rest of the 3 options ar...
1
Sarcoidosis
IPF
Hypersensitivity pneumonitis
Emphysema
Unknown
Integrated QBank
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All of the following cell types contain the enzyme telemerase which protects the length of telomeres at the end of chromosomes, except:
B i.e. SomaticTelomerase is a multisubunit RNA containing complex related to viral RNA- dependent DNA polymerase (reverse transcriptase), the enzyme which is responsible for telomere synthesis & thus for maintaining the length of telomereQ.Telomerase, a RNA dependent DNA polymerase (reverse transcriptase), is the enzym...
2
Germinal
Somatic
Hemopoietic
Tumor
Biochemistry
null
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Which of the following is granted orphan drug status for the treatment of Dravet’s syndrome?
Stiripentol Stiripentol increases GABA transmission. It is granted orphan drug status for the treatment of Dravet’s syndrome (Severe myoclonic epilepsy in infants). Icatibant is a bradykinin B2 receptor antagonist. It is used for acute attacks of hereditary angioedema in adults with C1-esterase inhibitor deficiency. Pi...
1
Stiripentol
Icatibant
Pitolisant
Tafamidis
Unknown
null
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Menadione is analog of:
Ans. (a) Vitamin KRef: Harper's Biochemistry 30th edn. 1554* Menadione is the water soluble form of vitamin K.Forms of VITAMIN K Vitamin K1Vitamin K2Vitamin K3AkaPhylloquinoneMenaqui- noneMenadioneSourceSeveral green vegetables and prepared syntheticallySynthesized by Gl bacteria, supplies 50% human requirementSyntheti...
1
Vitamin K
Vitamin A
Vitamin D
Vitamin C
Biochemistry
Vitamins
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single
Punett square is used for which of the following functions?
The genotypes and phenotypes resulting from the recombination of gametes during feilization can be easily visualized by constructing a Punnett Square, named after Reginald C. Punnett who first devised this approach. Ref: Concepts of Genetics, By William S. Klug, Michael R. Cummings, Seventh Edition, Page 82
1
Predict genotype of offspring
Statistical analysis
Test a hypothesis
Track family history and inheritance
Social & Preventive Medicine
null
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Flat vegetations in pockets of valves are due to :
Answer is B (Libman sach's Endocarditis) Flat vegetation in pockets of valves are charachteristic of Libman sach's endocarditis
2
Rheumatic hea disease
Libman sacks Endocarditis
NBTE
Infective endocarditis
Medicine
null
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An antimetabolite which undergoes biotransformation to form an inhibitor of DNA polymerase is -
Ans. is 'b' i.e., Cytosine arabinosideo Cytarabine is phosphorylated in the body to the corresponding nucleotide which inhibits DNA synthesis by inhibiting DNA polymerase.
2
Vinablastine
Cytosine arabinoside
Methotrexate
Chlorambucil
Pharmacology
null
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Which of the following is the best method to assess the adequacy of replacement :
null
2
Decrease in thirst
Increase in urine output
Blood pressure
Increased PaO2
Surgery
null
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single
A patient who has been wearing denture for quite long time reported with flabby tissue behind the ridge. What will be the most likely diagnosis?
The epulis fissuratum is a tumorlike hyperplasia of fibrous connective tissue that develops in association with the flange of an ill-fitting complete or partial denture. Although, the simple term 'epulis' sometimes is used synonymously for epulis fissuratum, epulis is actually a generic term that can be applied to any ...
3
Trauma due to denture
Vitamin B2 deficiency
Epulis fissuratum
Neumann’s tumor
Pathology
null
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single
Activator of acetyl CoA carboxylase is
Acetyl CoA Carboxylase It is the key enzyme; citrate activates this enzyme. The citrate level is high only when both acetyl CoA and ATP are abundant. Covalent modification is another regulatory mechanism. Phosphorylation inactivates acetyl CoA carboxylase (similar to glycogen synthase under the effect of glucagon). Hen...
3
Malonyl CoA
Acetoacetate
Citrate
Palmitoyl CoA
Biochemistry
Metabolism of lipid
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single
Simian crease is seen in which syndrome?
Ans. is 'c' i.e., Down's syndrome * Single palmar crease (simian crease) is seen in Down's syndromeClinical features of Down's syndrome* Most striking feature in the neonate is hypotonia and although the diagnosis is usually evident at this time, it may sometimes be missed if the baby is very premature or his facial fe...
3
Reye's syndrome
Cat eye syndrome
Down's syndrome
Patau syndrome
Pediatrics
Genetics And Genetic Disorders
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True regarding battered baby syndrome
Impoant Clinical Features of Battered Baby Syndrome :- * Fractures and injuries will be at different stages of healing * Most characteristic lesion-laceration of mucosa inside the upper lip and often tear of frenulum noted * Infantile whiplash syndrome- shaking a child causes subdural hematoma and intra ocular bleeding...
1
Multiple injuries at different ages
Skull bone fracture
Fracture of long bone shafts
Stab injury
Forensic Medicine
Sexual offences and infanticide
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which of the following is not the side effect of phenelezine
MAOI * IMPOANCE First class of antidepressant drugs that were introduced * MECHANISM There are three monoamines namely dopamine, adrenaline and serotonin. These mon amines are degraded by monoamine oxidase. MAOI inhibit this enzyme and acts increasing monoamines * DRUGS Phenelezine Tranylcipromine * USE ATYPICAL DEPRES...
4
peripheral neuropathy
sexual dysfunction
cheese reaction
hypotension
Psychiatry
Pharmacotherapy in psychiatry
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During inferior alveolar nerve block the needle of LA syringe is penetrated into parotid gland which of the following structure is most likely to be penetrated:
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4
Lingual nerve
Lingual artery
Internal carotid artery
External carotid artery
Anatomy
null
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single
The best treatment of tension pneumothorax is -
Tension pneumothorax must be treated as a medical emergency. If the tension in the pleural space is not relieved, the patient is likely to die from the inadequate cardiac output or marked hypoxemia. A large-bore needle should be inserted into the pleural space through the second anterior intercostal space. If large amo...
1
Immediate letting out of air
Wait and watch
Rib resection
Underwater drainage
Surgery
null
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single
In Lepra reaction, drug useful is
Refer KDT 6/e p752 Anti inflammatory drugs are used in Lepra reaction Steroids ,Clofazimine and thalidomide can be used
2
Penicillin
Clofazamine
Dapsone
Rifamipicin
Pharmacology
Chemotherapy
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single
Cohort study is better than case control study in all ways except -
Ans. is 'b' i.e., Lesser time spent o Cohort study is more time consuming,o Cohort study is prospective study,o Chances of bias are high in case-control study.Main differences between case control and cohort studiesCase control studyCohort study1. Proceeds from ''effect to cause"Proceeds from "cause to effect"2 Starts ...
2
Greater comparability
Lesser time spent
Prospectiveanalysis
Less Bias
Social & Preventive Medicine
Analytical Epidemiology
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multi
Study of Natural history is with
null
2
Ecological study
Longitudinal study
Cross - sectional study
All of the above
Social & Preventive Medicine
null
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multi
All of the following are seen in asbestosis except -
Diffuse alveolar damage is a characterstic feature of ARDS. As explained in the text, asbestos inhalation is associated with pleural plaque, interstitial fibrosis, bronchogenic cancer and mesothelioma.
1
Diffuse alveolar damage
Calcified pleural plaques
Diffuse pulmonary interstitial fibrosis
Mesotheliomas
Pathology
null
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multi
Specificity measures -
specificity is defined as the ability of a test to identify correctly those who do not have the disease,that is true negatives.ref;parks gextbook,ed22 ,pg no 131
1
True negative
False positives
True positives
None of the above
Social & Preventive Medicine
Screening
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multi
Reversible Dementia Is a feature of ?
Ans. is 'b' i.e., Hypothyroidism Causes of reversible dementiao Hypothyroidismo Normal pressure hydrocephaluso Depressiono Drugso Alcoholo Vitamin B12 deficiency
2
Hyperparathyroidism
Hypothyroidism
Hyperthyroidism
Cushing's disease
Medicine
Psychiatry
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What is the content of an epiplocele ?
CONTENTS OF HERNIA: These can be: *Omentum = omentocele (synonym: epiplocele) *Intestine = enterocele; more commonly small bowel but may be large intestine or appendix *A poion of the circumference of the intestine = Richter's hernia *A poion of the bladder (or a diveiculum) may constitute pa of or be the sole content ...
1
Omentum
Intestine
Colon
Urinary bladder
Surgery
null
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single
If the kidney biopsy is done in a bronchogenic carcinoma patient who presents as a case of nephrotic syndrome, which lesions will be seen most likely?
If a nephrotic syndrome presents in an adult patient, underlying malignancy should be considered. It may be found in 10- 22% of cases, being more prevalent in the older age group. Though both MGN and MPGN can be associated with lung malignancy, on a comparative basis the more commonly seen is MGN and is hence the answe...
1
Membranous GN
Focal proliferative GN
Minimal change disease
Focal segmental glomerulosclerosis
Medicine
Nephrotic and Nephritic syndrome
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single
All of the following statements about Pneumococcal Pneumonia are true, except :
Answer is B (Air Bronchogram Absent): Air Bronchogram sign is a characteristic feature of Pneumococcal Pneumonia. Air Bronchogram is typically absent in Lobular Pneumonias (Bronchopneumonia) and Interstitial Pneumonias Pneumococcal Pneumonia is the most common pulmonary infection that produces lobar pattern of pneumoni...
2
Non-segmental Consolidation
Air Bronchogram Absent
Usually confined to one lobe
Cavitation is rare
Medicine
null
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multi
Best suited preformed pontic for maxillary anterior is:
null
1
Flatback pontic with porcelain facing.
Pontip.
Trupontics.
Pin facing.
Dental
null
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single
. CA - 125 is specifically associated with:
null
3
Colon Ca
Breast Ca
Ovarian Ca
Bronchogenic Ca
Gynaecology & Obstetrics
null
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multi
Probenecid does NOT decrease the renal excretion of the following drug:
Probenecid decreases the biliary secretion of rifampin, leading to higher plasma concentrations. Probenecid inhibits the tubular secretion of drugs, such as: Methotrexate Active metabolite of clofibrate Inactive glucuronide metabolites of NSAIDs such as naproxen, ketoprofen, and indomethacin Penicillin Cephalosporins R...
3
Ketoprofen
Methotrexate
Rifampin
Penicillin
Pharmacology
null
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single
In which of the following types of Food poisoning, fever is a predominant symptom?
Ans. D. Salmonella food poisoningFever is a predominant symptom in Food poisoning due to GN organism due to systemic effect of LPS.
4
Clostridium perfringens food poisoning
Clostridium botulinum food poisoning
Staphylococcal food poisoning
Salmonella food poisoning
Microbiology
Bacteria
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single
Several children between the ages of 3 and 6 years have been admitted to a local hospital because of the encephalopathic crisis. They have lived in the same community all their lives. All have previously exhibited retarded psychomotor development. On physical examination, the children have diffuse abdominal pain and ar...
Old flaking paint that is lead-based has a sweet taste, attracting small children to ingest it. The major risk to children from lead ingestion is neurologic damage. Venous blood lead levels should normally be less than 10 mg/dL. Ethylene glycol is found in antifreeze and can produce acute renal tubular necrosis. Kerose...
3
Ethylene glycol
Kerosene
Lead
Methanol
Pathology
Environment & Nutritional Pathology
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multi
Primary bile acid secreted by liver is ?
Ans. is 'a' i.e., Chenodeoxycholic acid The primary bile acids are produced from cholesterol in liver. These are cholic acid and chenodexycholic acid. These are conjugated with glycine or taurine. So primary bile acids are glycocholic acid, glycochenodeoxycholic acid, taurocholic acid, and taurochenodeoxycholic acid. T...
1
Chenodeoxycholic acid
Lithocholic acid
Deoxycholic acid
Lithodeoxycholate
Biochemistry
null
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single
Which of the following is the initial treatment of choice of Smith's fracture?
Treatment of Smith's fracture involves closed manipulation followed by an above elbow plaster cast with elbow in flexion and forearm in full supination. Open reduction and internal fixation using buttress plate and screws is done when closed reduction fails. Reference: Essentials Of Ohopaedics & Applied Physiotherapy B...
4
Open reduction and internal fixation
Open reduction and external fixation
Above elbow cast with forearm in pronation
Above elbow cast with forearm in supination
Surgery
null
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Refraction in eye not affected by:
Ans. c. Anterior chamber depth increasedREFRACTORY POWER DEPENDS ONRadii of curvatureDifference in refractive index between two media at interface of refraction. (Anterior surface of cornea has maximum refractive power due to maximum change (0.376) in refractive index from air to cornea.Axial length of eyeball
3
Removal of vitreous
Lens thickened
Anterior chamber depth increased
Axial length changed
Ophthalmology
Errors of Refraction
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One of the following is NOT a protozoal infection
null
4
Malaria
Amoebiasis
Trichomoniasis
Trichinellosis
Microbiology
null
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