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Pearson's formula is used for -
STATURE * The most common method used- linear regression. * With this technique, the known statures of adults in a given population are plotted against the lengths of skeletal elements and the best lines are fitted to the scatter plots * Various regression formulae for calculating height have been compiled, based on a ...
2
Cephalic index
Stature
Race
Age
Forensic Medicine
Identification
988127c2-04f0-4ec4-a0d5-37bf80650182
single
Specific gravity of enamel is:
null
2
2.1
2.8
3.2
3.4
Dental
null
2201e218-77b3-47b2-98ad-b0b3af05a551
single
Non depolarizing neuromuscular blocker is
Non depolarising neuromuscular blocker is competitive antagonist at nicotinic cholinergic receptor. It doesn’t cause fasciculations . it is reversed by neostigmine.
2
Non competitive neuromuscular blocker
Reversed by neostigmine
Persistent stimulator of nicotinic cholinergic receptors
Induces fasciculations
Anaesthesia
null
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single
All of the following are autosomal dominant, except:
Ans. b. Congenital adrenal hyperplasia Autosomal dominant "Very Powerful DOMINANT Humans" V- Von willibrands disease/ Von hippel lindau P - Pseudo hypoparathyroidism D - Dystrophia myotonica O - Osteogenesis imperfecta/Osler-weber-rendu M - Marfans syndrome I - Intermittent porphyria N - Neurofibramatosis A - Achondrop...
2
Familial hypercholesterolemia
Congenital adrenal hyperplasia
Achondroplasia
Acute intermittent porphyria
Pathology
Genetics
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multi
A 23 year old female with type I diabetes presented with 6 weeks of amenorrhea. Her urine pregnancy test turned to be positive. Her sugar levels are not in control. The child may have all of the following abnormalities, EXCEPT:
Diabetes is not associated with increased risk for fetal chromosomal abnormalities. Congenital malformations in infants of women with ove diabetes: Caudal regression Situs inversus Spina bifida, hydrocephaly, or other central nervous system defects Anencephaly Cardiac anomalies Anal/rectal atresia Renal anomalies Agene...
1
Chromosomal abnormalities
Caudal regression
Renal agenesis
Duplex ureter
Gynaecology & Obstetrics
null
7b3874b9-9f0f-4c0c-a12c-69aa6afa59a6
multi
Which of the following is involved in peristalsis by causing relaxation
The release of NO and VIP (Vasoactive intestinal polypeptide) from the cholinergic neurons passing in an anterograde direction relaxes the segment of the intestine ahead of the stimulus. Peristalsis involves the contraction of a segment of intestine behind the bolus of food and relaxation of a segment behind the bolus ...
4
Acetyl choline
Substance P
Noradrenaline
Vasoactive Intestinal Polypeptide
Physiology
G.I.T
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A postmortem clot is most likely to
The postmortem clot is usually rubbery, gelatinous, and lacks fibrin strands and attachments to the vessel wall. Large postmortem clots may have a “chicken fat” appearance overlying a dark “currant jelly” base.
3
Grossly display features of recanalization
Grossly have lines of Zahn
Grossly have the appearance of “chicken fat” overlying “currant jelly”
Microscopically appear attached to the wall of the blood vessel
Pathology
null
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multi
After doing a graft repair of a thoracoabdominal aneurysm, the patient developed weaknesss in both legs. Most probable cause for this is:
Ans is 'c' i.e. Discontinuation of aeria radicularis magna The Aeria Radicularis Magna (aery of Adamkiewicz) is the main source of blood supply to the anterior spinal aery in the thoracolumbar segment of the spinal cord. It arises from either one of the lower posterior intercostal aeries (T9-11), or of the subcostal ae...
3
Decreased blood supply to the lower limbs
Thoracosplanchnic injury
Discontinuation of aeria radicularis magna
Lumbosacral nerve injury
Surgery
null
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multi
Dead layer of epidermis -
Ans. is 'c' i.e., Stratum corneum o Stratum basale, stratum spinosum and stratum granulosum, together form the living layer and constitute the site of synthesis of keratin (Keratin is mostly synthesized in stratum spinosum). o Stratum corneum is the dead layer Layers of the epidermis (From deep to superficial) In palm ...
3
Stratum basale
Stratum spinosum
Stratum corneum
Stratum granulosum
Unknown
null
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single
Cocket & Dodd's operation is for -
Ans. is 'b' i.e., Subfascial ligation
2
Saphenofemoral flush ligation
Subfascial ligation
Deep vein thrombosis
Diabetic foot
Surgery
null
b88a08ee-103b-487e-951e-1d023ea744c6
single
Which of the following is anti-inflammatory?
The following are the anti-inflammatory cytokines: IL-10 TGF-b IL-4 IL-13 Pro-inflammatory cytokines IL-1 IL-6 TNF-Alpha Major anti-inflammatory cytokines include interleukin (IL)-1 receptor antagonist, IL-4, IL-6, IL-10, IL-11, and IL-13. Specific cytokine receptors for IL-1, tumor necrosis factor-alpha, and IL-18 als...
2
IL-1
IL-4
IL-6
TNF-Alpha
Pathology
General pathology
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Chemoprophylaxis can be done for all of the following infections, except:
Typhoid can be prevented by immunization not with chemoprophylaxis. But immunization does not give 100 per cent protection from Typhoid. Cholera, meningitis and diphtheria can be prevented using chemoprophylaxis. Ref: Park's Textbook of Preventive and Social Medicine, 19th Edition, Pages 106, 197
1
Typhoid
Cholera
Meningitis
Diphtheria
Social & Preventive Medicine
null
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multi
Space of Disse contains all EXCEPT
Kupffer cells are present in Sinusoids - they give Pseudopodia which passes through fenestrated endothelium of sinusoids into Space Of Disse.
3
Microvilli
Blood Plasma
Kupffer Cell
Hepatic Stellate Cell
Anatomy
Systemic histology
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multi
Peptic ulcer is associated with all except:
Peptic ulcer is seen in Zollinger Ellison Syndrome, Cirrhosis and Hyperparathyroidism.
2
Hyperparathyroidism
Pernicious anaemia
Cirrhosis
Zollinger Ellison Syndrome
Medicine
null
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multi
Radical dissection of neck includes all except ?
Ans. is 'c' i.e., Phrenic nerves
3
Cervical lymph nodes
Sternocleido mastoid
Phrenic nerves
Internal jugular vein
Surgery
null
8aa7dc8e-3356-46a5-94a4-0185b5097e56
multi
Woolsoer&;s disease is
Pulmonary anthrax : Common among workers of the wool factory due to inhalation of spores from infected wool. Hemorrhagic pneumonia with a high fatality rate. Hemorrhagic meningitis may occur as a complication. Reference: Textbook of Microbiology; Anathanarayan and paniker's; 10th edition; Page no: 250
1
Pneumonic form of anthrax
Pneumonic plague
Hydatid disease of the lung
Caused by psittacosis
Microbiology
Bacteriology
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single
K flex file is made up of
null
2
Triangular blank
Rhomboid blank
Round blank
Rectangular blank
Dental
null
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single
Blount's disease is associated with all of the following, except -
Blount&;s disease is tibia vara, deformity is noticeably worse than in physiological bow legs & may include internal rotation of tibia ; in worst cases there may be lateral subluxation of tibia; there genu recurvatum (hyperextension of the knee ) REF:apley ,9th edition, pg.no.557
4
Genu varum
Genu Recurvatum
Internal Tibial Torsion
External Tibial Torsion
Orthopaedics
Pediatric orthopedics
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multi
Disseminated intravascular coagulation ( DIC) differs from thrombotic thrombocytopenic purpura. In this reference the DIC is most likely characterized by -
null
3
Significant numbers of schistocytes
A brisk reticulocytosis
Decreased coagulation factor levels
Significant thrombocytopenia
Medicine
null
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single
&;Tennis elbow', is characterized by -
Tennis elbow is also known as lateral epicondylitis . It is a condition characterised by pain and tenderness at the lateral epicondyle of the humerus due to non specific inflammation at the origin of the extensor muscles of forearm. Although it is sometimes seen in tennis players, other activities such as squeezing clo...
2
Tenderness over the medial epicondyle
Tendinitis of common extensor origin
Tendinitis of common flexor origin
Painful flexion and extension
Orthopaedics
Bony dysplasia and soft tissue affection
688a84d9-2cef-4f47-9e51-ecc4439340c2
single
Non-immune hydrops fetalis is due to all except :
ABO incompatibility
4
Chromosome defect
Alpha thalassemia major
Parvo B - 19 virus
ABO incompatibility
Gynaecology & Obstetrics
null
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multi
A malignant pustule is seen in infection with
Cutaneous anthrax: caused by Bacillus anthracis. The lesion stas as a papule 1-3 days after infection and becomes vesicular, containing fluid which may be clear or bloodstained. The whole area is congested and edematous and several satellite lesions filled with serum or yellow fluid are arranged around a central necrot...
4
Yersinia pestis
Bacillus cereus
Clostridium welchii
Bacillus anthracis
Microbiology
Bacteriology
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Gasterointestinal enteritis necroticans is caused by -
Ans is 'b' i.e. Cl. perfringens Necrotising enteritis (enteritis necroticans or Pigbel) is caused by Cl. perfringens.
2
Clostridium difficale
Clostridium perfringens
Botulinum
C. Jejuni
Microbiology
null
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single
A ledge is created on the lingual surface of the full cast crown, to accommodate the lingual clasp arm. The greatest advantage is that it provides for:
null
4
Appropriate contact
Appropriate undercut
Survey line
Guiding plane
Dental
null
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single
Pain due to stimulus non- painful stimulus that does not normally produce pain is called:
null
1
Allodynia.
Hyperalgesia.
Hyperasthesia.
Hyoerpathia.
Pathology
null
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multi
Upturned Moustache sign or Antler sign is seen in
Mitral stenosis leads to increased left atrial and hence pulmonary venous pressures. The prominence of pulmonary veins on chest X-rays leads to Upturned Moustache sign or Antler sign.
4
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Mitral stenosis
Medicine
null
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single
All of the following are true about neuroblastoma except?
Cafe au lait spots are associated with neurofibromatosis.
3
Diarrhea
Bone pain
Cafe-au-lait spots
Opsomyoclonus
Pediatrics
Childhood malignancies
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multi
A child with pneumonia shows the following chest X-ray. Which of the following could be the most common underlying causative organism?
* CXR shows consolidation in lung fields with pneumatocele: seen in Staphylococcal pneumonia
4
Mycobacterium tuberculosis
Hemophilus influenza
Streptococcus pneumoniae
Staphylococcus aureus
Pediatrics
Respiratory infections
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single
Admission rate bias is?
Ans. is 'c' i.e., Berksonian bias Selection bias Selection biases are distoion that result from procedure used to select subjects and from factors that influence study paicipation. Groups to be compared are differentially susceptible to the outcome even before the experimental maneuver is performed. Selation bias may b...
3
Repoing bias
Response bias
Berksonian bias
null
Social & Preventive Medicine
null
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multi
Which of the following anti tubercular drug requires dose adjustment in renal failure:
Ref: Katzung's Pharmacology, 14th ed. pg. 846* Dose of Ethambutol: 15-25mg/kg OD dose.* About 20% drug is excreted in feces and 50% in urine in unchanged form.* Ethambutol accumulates in renal failure, and the dose should be reduced by half if creatinine clearance is less than 10mL/min.* Side effect: Most common seriou...
4
Isoniazid
Rifampicin
Pyrazinamide
Ethambutol
Pharmacology
Anti Microbial
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single
Which of the following aeries gives blood supply to the ductus deferens?
D i.e. Superior vesicle aery Vas (ductus) deferens is 45 cm long muscular tube which conveys sperms from epidytlimis to ejaculatory duct. It receives blood from its own aery (i.e., aery to ductus deferens) which usually arises from superior vesical aeryQ (but may occasionally arise from inferior vesical aery). Aery to ...
4
Cremastric aery
Inferior epigastric aery
Middle rectal aery
Superior vescial aery
Anatomy
null
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single
Antidote of Heparin is:
Protamine sulphate
2
Sodium nitrite
Protamine sulphate
Thiosulphate
Coumarin
Pharmacology
null
89c4df42-41af-4bda-9355-087fdf03699c
single
A person with type 1 diabetes ran out of her prescription insulin and has not been able to inject insulin for the past 3 days. An overproduction of which of the following could cause a metabolic acidosis?
Ketone bodies are weak acids. In diabetic ketoacidosis, the liver produces ketone bodies, which will reduce the brain's dependency on glucose as its sole energy source. This is due to the lack of insulin and the liver switching to starvation mode owing to the constant signaling by glucagon. Hb in the red blood cells an...
2
Hb
Ketone bodies
HCl
Bicarbonate
Biochemistry
Miscellaneous (Bio-Chemistry)
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In sickle cell anemia all are true except -
Ans. is 'd' i.e., Ringed sideroblast Laboratory findings of sickle cell anemia :-o Moderate to severe anaemia,o Peripheral smear will showSickle cellsTarget cellsHowell-Jolly bodies because of autosplenctomy.o A postive sickling test with a reducing substance like sodium metabisulfite.o Sickle cell anemia is caused by ...
4
Sickle cells
Target cells
Howell jolly bodies
Ringedsideroblast
Pathology
Hemolytic anemia
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Generalized necrotising lymphadenopathy is -
null
2
Kimura disease
Kukuchi disease
Non-Hodgkin's lymphoma
Castleman's disease
Pathology
null
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single
True about late expanding phase of demographic cycle
null
3
Birth rate is lower than the death rate
Death rate begins to decline, while the birth rate remains unchanged
Death rate declines still further, and the birth rate tends to fall
High birth rate and high death rate
Social & Preventive Medicine
null
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multi
New DNA synthesis occurs in
During this phase, the cell copies its DNA in preparation for mitosis.There are three stages of interphaseG1 (Gap 1), in which the cell grows and functions normally. During this time, a high amount of protein synthesis occurs and the cell growsSynthesis (S), in which the cell duplicates its DNA ( semi-conservative repl...
4
Prophase
Anaphase
Telophase
Interphase
Biochemistry
Metabolism of nucleic acids
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The laryngeal mask airway used for securing the airway of a patient in all of the following conditions except
LMA does not prevent Aspiration of gastric contents.also not used in pregnancy , oropharyngeal mass, obesity
4
In a difficult intubaton
In cardiopulmonary resuscitation
In a child undergoing an elective \/ routine eye sugery
In a patient with a large tumour in the oral cavity
Anaesthesia
Anaesthetic equipments
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multi
Most common site of ulcerative colitis is ?
<p>Davidson&;s principles and practice of medicine 22nd edition. *ulcerative colitis invariably involves the rectum and spread proximally in continues manner it involves the entire colon in some cases.</p>
1
Rectum
Caecum
Small intestine
Appendix
Medicine
G.I.T
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multi
Alkali denaturation test (ADT) test is for:
B i.e. Fetal HbAlkali denaturation test (ADT) - done for fetal hemoglobin. HbF is alkali denaturation resistantQ.
2
Bence jounes protein
Fetabl Hb
Albumin
Myoglobin
Physiology
null
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A 30-year old male is having Attic cholesteatoma of left ear with lateral sinus thrombophlebitis. Which of the following will be the operation of choice
Canal wall down procedures: They leave the mastoid cavity open into modified the external auditory canal so that the disease area is fully exteriorised. The commonly performed operations for the atticoantral disease are atticotomy, radical mastoidectomy and rarely, the radical mastoidectomy. ( Ref: Textbook of diseases...
3
Intact canal will be the operation of choice
Simple mastoidectomy with tympanoplasty
Canal wall down mastoidectomy
Mastoidectomy with cavity obliteration
ENT
Ear
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All of the statement about H1 anti histaminics are true except -
Ans-D
4
Tolerance may develop to some of its side effects
local application can be used for contact dermatitis
combination with an H,1 antagonist may control some cases of chronic urticaria
Many of them exhibit cholinergic effect
Unknown
null
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multi
A 4-year-old boy presents with a history of constipation since the age of 6 months. His stools, produced every 3 to 4 days, are described as large and hard. His growth velocity is normal. Physical examination is normal; rectal examination reveals a large ampulla, poor sphincter tone but present anal wink, and stool in ...
The radiograph demonstrates a stool-filled megacolon. Finding a dilated, stool-filled anal canal with poor tone on the physical examination of a well-grown child supports the diagnosis of functional constipation. Hirschsprung disease is usually suspected in the chronically constipated child despite the vast majority of...
2
Lower gastrointestinal (GI) barium study
Parental reassurance and dietary counseling
Serum electrolyte measurement
Upper GI barium study
Pediatrics
Gastro Intestinal System
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A male born at term after an uncomplicated pregnancy, labor and delivery develops severe respiratory distress within a few hours of bih. Results of routine culture were negative. The chest roengogram reveals a normal hea shadow and fine reticulonodular infiltrates radiating from the hilum. ECHO findings reveal no abnor...
Answer is.A (Neonatal Alveolar Proteinosis): The child in question is presenting with characteristic features of Neonatal Pulmonary Alveolar Proteinosis (PAP). Familial cases of Neonatal Pulmonary Alveolar Proteinosis have been observed and a genetic basis has been suggested. None of the other options have a familial b...
1
Neonatal Alveolar Proteinosis
Total Anomalous Pulmonary Venous Circulation (TAPVC)
Meconium Aspiration Syndrome
Diffuse Herpes simplex infection
Medicine
null
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Which of the following is required for proper effects of Insulin?
In association with insulin, chromium promotes the utilization of glucose Chromium is a component of a protein namely chromodulin which facilitates the binding of insulin to cell receptor sites Chromium It is an essential nutrient for the maintenance of normal glucose tolerance Its deficiency causes insulin resistance....
4
Selenium
Iron
Copper
Chromium
Physiology
All India exam
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single
Which protease inhibtor has boosting effect ?
null
4
Amprenavir
Tenofovir
Nelfinavir
Ritonavir
Pharmacology
null
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single
In a larger bruise, the colour changes begins at:
In a larger bruise, the colour change stas from periphery (healing of contusion) The contusion regains its normal colour in 1-2 weeks.
1
The periphery
From the centre
There is no rule
No colour change
Forensic Medicine
Mechanical Injuries
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single
Case control study, All can be measured except - a) Relative risk b) Incidence c) Odds ratiod) Cause & effect relation
null
3
cb
b
abd
da
Social & Preventive Medicine
null
3b005eb5-d21e-490f-a794-69d5409cff23
multi
Nitabuch's membrane is absent in:
Ans. (a) Placenta accretaRef: Williams obstetrics 23rded, Ch 35.* The nitabuch layer is a zone of fibrinoid degeneration in which invading trophoblasts meet the decidua. If the decidua is defective, as in placenta accreta, the Nitabuch layer is usually absent.Also Know* Placenta accreta indicates that villi are attache...
1
Placenta accrete
Vasa previa
Abruption placenta
Placenta previa
Gynaecology & Obstetrics
Abortion
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Which of the following gas is most commonly used in laproscopy?
CO2 is used in laproscopy because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. It is also non-flammable, which is impoant because electrosurgical devices are commonly used in laparoscopic procedures.
1
CO2
N2O
O2
Helium
Surgery
null
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During phagocytosis, the metabolic process called respiratory burst involves the activation of:
A i.e. OxidaseThe electron transpo chain system responsible for the respiratory burst is 'NADPH oxidase' (on oxidase enzyme)The biochemical mechanism of microbial killing and degradation following phogocytosis is called 'respiratory burst'.This is accomplished largely by oxygen dependent mechanisms.'The generation of r...
1
Oxidase
Hydrolase
Peroxidase
Dehydrogenase
Biochemistry
null
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multi
The primary direct stimulus for excitation of central chemoreceptors regulating ventilation is?
increased 11+/Ref: Ganong 23/e p627-629] The primary direct stimulus for central chemoreceptors is increased Ir concentration in the CSF and brain interstitial fluid. (But the H+ conc. in the brain parallels the aerial PCO2 and not aerial H+ conc.) There are 2 types of chemoreceptors regulating ventilation: central che...
1
>Increased ft
>Increased CO2
>Increased 02
>Decreased CO2
Physiology
null
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single
Sudden decreasd end tidal CO2 in GA causes
Complications of Anaesthesia During anaesthesia: > Respiratory depression - Salivation, respiratory secretions > Cardiac arrhythmias > Fall in BP >Aspiration >Laryngospasm and >asphyxia >Awareness > Delirium and convulsion > Fire and explosion
1
Cardiac arrest
Pulmonary hypeension
Malignant hypehermia
Malignant extubation
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
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Test of primary hemostasis
null
2
Coagulation time
Bleeding time
Prothrombin time
Platelet count
Surgery
null
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single
All of the following are true regarding splenic rupture except : September 2009
Ans. C: Obliterated colonic gas shadow The most common finding associated with splenic injury is left lower rib fracture. Rib fractures signify that adequate force has been transmitted to cause splenic pathology. The classic triad indicative of acute splenic rupture (ie, left hemidiaphragm elevation, left lower lobe at...
3
Elevation of the left dome of diaphragm
Obliterated psoas shadow
Obliterated colonic gas shadow
Obliterated splenic outline
Surgery
null
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Preganglionic parasympathetic nerve fiber which supply pelvic viscera is/are;
A. i.e. Ventral rami of Sz, S3 and S4
1
Ventral rami of S2,3,4
Hypogastric plexus
Pudendal nerve
All
Anatomy
null
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multi
Longest pa of optic nerve ?
. Ans. is 'c' i.e., Intraorbital Optic nerve Each optic nerve (second cranial nerve) stas from the optic disc and extends up to optic chiasma, where the two nerves meet. It is the backward continuation of the nerve fibre layer of the retina, which consists of the second order neurons i.e., axon originating from the gan...
3
Intraocular
Intracranial
Intraorbital
Intracranial
Anaesthesia
null
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single
A patient is diagnosed with flail chest. Patient is stable, what is the treatment?
Treatment consists of oxygen administration, adequateanalgesia (including opiates) and physiotherapy. If achest tube is in situ, topical intrapleural local analgesia introduced the tube, can also be used. Ventilation is reservedfor cases developing respiratory failure despite adequate analgesiaand oxygen. Surgery to st...
1
Analgesia, Oxygen
Internal fixation of ribs
Positive pressure ventilation
Chest strapping
Surgery
Trauma
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single
Select the drug which is used to treat antibiotic associated pseudomembranous enterocolitis and is a component of anti H. pylori triple drug regimen:
Metronidazole is the drug which is used to treat antibiotic associated pseudomembranous enterocolitis and is a component of anti H. pylori triple drug regimen. PSEUDO-MEMBRANE COLITIS MC organism responsible Clostridium difficile MC cause 3rd Gen. Cephalosporins > clindamycin DOC Metronidazole - Oral vancomycin Accordi...
3
Amoxicillin
Vancomycin
Metronidazole
Clotrimazole
Pharmacology
Anti-Parasitic Drugs
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Glucose is reabsorbed in
Ans. a (PCT). (Ref. Ganong, Physiology, 21st/pg.713; Table 38-6.)PROXIMAL CONVOLUTED TUBULE (PCT) - "Workhorse of the nephron".# Reabsorbs all of the glucose, inorganic phosphate, Cl, lactate and amino acids and most of the bicarbonate, sodium, and water.# Secretes ammonia, which acts as a buffer for secreted H\Transpo...
1
PCT
DCT
Loop of Henle
Collecting tubules
Physiology
Kidneys and Body Fluids
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Dry drowning is defined as -
Dry drowning: On contact with water, especially cold water, there results in intense laryngospasm, so that water does not enter the lungs. Death is due to asphyxia because of laryngospasm.
4
Drowning in sea water
Drowning in cold water, death due to cardiac arrest
Drowning in a dehydrated body
Drowning where death is due to laryngospasm
Forensic Medicine
null
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Eutectic mixture of local anaesthetic (EMLA) cream
EMLA is eutectic mixture of local anesthetics (2.5% lidocaine and 2.5% prilocaine)
2
Bupivacaine 2.0% +Prilocaine 2.5%
Lidocaine 2.5% + Priocaine 2.5%
Lidocaine 2.5% + Prilocaine 5%
Bupivacaine 0.5% + Lidocaine 2.5%
Anaesthesia
Regional anaesthesia
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Incidence of preterm delivery in twin pregnancy is
Incidence of preterm in twin pregnancy is 50% Mean gestational age for twins is 37weeks Causes of prematurity: Overdistention of uterus Hydromnios Premature rupture of membranes Ref: Dutta Obs 9e pg 193.
2
25%
50%
75%
100%
Gynaecology & Obstetrics
General obstetrics
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Stocker's line is seen in-
Ans. is 'a' i.e., Pterygium o Stocker's line is line of iron deposition in the corneal epithelium seen adjacent to the head of the pterygium.Pigmentorv glaucomao It is a type of secondary open angle glaucoma where in clogging up of trabecular meshwork occurs by the pigment particles.o The condition typically occurs in ...
1
Pterygium
Glaucoma
Posteriorscleritis
Diabetic retinopathy
Ophthalmology
Degenerative Conditions
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1.The 68 year old Chandu is a diabetic and presented with black,foul smelling discharge from the nose.Examination revealed blackish discoloration of the inferior turbinate.The diagnosis is:
MUCORMYCOSIS It is fungal infection of nose and paranasal sinuses which may prove rapidly fatal. I It is seen in uncontrolled diabetics or in those taking immunosuppressive drugs. From the nose and sinuses, infection can spread to orbit, cribriform plate, meninges and brain. The rapid destruction associated with the di...
1
Mucormycosis
Aspergillosis
Infarct of inferior turbinate
Foreign body
ENT
Nose and paranasal sinuses
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Saturday night palsy is which type of nerve injury?
Ans. is 'a' i.e., Neuropraxia Seddon's classification of nerve injuries Seddon identified three types of injuries 1. Neuropraxia There is contusion of the peripheral nerve which causes reversible physiological nerve conduction block. The axis cylinder (i.e., axon with its endoneurium) is preserved. Thus, there is physi...
1
Neuropraxia
Axonotemesis
Neurotemesis
Complete section
Surgery
null
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Which vaccine is most effective-
for international use the approved vaccine is 17D vaccine.which is grown in chick embryo cells.but its sensitivity to heat is a major drawback.reconstituted vaccine should be kept on ice.route of administration is subcutaneous in a single dose of 0.5 ml irrespective of age.immunity begins to appear on the 7th day and l...
3
Cholera
Typhoid
Yellow fever
Chicken pox
Social & Preventive Medicine
Epidemiology
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The esophagus -
At the lower end of pharynx, at the level of lower border of cricoid cartilage, esophagus begins. It is narrowest at its beginning due to cricopharyngeal sphincter. Then it runs a curved route rather than being straight.
4
Begins at the upper border of cricoid cartilage
Runs a straight course throughout
Is narrowest at its termination
Is narrowest at its beginning
Anatomy
null
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An adult hypertensive male presented with sudden onset severe headache and vomiting. On examination, there is marked neck rigidity and no focal neurological deficit was found. The symptoms are most likely due to:
Ans. d. Subarachnoid hemorrhage (Ref: Harrison 19/e p1784, 18/e p2262-2263; Sabiston 19/e p1880-1882: Schwartz 9/e p1534-1536: Bailey 25/e p304)Most likely diagnosis in an adult hypertensive male with sudden onset severe headache, vomiting with marked neck rigidity without focal neurological deficit would be subarachno...
4
Intracerebral parenchymal hemorrhage
Ischemic stroke
Meningitis
Subarachnoid hemorrhage
Medicine
C.N.S.
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1715. True regarding anaemia of chronic ds. are A/E -
<p>In anemia of chronic disorder,a defect in transfer of iron from macrophage to developing erythroid cells in the marrow leads to reduced availability of iron for haem synthesis despite adequate iron stores,elevating serum ferritin.</p><p>Harsh mohan textbook of pathology sixth edition pg no 302</p>
3
Decreased TIBC
Increased macrophage iron in marrow
Decrease serum ferritin level
Decreased serum iron levels
Medicine
Haematology
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A 7-year-old child with steroid dependent nephrotic syndrome has developed coicosteroid toxicity and posterior subcapsular cataracts. Which of the following is the best alternative for the treatment of the patient?
Steroid-dependent patients, frequent relapses, and steroid-resistant patients may be candidates for alternative agents, paicularly if the child suffers severe coicosteroid toxicity (cushingoid appearance, hypeension, cataracts, and/or growth failure). Cyclophosphamide prolongs the duration of remission and reduces the ...
2
Levamisole
Cyclophosphamide
Mycophenolate mofetil
Rituximab
Pediatrics
Nephritic & Nephrotic Syndrome
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Best time to give Rh anti-D prophylaxis is:
Ans. (B) 28 weeks of pregnancy(Ref: Williams Obstetrics 24th/e p312)Anti-D immune globulin is given prophylactically to all Rh D-negative, unsensitized women at approximately 28 weeks, and a second dose is given after delivery if the infant is Rh D-positive Following delivery, anti-D immune globulin should be given wit...
2
12 weeks of pregnancy
28 weeks of pregnancy
36 weeks of pregnancy
After delivery
Pharmacology
Immunomodulatory: DMARDS, Monoclonal Antibodies
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Facilitative glucose transpoers (GLUTs) comprise a large family. Which of the following is a glucose transpoer in myocytes?
Major Glucose Transpoers and its locations: GLUT 1 Brain, kidney, colon, placenta, erythrocytes GLUT 2 Liver, pancreatic beta cell, small intestine, kidney GLUT 3 Brain, kidney, placenta GLUT 4 Hea and skeletal muscle, adipose tissue GLUT 5 Small intestine Ref: Harper's Illustrated Biochemistry, 29e > Chapter 20. Gluco...
4
GLUT 1
GLUT 2
GLUT 3
GLUT 4
Physiology
null
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Sawtooth waves are most characteristic of what sleep stage?
Sawtooth waves are primarily seen in REM sleep Sleep spindles and K-complexes are seen in stage 2 Delta waves are in deep sleep (stage3 and stage 4)
4
Stage 1
Stage 2
Stages 3 and 4
REM sleep
Psychiatry
Sleep Disorders
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In which of the following state, a person is mute and akinetic, but can be awaken and even be ale?
Stupor refers to a higher degree of arousability in which the patient can be transiently awakened only by vigorous stimuli, accompanied by motor behavior that leads to avoidance of uncomfoable or aggravating stimuli. Ref: Harrison's Principles Of Internal Medicine 18th edition chapter 274; Localization of Clinical Synd...
1
Stupor
Delirium
Twilight state
Oneroid state
Psychiatry
null
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Commonly used long bone for identification ?
Ans. is 'a' i.e., Femur Stature can be calculated from the length of long bones and used for identification. Femur and tibia give more accurate values compared to humerus and radius Stature is determined in dismembered body (skeletal remains) by : Length from the tip of middle finger to the tip of opposite middle finge...
1
Femur
Radius
Ulna
Humerus
Forensic Medicine
null
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Greening occurring when porcelains are fired on silver free alloys may be attributed to
null
1
Vaporization of silver from the walls of contaminated furnaces
Surface diffusion of silver from the marginal metal
More rapid silver diffusion in sodium containing glass
Silver ionization by porcelains with high oxygen potential
Dental
null
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The common primary tumor of hea is-
Primary cardiac tumors are uncommon; moreover, most also are (founately) benign. The five most common have no malignant potential and account for 80% to 90% of all primary hea tumors. In descending order of frequency, these are myxomas, fibromas, lipomas, papillary fibroelastomas, and rhabdomyomas. Angiosarcomas consti...
3
Rhabdomyoma
Fibroma
Myxoma
Lipoma
Pathology
Cardiovascular system
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The retention in the cast metal restoration is mainly by:
Cast-metal intracoronal restorations, referred to as inlay restorations, rely on diverging vertical walls that are almost parallel and a luting cement to provide retention of the casting in the tooth. Sturdevant operative dentistry 7th Edition, Page No:120
4
Diverging vertical walls
Parallel vertical walls
Luting cement
All of the above
Dental
null
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In radionuclide imaging the most useful radio pharmaceutical for skeletal imaging is:
Ans. Technetium-99m linked to Methylene dis-phos-phonate (99mTc-MDP)
4
Gallium 67 (67Ga)
Technetium-sulphur-colloid (99mTc-Sc)
Technetium-99m (99mTc)
Technetium-99m linked to Methylene dis-phos-phonate (99mTc-MDP)
Radiology
null
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Colliquative necrosis is seen in?
Liquefaction or colliquative necrosis also occurs commonly due to ischaemic injury and bacterial or fungal infections but hydrolytic enzymes in tissue degradation have a dominant role in causing semi-fluid material. The common examples are infarct brain and abscess cavity.
4
Arthus phenomenon
Malignant hypertension
Tuberculoma
Lung abscess
Pathology
Cellular Pathology
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True about decoicate rigidity ?
Ans. is 'c' i.e., Rigidity is less pronounced than decerebrate rigidityA decoicate rigidity is made by removing the whole cerebral coex but leaving the basal ganglia intact.Decoicate rigidity is characterized by flexion of upper extrimities at elbow and extension of lower extrimities.The flexion is due to rubrospinal t...
3
Removal of cerebral coex and basal ganglia
Flexion of lower limbs & extension of upper limbs
Rigidity is less pronounced than decerebrate rigidity
None of the above
Physiology
null
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Which of the following viral markers signifies the ongoing viral replication in the case of Hepatitis-B infection?
HBeAg appearance- high levels of virus replication and reflects the presence of circulating intact virions and detectable HBV DNA. Patients with precore mutations cannot synthesize HBeAg In self-limited HBV infections, HBeAg becomes undetectable sholy after peak elevations in aminotransferase activity, before the disap...
3
Anti-HBs
Anti-HBc
HBe Ag
HBs Ag
Medicine
Hepatitis
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Earliest (first) L.A. used clinically
C i.e. Cocaine
3
Xylocaine/Lidocaine
Morphine
Cocaine
Cannabis & Procaine
Anaesthesia
null
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The best cosmetics results for large capillary (po wine) hemangiomas are achieved by
Po wine stain treatment is with intense pulsed light and pulse dye laser . PWS may be associated with various syndroms Sturge-Weber syndrome Klippel-Trenaunay syndrome Proteus syndrome: Bailey and love 26th edition pg 599
2
Exision and split-thickness skin
Laser ablation
Cryosurgery
Tattooing
Surgery
General surgery
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Plummer- Vinson syndrome
null
4
Is due to folic acid deficiency
Common in males
Not associated with oral premalignancy
Strong association with post-cricoid carcinoma
Pathology
null
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Precocious eruption is seen in:
null
4
Hyperthyroidism
Hypopituitarism
Cleidocranial dysplasia
Hyperpituitarism
Dental
null
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Superior sulcus tumor of the lungs characteristically presents with:
Ans: A. Ref: Robbins Pathologic Basis of Disease, 8th edition Explanation: Apical lung cancers in the superior pulmonary sulcus tend to invade the neural structures around the trachea, including the cervical sympathetic plexus. It produces a group of clinical findings that includes severe pain in the distribution of th...
1
Horner's syndrome
Breathlessness
Hemoptysis
Sweating
Pathology
Lung Tumors
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Growth spu occurs -
Ans. is 'b' i.e., Just before menarche
2
Just before appearance of axillary hair
Just before menarche
After 16 years
Before thelarche
Pediatrics
null
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A child is suspected of having an autistic disorder. All areTRUE about autism, EXCEPT:
Clinical criteria for the diagnosis of autism are based on the DSM-IV TR and ICD10 specifications. A diagnosis of autism is based on symptoms in three areas: difficulties in reciprocal social interaction, difficulties in communication, and the presence of restricted and repetitive behaviors or interests. Children with ...
2
Age between 18-24 months
Child is able to interact
Repetitive behavior is seen
Language is not well developed
Psychiatry
null
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Non Anionic gap acidosis is seen in
(A) Diarrheoa # CAUSES OF NON-ANION GAP METABOLIC ACIDOSIS> Gastrointestinal bicarbonate loss: Diarrhea; External pancreatic or small-bowel drainage; Ureterosigmoidostomy, jejunal loop, ileal loop Drugs: Calcium chloride (acidifying agent); Magnesium sulfate (diarrhoea); Cholestyramine (bile acid diarrhea)> Renal acido...
1
Diarrhoea
Lactic acidosis
Salicylate poisoning
Diabetic ketoacidosis
Medicine
Miscellaneous
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The amount of estrogen in low dose oral contraceptive pills is:
Over time, the estrogen and progestin contents of COCs have been reduced remarkably to minimize hormone-related adverse effects. Currently, the lowest acceptable dose is limited by their ability to prevent pregnancy and unacceptable breakthrough bleeding. Although daily estrogen content varies from 20 to 50 g of ethiny...
4
30 micrograms
40 micrograms
50 micrograms
20 micrograms
Gynaecology & Obstetrics
null
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Most common type of hip dislocation is :
Ans. is 'b' i.e., Posterior [Ref: Essential of orthopedic surgery 3rd/e p. 1179)* There are three main types of dislocations of the hipi) Posterior dislocationii) Anterior dislocationiii) Central fracture dislocation* Of the three, the posterior dislocation is the most common .
2
Anterior
Posterior
Central
Inferior
Orthopaedics
Injuries Around Hip
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Multiple psoriatic lesions on hands. Treatment of choice is?
Ans. is 'c' i.e., Topical steroids and salicylic acid * Preferred treatment for localized psoriasis is topical coal tar or short contact, dithroanol.* Alternative is topical steroids + Salicylic acid* Methotrexate is the DOC for Erythrodermic psoriasis. Acitretin is an alternative.Treatment of choice for different type...
3
NBUVB
Systemic methotrexate
Topical steroids and salicylic acid
Systemic steroids
Skin
Papulosquamous Disorders
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Tape worm is found in -
The adult worm lives in the human intestine, usually in the jejunum, where it lies in several folds in the lumen. Commonly only a single worm is present, but rarely several worms may be seen, upto 25 or more in a patient Ref: panickers textbook of Medical parasitology 8th edition ...page :115
3
Stomach
Liver
Ileum and jejunum
Caecum
Microbiology
parasitology
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Which of the following causes of diarrhoea decreases after prolonged fasting
Acute diarrhoea This is extremely common and is usually caused by faecal-oral transmission of bacteria or their toxins, viruses or parasites . Infective diarrhoea is usually sho-lived and patients who present with a history of diarrhoea lasting more than 10 days rarely have an infective cause. A variety of drugs, inclu...
1
Osmotic diarrhoea
Bloody diarrhoea
Infective diarrhoea
Secretory diarrhoea
Medicine
G.I.T
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The blood levels of glucose, galactose, and fructose were measured in normal persons and in persons with enzyme deficiencies soon after they drank a milk shake made with milk and sugar. Which option below would be Lower in the blood of a person with a lactase deficiency than in a normal person.
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
Glucose
Galactose
Fructose
Glucose and galactose
Biochemistry
Carbohydrates
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In child woman ratio, number of 0-4 years aged children are expressed:
Child woman ratio: Is number of 0-4 years aged children expressed per 1000 women in reproductive age group. (15 - 49 years) OTHER IMPOANT PARAMETERS: GFR :- x1000. DR :- / .
2
Per 1000 women
Per 1000 women in reproductive age group (15-49 years)
Per 1000 married women in reproductive age group
Per 1000 married women in post - reproductive age group
Social & Preventive Medicine
Definition & Concepts
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Which of the following inhalational agent is the induction agent of choice in children?
Methoxyflurane Nephrotoxic Has maximum chloride release. Sevoflurane Sweat smelling - administrable face mask. Induction and emergence form anesthesia are fast Desflurane :Has pungent odour, is less potent ,therefore higher concentration has to be used It can cause Air passage irritation Coughing Breathe holding Laryng...
2
Methoxyflurane
Sevoflurane
Desflurane
Isoflurane
Anaesthesia
FMGE 2018
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Which of these mediate the precapillary sphincter relaxation:
A i.e. Local hormonesPrecapillary sphincters are layer of smooth muscle fibres present just at the point where a metaeriole.There is no innervation on precapillary sphincter.Q- Their dilatation or constriction (to control the blood flow) depends on local hormones.Q , product of metabolism, hydrogen ions etc.Catecholami...
1
Local hormones
Sympathetic stimulations
Catcholamines
Capillary filling
Physiology
null
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