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Commonest symptom of carcinoma bronchus is ?
Ans. is 'c' i.e., Cough
3
Hemoptysis
Dyspnoea
Cough
Wheezing
Surgery
null
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single
The mode of secretion of sebaceous gland is
Sebaceous  Glands  Sebaceous glands, producing an oily secretion, are widely  distributed all over the dermis of the skin, except for the palms and soles. Sebaceous glands are holocrine in nature, i.e. they produce their secretion by complete fatty degeneration of the central cells of the alveolus, which are then repla...
2
Merocrine
Holocrine
Apocrine
Eccrine
Physiology
null
f23d4ef8-c76e-4619-a216-9fcd3d4c2fe7
single
Which of the following anaesthetic agent has highest MAC (Minimum Alveolar Concentration)
MAC is the minimum alveolar concentration of on inhaled anesthetic required to prevent movements in 50% of patients in response to a standardized stimulus. N2O has highest MAC 104 Methoxyflurane has lowest MAC Comparing MAC of different agents we can get an idea of there potency. High MAC low potency Low MAC high poten...
1
Nitrous oxide
Xenon
Desfluane
Ether
Anaesthesia
Inhalational Anesthetic Agents
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A baby boy staed speaking sentences of few words. What will be his age?
Usually by age of 1 year, a child can use 2 words (on his own jargon) with meaning for objects of daily use. His vocabulary increases during the second year. He uses 6-20 words by the age of 18 months. Between the age of 21-24 months, he makes simple sentences using two or three nouns without the use of verbs. He uses ...
2
1 year
2 years
18 months
15 months
Pediatrics
null
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single
Hallucinations are seen in all except -
Anxiety and other neurotic disorders do not cause hallucination.
4
Schizophrenia
Seizure due to intracerebral space occupying lesions
LSD
Anxiety
Psychiatry
null
6488c99f-2b2f-4a08-bbc3-b223c77c8ec0
multi
All are true about hepatic cystadenoma except
Majority of patients of biliary cystadenoma presents with a history of abdominal pain or mass Ref: Sabiston 20th edition Pgno : 1469
1
Age >40 years and asymptomatic
Malignant predisposition
Surgical resection is required
Large projection with thickened wall is suggestive of malignancy
Anatomy
G.I.T
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multi
Troponin-C mimics which of the following?
Troponin C contains binding site for Ca2+ that initiates muscle contraction.(Ref: Textbook of physiology AK Jain 5th edition page no.164)
1
Calmodulin
Calcineurin
Calretinin
Ceruloplasmin
Physiology
General physiology
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single
True regarding umbilical hernia is/are all except?
Ans. is 'b' i.e., More common in malesoAn umbilical hernia mostly congetital, is a hernia present at the site of the umbilicus through a persistent umbilical ring.oBoys and girls are equally affected in congenital where as acquired is three times more common in women than in men. An acquired umbilical hernia directly r...
2
Mostly congenital
More common in males
Occurs due to increased intrabdominal pressure
Occurs via rectus abdominis diastesis
Surgery
Hernia
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multi
A 62-year-old loses consciousness in the street and resuscitative efforts are undertaken. In the emergency room an electrocardiogram is obtained, part of which is shown below. Which of the following disorders could account for this Man's presentation?
Ans. (c) Intracerebral hemorrhage.* In the scenario given either the patient had a tachyarrhythmia or a stroke* If you at the ECG bradycardia is seen which favors stroke since stroke has cushing reflex* QT interval of the patient is a whopping 600 msec ( 400-430 msec)* Choice A, B and D are ruled out since there is no ...
3
Hypokalemia
Hypocalcemic tetany
Intracerebral hemorrhage
Digitalis toxicity
Medicine
Electrocardiography
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single
In a patient with CSF otorrhea a cotton plug is kept in ear near Eustachian tube. A dye is injected in the sub- arachnoid space. The plug gets stained. Which of the following is most likely site of CSF leak?
Ans. A. Temporal bone.CSF otorrhea# The most common cause of CSF otorrhea is trauma with fracture involving the tegmen tympani. Tegmen tympani which is formed in part by the petrous portion of the temporal bone, and the squamous portion of the temporal bone, forms the roof of the middle ear cavity. Other etiologies inc...
1
Temporal bone
Ethmoid
Sphenoid
Cribriform plate
ENT
Ear
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single
Tetracycline is the drug of choice for all except?
Ans. is 'd' i.e., Pneumocystis carinii
4
LGV
Cholerra
Plague prophylaxis
Pneumocystis carinii
Pharmacology
null
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multi
Glycemic index of a starchy food is a measure of its:
The increase in blood glucose after a test dose of carbohydrate compared with that after an equivalent amount of glucose (as glucose or from a reference starchy food) is known as the glycemic index.  Glucose and galactose have an index of 1 (or 100%), as do lactose, maltose, isomaltose, and trehalose, which give rise t...
4
Energy
Utility
Collectivity
None of the above
Biochemistry
null
6f22084c-cd71-4840-9e21-b923acb7015e
multi
According to floor space standards, the half unit is considered at child age of?
Overcrowding is the situation in which more people are living in a single dwelling thanthere is space for so that,the movemwnt is restricted,privacy secluded,hygiene impossible,rest and sleep difficult. The accepted stardards are -persons per room -floor space: according to floor space standard baby under 12 months is ...
3
<12 months
1-5 years
1-10 years
10-20 years
Social & Preventive Medicine
Environment and health
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Which is the best time to do orchidopexy for undescended testis
Ideal time to do orchidopexy is 6 months of age
2
4 months
6 months
1 year
2 year
Surgery
null
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Indications for FFP include
Ans. d (All of the above) (Ref. Harrison 18th/ ch. 113; Table 113-2)Characteristics of Selected Blood ComponentsComponentVolume, mLContentClinical ResponsePRBC180-200RBCs with variable leukocyte content and small amount of plasmaIncrease hemoglobin 10 g/L and hematocrit 3%Platelets50-70200-4005.5 x 1010/RD unit3 x 10U/...
4
Rapid reversal of (effects of) warfarin
Supplying deficient plasma proteins
Treatment of TTP
All of the above
Medicine
Blood
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multi
The operating temperature in an ethylene oxide sterilization during a warm cycle is:
Ans. is 'a' i.e, 49-63(Ref: Ananthanarayan, 9th/e, p. 35, 36; Baveja, 4th/e, p. 38)EO sterilization cycles - Cold cycle at 37+-5 and Warm cycle 54+-5.
1
49-63
92-110
20-35
68-88
Microbiology
General
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single
Therapeutic index is a measure of
(c) Safety,Ref: Lippincott, 6th ed., pg. 35The therapeutic index (TI) of a drug is the ratio of the dose that produces toxicity to the dose that produces a clinically desired or effective response in a population of individuals:TI=TD50/ED50Where TD50 = the drug dose that produces a toxic effect in 50% the population an...
3
Potency
Efficacy
Safety
Potency + efficacy
Pharmacology
General Pharmacology
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Rx of chronic HBV infection -
<p>Davidson&;s principles and practice of medicine 22nd edition. *interferon alpha is most effective in persons with low viral load and serum transaminase greater than raise the upper limit of normal. #lamivudine although effective ,long term therapy is complicated.</p>
1
Interferon
Adefovir dipivoxil
Lamivudine
Famcyclovir
Medicine
G.I.T
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single
A 30 years man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/d1) with SGOT/SGPT (AST/ALT) of 1230/900 IU/ml. The serological tests showed presence of HBs Ag IgM anti-HBc and HBeAg. The most likely diagnosis:
Ans. (b) Acute hepatitis B infection with high infectivity See the following table, Do not try to learn it, just try to understand Commonly Encountered Serologic Patterns of Hepatitis B Infection HBsAg Anti-HBc Anti-Hac HBeAg Anti-HBe Interpretation + - lgM + - Acute hepatitis B, high infectivity + - lgG + - Chronic ac...
2
Chronic hepatitis B infection with high infectivity
Acute hepatitis B infection with high infectivity
Chronic hepatitis B infection with low infectivity
Acute hepatitis B infection with low infectivity
Microbiology
null
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Residual chlorine in chlorination of water should be:
The minimum recommended concentration of free chlorine is 0.5 mg/L for one hour. The sum of the chlorine demand of the specific water plus the free residual chlorine of 0.5 mg/L constitutes the correct dose of chlorine to be applied. The chlorine has no effect on spores, protozoal cysts and helminthic ova, except in hi...
2
1 mg/L after 1 hr
0.5 mg/L after 1 hr
1 mg/L after 30 mins
0.5 mg/L after 30 mins
Social & Preventive Medicine
null
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single
Lupus pernio is seen in-
Ref Davidsons 23e p609
4
Tuberculosis
SLE
PAN
Sarcoidosis
Medicine
Immune system
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single
Pain and temperature in the thalamus is controlled by the nucleus
Ventroposterior medial nuclei receive trigeminothalamic afferents and relay to postcentral gyrus. Ventroposterior lateral nuclei receive spinothalamic (Pain and temperature) and medial lemniscus afferents and relays to the cerebral cortex.
2
Ventroposterior Medial
Ventroposterior lateral
Ventral anterior
Ventral lateral
Physiology
null
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single
Absolute contraindication of IUCD is?
Contraindications for IUCDS Puerperal sepsis Pregnancy Cancer of the cervix PID / STD Cancer of the uterus Significantly distoed uterine cavity Undiagnosed vaginal bleeding
1
Acute PID
PCOD
Breast cancer
Previous history of aboion
Gynaecology & Obstetrics
FMGE 2019
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Which of the following laryngeal muscle arise 4th arch
Ans. is 'a' i.e., CricothyroidAll intrinsic muscles of larynx are derived from 6th arch except cricothyroid which arises from 4th arch
1
Cricothyroid
Transverse arytenoids
Posterior cricoarytenoid
Lateral arytenoids
Anatomy
null
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single
3rd constriction of the oesophagus is at the level of-
null
2
Left brunchus crossing the aorta
Where it pierces the diaphragm
Junction of the oesophagus and stomach
Cricopharynx
Surgery
null
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single
Intrinsic factor secreted by
Parietal or oxyntic cells secrete HCl and intrinsic factor.Chief or zymogen or peptic cells secrete pepsinogen.(Ref: Ganong&;s Review of medical physiology, 23 rd edition, page 431)
2
Chief cells
Parietal / oxyntic cells
Antral cells
Mucous secreting cells
Physiology
G.I.T
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single
ECT in depressive phase ofMDP is useful because it:
C i.e. Shoens durations
3
Produces recurrence
Reduces recurrence
Shoens duration
Increases drug effects
Psychiatry
null
18d6d749-be6d-406b-9d68-8e005cb152e8
single
Rx of choice for Lichen planus?
LP is essentially benign and self-limiting disease. Steroids- Mainstay of Rx. Oral steroids: Extensive LP Bullous LP Follicular LP of scalp Extensive ulcerative lesions on the oral or vaginal mucosa. Nail atrophy and pterygium Other Rx: Azathioprine Dapsone In generalised cases phototherapy is given.
3
Topical salicylic acid
UV rays
Systemic steroids
Erythromycin
Dental
Lichen planus and Other papulosquamous disorders
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single
Pseudologia fantastica is typically seen in the following condition:
The original Munchausen syndrome (peregrinating factitious disorder) consists of the simulation of disease, pseudologia fantastica, and peregrination (wandering). Patients presented with paicularly dramatic, chronic, or severe factitious illness. The characteristic features are, Feigned severe illness of a dramatic and...
4
Alzheimer's disease
Alzheimer's disease
Ekbom's syndrome
Munchausen syndrome
Psychiatry
null
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multi
Touton giant cells are found in:
Xanthoma
1
Xanthomas
Dermatofibromas
Actinic keratosis
Benign nevocellular nevus
Pathology
null
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single
Urine cytology is used for the screening of:
Ans. (c) Urothelial carcinomaRef: Campbell Urology 11th Edition, Page 2197* Urinary cytology is used for screening of urothelial cancer.* AUA guidelines for evaluation include cystoscopy, upper; tract imaging and urine cytology.
3
Wilms tumor
Renal cell carcinoma
Urothelial carcinoma
Carcinoma prostate
Surgery
Urethra & Penis
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single
Misfolding of proteins is associated with the following except
.
3
Alzheimer's disease
Bovine spongiform encephalopathy
Tuberculosis
Cystic fibrosis
Pathology
All India exam
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multi
Which of the following can cause Superior quadrantopia
A. i.e. Temporal lobe tumor Lesions involving total optic radiations produce complete homonymous hemianopiaQ (sometimes sparing macula). Lesions involving superior fibers of optic radiation (occurs in lesion of parietal lobe) results in inferior quadrantic hemianopia (pie on the floor)Q Lesion involving inferior fibers...
1
Temporal lobe tumor
Frontal lobe tumor
Pituitary tumor
Craniopharyngioma
Ophthalmology
null
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single
A girl from shimla presented to OPD with fever, hypotension, malaise and axillary and inguinal lymphadenopathy. Culture in glucose broth shows stalactite growth. Most likely causative organism is -
null
1
Yersinia pestis
Francisella tularensis
Brucella abortus
Coxiella burnetti
Microbiology
null
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single
A 48-year-old female is admitted to the hospital with a distended abdomen. A CT scan examination provides evidence of the presence of ascites. In which of the following locations will an ultrasound machine most likely confirm the presence of the ascitic fluid with the patient in the supine position?
(b) Source: GAS 307; GA 144 In a supine patient, fluid accumulation will often occur in the pouch of Morison, which is the lowest space in the body in a supine position. The hepatorenal space is located behind the liver and in front of the parietal peritoneum covering the right kidney. The vesicouterine and rectouterin...
2
Subphrenic recess
Hepatorenal recess (pouch of Morison)
Rectouterine recess (pouch of Douglas)
Vesicouterine recess
Anatomy
Abdomen & Pelvis
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single
Buonian line is seen with poisoning of
B i.e. Lead
2
Mercury
Lead
Arsenic
Zinc
Forensic Medicine
null
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single
The ducts of the lacrimal gland open into the:
Lacrimal Fluid is produced by the lacrimal gland, which lies in a fossa in the superolateral pa of each orbit. The fluid from this gland enters the conjunctival sac through up to 12 lacrimal ducts that open into the superior conjunctival fornix. The tears then flow to the medial angle of the eye and collect in the lacr...
1
Superior fornix of the conjunctiva
Inferior fornix of the conjunctiva
Lacrimal Puncta
Lacrimal Canaliculi
Ophthalmology
null
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single
True about oxytocin are all except
Oxytocin is a hypothalamic hormone stored in and released from the posterior pituitary; it may also be prepared synthetically or obtained from the posterior pituitary of domestic animals. It acts as a powerful stimulant to the pregnant uterus, especially toward the end of gestation, and also causes milk to be expressed...
4
Synthesized by paraventricular nucleus of hypothalamus
Secreted by posterior pituitary
Causes uterine contraction of body
Causes contraction of upper segment
Physiology
Endocrinology
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multi
All of the following are used for giving skeletal traction, except
Skeletal traction: The traction is applied directly to the bone by inseing a K-wire or Steinmann pin through the bone. All the given options can be used for giving skeletal traction except Rush nail which is an intramedullary nail used for long bone fracture. Eg. Fibular Fracture. REF:Maheswari 9TH ED pg: 26
4
Steimann's pin
Kirschner's wire
Bohler's stirrup
Rush pin
Orthopaedics
Management in Orthopedics
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multi
Following statements about sarcoidosis is false
Ans. is 'a' i.e., The first manifestation of the disease is an accumulation of mononuclear inflammatory cells, mostly CD8 + THI lymphocytes in affected organs
1
The first manifestation of the disease is an accumulation of mononuclear inflammatory cells, mostly CD8 + THI lymphocytes in affected organs
The Heerfordt-Waldenstrom syndrome describes individuals with fever, parotid enlargement, anterior uveitis, and facial nerve palsy
Elevated level of angiotensin conveing enzyme (ACE) are a feature
Bilateral parotid involment is the rule
Medicine
null
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multi
Deformation that is recovered upon removal of an externally applied force or pressure is known as
null
3
Young's modulus
Plastic strain
Elastic strain
Flexural strain
Dental
null
bf5da9a3-d4d6-4f13-90e3-a09e88e61800
multi
All are true about nasolabial cyst Except:
Nasolabial cyst - Nasolabial cyst is a rare nonodontogenic developmental cyst. - It is believed to be derived from remnants of the nasolacrirnal duct. - Seen most often in adults in the 4th to 6th decades of life. - It has strong female predilection. 3:1 female-to-male ratio - It is usually unilateral. Bilateral in 10%...
1
Arises from odontoid epithelium
Presents subrnucosally in anterior nasal floor
Bilateral
Usually seen in adults
ENT
null
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multi
Joint erosions are seen in all Except
Osteoahritis is a disease of aicular cailage not of joint Joints involved in ahritis Ahritis Type MC joints Less common Not involved Nature Rheumatoid ahritis Poly MCP, PIP , MTP Knee , Cervical spine DIP , Hip Erosive painful SLE Poly MCP , Wrist Non erosive Osteoahritis Poly DIP , Knee , Sacro iliac Wrist , MCP Psori...
4
SLE
Gout
RA
OA
Orthopaedics
All India exam
9037385d-86fb-41ea-9f35-0d3988c75df3
multi
Gastric motility decreases in all EXCEPT
null
4
Diabetes
Upper abdominal surgery
Head injury
Hyper thyroid
Medicine
null
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multi
A 20-year-old male presented to the OPD with a deep boring pain in the upper end of left tibia which worsened at night/while walking and is relieved by rest. On examination, there is effusion in the knee joint along with tenderness and thickening of the bone. X-ray of the concerned area was taken. MRI of the concerned ...
Brodie abscess is an intraosseous abscess related to a focus of subacute pyogenic osteomyelitis. It has a predilection for ends (metaphysis) of tubular bones: Proximal/distal tibial metaphysis (most common) Carpal and tarsal bones Rarely traversing the open growth plate; epiphysis (in children and infants). X-ray featu...
1
Brodie's abscess
Garre's osteomyelitis
Septic ahritis
Chronic osteomyelitis
Unknown
Integrated QBank
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Characteristic feature of atopic dermatitis is -
ATOPIC DERMATITIS:-Atopic eczema.Chronically relapsing skin disorder that usually begins at infancy characterised by pruritus,xerosis and eczematisation. Clinical features-Infantile phase:- AD more acute with predominantly involving face,scalp and extensor surfaces of extremities.Typically there are papules,vesicles,ex...
1
Pruritus
Dennies Lines
Scaling skin
Rash
Dental
Dermatitis
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single
Least common site to be involved in osteoahritis amongst the following is:
Answer is D (Metacarphalangeal joints) Wrists and Metacarpophalangeal joints are generally not involved in Osteoahritis - Harrison 16th/2040 Sparing of wrist and metacarpophalangeal joint with involvement of base of thumb (i.e. carpometacarpal joint) is very characteristic of 'osteoahritis'.
4
Hip joint
Knee joint
Carpometacarpal joint of thumb
Metacarpophalangeal joint
Medicine
null
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single
All of the following statements regarding adult polycystic kidney disease are TRUE, EXCEPT:
Hypeension is a common finding associated with ADPKD due to increased activity of the renin-angiotensin system. ADPKD is a systemic disorder resulting from mutation in either the PKD1 or PKD2 gene. IN 90%cases, it is inherited in an autosomal dominant fashion. Phenotypic heterogeneity is a hallmark feature of this cond...
2
Autosomal dominant inheritance
Hypeension is rare
Can be associated with cysts in liver, lungs and pancreas
Pyelonephritis is common
Pathology
null
37200f73-25ac-4104-8ac5-2feaf314f8a1
multi
The maximum ozone concentration in polluted atmosphere is dependent on the concentration and ratio of nitrogen oxides and which one of the following –
Ground level ozone is formed from Nitrogen Oxides (NO) and volatile organic compounds (VOC), e.g., Methane
3
Carbon monoxide
Lead
Volate organic compounds
Sulphur dioxide
Social & Preventive Medicine
null
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single
Normal length of CBD is
Bile duct : Anatomy It lies in front of the poal vein and to the right of the hepatic aery Common hepatic duct is 1-4cm in length and has a diameter of approx. 4mm CBD is about 7-11 cm in length and 5-10 mm in diameter A fibroareolar tissue containing scant smooth muscle surround the mucosa (a distinct muscle layer is ...
1
7cm
5cm
3cm
2cm
Anatomy
G.I.T
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single
SARS - false statement is
(D) All of the above # CLINICAL MANIFESTATIONS: After an incubation period that generally lasts 2 to 7 days (range, 1 to 10 days), SARS usually begins as a systemic illness marked by the onset of fever, which is often accompanied by malaise, headache, and myalgias and is followed in 1 to 2 days by a nonproductive cough...
4
Incubation period is 10 to 15 days
Affects CD8 + T cells than CD4 + T cells
Constipation is marked during first 3 days
All of the above
Medicine
Miscellaneous
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multi
A 34 years old female after thyroidectomy was under observation in post operations ward after shows she developed tense swelling in neck and become breathless. How do you treat this patient?
Breathlessness within few hans of thyroidectomy and swelling in the neck suggest of tension hematoma, which is treated by removal of stucture & evacuating the hematoma.
3
Intubate the patient and administer epinephrine
Infuse 10% calcium gluconate over 10 min
Open the sutures and evacuate the hematoma
Turn the patient sideways and give inj.salbutamol subcutaneously
Surgery
null
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single
False about Giant cell tumor
null
1
Sun ray apppearance on x-ray
Epiphyseal tumor
Soap bubble appearance on x-ray
Treated with extended currettage
Orthopaedics
null
3b5a379d-098f-43ba-9ca9-9fc740fc7c5c
multi
GBS in a child treatment –
Treatment of GB syndrome in children It is self-limited in the majority of cases. Intravenous immunoglobulin shows a good response. Plasmapheresis: - Removal of autoantibodies. Assisted ventilation: - It patient develops respiratory muscle paralysis. Physiotherapy
4
IV Ig
Ventilation
Plasmapharesis
All of above
Pediatrics
null
5e15519f-6007-441a-859b-61f7f8559a26
multi
True about pterygium
Pterygium - Wing shapes fold of conjunctiva encroaching upon the cornea from the either side *Etiology - Hot climates - Degenerative & hyperplastic condition of conjunctiva *Symptoms - Visual disturbance (astigmatism) -Cosmetic intolerance *Sign - Triangular fold of conjunctiva mainly on nasal sideStocker line - Iron d...
3
Inflammation of cornea
Fatty deposition of sclera
Conjunctival invasion making a flap over cornea
Dead epithelial debris accumulation
Ophthalmology
FMGE 2018
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multi
Mac Conkey's Agar is
null
3
Enriched medium
Enrichment medium
Differential medium
Synthetic medium
Microbiology
null
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single
All are true regarding somatization disorder except-
null
1
Maintain sick role
4-Pain symptoms
1-Sexual symptom
1-Pseudo neurological symptom
Psychiatry
null
716ac6ca-b1d4-4f9c-afd9-8867610e747e
multi
Most common type of renal adenocarcinoma is?
Ans. is 'a' i.e., Clear cell type * Clear cell carcinoma is the most common type of renal cancer accounting for about 70% to 80% of the renal cell cancer.
1
Clear cell type
Chromophobe type
Papillary type
Tubular type
Unknown
null
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single
Wolf's graft is
null
3
Partial thickness graft
Micro vascular free graft
Full thickness graft
Mucocutaneous flap
Surgery
null
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single
Glucose tolerance test is usually done to assess:
null
4
Acute pancreatitis
Carcinoma of head of pancreas
Acinar function of the pancreas
Endocrine dysfunction of pancreas
Medicine
null
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multi
Superior thyroid aery is related to?
Superior thyroid aery is the first anterior branch of the external carotid aery.it runs downwards and forwards in intimate relation to the external laryngeal nerve.after giving branches to adjacent stuctures, it pierces the bpretracheal fascia to reach the upper pole of lobe where the nerve detes medically.at the upper...
1
External laryngeal nerve
Internal laryngeal nerve
Superior laryngeal nerve
Recurret laryngeal nerve
Anatomy
Head and neck
7623a5fb-7688-4d97-acc6-049c3b6ce937
single
Catamite is?
Ans. is 'b' i.e., Children o Catamite is the name given to the child who is the passive agent.Remembero In sodomy with children:-1) The act - Paederasty2) Active agent - Paedophile3) Passive agent (i.e. child) - Catamite.
2
Older woman
Child
Homosexual adult
Hijra
Forensic Medicine
Sexual Offenses and Dowry Death
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single
Which is not an important symptom of asthma:
Ans. D. ExpectorationSymptoms (Triad) of asthmaa. Cough (often nocturnal) Dry cough is the earliest featureb. Intermittent dyspnea,c. Wheeze, (is the pathognomic feature).* Symptoms are worst at night* Nasal polyp and sensitivity to aspirin can occur an AsthmaSignsa. Tachypneab. Audible wheezec. Hyperinflated chestd. W...
4
Intermittent dyspnea
Wheeze
Cough
Expectoration
Medicine
Respiratory
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single
Large amount of SER is found in cells storing
Cholesterol(lipid) is synthesized in the smooth endoplasmic reticulum from acetyl CoA. The rate-limiting step is the formation of mevalonate from 3-hydroxy 3-methylglutaryl-CoA by HMG CoA reductase and lanosterol is the first cyclic intermediate.SER synthesise lipids whereas RER synthesise proteinsRef: Harper biochemis...
2
Lipoproteins
Lipids
Glycogen
Amino acids
Biochemistry
miscellaneous
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Bysinnosis is caused by: March 2010
Ans. C: Cotton
3
Bagasse
Mold hay
Cotton
Bird droppings
Pathology
null
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single
Characterstic of basal cell carcinoma is:
Basal cell carcinomas are composed of islands or nests of basaloid cells (i.e. cells resembling cells in the normal basal cell layer of the epidermis), with palisading of the cells at the periphery and a haphazard arrangement of those in the centers of the islands. The tumor cells have a hyperchromatic nucleus with rel...
3
Keratin pearls
Foam cells
Nuclear palisading
Psammoma bodies
Surgery
null
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single
Voriconazole is not effective against:
Antifungal Drugs: CLASS IFICATION 1. Antibiotics A. Polyenes:AmphotericinB (AMB),Nystatin, Hamycin, Natamycin (Pimaricin) B. Heterocyclic benzofuran: Griseofulvin 2. Antimetabolite Flucytosine (5-FC) 3 Azofes A. lmidazoles (topical): Clotrimazole, Econazole, Miconazole, Oxiconazole (systemic): Ketoconazole B. Triazoles...
2
Candida albicans
Mucormycosis
Candida tropicalis
Aspergillosis
Pharmacology
Chemotherapy
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single
New vaginal ring used to prevent pregnancy for an entire year
It is a ring shaped non biodegradable , flexible, white opaque system contain a estrogrn n progesterone ative compounds.
1
Segesterone acetate
Desogestrel
Norgestimate
Levonorgestrel
Pharmacology
All India exam
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single
Allof the following are used in the management of acute myocardial infarction Except:
Answer is D (Warfarin) Warfarin is not indicated in the immediate management of Acute myocardial infarction. Warfarin is the single best answer of exclusion. Aspirin and Heparin are used in early treatment of Acute Myocardial infarction to prevent thrombosis. Alteplase or Tissue Plasminogen Activator is a thrombolystic...
4
Aspirin
Heparin
Alteplase
Warfarin
Medicine
null
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multi
In which of the following phase, DNA doubling occurs ?
Ans: b (S phase) Ref: Harper, 23th ed, p. 428DNA replication occurs only at a specified time during the life span of a cell. This period is referred to as synthetic or S phase.Few points about: DNA POLYMERASEProkaryotic DNA polymerase:DNAP -I: Removal of RNA primers and replacing with DNA (5'-3' exonuclease).DNAP - II:...
2
G1 phase
S phase
G2 phase
M phase
Biochemistry
Molecular Genetics
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single
Which of the following was previously used to diagnose bronchial asthma
Methacholine normally acts on M2 receptor present on heart. "Methacholine challenge test" was used to diagnose bronchial asthma, where it can cause bronchoconstriction because of increased sensitivity of M3 receptors due to airway hyperreactivity.
2
Oxtremorine
Methacoline
Carbachol
Oxybutynin
Pharmacology
null
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single
Essential pentosuria is due to deficiency of:
Essential Pentosuria: Occurs due to deficiency of : Xylulose reductase Xylitol dehydrogenase. L-Xylulose in urine, gives positive Benedict's test Glucose Oxidase test strip negative Garrod's Tetrad Pentosuria, Albinism, Alkaptonuria, Cystinuria) Due to consumption of large amount of fruits that are rich in Pentoses Fru...
3
Fructokinase
Phosphoglucomutase
Xylulose reductase
Gluonolactone oxidase
Biochemistry
Galactose and fructose metabolism
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single
Not an alkylating agent:
Ans) c (Paclitaxel) Ref: Katzung 11th editionAlkylating agents AltietamineDacarbazineBend amu stineLomu stineBusulfanMechlorethamineCarmustineMelphalanChlorambucilTemozolomideCyclophosphamide/ThiotepaIphosphamide This table is very important. Do remember it well!Cell Cycle-SpecificNonspecific(CCS) AgentsCell Cycle-(CCN...
3
Iphosphamide
Chlorambucil
Paclitaxel
Nitrosoureas
Pharmacology
Anti-Cancer
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True about hand hygeine -
Ans. is 'b' i.e., Alcohol based preparation are used o Povidone iodine is the best skin disinfectant o Povidone iodine (Betadine) is less irritant and cause less staining.o Aqueous and alcohol-based povidone iodine preparations are widely used in skin disinfection including preoperative preparation of the skin.o Common...
2
Betadine can cause irritation
Alcohol based preparation are used
Hot water is best
Gluteraldehyde is used
Microbiology
Sterilization and Disinfection
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multi
ALL L3 morophology is a malignancy arising from which cell lineage
ALL L3 is arising from mature B cells.Only 1-2% patients with ALL show L3 morphology in which cells are large,have deep cytoplasmic basophilia and prominent vacuolation.These cells show surface immunoglobulin and should be treated as Burkitt lymphoma. Reference:Essential pediatrics-Ghai,8th edition,page no:600.
1
Mature B cell
Precursor B cell
Immature T cell
Mixed B cell & T cell
Pediatrics
Childhood tumors
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multi
If intracellular is 15 mM and the extracellular is 150mM, what is the equilibrium potential for
null
3
–69mV
+90mV
+60mV
–90mV
Physiology
null
88398796-8714-440f-a5aa-ac4cd07c3600
single
Drug causing icthyosis and hyperpigmentation, when used in leprosy is -
Ans. is 'c' i.e., Clofazimine o Adverse effects of clofazimine 1. Skin ---> Reddish-black discolouration of skin, dryness of skin and itching, Discolouration of hair and body secretions, acneform eruptions and phototoxicity, conjuctival pigmentation. 2. GIT --> Enteritis with loose stools, nausea, abdominal pain, anore...
3
Rifampicin
Dapsone
Clofazimine
Ethionamide
Pharmacology
null
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single
Junctional epithelium is attached to enamel by:
null
3
Reticular fibers
Desmosomes
Hemidesmosomes
Collagen
Dental
null
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single
Parathyroid glands are supplied by which artery-
Each parathyroid receives blood supply from inferior thyroid artery, and also from the anastomosis between superior and inferior thyroid arteries.
4
Common carotid
Superior thyroid
Middle thyroid
Inferior thyroid
Anatomy
null
a8a65057-1773-466c-85b2-25de90a4e46e
single
In the WHO recommended EPI Cluster sampling for assessing primary immunization coverage, the age group of children to be surveyed is:-
Cluster random sampling: Used for immunization coverage evaluation Error rate for immunization coverage evaluation - +- 5% WHO recommended technique - 30 x 7 Total sample size - 210 Intercluster disparity - even the cluster are not comparable to each other; To remove intercluster disparity, we use DESIGN effect 30 clus...
4
0-12 months
6-12 months
9-12 months
12-23 months
Social & Preventive Medicine
Biostats
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single
Steroid hormone receptors have attachment site forall except:
Transcription repressors Steroid hormone receptors are intracellular receptors that perform signal transduction for steroid hormones. Steroid hormone receptors are pa of the nuclear receptor family that also includes a group of homologous structured receptors that bind to non-steroid ligands such as thyroid hormones an...
2
Steroid hormone
Transcription repressors
Hormone responsive element
Transcription activators
Physiology
null
bbaba802-c9c6-4f69-bf5a-e283e1102e1d
multi
Non -sterile hypopyon is seen in-
In fungal ulcer, usually, a big hypopyon is present even if the ulcer is small. Unlike the bacterial ulcer,the hypopyon may not be sterile as the fungi can penetrate into the anterior chamber without perforation
3
Pneumococcus infection
Pseudomonas infection
Fungal infection
Gonococcal infection
Ophthalmology
null
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True about genomic imprinting
Genomic imprinting Genomic imprinting is the epigenetic phenomenon by which ceain genes are expressed in a parent-of-origin-specific manner. If the allele inherited from the father is imprinted, it is thereby silenced, and only the allele from the mother is expressed. If the allele from the mother is imprinted, then on...
1
Different expression of gene depending on parent of origin
Prader-Willi syndrome is maternal deletion of chromosome 15
Angelmal syndrome is due to paternal deletion of chromosome 15
Uniparental disomy is other name of genomic imprinting
Pathology
General pathology
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multi
The sensation produced by a wisp of cotton on one's fingeip is mediated by the:
Anterior spinothalamic tract is concerned with light touch- sensation produced by stroking skin with a wisp of cotton.
3
Anterior coicospinal tract
Anterior spinocerebellar tract
Anterior spinothalamic tract.
Cuneocerebellar tract.
Anatomy
Neuroanatomy 3
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single
M.C. organism in acute osteomyelitis ?
Ans. is 'a' i.e., Staphylococcus aureus Acute osteomyelitis may be : - i) Primary (hematogenous) : - Organisms reach the bone through blood stream. ii) Secondary : - Organism gain entery directly through wound such as in compound fractures or surgical operation. Hematogenous osteomyelitis is the commonest form of osteo...
1
Staphylococcus aureus
Salmonella
Pseudomonas aeruginosa
Streptococcus pneumonia
Surgery
null
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single
Renal failure (Uremia) is not associated with:
null
4
Anaemia
Ca deficiency & bone disease
Hyperkalaemia
Hyperaldosteronism
Medicine
null
80ad84a8-07ff-4f90-9c7b-eb68a60c440a
single
In the clotting process, as the hemostatic plug develops, fibrin polymerizes into monomeric threads which are held together by noncovalent bonds. Which clotting protein increases the strength of the clot by crosslinking the newly formed fibrin threads?
Fibrinogen is cleaved by thrombin twice as it is activated to form fibrin. The initial cleavage causes it to polymerize and the second causes it to branch. Thrombin also activates Factor XIII to XIIIa, which crosslinks the fibrin strands and strengthens the clot. HMWK is a cofactor in the intrinsic pathway that conves ...
1
Factor XIII
High molecular weight kininogen (HMWK)
Plasminogen
von Willebrand Factor (vWF)
Surgery
null
8cad82a7-04e2-43f5-9830-8cc14eece358
single
Which of the following intrinsic muscles of hand link flexor to extensor tendons?
Lumbricals originate from the tendon of flexor digitorum profundus in the palm and it is inseed in the lateral side of extensor digitorum profundus, thus it links flexor to extensor. The first and second lumbricals are supplied by the median nerve and the third and fouth are supplied by the ulnar nerve.
2
Thenar muscles
Lumbricals
Palmar interossei
Dorsal interossei
Anatomy
null
acfc2bad-4014-4c90-93d0-f32d958793b4
single
ENL is seen in -
null
1
Lepromatous leprosy
Tuberculoid leprosy
Indeterminate leprosy
Pure neuritic leprosy
Microbiology
null
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single
Atonic uterus contraction seen in all EXCEPT
(IUGR): (213, 410-11- Dutta 7th edition)Atonicity of the uterus is the commonest cause of post partum haemorrhage (80%)Causes of PPH* Atonic Uterus (80%)* Traumatic (20%)- Grand multipara* Retained tissues (Bits of placenta, blood clots causes PPH due to imperfect uterine retraction)- Over distension of the uterus- Mal...
2
Multiparity
IUGR
Polyhydramnios
Prolonged labour
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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multi
Type of Sacroiliac joints in pelvis are
The pelvic bones are joined by four aiculations (two pairs): Two cailaginous symphyseal joints: the sacrococcygeal joint and the symphysis pubis. These joints are surrounded by strong ligaments anteriorly and posteriorly, which are responsive to the effect of relaxin and facilitate paurition. Two synol joints: the sacr...
1
Synol
Primary Cailagenous
Secondary Cailagenous
Fibrous
Anatomy
Abdomen and pelvis
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single
Neuroblastoma differs from Wilm's tumor radiologically by all except -
Ans. is 'c' same location The following are the differentiting feature b/w Neuroblastoma & Wilm's tumour. a) Calcification There are foci of calcifications visible in neuroblastoma (about 85%) which are generally less common and less prominent in wilm's tumour (less than 15%). b) Intraspinal extention - Intraspinal ext...
3
Calcification
Aoa and IVC are not eroded but pushed aside
Same location
Intraspinal extension of tumor
Surgery
null
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multi
All of the following are Non-parametric test, except:
null
2
Chi square test
Z test
Wilcoxon Rank sum test
Kruskal-Wallis ‘H’ test
Unknown
null
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multi
Gold standard investigation for chronic pancreatitis?
Answer- B. ERCPERCP has been considered the most sensitive radiologic test for the diagnosis of chronic pancreatitis, with specific ERCP findings that are highly correlative with the degree or stage of chronic disease.
2
MRI
ERCP
Pancreatic function tests
Fecal fat estimation
Surgery
null
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single
Grey Turner sign is seen in:
Ans: a (A/c pancreatitis) Ref: Bailey & Love, 24th ed, p. 1123Grey Ttorner sign - Bleeding into fascial plane can produce bluish discoloration in flanksCullen sign - Bleeding into fascial plane can produce bluish discolouration around umbilicusNeither sign is pathognomonic of a/c pancreatitis. Both these signs indicate...
1
A/c pancreatitis
C/c pancreatitis
A/c cholecystitis
A/c parotitis
Surgery
Pancreas
590ec1ae-9a81-4f6f-bc36-4d26da0f19d1
single
All are benign conditions except -
Ans. is 'c' i.e. Pagets disease of nipple Benign breast disorder classificationCongenita] disordersInverted nippleSupernumerary breasts/nipplesNon-breast disordersTietze's disease (costochondritis)Sebaceous cysts and other skin conditionsInjurylnflammation/infectionANDI (aberations of normal differentiation and involut...
3
Fibroadenoma
Cystosarcomaphyllodes
Pagets disease of nipple
Galactocele
Pathology
Breast
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multi
Vocal cord is lined by
MUCOUS MEMBRANE OF THE LARYNX It lines the larynx and is loosely attached except over the posterior surface of epiglottis, true vocal cords and corniculate and cuneiform cailages. Epithelium of the mucous membrane is ciliated columnar type except over the vocal cords and upper pa of the vestibule where it is stratified...
2
Stratified columnar epithelium
Stratified squamous epithelium
Cuboidal epithelium
Pseudociliated columnar epithelium
ENT
Larynx
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single
A 58-year-old man with no prior cardiac history presents to the emergency department with symptoms of retrosternal chest pain starting at rest and lasting 30 minutes. The pain radiates to the left arm and is associated with diaphoresis and dyspnea.On physical examination, his blood pressure is 150/90 mm Hg, pulse is 10...
This man has acute coronary syndrome (ACS) until proven otherwise. The ECG is the most useful initial investigation since it identifies individuals with ST-segment elevation who maybe candidates for either thrombolysis or primary angioplasty (PCI). The troponins are important in diagnosing myocardial necrosis. The othe...
4
CT scan - chest
CXR
cardiac troponin
ECG
Medicine
C.V.S.
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single
Post term baby with tachypnea - commonest cause?
Ans. is 'b' i.e., meconium aspiration syndrome Transient Tachypnea of the Newborn Transient tachypnea of the newborn is the most common cause of neonatal respiratory distress, constituting more than 40 percent of cases.1 A benign condition, it occurs when residual pulmonary fluid remains in fetal lung tissue after deli...
2
Transient tachypnea of newborn
Meconium aspiration syndrome
Hyaline membrane disease
Infection
Pediatrics
null
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single
Most vascular part of bone :(Repeat Kerala 2007)
Ans) b ( metaphysis) Ref: Maheswari 3ed 157Metaphysis is the most vascularised zone of the bone due to which it becomes a favorite site for osteo-myelitis.In metaphysic vessels are arranged in the form of loop (hair pin arrangement)Blood stasis ;bacteria settleMost common site for osteomyelitisStrongest part of bone -D...
2
Epiphysis
Metaphysis
Diaphysis
Periosteum
Orthopaedics
Bone
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single