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The 'doughnut' sign seen on a brain scan usually suggests:
Ans. All of the above
4
Abscess
Metastases
Glioblastoma
All of the above
Radiology
null
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The it gastroepiploic aery is a branch of the:
D i.e. Gastroduodenal- Rt gasgtroepiploic a. is branch of gastroduodenal a.Q & left gastroepiploic a. is a branch of splenic a.Q (left sided structure).- Superior pancreatico-duodenal a. is a br. of gastroduodenal a. & inferior pancreatico-duodenal a. is a br. of superior mesentric a.Q - Rt. gastric a. is a br. of hepa...
4
Left gastric
Splenic
Celiac trunk
Gastroduodenal
Anatomy
null
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single
A 30 year old lady presents to the outpatient depament with an Erythematous butterfly rash on her checks. Which of the following antibodies should be assayed initially for her suspected condition -
Anti-dsDNA antibodies are a group of anti-nuclear antibodies (ANA) and their target antigen is double stranded DNA. Blood tests such as enzyme-linked immunosorbent assay (ELISA) and immunofluorescence are routinely performed to detect anti-dsDNA antibodies in diagnostic laboratories. They are highly diagnostic of syste...
1
Anti-Ds-DNA
Anti-Ro-Antibody
Anti-Centromere-Antibody
Anti-mitochondrial-Antibody
Pathology
General pathology
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Regarding CT scan all are true except:
50% reduction in KVP reduces 50% radiation dose Quantity of exposure is directly propoional to (kVp)2. Thus reducing kVp by 1/2 would reduce the radiation dose to 1/4 . X rays are produced by energy conversion when a fast-moving stream of electrons is suddently decelerated in the target of an x-ray tube. The target of ...
1
50% reduction in kVp reduces 50% radiation dose
Decrease in mA (milli amperes) decreases radiation dose exposure significantly in pediatric chest
Quality of the radiation generated depends upon voltage
Radiation dose exposure is directly related to the time of exposure
Radiology
null
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multi
To avoid conception D.M.P.A. is given :
3 -- monthly
2
Monthly internals
3 -- monthly
6 -- monthly
Yearly
Gynaecology & Obstetrics
null
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single
Commonest mycobacterial infection in patient in tropical countries -
null
3
M. Leprae
M. avium intracellulare
M. tuberculosis
M. kansasii
Microbiology
null
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single
Increased cardiac oxygen demand is caused by –
null
1
Ketamine
Nitrous oxide
Thiopentone
Halothane
Anaesthesia
null
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single
After thyroidectomy, pt. developed stridor within 2 hrs. All are likely cause of stridor except :
null
1
Hypocalcemia
Recurrent laryngeal nerve palsy
Laryngomalacia
Wound hematoma
Surgery
null
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multi
Man is dead end, except
null
1
Malaria
Tetanus
Rabies
Japanese Enaphalitis
Social & Preventive Medicine
null
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multi
Best predictor for future risk of cardiovascular events, amongst the following is:
Answer is A (hs CRP) hs CRP which is a serum marker of systemic inflammation has emerged as a major risk factor marker fir future cardiovascular events CRP and Future risk of cardiovascular events CRP when measured by high sensitivity assays (hs CRP) strongly and independently predicts risk of Myocardial Infarction, St...
1
hs CRP
Lipoprotein 'a'
Homocysteine
Interleukin 6
Medicine
null
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single
All of the following drugs are eliminated by kidney except
B i.e. Atracurium besylate
2
Pancuronium bromide
Atracurium besylate
Vecuronium bromide
Pipecuronium
Anaesthesia
null
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Dermatological manifestation of antiphospholipid antibody syndrome among the following is:
Livedo reticularis consists of a mottled reticular vascular pattern and appears like lace like purplish discoloration of the skin. It is a manifestation of venous thrombosis. Ref: Harrisons, Edition - 18 , Page - 2736
3
Cutaneous eruptions
Acneiform eruptions
Livedo reticularis
Telangiectasia
Medicine
null
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single
The completed family size may be estimated by -
Total fertility rate determines the average number of children a woman would have if she were to pass through her reproductive years bearing children at the same rates as the women now in each age group does. It is computed by summing the age specific fertility rates for all ages. This gives the approximate magnitude o...
3
Birth rate
Death rate
Total fertility rate
Age specific fertility rate
Social & Preventive Medicine
null
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A28-year-old farmer is convulsing, with 100bpm heart rate, BP180/100, diarrhea, vomiting and urination. Pupil are pin point. Drug poisoning suspected is:
Ans. C. OPC poisoningAll the symptoms listed in the questions are symptoms associated with cholinergic effects which is OPC poisoning.it should not be confused with atropine poisoning where effects are anticholinergic.
3
Aspirin poisoning
Amphetamine
OPC poisoning
Atropine poisoning
Pharmacology
A.N.S.
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Dangerous area of face ?
Ans. is 'a' i.e., Upper lip middle 1/3''
1
Upper lip middle 1/3"
Lower lip middle 1/3rd
Lower lip lateral pa
Periorbital area
Anatomy
null
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Anti-double stranded DNA is highly specific for -
null
2
Systemic sclerosis
S.L.E.
Polymyositis
Rheumatic sclerosis
Medicine
null
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single
Which one of these should not to be used in severe widespread psoriasis?
Ans-D
4
Methotrexate
Oral retinoids
Cyclosporin
Oral glucocorticoids
Unknown
null
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1 Gray is equal to
Ans: c (100 Rad) Ref: Practical Radiotherapy- Physics and equipment 2nd ed/p.25, 2521 Gray = 100 RadGray is defined as: ' The absorbed dose (D) is the quotient of de by dm, where de is the mean energy imparted by the ionising radiation to matter of mass dm. D = de dmThe S.I unit of absorbed dose is gray. 1 Gray = 1 jou...
3
1 Rontgen
1 Rad
100 Rad
1 Rem
Radiology
Fundamentals In Radiology
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Infection in HIV patients resistant to Fluconazole is treated with
null
3
Nystatin
Amphotericin b
Itraconazole
Clotrimazole
Pharmacology
null
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Most common histological type of the thyroid carcinoma is
Papillary thyroid cancer is the most common cancer. Occurs in 70-80% of patients diagnosed with thyroid cancer. Common in females and younger age group. According to Woolner's Classification there are 3 types. 1)Occult primary(less than 1.5cm) 2) Intrathyroidal 3) Extrathyroidal Reference: SRB's Manual of Surgery, 6th ...
3
Medullary type
Follicular type
Papillary type
Anaplastic type
Surgery
Endocrinology and breast
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All of the following predispose to fibroid except.
Ans. is b, i.e. Early Menopause-Fibroid is an estrogen and progesterone dependent tumor. Hence early menarrche and late menopause predispose to fibroid and not the vice versa.
2
Obesity
Early menopause
Nulliparity
African females
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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All of the following casues subcoical dementia except -
The pa of brain affected in Alzheimer's disease is cerebral coex and hippocampus. In parkinsonism, basal ganglia, coex and even the brainstem(subcoex) is affected. In progressive supranuclear palsy and HIV encephalopathy there is subcoical dementia. Reference Harrison20th edition pg 2456
1
Alzhimer's disease
Parkinsonism
HIV encephalopathy
Progressive supra nuclear palsy
Medicine
C.N.S
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multi
Major dopaminergic pathway is
(A) Nigrostriate pathviay> The long dopamine systems are the nigrostriatal system, which projects from the substantia nigra to the striatum and is involved in Motor control.
1
Nigrostriate pathway
Mamillothalamic tract
Thalamo cortical relays
Cerebral association fibres
Physiology
Nervous System
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Test for fixed flexion deformity of the Hip?
Ans. is 'a' i.e., Thomas test Tests for Hip JointTESTINDICATIONTHOMASFixed flexion DeformityTrendelenburg TestFailure of the Abductor MechanismBryants TriangleSupratrochanteric ShorteningSquaring of pelvisAdduction/Abduction DeformityTelescoping TestPositive in DDH, transcervical neck femur fractureNelatons LineSupratr...
1
Thomas test
Trendelenburgs test
Nelatons test
Telescoping test
Orthopaedics
Arthritis
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Clopidogrel mechanism of action -
Ans. is 'b' i.e., Inhibit ADP mediated cAMP activation
2
Thromboxane A2 inhibition
Inhibit ADP mediated cAMP activation
GP IIb/Ina inhibitors
null
Pharmacology
null
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When a seat belt is worn, if an accident occurs, sudden deceleration can result in: CMC (Ludhiana) 10, 13 AIIMS 13; NEET 15
Ans. Rupture of mesentery
1
Rupture of mesentery
Liver injury
Spleen injury
Veebral injury
Forensic Medicine
null
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Children 6 to 10 years old in the same community are observed by the local physician to be doing poorly in school, which has been attributed to behavioral problems. Their parents state that these children have poor appetites, complain of nausea, and have frequent headaches. On physical examination, they have decreased ...
Lead poisoning is mainly manifested by neurologic disorders, particularly in children. Lead absorption is enhanced by zinc deficiency; zinc is a trace metal. Lead inhibits heme incorporation into hemoglobin, leading to increased amounts of zinc protoporphyrin with anemia. Cadmium is a heavy metal associated with toxici...
4
Cadmium
Copper
Iron
Lead
Pathology
Blood
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single
True about placental hormone is WE
C i.e. Progesterone production require f eta steroidogenic tissue
3
hCS is diabetogenic
hCG rise 1/t nausea
Progesterone production require fetal steroidogenic tissue
Luteal - placental shift at 8-10 weeks
Physiology
null
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multi
Freezing point of normal human plasma is:
null
3
4° C
0° C
–0.54° C
–1.54° C
Pathology
null
cb96dd17-95e9-4e92-aec2-af87cea52550
single
Winging of scapula is due to damage to the nerve supply of?
Trapezius Iatrogenic injury of the spinal accessory nerve (usually accidental damage during minor neck surgery) is the most common cause of accessory nerve palsy. Although rare, this kind of damage can cause extensive morbidity, including numbness, paralysis, pain, and winging of the scapula. In jugular foramen syndrom...
3
Serratus anterior
Latissimus dorsi
Trapezius
Deltoid
Anatomy
null
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single
All of the following is lined by Stratified Squamous Epithelium, except?
null
3
Lips
Tongue
Roof of the soft palate
Oropharynx
Dental
null
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multi
Which of the following is the most preferred antirabies vaccine: September 2004
Ans. C i.e. HDCV
3
Duck embryo vaccine
NTV from suckling mouse brain
HDCV
NTV from Sheep brain
Social & Preventive Medicine
null
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A 8 year old male had non blanching rashes over the shin and swelling of knee joint with haematuria +++ and protein +. Microscopic analysis of his renal biopsy specimen is most likely to show?
Answer is C (Mesangial deposits of IgA): Presence of non blanching rash (Purpura), swelling of knee (Ahralgia) along with haematuria (glomerulonephritis) suggests the diagnosis of Henoch- Schonlein purpura. H.S purpura is characterized by deposition of IgA in the mesangial region (Robbins)
3
Tubular necrosis
Visceral podocyte fusion
Mesangial deposits of IgA
Basement membrane thickening
Medicine
null
9df78a9b-44fb-42cf-a895-36d43549995c
single
Which of the following is an example of conjugated protein?
Simple proteins are those that are made up of only amino acids. Conjugated proteins are combinations of protein with a non-protein pa, called prosthetic group Albumin is a simple protein. It may transpo metal ions. But there is no prosthetic group -> option a is excluded. Gluten, a protein composite of:- Prolamin (in w...
3
Albumin
Glutelin
Myoglobin
Globulin
Biochemistry
Proteins bonds and structure
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What is another name for buccal coitus ?
Ans. is 'b' i.e, Sin of Gomorrah Buccal coitus (coitus per os/sin of gomorrah) In this, the male organ is introduced into mouth, usually of a young child. Fellatio is oral stimulation of penis by male or female. Cunnilingus is oral stimulation of female genitals.
2
Buggery
Sin of Gomorrah
Cunnilingus
Fetishism
Forensic Medicine
null
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single
Enlarged pulsatile liver is seen in-
Most commonly, TR is secondary to marked dilation of the tricuspid annulus from RV enlargement due to PA hypeension. Functional TR may complicate RV enlargement of any cause, including an inferior MI that involves the RV. It is commonly seen in the late stages of hea failure due to rheumatic or congenital hea disease w...
1
Tricuspid regurgitation
Aoic regurgitation
Mitral regurgitation
Pulmonary regurgitation
Medicine
C.V.S
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Deletion of short arm of 5th chromosome is___ syndrome
Ans. c (Cri du chat) (Ref. Harrison's Internal medicine 17th edition, p. 412; Robbin's pathology 7th edition, p. 177)Cri-du-chat syndrome: Congenital microdeletion of short arm of chromosome 5 (46, XX or XY, 5p-). Findings: microcephaly, moderate to severe intellectual disability, high-pitched crying/mewing, epicanthal...
3
Edward
Patau
Cri-Du-Chat
Down's
Medicine
Genetics
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True about factories Act?
Ans. is 'b' i.e., Maximum hours of work per week is 48 hrs. Factories ActThe first Indian Factories act dates as for back as 1881.The act was revised and amended several times, the lates being the factories (Amendment) act, 1987
2
Maximum hours of work per week is 40 hrs.
Maximum hours of work per week is 48 hrs.
Maximum working hours for adolescent is 72 hours per week
Children are entitled for 2 holidays a week
Social & Preventive Medicine
null
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Vibrio parahemolyticus is associated with
Shellfish
2
Cat
Shellfish
Prawn
Crab
Microbiology
null
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Nasal polyps with subcutaneous nodules are seen in-
Clinical features of Rhinosporodiosis : Leafly, polypoidal mass, pink to purple in colour, attached to nasal septum or lateral wall mass is very vascular, bleeds on touch and studded with white dots (Strawberry-Like appearance).
2
Zygomycosis
Rhinosporidiosis
Sporotrichosis
Aspergillosis
ENT
null
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The triangular area bounded by clitoris, fourchette and labia minora is:
Ans. is c, i.e. VestibuleRef: COGDT 11th/ed, p26Vestibule is the triangular area bounded anteriorly by the clitoris, posteriorly by Fourchette and on either side by labia minora.
3
Fossa navicularis
Ventricle
Vestibule
Vulva
Gynaecology & Obstetrics
Gynaecological Anatomy
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Causes of antigenic drift in influenza viral infections -
Antigenic drift is due to mutation and selection. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-499
1
Small mutation in neuraminidase and hemagglutinin
Large mutations in viral genome
Step mutations in viral genome
None of the above
Microbiology
Virology
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multi
The Pearl index indicates the number of accidental pregnancies per-
Ans. is 'd' i.e., 100 women years
4
1000 population
1 0 0 live bihs
100 women in the age group of 15 to 44 years
100 women years
Social & Preventive Medicine
null
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An anesthesia resident was givnig spinal anesthesia when the patient had sudden aphonia and loss of consciousness. What could have happened?
C i.e. Vaso vagal attack Total spinal anesthesia - Ocurs if the large volume of LA used for epidural -anesthesia is injected into subarachnoid space i.e. it occurs following epidural/caudal anesthesia, if there is inadveent intrathecal injection of large volume of drugs. - It occurs after (not during injection) Vasovag...
3
Total spinal
Paial spinal
Vaso vagal attack
Intra vascular injection
Anaesthesia
null
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Poly cystic ovarian disease is associated with :
Endometrial carcinoma
2
Ovarian cancer
Endometrial carcinoma
Congenital adrenal hyperplasia
Vaginal carcinoma
Gynaecology & Obstetrics
null
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Superficial perineal muscles include:
C i.e., Bulbospongiosus
3
Iliococcygeus
Ischiococcygeus
Bulbospongiosus
Levator ani
Anatomy
null
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The toxic principle of this plant is:-
Mayapple (May Apple) Toxic Principle : Podophyllin (purified form: podophyllotoxin) Clinical Features : Exposure of eyes causes irritation with conjunctivitis, keratitis, corneal ulceration, and iritis. Ingestion results in nausea, abdominal pain, vomiting,and diarrhoea. fever, tachypnoea, tachycardia, hypotension, ata...
4
Tetrahydro canabinol
Thevetin
Oduvin
Podophyllin
Forensic Medicine
Toxicology - 3
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Abandoning a child will be punished for
Abandoning of a child Father or mother of a child who is under 12 years or anyone who is having care of such child, leaves such a child in any place with the intention of abandoning the child shall be punished with imprisonment upto 7 years. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 354
4
2 years
4 years
5 years
7 years
Forensic Medicine
Sexual offences and infanticide
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Left Axis Detion is seen are
Ans. is 'b' i.e., B Positive in Lead I and Negative in Lead II The normal QRS axis lies between -30deg and + 90". Left axis detion is conventionally diagnosed when QRS axis lies more leftward negative than -30". A quick way to assess QRS axis is to look at leads I and II. If the QRS axis is positive in leads 1 and II t...
2
A Positive in Lead I and Positive in Lead 11
B Positive in Lead I and Negative in Lead II
C Negative in Lead I and Negative in Lead II
D Negative in Lead I and Positive in Lead II
Medicine
null
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Most prominent action of angiotensin II-
Ans. is 'a' i.e., Vasoconstriction o All the given options are caused by angiotensin II. But vasoconstriction is the most prominent action.Actions of angiotensin 11 (A-II)o The most prominent action of A-II is vasoconstriction.o Angiotensin II is one of the most potent vasoconstrictors known, being four to eight times ...
1
Vasoconstriction
Induction of thirst
Increased secretion of aldosterone
Increased Na+ reabsorption
Physiology
Glomerular Filtration, Renal Blood Flow, and Their Control
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Which of the following is not related to Epstein- Barr virus infection?
Following disease are caused by EBV (Epstein Barr virus): * Infectious mononucleosis * Nasopharyngeal carcinoma * Burkitt's lymphoma * Hodgkin's disease * B-cell lymphoma * Hairy (oral) leukoplakia Ref: Ananthanarayana textbook of Microbiology 9th edition Pgno : 474
2
Infectious mononucleosis
Epidermodysplasia verruciformis
Nasopharyngeal carcinoma
Oral hairy leukoplakia
Microbiology
Virology
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Which of the following chemical reaction is involved in the conversion of noradrenaline to adrenaline?
Catecholamines are derivatives of phenylalanine/tyrosine. "Nor" in noradrenaline (norepinephrine) indicates the absence of methyl group. The methyl group of adrenaline (epinephrine) is derived from S-Adenosyl methionine (AdoMet)
3
Hydroxylation
Carboxylation
Methylation
Dehydrogenation
Biochemistry
Phenylalanine and Tyrosine metabolism Detail
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single
Prophage is defined as:
Ans. is. 'a' i. e., Inseion of viral nucleic acid into bacteria by bacteriophage
1
Inseion of viral nucleic acid into bacteria by bacteriophage
First cycle of division of bacterial nucleic acid
Last cycle of division of bacterial nucleic acid
Integrated temperate bacteriophage genome into bacterial chromosome
Microbiology
null
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Migration studies explains -
Ans. is 'b' i.e., Genetic factors affecting disease o Migration study (migrant study) is a method to evaluate role of possible genetic and environmental factors in the occurrence of disease in a population whose incidence varies in different Geographic areas.
2
Distribution of disease
Genetic factors affecting disease
Social status of immigrants
None of the above
Social & Preventive Medicine
Epidemiological Study
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Risk of amniotic fluid embolism is greatest in :
During labour
3
First trimester of pregnancy
Second trimester of pregnancy
During labour
In puerperal period
Gynaecology & Obstetrics
null
38e56fff-db9c-4160-ae24-a837bf8a818a
single
Limiting amino acid in legumes ?
Ans. is b, i.e., MethionineFood itemlimiting amino acidLegumesMethionine (also leucine & threonine)CerealsThreonine (also lysine)PulsesMethionine (also cysteine)MaizeTryptophan (also lysine)
2
Lysine
Methionine
Alanine
Tryptophan
Biochemistry
null
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single
A 20 years old girl was raped around 13th day of her cycle. The best possible emergency contraception to be offered would be :
Ans. is c i.e. Levonorgestrel tablets Centchroman tablets are not used as emergency contraception. Cu-T cannot be used in nulliparous patients. LNG tablet is the answer of choice as it has : - Less failure rate No side effects Single dose therapy 0.75mg LNG is to be taken within 72 hours of unprotected intercourse and ...
3
Centchroman tablets
Cu-T inseion
Levonorgestrel tablets
Ethinylestradiol tablets
Gynaecology & Obstetrics
null
c1b8e003-e1e5-4bf5-abd3-7a2c9ce1cd4d
single
Non-invasive prenatal screening (NIPS) is paicularly useful in the modern era of diagnosis in clinical genetics. Which of the following statements is not true regarding this test?
Non-invasive prenatal screening (NIPS) has a high negative predictive value. NIPS: Useful in screening high-risk pregnancies for aneuploidies Done after 10 weeks of gestation Evaluates maternal blood for screening Positive tests need confirmation by invasive testing (like amniocentesis, Chorionic villous sampling) Ref:...
3
Useful in screening for aneuploidies
Evaluates maternal blood for abnormalities
HIgh positive predictive value
Positive test need confirmation by invasive testing
Pediatrics
Genetic and genetic disorders
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All of the following describe pyogenic abscess except
Pyogenic abscess is fluctuant.
2
Clear edge
Non - fluctuant
Formed pus
Well Localised
Surgery
null
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multi
VDRL test is used for -
Ans. is 'd' i.e., Syphilis Laboratory diagnosis of syphiliso Lab. diagnosis of syphilis consists of: -A) Demonstration of spirochetes under microscopy# Microscopy is applicable only in primary & secondary stage as spirochetes are abundant during primary, and secondary stage (maximum number of spirochetes and infectivit...
4
Chanchroid
LGV
Granuloma inguinale
Syphilis
Microbiology
Bacteria
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single
Hemagglutinin (Anti A and Anti B) are which type of antibodies -
IgM is a heavy molecule. - IgM molecules are polymers of five four-peptide subunits. the earliest immunoglobulin synthesized by the fetus. - the isohemagglutinins ( anti- A, anti - B ) and many other natural antibodies to microorganisms are usually IgM. ReReference:nathanarayan & paniker's 9th edition, pg no: 98 <\p>
2
Ig G
Ig M
Ig A
IgE
Microbiology
Immunology
43878189-a732-4f01-b090-4f7b413390cf
single
Which of the following drugs promotes the release of endogenous insulin?
(Ref: KDT 6/e p270) It is an alpha-glucosidase inhibitor. It inhibits the breakdown of complex carbohydrates to simple carbohyrates and thus decreases their absorption.
1
Acarbose
Glipizide
Nateglinide
Pioglitazone
Anatomy
Other topics and Adverse effects
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single
Facial nerve palsy at stylomastoid canal can cause -
null
2
Hperacusis
Loss of corneal reflex at side of lesion
Loss of lacrimalion at side of lesion.
Loss of taste sensation on anterior 2/3 of ipsilateral tongue
Medicine
null
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single
A 37-year-old woman presents to the emergency room after falling down some stairs at work. She reports no pre-monitory symptoms prior to the fall or any loss of consciousness. Recently she has noticed persistent symptoms of fatigue, muscle weakness, and unexpected weight gain. She has no past medical history and is not...
This patient has Cushing syndrome. The diagnosis is established by demonstrating increased cortisol secretion (24-hour urine cortisol collection) or by failure to suppress AM cortisol levels after overnight dexamethasone administration. Investigations for either adrenal tumor or pituitary adenoma (with CT or MR) are on...
3
computerized tomography (CT) scan of the abdomen
fasting glucose
overnight dexamethasone suppression test
electromyogram (EMG) studies
Medicine
Endocrinology
2790062f-dea0-4931-b341-37a2da2e8abf
multi
The epiblast is capable of forming which of the following germ layers?
The epiblast is capable of forming all three germ layers (ectoderm, mesoderm, and endoderm) during gastrulation week 3 of development .
4
Ectoderm only
Ectoderm and mesoderm only
Ectoderm and endoderm only
Ectoderm, mesoderm, endoderm
Anatomy
Development period- week 1,2,3,4
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single
A 16-year-old boy is rushed to the emergency room after sustaining a stab wound to the chest during a fight. Physical examination reveals a 1-cm entry wound at the right 5th intercostal space in the midclavicular line. His temperature is 37degC (98.6degF), respirations are 35 per minute and blood pressure is 90/50 mm H...
Pneumothorax is defined as the presence of air in the pleural cavity, may be due to traumatic perforation of the pleura or may be spontaneous. Traumatic causes include penetrating wounds of the chest wall (e.g., stab wound or a rib fracture). Pneumothorax causes collapse of a previously expanded lung, a condition that ...
1
Atelectasis
Chylothorax
Diffuse alveolar damage
Pyothorax
Pathology
Respiratory Distress Syndrome
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single
Not a vessel wall condition leading to bleeding ?
Ans. is `b' i.e., Autoimmune thrombocytopenic purpuraBleeding disorders caused by vessel wall abnormalities are as follows :Infections: meningococcemia, rickettsiosesDrug induced leukocytoclasticvasculitisScurvy, EhlerDanlos syndrome, Cushing's syndromeHenoch-SchonleinpurpuraHereditary hemorrhagic telangiectasia (Weber...
2
Henoch-schonleinpurpura
Autoimmune thrombocytopenic purpura
Cushing's syndrome
Scurvy
Pathology
null
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multi
A 70 year old man develops pneumonia and septicemia. Patient goes into renal failure and has a BP of 70/50 mm of Hg. Which of the following drugs could stabilise his blood pressure?
Treatment of septic shock include aggressive fluid resuscitation and oxygen supplementation. If hypotension persists, dopamine is the drug of choice to raise aerial pressure and to maintain BP. When dopamine fails to raise BP, a potent vasopressor like nor-epinephrine is used. Ref: Harrison's Principles of Internal Med...
4
Adrenaline
Ephedrine
Phenylephrine
Norepinephrine
Medicine
null
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single
Acute Otitis media in Children is most commonly due to
(C) Streptococcus pneumoniae # Causative Organisms of ASOM:> Most common organisms in infants and young children are Streptococcus pneumoniae (30%), Haemophilus influenzae (20%) and Moraxella catarrhalis (12%).> Other organisms include Streptococcus pyogenes, Staphylococcus aureus & sometimes Pseudomonas aeruginosa.> I...
3
Morexiello catarrhalis
H. influenza
Streptococcus pneumoniae
Staphylococcus aureus
ENT
Miscellaneous (E.N.T.)
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single
dihydroerigotamine differs from ergotamine in the following respect
hydrogenation of ergot alkaloids decrease their vasoconstrictor action and increase the Alpha blocking activity Ref-KDT 6/e p168
4
It is more potent oxytocic
it has antimetic propey
it has high oral bioavailability
it is more potent alpha adrenergic blocker and less potent vasoconstrictor
Anatomy
Other topics and Adverse effects
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single
Mark the FALSE statement regarding Vincent's angina
Vincent Angina(Trench Mouth) - Progressive painful infection with ulceration, swelling and sloughing off of dead tissue from the mouth and throat due to the spread of infection from the gums -Causative organism:Bacillus fusiformis and Borrelia vincentii - The chief symptoms are painful, swollen, bleeding gums; small, p...
3
Most common organism involved is Borrelia vincentii
Membrane can be easily removed revealing an irregular ulcer on the tonsil
Insidious in onset with fever and intense discomfo in throat
Regular tooth brushing is the chief preventive measure
ENT
ENT Q Bank
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multi
A girl of 8 years suffering from vomiting and diarrhoea for last 2 days when pinched on the abdomen, skin goes within seconds. she is most likely to be suffering from –a) No dehydrationb) Some dehydrationc) Severe dehydrationd) Skin turgor cannot be commented
No dehydration → Skin goes back immediately. Some dehydration → There is a slight delay, but the skin has to go back within 2 seconds. Severe dehydration → The skin goes back after 2 seconds. From this, we can rule out No dehydration but we cannot differentiate between some dehydration and severe dehydration as the spe...
2
a
bc
ac
ad
Pediatrics
null
1f3bd4fa-791d-4911-ace5-0f4524cc6133
single
In maxillary 1st permanent molar, the 2 obtuse angles are
null
3
Mesiolingual and mesiofacial
Mesiofacial and distolingual
Distofacial and mesiolingual
Distofacial and mesiofacial
Dental
null
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single
Thromboxane A2 causes
Thromboxane A2 secreted by platelets promotes platelet aggregation and vasoconstriction Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No:563
4
Vasodilatation and platelet aggregaion
Vasodilatation and anti platelet aggregatory
Vasoconstriction and anti platelet aggregatory
Vasoconstriction and platelet aggregaion
Physiology
Cardiovascular system
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single
Stellate granuloma is characteristic pathological feature of?
Ans. is 'b' i.e., Cat scratch disease Stellate granulomaso Granuloma with characteristic central neutrophilic abscess surrounded by macrophages and other mononuclear cells are characteristic findings in lymph nodes in cat scratch disease, lymphogranuloma venereum, and tularemia. In these conditions the granulomas are o...
2
Crohn's disease
Cat scratch disease
Hodgkin's disease
Berrylliosis
Pathology
Misc.
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single
"Asteroid" bodies are found in:
Sporotrichosis
4
Aspergillus
Chlamydia
Sporothrix
Sporotrichosis
Microbiology
null
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single
The treatment of choice for an 8 mm retained common bile duct (CBD) stone is
For CBD stones, endoscopic papillotomy is the preferred first technique with a sphincterotomy, removal of stones using Dormia basket or balloon catheter.ERCP can be used to remove retained CBD stones in 3 weeks of surgery. Reference: SRB&;s manual of surgery,5th edition, page no:652.
3
Laparoscopic CBD exploration
Percutaneous stone extraction
Endoscopic stone extraction
Extracorporeal shock wave lithotripsy
Surgery
G.I.T
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single
NEERI headquaer is situated at ?
Ans. is 'd' i.e., Nagpur National Environmental Engineering Research Institute (NEERI) Headquaer is at Nagpur.
4
Delhi
Cuttack
Calcutta
Nagpur
Social & Preventive Medicine
null
30637887-5039-49da-8424-e3590a94462e
single
Adipocere occurs in:
Ans. (B). Body lying in waterWarm, moist climate essential.Clostridium - lecithinaseIntrinsic lipase
2
Arsenic poison
Body lying in water
Body inside car locked doors
Inside shallow soil
Forensic Medicine
Injuries
5868d429-5a0b-4cc5-adca-156de628ea7d
multi
Which finding on electron microscopy indicates irreversible cell injury:
Ans. (c) Flocculent amorphous densities in the mitochondria(Ref: Robbins 9th/pg 42; 8th/pg 19; Refer to Ans 27)Please note: myelin figures first appear in reversible cellular injury and become more pronounced in irreversible cell injury. Hence if this q was asked in PGI, answer should be both c and d. but if we have to...
3
Dilatation of endoplasmic reticulum.
Dissociation of ribosomes from rough endoplasmic reticulum
Flocculent amorphous densities in the mitochondria
Myelin figures
Pathology
Cellular Pathology
94acdc73-fd52-46fb-93ff-e9dd99f3290e
single
Hypergastrinemia is seen in all, EXCEPT:
G cells - specialised endocrine cells secrete gastrin. Food especially protein, peptides and amino acids stimulate gastrin secretion. Fasting and increased gastric acidity inhibit gastrin release. High gastric pH is a strong stimulus for gastrin release. MUST KNOW: Hypergastrinemia is seen in: 1. Atrophic gastritis 2. ...
4
Atrophic gastritis
Zollinger Ellison syndrome
Prolonged acid suppressive medications
Fasting
Biochemistry
null
fe121b7e-7e39-4d0d-8d71-669bd3c7c131
multi
All are true about carpal tunnel syndrome except,
Most common cause of carpal tunnel syndrome is idiopathic. Malunited colle's fracture is one of the cause but Smith's fracture is not the cause.
3
Seen in pregnancy
Median nerve compression
Smith's fracture is the most common cause
Symptoms seen more during night
Orthopaedics
null
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multi
Action of popliteus muscle -
Ans. is 'b' i.e., Lateral rotation of femur Popliteuso Popliteus is a deep muscle of posterior compartment of leg.o Features of popletius are -OriginLateral surface of lateral condyle of femur, origin is intracapsular.Outer margin of lateral meniscus of knee,insertionPosterior surface of shaft of tibia above soleal lin...
2
Medial rotation of femur
Lateral rotation of femur
L ocking of knee
Extension of knee
Anatomy
Posterior Compartment of Thigh & Popliteal Fossa
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single
Treatment of chronic dacrocystitis a) Dacrocystorhinostomy b) Antibiotics c) Probing d) Massage
null
1
abcd
abc
acd
bcd
Ophthalmology
null
55e3eb28-c477-4eee-8602-aa8c515cdbc2
single
Insulin secretion is induced by following EXCEPT:
Ans. c (Somatostatin). (Ref. Guyton 11th/pg. 968; Table 78-1)FACTORS AFFECTING INSULIN SECRETIONFactors that Increase Insulin SecretionFactors that decrease Insulin Secretion# Increased blood glucose# Increased blood free fatty acids# Increased blood amino acids# Gastrointestinal hormones (gastrin, cholecystokinin, sec...
3
Growth hormone
Placental lactogen
Somatostatin
Estrogens
Physiology
Endocrinology and Reproduction
9729ce1b-c704-4a4a-b2b4-df8e3030dd0c
multi
Hyoid bone develops from:
null
2
I and II branchial arches
II and III branchial arches
III and IV branchial arches
I and III branchial arches
Anatomy
null
aeb67065-1b28-4dab-941d-967dcbc1a4d3
single
Mousy odour urine is seen in:
Phenylketonuria is caused by deficiency of phenylalanine hydroxylase & /or dihydrobiopterin (BH2) reductase, which regenerates BH4 from BH2. It presents with mousy (musty) odour in urine and emerald green colour in FeC13 test. The aim of first line therapy is to limit the substrate (i.e. phenylalanine) for deficient en...
2
Maple syrup urine
Phenylketonuria
Isovalericaciduria
Cystinuria
Biochemistry
null
9bfbf6d0-192d-49a2-a21a-a58ef334dc63
single
Preferred method for obtaining dense nephrograms
Rapid (bolus) injection of contrast is preferred method.
4
Increased concentration of contrast
Dehydration
Uretric compression
Rapid injection of contrast
Radiology
null
4f0919ed-a427-4c7e-8076-50b2344f25d7
single
Monitoring of β-HCG Useful in Management ofa) H.moleb) Choriocarcinomac) Ectopic Pregnancyd) Endodermal Sinus Tumor
β-hCG levels are helpful in monitoring: a. H. mole: “ A method of detecting the persistent mole and development of choriocarcinoma is by estimating hCG is the serumurine”. Shaw 14/e, p 231 b. Chorio carcinoma: β-hCG is a specific marker for choriocarcinoma. The levels of b-hCG are monitored following chemotherapy and c...
2
ab
abc
acd
bcd
Gynaecology & Obstetrics
null
8abf06e5-8f22-4eb5-b9ce-ecfe86f2b563
single
Atavism means child resembles with his –
Atavism means The appearance of a characterstics presumed to have been present in some remote ancestor due to chance recombination of genes or environmental conditions favourable to their expression in the embryo.
3
Father
Siblings
Grand parents
Neighbour
Pediatrics
null
36352ec3-5914-4395-b644-747bc4f1c715
single
A 15-year-old boy is rushed to the emergency room after suffering a tonic-clonic seizure 4 weeks after a spelunking expedition. The boy appears irritable and agitated, and his parents state that he has difficulty swallowing fluids. Lumbar puncture shows numerous lymphocytes. The patient becomes delirious, slips into a ...
Rabies is an encephalitis caused by the rabies virus, which is transmitted to humans through contaminated saliva introduced by a bite. Dogs, wolves, foxes, and skunks are the principal reservoirs, but the infection is also acquired from the bite of rabid bats, which often inhabit caves. Viral replication initiates at t...
4
Councilman bodies
Hirano bodies
Lewy bodies
Negri bodies
Pathology
Central Nervous System
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multi
A 25-year-old woman presents with intermittent symptoms of sweating, palpitations, and hunger. During each episode, her glucose level is less than 40 mg/dL. Her insulin level is low and glucagon level is high. Which of the following best describes the hormone function of glucagon?
This person has either fasting or reactive hypoglycemia. Glucagon exerts a marked effect on carbohydrate, fat, and lipid metabolism, and increases cAMP in many tissues. It is the first counterregulatory hormone to respond to hypoglycemia, and it does this by increasing glycogenolysis and gluconeogenesis. Glucagonomas o...
1
promotes glycogenolysis and gluconeogenesis
a carbohydrate in structure
effective in lowering blood sugar levels
antigenically similar to insulin
Medicine
Endocrinology
b763e2a4-9b36-4cf1-9e76-4b767a359ff5
multi
Constrictions of esophagus when measured from upper incisors are present at
At- 15 cm (6 inch) from incisor at cricophyrangeal junction behind the cricoid cailage () At 25 cm Broncho-aoic constriction(23+28[?]50/2[?]25cm) At 40 cm(15 inch) from incisor -esophageal hiatus where it passes through the diaphragm in the posterior mediastinum(T10) At 23 cm(9 inch) from incisor -due to crossing of ar...
2
15cm, 20cm, 40cm
15cm, 25cm, 40cm
20cm, 30cm, 40 cm
30cm, 40cm, 60 cm
Anatomy
Umblicial cord and diaphragm
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single
Antiviral drug having dual antiviral activity against HIV and HBV is:
Emtricitabine (FTC), with trade name Emtriva (formerly Coviracil), is a nucleoside reverse transcriptase inhibitor (NI) for the treatment of HIV infection in adults and children.Emtricitabine is always used in combination with other HIV medicines. Because emtricitabine is also effective against HBV, it may be included ...
2
Enfuviide
Emtricitabine
Abacavir
Entecavir
Pharmacology
Chemotherapy
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single
Intervertebral disc is which type of joint -
Ans. is 'b' i.e., Secondary cartilaginous Cartilaginous joints1) Primary cartilaginous joints (synchondrosis, or hyaline cartilage joint) : These are :-i) Joint between epiphysis and diaphysis of a growing long bone, i.e. physis.ii) Spheno-occipital jointiii) 1st costostemal joint (1st chondrosternal joint)iv) Costocho...
2
Primary cartilaginous
Secondary cartilaginous
Pivot
Ellipsoid
Anatomy
General
22de2f9a-9825-4b1c-93eb-4c8bfdf6fdbf
single
Bradycardia is common after injection of –
Succinylcholine is the only muscle relaxant, which stimulates vagus → Bradycardia.
2
Midazolam
Succinyl choline
Dopamine
Isoprenaline
Anaesthesia
null
27e25086-48b7-4e91-abe7-a9c88f9d1a61
single
The most common lysosomal storage disorder is
Ans. (a) Gaucher's diseaseRef: Harper's Biochemistry, 30th ed. pg. 251LYSOSOMAL STORAGE DISEASE* Lyzosomal storage disorders are a group of approximately 50 rare inherited metabolic disorders that result from defects in lysosomal function.* Lysosomal storage disorders are caused by lysosomal dysfunction usually as a co...
1
Gaucher's disease
Taysach's disease
Wolman disease
Niemann pick's disease
Biochemistry
Lipids
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single
Physical examination of a premenopausal woman demonstrates bony swellings in the distal interphalangeal joints; no inflammation is apparent. The proximal interphalangeal joints, hands, and wrists are not involved, and the patient is asymptomatic. Which of the following processes is etiologically related to these findin...
The disease is osteoahritis, and the bony swellings are called "Heberden's nodes", which may or may not be symptomatic. Osteoahritis is thought to be related to repetitive joint trauma.Autoantibodies are impoant in rheumatoid ahritis. Bacterial infections cause septic ahritis.Crystal deposition is impoant in gout and p...
4
Autoantibody formation
Bacterial infection
Crystal deposition
Joint trauma
Pathology
null
c573f826-5c18-4539-b5f0-a201345a43c0
multi
Sampling method used in assessing immunization status of children under immunization programme is-
<p> Cluster sampling . Reference: Simple Biostatistics by Indeayan & Indrayan,1st edition,pg no:35-36 and Methods in Biostatistics by Mahajan,7 th edition,pg no:91.
4
Systemic sampling
Stratified sampling
Group sampling
Cluster sampling
Social & Preventive Medicine
Biostatistics
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single
Acute phase reactants of inflammation are-
Acute-phase proteins are plasma proteins, mostly synthesized in the liver, whose plasma concentrations may increase several hundred-fold as pa of the response to inflammatory stimuli C-reactive protein (CRP) fibrinogen, serum amyloid A (SAA) protein ref robbins 9th ed page 99
1
C-reactive protein (CRP)
haptoglobin
Transferrin
Prostaglandins
Pathology
General pathology
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single