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Which of the following statements about stavudine is accurate ? | null | 2 | Bone marrow suppression is dose limiting | It causes marked neurotoxicity | It inhibits HIV protease | It is a non–nucleoside reverse transcriptase inhibitor | Pharmacology | null | 45b67012-ff8d-4806-98f0-a2fec72c3505 | multi |
What is the glomerular filtration rate (GFR)? | null | 4 | 25 mL/min | 50 mL/min | 100 mL/min | 125 mL/min | Physiology | null | 350cabf9-502b-428f-94b0-5b5a7015359a | single |
Sabin-Feldman dye test is used for diagnosis of: March 2005, 2009 and September 2007 | Ans. D: Toxoplasma The most common method of laboratory diagnosis of toxoplasma gondii is by serology like Sabin-Feldman dye test, indirect immunofluorescence, indirect haemagglutination, complement fixation and ELISA. Sabin-Feldman dye test is based on the specific inhibition by antibody of the staining of the trophoz... | 4 | Cryptosporidium | Babesia | Pneumocystis | Toxoplasma | Microbiology | null | dfffbc42-51c5-482b-ab55-a65d3cbe38ea | single |
Which of these is a conservative mutator | Conserved mutation means altered AA has same properties of original AA. e.g. glutamic acid to aspartic acid (both acidic) or alanine to leucine (both aliphatic). | 3 | Glutamic acid-glutamine | Histidine-glycine | Alanine-leucine | Arginine-aspartic acid | Biochemistry | null | e742c910-be61-421c-b8e9-e599e091aa98 | single |
The X-ray appearance of a CBD stone on cholangiography is: | Ans. Meniscus appearance | 1 | Meniscus appearance | Eccentric occlusion | Sudden cut off | Smooth tapering | Radiology | null | d65e2265-c92c-48db-952f-dda05bc3cb09 | single |
Cells present in cerebral coex are all, except: | Bipolar cells | 1 | Bipolar cells | Purkinje cells | Golgi cells | Granule cells | Anatomy | null | 4b5a1182-7cae-4389-8d6e-223fc4c35704 | multi |
McNaughten's rule relates to? | Ans. c (Criminal responsibility). (Ref. Parikh, FMT, 5th ed., 538).The following are the tests for determining criminal responsibility of Insane.1. Me. Naughten Rule: "An accused person is not legally responsible, if it is clearly proved, that at the time of committing the crime, he was suffering from such a defect of ... | 3 | Inquest | Professional secrecy | Criminal responsibility of insane | Medical negligence | Forensic Medicine | Law & Medicine, Identification, Autopsy & Burn | c3d9a8ee-cc55-4343-8f70-67cb1b444cdf | single |
Abdominal visceral pain is transmitted by: | null | 4 | A-fibers | C-fibers | Parasympathetic fibers | Sympathetic fibers | Physiology | null | a9cdec97-0d0b-47d4-bed2-45334ee33986 | single |
Which of the following is a phytosterol? | Sterols are molecules with the cyclopentano-perhydro-phenanthrene (CPP) nucleus Sitosterol Plant (phyto) sterol Ergosterol Fungal (myco) sterol Cholesterol Animal (zoo) sterol Plant sterols (sitosterol) | absorption of cholesterol Sitosterolemia Autosomal recessive disorder Defects in either ABCG5 or ABCG8 | Plant ster... | 1 | Sitosterol | Cholesterol | Ergosterol | Calcitriol | Biochemistry | Chemistry of Lipids | bc9f7f85-860e-442f-9540-4ab88d22feb7 | single |
patient with stab injury to the lower chest presented with low pulses and BP improved after giving IV fluids Chest Xroy showed clear lung fluids Next step in the management | abdominal injury=Stable- CECT/ Unstable - eFAST ref : bailey and love 27th ed | 4 | chest tube inseion | CECT abdomen | CECTchest | e fast | Surgery | All India exam | 6bfa8306-019b-4793-9d9d-c1e20f9720f4 | multi |
The minimum number of polyps necessary for a diagnosis of Familial Adenomatous Polyposis (FAP) is: | Ans. (d) 100(Ref: Robbins 9th/pg 809; 8th/pg 820-824)Classic FAP -At least 100 polyps are necessary for a diagnosis QAttenuated FAP-lower number of adenomatous polyps (around 30) | 4 | 5 | 10 | 50 | 100 | Pathology | G.I.T. | 27521073-b3a3-4600-8569-168b880e850c | single |
Nutrient and oxygen reach the chondrocytes across perichondrium by - | Answer- B. Diffusionchondrocytes within the matrix must receive nutrients and oxygen by diffusion from vessels that lie outside the cailage. | 2 | Capillaries | Diffusion | Along neurons | Active transpo | Surgery | null | 7477d662-1994-4416-a9a2-e5f922a937c1 | single |
In which of the following corneal ulcers signs are more than symptoms: | Ans. (a) Fungal corneal ulcerRef: A.K. Khurana 6th ed. H06, Khurana 4th ed./100* Fungal corneal ulcer aka fungal keratitis is most commonly caused by Aspergillus fusarium. Patient in this condition presents with history of trauma with vegetative matter.* Symptoms shown by patients here are milder than signs. Signs are ... | 1 | Fungal corneal ulcer | Bacterial corneal ulcer | Viral corneal ulcer | Herpetic corneal ulcer | Ophthalmology | Inflammations of the Cornea | 6ddae8c9-b3d0-4b7c-8aac-74ad61df9916 | single |
A 14 yr old boy with abnormal movements. MRI shows involvement of bilateral striatum, thalami, puns, centrum semiovale and asymmetrical diffuse white matter involvement. What could be the possible diagnosis? | Ans. Wilson's disease | 1 | Wilson's disease | Hallevordon spatz disease | Nigrostriatal degeneration | Parkinsonism | Radiology | null | f2bee3fa-8e60-4d9d-bdb8-5d31788bff20 | multi |
Epiglottis is derived from ? | Ans. is 'b' i.e., 4th archAll cailages of larynx (except arytenoid) are derived from 4th arch - epiglottis, cricoid, thyroid, corniculate and conciform.Arytenoid is derived from 6" arch.See explanation-8 of session-1.NoteDevelopment of laryngeal cailages is controversial. According to some textbooks, all laryngeal cail... | 2 | 3rdeg arch | 4th arch | 5th arch | 6th arch | Anatomy | null | afbb5795-23fe-4531-8262-5e7e248ef4ae | single |
Which of the following is a psychiatric emergency | Suicide is a psychiatric emergency. Suicide is preventable and can be identified early using a scale called as SAD PERSONS scale. Other impoant psychiatric emergencies are neuroleptic malignant syndrome Serotonin syndrome Agitated patient Ref.Kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 763 | 2 | Capgras syndrome | Suicide | Acute schizophrenia | Cocaine use | Psychiatry | Treatment in psychiatry | c9732f2e-e76d-4e1b-a347-f91211902088 | single |
True about spinal cord | *Upto 3rd month of intrauterine life, spinal cord extends throughout the entire length of veebral canal.*Thereafter, the veebral column grows faster than the Spinal cord and the terminal end of Spinal cord gradually shifts to a higher level.*At bih, it ends at level of L3 veebra and in adults, it ends at level of lower... | 4 | In adults spinal cord ends at lower border of L1 veebra | In newborn may extend up to L3 | Cauda equina extends from lumbar veebra to coccyx | All of the above | Anatomy | Brain | 151768cb-e210-4ee3-aeb7-83bafb756010 | multi |
Saturated salt solution concentrates eggs of all, except- | Helminth eggs floating in saturated salt solution: Hell FATE Hell-Helminth,H.nana F-Feilised eggs of Ascaris A-Ancylostoma duodenale T-Trichuris trichiura E-Enterobius vermicularis | 1 | Unfeilized egg of ascaris | Trichuris | Hymenolepsis nana | Enterobius vermicularis | Microbiology | parasitology | ee5d815b-8335-40c2-9290-905ee1cd2421 | multi |
In acute convulsions due to toxicity to local anaesthetic most important step in immediate management is – | Treatment of local anesthetic toxicity
First step is to ensure adequate oxygenation, by face mask or intubation.
LA infusion should be stopped immediately.
Anticonvulsants like benzodiazepines (midazolanz) and barbiturates (thiopentone) are the drugs of choice for seizure control. Propofol can also be used.
For hypote... | 1 | Secure airway | Adrenaline | IV short acting barbiturate | Diazepam IV | Anaesthesia | null | f36980b3-8e80-41d1-8409-8b902ffcdfce | multi |
Eugene Bleuler's four 'A' of schizophrenia are all except- | null | 3 | Autism | Affect | Anhedonia | Association | Psychiatry | null | c4e9b7b0-6086-4ccf-94f7-96b80d06e74c | multi |
ABO antigen are found in all except ? | Ans. is 'c' i.e., CSF ABO antigen can be demenstrated in all body fluids except CSF"_________ Reddy. They are detected in almost all tissues, but not found in - Nerve tissue Epithelium Skin appendages Bone Cailage | 3 | Saliva | Sweat | CSF | Gastric juice | Forensic Medicine | null | 3de29a8d-6023-4e9a-87be-4bc75ca942f2 | multi |
CSF pressure depends primarily upon? | Ans. B. Rate of absorptionCSF pressure depends primarily upon Rate of absorption because the rate of the formation is fairly constant. | 2 | Rate of formation from choroid plexus | Rate of absorption | Cerebral blood flow | Blood pressure | Physiology | Nervous System | 40b45dd5-4c82-4f83-a79e-84b84412ea24 | single |
Third pa of veebral aery is related to which marked area in the following diagram | Marked structures are as follows: A: Posterior arch of atlas; B: Foramen transversarium; C: Anterior arch; D: Superior aicular facet. Veebral aery has 4 pas: V1 - Preforaminal (from subclan aery to transverse foramen of C6) V2 - Foraminal (through the transverse foramina of C6 to C2) V3 - Extradural (from the transvers... | 1 | A | B | C | D | Anatomy | Head and neck blood supply and scalp | f95e98e7-2cf2-4d66-805c-e66ab18e8383 | single |
Regarding upper GI bleed-true statement is | Ref. Sabiston Textbook of Surgery. Pg. 1142
GI Bleeding
Most common cause of GI Bleed is Non variceal bleeding (80%)
Upper GI bleed is defined bleeding arising from esophagus ,stomach ,or duodenum .
Rockall and Baylor scoring for predicatabilty of rebleeding and mortality
1st line management includes IV Fluids + blo... | 4 | Most common cause is variceal bleeding | It is bleeding up to ampulla of Vater | MC management is endoscopic banding | Rockall scoring is used for risk stratification | Unknown | null | 65aeb345-e250-49c7-a984-2c56428995fd | multi |
Which one of the following is not a non-metastatic complication of malignancies - | <img src=" /> Image ref - Harrison internal medicine 20e p541 | 2 | Cushing's syndrome | Elevated ALP | Cerebellar digeneration | Polymyositis | Medicine | Oncology | 7f9c34b6-da51-4091-8a43-62c347d738c7 | single |
In the overview of Beta oxidation of fatty acids, A denotes: | null | 3 | Enoyl CoA | Acyl CoA | Acetyl CoA | Malonyl CoA | Biochemistry | null | 7e856325-68b8-4809-acd3-f02ca294da46 | single |
A 68-year-old diabetic male presents with persistent ear discharge with fever and headache. He complained of pain out of propoion. On examination, granulations and tenderness are observed on the floor of the external auditory canal along with facial nerve palsy. He is not responding to antibiotics. What is the most pro... | Ans. a. Malignant otitis externa Presence of a painful lesion in the external ear with the evidence of granulation tissue and associated cranial nerve palsies (VII nerve) in a diabetic (or immunocompromised) patient suggest a diagnosis of malignant otitis externa. | 1 | Malignant otitis externa | Malignant disease of middle ear | Malignant disease of nasopharynx | Chronic otitis externa | ENT | null | 3743f9b6-55d8-4570-9ae8-a6a6eff9ed5d | single |
Polyamine like putrescine is derived from: | Ans. (b) Ornithine* Polyamines like spermine, spermidine and putrescine metabolite are produced from L-ornithine by action of ODC (ornithine decarboxylase).* S-Adenosylmethionine, the methyl group donor for many biosynthetic processes, also participates directly in spermine and spermidine biosynthesis. | 2 | Arginine | Ornithine | Yohimibine | Arginosuccine | Biochemistry | Proteins and Amino Acids | 7967fa7f-d04f-4e69-8294-b03a45831284 | single |
Which is the most common side effect of inhaled beclomethasone dipropionate: | Most of the side effects of steroids are mainly hoarseness, oropharyngeal candidiasis, decreased growth in children with adrenal suppression.
• The plausible explanation is that since these drugs are inhaled, they avoid the first pass metabolism that orally administered steroids undergo and hence have a preponderance t... | 1 | Oropharyngeal candidiasis | Pneumonia | Atrophic rhinitis | Pituitary adrenal suppression | Pharmacology | null | 4420be68-9847-44e1-bdf6-5f3f77dd5bc2 | single |
Lung granuloma with necrosis are seen in -a) PANb) TBc) Histoplasmosisd) Cryptococcosise) Wegener's granulomatosis | Granuloma with necrosis
TB → caseous necrosis
Syphilis → caseous necrosis
Coccidiodomycosis → caseous necrosis
Histoplasmosis → caseous necrosis
Wegner’s granulomatosis – Non-caseous necrosis | 1 | bce | bc | acd | ace | Pathology | null | 42565e78-1a10-4ea7-8be5-17ab9071578e | single |
With regards to imaging of primary extra nodal lymphomas, in which of the following sites does extra nodal Hodgkin's disease most commonly occur: | At presentation, Hodgkin disease is usually supra diaphragmatic which means thymus is involved due to contiguous spread from one nodal group to the next along the lymphatic pathways. Hence thymus is involved before spleen and other abdominal organs. Thyroid gland is rarely involved in Hodgkin lymphoma. | 2 | Spleen | Thymus | Thyroid | Small bowel | Medicine | Lymphoma and Plasma cell disorder | 9e2039a8-bbe0-40be-b00e-b7f41bd95934 | multi |
All of the following are true about Type I DM, Except: | Answer is A (Family history is present in 90% of cases): A strong family history (.90%) is a feature of type II DM and not type I DM. Family history may he present in only about 15% cases of type I DM. | 1 | Family history is present in 90% of cases | Antibodies against 3 ells | Prone to Diabetic Ketoacidosis (DKA) | Insulin is required for management of DKA | Medicine | null | 649baa25-3650-4357-a291-0369e55db8d6 | multi |
Rubella is caused by | Family Togaviridae includes Genus Alphavirus --> Western Equine Encephalitis (WEE) , Eastern Equine Encephalitis (EEE) , Venezuelan Equine Encephalitis (VEE) and Chikungunya fever (CGF) Genus Rubivirus --> Rubella Rubella: Aka German measles. I.P - 14-21 days Source : cases Mode of transmission : Respiratory / air drop... | 3 | Ohomyxovirus | Paramyxovirus | Toga virus | Arbovirus group B | Social & Preventive Medicine | NEET 2019 | 679de40e-f99a-4754-977c-709e449f77af | single |
True about legionella: | Ans. is. 'b' i. e., There is no man to man transmission | 2 | Most common mode of transmission is aerosol inhalation | There is no man to man transmission | Prolonged carrier are common | All are true | Microbiology | null | 2fb69f72-e62f-4b91-bdf4-606bd6f2dbda | multi |
Cardiac motion is visible with trans vaginal imaging when the embryo length has reached | Cardiac motion is visible when embryo reaches length of 5mm. | 1 | 5 mm | 10 mm | 15 mm | 20 mm | Gynaecology & Obstetrics | null | 89d575df-be3e-45e7-9cd8-ffca62b43d45 | single |
Oil and grease are sterilised by-( | Ans. is 'a' i.e., Hot air oven | 1 | Hot air oven | Autoclaving | Filtration | Irradiation | Microbiology | null | 61c62ef3-dc80-4338-b764-39c2b4b8e3e2 | single |
Common organisms causinh sinusitis: | according to scott Brown 7/e,p 1441 M/C Organism causing sinusitis in adults is also Streptococcus pneumoniae followed by H.influenza. In childreb M/C is streptococcus pnuemonia followef by both H.influenza and moraxella catarrhalis. | 3 | pseudomonas | Moraxella catarrhalis | Streptococcus pneumoniae | H.influenza | ENT | Nose and paranasal sinuses | 5da95ef6-58ce-4a7b-a615-bada03ae000f | single |
Liquid medium for tuberculosis - | Ans. is 'd' i.e., MGIT o Mycobacterial growth indicator tube (MGIT) is an automated liquid culture method. It contains 7 ml of modified Middle brook 7 H9 Broth base.Media for tubercular bacilliSolid mediaLiquid mediao L.J. mediumo Dorset mediumo Petragnini mediumo Loeffer mediumo Tarshis mediumo Duboso Middle brook'so ... | 4 | LJ medium | Dorset medium | Loeffler's medium | MGIT | Microbiology | Mycobacteria | cf9575c8-de22-456e-be6b-bcb00eeb6fb5 | single |
Prolactin is synthesized in - | Ans. is 'a' i.e., Pituitary | 1 | Pituitary | Hypothalamus | Pineal gland | Thalamus | Physiology | Endocrinology metabolism | 470275c6-8f47-42e3-b7c3-7eaf9c1706ee | single |
Uveitis is associated most commonly with: | C i.e. Pauciaicular JRA Anterior Uveitis is more common in pauciaicular seronegative (i.e. RA factor negative) IRA Q than in polyaicular JRA or systemic JRA. Seropositivity for ANA factor in pauciaicular JRA predisposes to uveitis. Most of the times the term "Seronegative" or "Seropositive" is used in relation to RA fa... | 3 | Rheumatoid ahritis | Systemic JRA | Pauciaicular JRA | Polyaicular JRA | Ophthalmology | null | 40e079b4-fa2d-40fd-9b98-a7f9aa9138b9 | single |
All of the following can aggravate Myasthenia gravis except : | null | 1 | Azathioprine | d–Tubocurarine | Tetracycline | Aminoglycoside | Pharmacology | null | cdb2a04d-4082-4da9-b62c-4a537e701d23 | multi |
The Endotoxin from the gram-negative organism is - | Endotoxins heat stable lipopolysaccharides which form an integral pa of the cell wall of gram-negative bacteria. Their toxicity depends on the lipid component. They are released only by the disintegration of the cell wall. They cannot be toxoided. They are poor antigens and their toxicity is not completely neutralized ... | 4 | Polysaccharide | Glycoprotein | Lipoprotein | Lipopolysaccharide | Microbiology | general microbiology | 63ab01b7-a1c5-4512-827c-3f4c35f4480e | single |
In Marfan's aortic aneurysm occurs in - | null | 1 | Ascending aorta | Arch of aorta | Descending aorta | Abdominal aorta | Medicine | null | 1a4636cc-493c-45f0-a844-5a50132ecd15 | single |
Treatment of choice of penicilline resistant gonococcol infection is - | null | 1 | Spectinomycin | Ceftriaxone | Penicillin | Ceflazidime | Medicine | null | 44b728fe-6f83-4ebe-8fb7-5d415034279b | single |
Nerve supply of pinna | A. i.e. Greater auricular nerve; B. i.e. Auriculotemporal nerve; C. i.e. Occipital nerve | 4 | Greater auricular nerve | Auriculotemporal nerve | Occipital nerve | All | Anatomy | null | 4570182c-c5aa-4417-9928-a84777d81aff | multi |
A person has episodes of vomiting 6 hrs after consuming milk. Organism responsible for this may be: March 2009 | Ans. B: Bacillus cereus and D: Staphylococcus Incubation period of food poisoning due to: Clostridium perfringenes: 6-24 hours Bacillus cereus-It produces atleast 2 distinct enterotoxins. One, the emetic form with a sho incubation period (1-6 hours) characterized by predominantly upper gastrointestinal tract symptoms, ... | 2 | Clostridium perfringenes | Bacillus cereus | Salmonella typhi | Staphylococcus | Social & Preventive Medicine | null | dfab15b9-6f3e-4e79-9673-a06e444aae69 | single |
What is the most likely diagnosis of this penile lesion found in a 54-year-old man with lymphadenopathy and weight loss? | Answer A. Squamous-cell carcinomaSquamous-cell carcinoma is the correct answer. Human papillomavirus (HPV) is a common risk factor for squamous-cell carcinoma of the penis, as is the case here. HPV can also cause cervical cancer in women. The presence of metastasis to the inguinal lymph nodes is a poor prognostic facto... | 1 | Squamous-cell carcinoma | Syphilis | Extramammary Paget disease | Condyloma acuminatum | Medicine | Miscellaneous | 8c175844-e64d-4b1d-8593-2796cf77f8b0 | single |
All are true about Giant cell arteritis except - | It is the most common form of systemic vasculitis in adults, is an acute and chronic, often granulomatous, inflammation of arteries of large to small size.
It affects principally the arteries in the head-especially the temporal arteries — but also the vertebral and ophthalmic arteries and the aorta, where it may cause ... | 3 | Involves large to small sized arteries | Granulomatous inflammation | Most commonly involved artery is abdominal aorta | Segmental nature of the involvement | Pathology | null | fdedb015-1bcf-4243-8bcf-5456621c5a8d | multi |
The infratentorial dura is supplied by branches of the | The tentorium cerebelli is a tent-shaped fold of dura mater, forming the roof of the posterior cranial fossa.It separates the cerebellum from the occipital lobes of the cerebrum and broadly divides the cranial cavity into supratentorial and infratentorial compaments. The infratentorial compament, in other words, is the... | 1 | Upper cervical spinal nerves and the vagus nerve | Accessory and upper cervical nerve | Only upper cervical nerves | Only vagus nerve | Anatomy | Head and neck | 22fb5177-95b8-4a83-a4d9-9a0482f9e3cc | single |
TRUE about folic acid and vitamin B12 is all, except- | Ans. is 'b' i.e., Recommended daily allowances for Folic acid is 1000 micro grams | 2 | Both are required for DNA synthesis | Recommended daily allowances for Folic acid is 1000 micro grams | Vegetarians have vitamin B 12 deficit | Deficiency of both causes megaloblastic anaemia | Social & Preventive Medicine | null | cf7bd3b5-38c4-4166-86d7-372228aca432 | multi |
The most predictive and dangerous side effect of propranolol that makes it to be avoided in known patient of COPD is induction of - | null | 2 | Respiratory failure | Acute asthmatic attack | Glaucoma | Pleural effusion | Medicine | null | a9f6009b-e031-4a85-ba7d-bae00a25872c | single |
Which of the following fungi is/are difficult to isolate culture - | Malassezia furfur does not grow on regular sabouraud's medium.
It requires complex media to grow
M. furfur is a lipid-dependent fungus and 1% emulsified olive oil is added to sabouraud medium for its cultivation
Two media are now widely employed for all Malassezia species.
Dixon medium
Modified Dixon medium | 4 | Candida | Dermatophytes | Cryptococcus | Malassezia furfur | Microbiology | null | f1816e09-9f74-4aff-9c2d-42e3cce27cf3 | single |
Asplenic pt-more susceptible to- | Ans. is 'd' i.e., Pneumococcus o Most common infection after splenectomy is by - streptococcus pneumoniae ( -50-90% of cases )o Other common bacteria! infections:Haemophilous influenzae type BMeningiococcusGroup A streptococcuso Common Protozoan inf. after splenectomy are:BabesiaEhrlichiaMalariao No increased risk of v... | 4 | Staphylococcus | Pseudomonas | Neisseria | Pneumococcus | Surgery | Consequences and Complications of Splenectomy | 737ca460-3caa-4150-a6cc-d8d8cdafcf67 | single |
Which of the following antiepileptic drugs can cause hirsutism in a 30 year old woman? | ADVERSE EFFECT OF PHENYTOIN: H - Hirsutism , Hyperophy of gums O - Osteomalacia T - Teratogenicity M - Megaloblastic anemia A - Ataxia and nystagmus L - Lymphadenopathy I - Inhibits insulin release (hyperglycemia) K - Vitamin K deficiency A - Arrhythmias | 1 | Phenytoin | Carbamazepine | Valproate | Ethosuximide | Pharmacology | Epilepsy | 03b3a6eb-ff90-4808-9f9e-62e5b15cf1cc | single |
Polycythemia Vera is characterized by all, EXCEPT: | null | 1 | Bleeding | Increased viscosity of blood | Splenomegaly | None of the above | Medicine | null | 3ec2db96-433e-4902-b643-a3982376a4cc | multi |
The most frequent cause of recurrent genital ulceration in a sexually active male is | PCR testing of genital ulcers now clearly implicates genital herpes as the most common cause of genital ulceration in developing countries Genital herpes is a common sexually transmitted disease (STD) that any sexually active person can get. Most people with the virus don't have symptoms. Even without signs of the dise... | 1 | Herpes-genitalis | Aphthous ulcer | Syphilis | Chancroid | Dental | Sexually transmitted diseases | 599369f4-2730-46b9-8bb3-ba49df860799 | multi |
With chronic use in seizure state, the adverse effects of this drug include coarsening of facial features,hirsutism, gingival hyperplasia and osteomalacia: | null | 4 | Carbomazepine | Ethosuximide | Gabapentin | Phenytoin | Pharmacology | null | b5aa9c45-051b-467e-835a-b2fb6fea9005 | single |
Which of the following is an impoant marker for myocardial infarction? | LDH is a tetrameric enzyme consisting of two monomers types: H (for hea) and M (for muscle) that combine to yield 5 LDH isoenzymes: HHHH(I1), HHHM(I2), HHMM(I3), HMMM(I4), MMMM(15). Tissue injury releases a characteristic pattern of LDH isoenzymes that can be separated by electrophoresis.The blood test most commonly us... | 4 | LDH | CK-MB | Troponins | All of the above | Biochemistry | null | 5a41675a-fdcd-499b-b4a9-7ac72fc6a6b1 | multi |
DOC for Levodopa induced vomiting is? | Domperidone crosses blood brain barrier poorly. The anti-emetic action is exeed mainly through CTZ which is not protected by blood brain barrier. Because of poor entry into CNS, it does not block the therapeutic effect of Levodopa in Parkinsonism, but counteracts its dose limiting emetic action. It is a D2 receptor ant... | 4 | Metoclopramide | Ondansetron | Doxylamine | Domperidone | Pharmacology | Sedative-Hypnotics and Parkinsonism | 11799786-9b3e-44bc-a5a9-aded5b690bbb | single |
A 78-year-old man with advanced renal disease has the ECG shown in Figure below (lead II). What is the diagnosis? | No atrial activity is detected. The ventricular rate is slightly irregular. Beat number 4 is a ventricular premature contraction. The T waves are tall and markedly peaked. This type of T wave is characteristic of hyperkalemia, as is absence of visible atrial activity.The potassium level was 8.2mmol/L. | 1 | hyperkalemia | hypercalcemia | hypernatremia | pericarditis | Medicine | C.V.S. | 62b825ee-10b5-4196-a508-aa1d59f07d8c | single |
All are the features of absence seizures except - | null | 3 | Usually seen in childhood | 3-Hz spike wave in EEG | Postictal confusion | Precipitation by hyperventilation | Medicine | null | 31729532-703c-4f7b-8ac2-765bd23f8668 | multi |
All are components of basement membrane except - | fibronectin -a major component of the interstitial ECM laminin -a major constituent of basement membrane The GBM consists of collagen (mostly type IV), laminin, fibronectin, entactin(nidogen), and several other glycoproteins. rhodopsin is one of the visual pigment in the eye, present in rods, helps in dim light vision ... | 4 | Nidogen | Laminin | Entactin | Rhodopsin | Pathology | General pathology | 2857468a-e620-4bb7-a754-61799e3640d3 | multi |
Type 'A' personality is characterized by all except, | Ans. is 'd' i.e. Mood fluctuations Type A personality disorder also known as type A behaviour pattern is a set of characteristic that includes beingImpatientExcessively time consciousInsecure about one's statusHighly competitiveHostile and aggressiveIncapable of relaxationType A individuals are often highly achieving w... | 4 | Hostility | Time pressure | Competitiveness | Mood fluctuations | Psychiatry | Disorders of Adult Personality | c8848502-e4a6-4580-98a6-d3a754c0c1af | multi |
'Gastrocolic reflex' is related with? | Mass peristalsis Gastrocolic reflex: Facilitates appearance of mass movements after a meal. Ex., For gastrocolic reflex - Seen in early infancy. | 2 | GERD | Mass peristalsis | Duodenual reflex | Rectoanal refelx | Physiology | null | 4090f8ed-606f-4080-bd3b-a0951aa35d82 | single |
Gastric motility is increased in: | Acid in duodenum | 1 | Acid in duodenum | Tryptophan in duodenum | Distension of stomach | Fatty food in stomach | Physiology | null | d795f77e-52f6-4b0e-9a9f-bdd755255735 | single |
Which of the following anticholinesterase is derived from natural source | Refer kDT 6/e p 102 Physostigmine is a highly toxic parasympathomimetic alkaloid, specifically, a reversible cholinesterase inhibitor. It occurs naturally in the Calabar bean and the Manchineel tree. The chemical was synthesized for the first time in 1935 by Percy Lavon Julian and Josef Pikl. | 1 | Physostigmine | Pyridostigmine | Neostigmine | Tacrine | Pharmacology | Autonomic nervous system | 26f9c2e9-ae0d-4f45-bdeb-811b6d06504d | single |
Dark ground microscopy is used for detection of - | null | 1 | Spirochetes | Chlamydia | Fungi | Virus | Microbiology | null | 96261584-2314-4ca1-9ce3-9caa6cdcbe0a | single |
An 18-year-old man is seen in the clinic for routine assessment. He reports no active symptoms, there is no past medical history and he is not taking any medications. He mentions that his brother has a "low blood count" that is hereditary but does not recall the name of the disorder.His physical examination is entirely... | An increased amount of HbF or HbA2 is present in patients with beta-thalassemia. As the hemoglobin beta-chains are decreased in beta-thalassemia, the excess alpha-chains combine with gamma-and delta-chains to make HbF and HbA2, respectively. Increased osmotic fragility of red cells is a feature hereditary spherocytosis... | 1 | an increased amount of fetal hemoglobin (HbF) or hemoglobin A2 (HbA2) | increased osmotic fragility of the red cells | absent bone marrow iron | increased macroglobulin's in the serum | Medicine | Blood | 61f9175b-48b2-48ef-9b01-501d6cdb31c7 | multi |
Subclinical infection is common in- | Inapparent infection is one where the clinical effects are not apparent. the term subclinical infection is often used as synonym. Japanese encephalitis is a serious illness and there have been outbreaks in india.the disesa is abrupt in onset with fever,headache and vomiting,followed by signs of encephalitis. In epidemi... | 4 | Measles | Mumps | Rubella | Japanese encephalitis | Microbiology | general microbiology | 9e738053-13ac-47aa-b9ca-b17df28c0dde | single |
Flaccid bullae lesions with oral mucosal lesions. The finding in immunoflourescence is – | Flaccid bullae with involvement of oral mucosa suggest the diagnosis of pemphigus vulgaris.
In pamphigus, there is intercellular deposition of IgG in fish-net pattern. | 1 | Fish net IgG in epidermis | Linear IgG in DEJ | Granular IgA in dermal papillae | Linear IgA in reticular dermis | Dental | null | ba12ec5f-858f-4492-aba0-240ebddf921b | single |
Mode of action of fluoxetine - | Fluoxetine is a selective serotonin reuptake inhibitor. | 3 | GABA agonist | GABA antagonist | Inhibit uptake of 5-HT | Increase uptake of 5-HT | Psychiatry | null | 01c2c5e0-3ebf-4287-ac86-4b3ffdbec128 | single |
Giant&;a&;wave in JVP is seen in- | in Tricuspid stenosis The jugular veins are distended, and in patients with sinus rhythm there may be giant a waves. The v waves are less conspicuous, and because tricuspid obstruction impedes RA emptying during diastole, there is a slow y descent. In patients with sinus rhythm there may be prominent presystolic pulsat... | 4 | Junctional rhyth | Tricuspid regulation | Complete hea block | Tricuspid stenosis | Medicine | C.V.S | d828d406-81e9-4dbc-b16e-3cc8cca54904 | single |
Receptor mediated endocytosis requires: | Clathrin-mediated endocytosis occurs at membrane indentations where the protein clathrin accumulates. Clathrin molecules have the shape of triskelions, with three "legs" radiating from a central hub. At the neck of the vesicle, the GTP-binding protein dynamin is involved, either directly or indirectly, in pinching off ... | 4 | Clatharin | Dynamin | Actin | All of the above | Physiology | Cell Membrane and transpo protiens | 817c99d4-55fc-446b-ad8d-b367128b210c | multi |
Which of the following vitamin has a role in the regulation of gene expression and tissue differentiation? | Retinoic Acid has a Role in the Regulation of Gene Expression and Tissue Differentiation. A major role of vitamin A is in the control of cell differentiation and turnover. All-trans-retinoic acid and 9-cis-retinoic acid regulate growth, development, and tissue differentiation Like the thyroid and steroid hormones and v... | 1 | Vitamin A | Vitamin C | Vitamin K | Vitamin B12 | Biochemistry | vitamins | 22765da7-fc24-447a-b705-cb0ed026521a | single |
In Jorgenson technique drugs given by IV routes are: | Jorgenson technique includes intravenous administration of opioids. The drugs used in Jorgenson technique are:
a) Pentobarbitol
b) Mepiridine
c) Scopalamine (Hyoscine)
d) Pethidine, etc. | 4 | Pentobarbitol | Scopalamine | Pethidine | All of the above | Surgery | null | 3e320c00-393d-47eb-a7ac-3eeee0236fa7 | multi |
Sperm attains motility in: | Although initially only slightly motile, spermatozoa obtains full motility in the epididymis Development of the spermSpermatogenesis is the process of spermatagonia (diploid) mature into spermatozoa (haploid).Spermioogenesis is a pa of spermatogenesis where round spermatids mature into the mature spermatozoa form.Sperm... | 4 | Vas deferens | Rete testis | Seminal vesicle | Epididymis | Anatomy | null | 8b24e102-6972-472a-ab51-6eced94758e6 | single |
Which of the following vitamin deficiencies is uncommon in celiac disease | Ans. is `d' i.e., Vitamin B12 'Vitamin B is absorbed from the body in the end pa of small intestine (terminal ileum). Because this pa of the bowel is seldom damaged - by celiac disease, Vitamin Bit deficiency is not common in this condition' | 4 | Vitamin D | Folic Acid | Vitamin A | Vitamin B12 | Medicine | null | 5f90dad9-a2bc-483e-9de1-34263af11a68 | single |
Inherited cancer syndrome include all except? | Ans. is 'b' i.e., Neurofibroma Neurofibromatosis (multiple neurofibroma) is inherited cancer syndrome, not isolated neurofibroma. | 2 | Retinoblastom | Neurofibroma | Xeroderma pigmentosa | Familial polyposis coli | Pathology | null | 0b1d8e55-9426-45f4-bf7c-1ea6fd5e9169 | multi |
The fluoride concentration of human milk ranges from: | Fluoride concentration of human milk ranges from 5-10 µg/L.
These levels are found in nursing mothers living both in non-fluoridated and fluoridated areas.
Cow's milk contains 30-60 µg/L of fluoride.
Essentials of preventive and community dentistry
Soben Peter 5th edition | 1 | 5-10 µg/L | 2-8 µg/L | 3-12 µg/L | 2-10 µg/L | Dental | null | 883d25ef-9eb3-4fd2-8ca4-b17c37214f3b | single |
A new born child developed respiratory depression In neonatal ward. Which of the following drug is the cause – | null | 1 | Opioids | Barbiturates | Diazepam | Propofol | Pediatrics | null | 2d201db9-ef3b-4e2c-bf23-4ef78b65e0be | single |
Pernicious anemia associated with ? | Ans. is 'a' i.e., Gastric Pathology Anemias of Vitamin B12 Deficiency: Pernicious Anemia Pernicious anemia is a specific form of megaloblastic anemia caused by an autoimmune gastritis that impairs the production of intrinsic factor, which is required fir vitamin B12 uptake from the gut. Histologically, there is a chron... | 1 | Gastric pathology | Renal pathology | Esophageal pathology | Oral pathology | Pathology | null | 182b4632-1826-4cf5-aef0-a8362baaeb08 | single |
Which is the shortest acting mydriatic ? | Atropine is longest acting (5-6 days) whereas tropicamide is the shortest acting (15-60 min) mydriatic. | 2 | Atropine | Tropicamide | Cyclopentolate | Homatropine | Pharmacology | null | b9217df5-0ab0-4afa-ba86-7842daf2f4e2 | single |
Commonest site of the vermiform appendix is | null | 1 | Retrocaecal | Subcaecal | Pre-ilial | Post-ilial | Medicine | null | 01510ede-ced1-4c50-b109-8bb8f2f8d365 | single |
A 40-yr-female progressive dyspnea from 1 yr. She also has b/I bibasilar end inspiratory crepitation. The true statement is: | The patient is having interstitial inflammatory lung disease with progressive dyspnea & bilateral basal end-inspiratory crackles.9% of ILD can be associated with connective tissue disorders like, SLE, Rheumatoid arthritis, Ankylosing spondylitis, Systemic sclerosis, Sjogren's syndrome, polymyositis-dermatomyositis.
In... | 1 | May be assocated with connective tissue disease | Residual volume (upword arrow) ed | (upward arrow) Total lung capacity (TLC) | null | Medicine | null | ea1c50ee-de02-4518-b727-b5680f586d0f | multi |
The most common position adopted for surgical procedures is | .Lithotomy position used for all perineal surgeries like for fissure, piles, fistula, and APR. ref:SRB&;s manual of surgery,ed 3,pg no 913 | 3 | Trendelenburg position | Lithotomy position | Supine position | Prone position | Surgery | Urology | 43ef2f8d-f6c0-473c-9d73-cac0c1ba2e00 | single |
The MOST common organism isolated in emphysematous pyelonephritis is: | Emphysematous pyelonephritis is a form of acute necrotizing pyelonephritis secondary to a gas-producing bacteria (E coli in 66% of cases and Klebsiella in 26%). It is commonly seen in patients with poorly controlled diabetes (over 90% of cases) or in patients with upper urinary tract obstruction. The diagnosis is made ... | 1 | E. coli | Proteus | Pseudomonas | Klebsiella | Microbiology | null | cae5abcc-253c-43e2-9d29-f231e46007d8 | single |
Definitive sign of scurvy in X-ray ? | Definitive sign of scurvy in X-rays of long bones is the white line of Frenkel,an irregular thickened line at the metaphyses representing calcified cailage at the zone ofcalcification.Other characteristic findings are ground glass appearance with thinning of coex and a zone of rarefaction under the white line of metaph... | 3 | Ringed epiphysis | Ground glass appearance | White line in metaphysis | Thin coex | Pediatrics | Metabolic disorders | fee2bf81-e87a-4744-a10e-5a7773be445d | single |
SI unit for measuring Blood Pressure is : | C i.e. KPa | 3 | Torr | mmHg | kPa | Barr | Physiology | null | 49624d7b-9f46-49c8-91f4-880651e71920 | single |
Drug(s) included in the treatment of visceral leismaniasis is/are all except - | <p> Pentamidine is not a drug for treatment of leishmaniasis Sodium stibogluconate, Amphotericine B, Miltefosine are dug of choice for visceral leishmaniasis. Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:307. <\p> | 2 | Sodium stibogluconate | Pentamidine | Miltefosine | Liposomal amphtericine B | Social & Preventive Medicine | Communicable diseases | 61ff3b46-cce3-4968-90a2-1709ecd1448d | multi |
As a junior resident , you are managing a patient of COVID-19 . When will you stop the treatment in COVID 19 patient ? | When will you stop the treatment in COVID 19 patient ? Two consecutive negative PCR repos atleast 24 hours apa WITH Clinico-radiological improvement | 2 | Two consecutive negative PCR repos atleast 48 hours apa with Clinico-radiological improvement | 2 consecutive negative PCR repos atleast 24 hours apa with Clinico-radiological improvement | 3 consecutive negative PCR repos atleast 48 hours apa with Clinico-radiological improvement | 3 consecutive negative PCR repos atleast 24 hours apa with Clinico-radiological improvement | Medicine | viral infection | 717245ef-a3e3-4dac-b69e-0c09992a78f8 | single |
False negative hydrostatic test in live fetus is for | False negative hydrostatic test can be seen in :- 1. Diseases e.g. : acute edema, pneumonia, Congenital syphilis. 2. Atelectasis False positive hydrostatic test can be seen in :- 1. Presence of putrified gases. 2. Aificial inflation. | 1 | Atelectasis | Aicial respiration | Emphysema | Putrefaction | Forensic Medicine | Impotency, Virginity, pregnancy & aboion | 77349c7e-23a9-45ff-be88-8ec13efb8922 | multi |
30 To -60 degree axis detion indicates: | Answer is A (Left Axis Detion): Detion of the cardiac axis more negative than -30 (Between -30 to -90) indicates Left Axis Detion. | 1 | Left Axis Detion | Right Axis Detion | Extreme Right Axis Detion | Normal Cardiac Axis | Medicine | null | 4559c602-720e-4659-a495-5d6ca01e5c82 | single |
The characteristics of polio vaccine are all except - | Park&;s Textbook of Preventive and Social Medicine 23rd edition Page no: 206, 207 After 3 doses of OPV, the mean propoion of infants with detectable serum neutralizing antibody level was only 73% for type1, 90% for type 2 and 70% for type 3 polio virus | 2 | Maintenance of cold chain | 100% immunisation | Killed vaccine is effective in India | 5 doses of OPV given | Social & Preventive Medicine | Communicable diseases | 8762fc01-ac59-4152-a6cd-b77a632f2bdc | multi |
Commonest site for ischemic colitis is - | Ans is 'b' ie. Splenic flexure "Although splenic flexure is the most common site of ischemic colitis, any segment of colon may be affected. The rectum is relatively spared because of its rich collateral circulation." | 2 | Hepatic flexure | Splenic flexure | Descending colon | Ascending colon | Surgery | null | c7b5890e-a124-4891-8232-0d8d9c8da6e1 | single |
A patient having multiple Gall stones and shows 8 mm dilation and 4 stones in CBD, best treatment modalities are -a) Cholecystectomy with choledocholithotomy at same settingb) ESWLc) Cholecystectomy and wait for ERCPd) Sphincterotomy and then cholecystectomye) Cholecystectomy and after 14 days sphincterotomy done | Management of suspected or proven CBD stones associated with gall bladder stones
For gallstones - laparoscopic cholecystectomy is the procedure of choice.
For CBD stones two things can be done :
1) If the surgeon is experienced in laparoscopic techniques of CBD stone removal then both cholecystectomy and choledochol... | 4 | b | c | ac | ad | Surgery | null | e1cb1aa1-b8d1-49e7-a1bf-28a4060bb2db | multi |
All of the following are moality indicators except? | Disability adjusted life years (DALY) is a disability rate. Moality Indicators are: Crude death rate Life expectancy Infant moality rate Propoion moality rate Case fatality rate Years of potential life lost (YPLL) | 1 | Disability adjusted life years (DALY) | Years of potential life lost (YPLL) | Life Expectancy | Case fatality rate | Social & Preventive Medicine | Disease Causation, Measurements, Milestones | c8b9519c-f713-4fc4-ac51-6f1f6da5312c | multi |
Modifiable risk factors for hypertension is ? | Ans. is 'd' i.e., Obesity Risk factors for hypertensionModifiableNon - modifiableo Obesity'o Salt intakeo Saturated fato Dietary fibreo Alcohol intakeo Physical activity'o Environmental stresso Socio-economic statuso Ageo Sexo Genetic factorso Ethnicity | 4 | Genetic factors | Age | Sex | Obesity | Social & Preventive Medicine | Non-Communicable Diseases | 78325813-54dc-497a-983b-bfc61f1c7a82 | single |
which of the following is true regarding competitive reversible antagonism | COMPETITIVE Reversible ANTAGONISM 1.Same receptor by forming Weak bonds 2. Maximal response is concentration dependent 3.The effect of antagonist can be overcome by increasing the concentration of agonist 4. Parallel rightward shift of DRC COMPETITIVE Irreversible ANTAGONISM 1. Have affinity for the same receptor sites... | 3 | potency increases | Km decreases | efficacy and Vmax no change | ED50 decreases | Pharmacology | All India exam | 3dcd483d-0bcc-421f-9e99-ac0445131194 | multi |
True about Pendred syndrome is: | Ans. D. All of the abovePendred syndrome, a disorder of the pendrin gene, is associated with decreased intracellular transport of iodine and deafness. Transient congenital hypothyroidism may occur following transplacental passage of TSH receptor blocking anti bodies iodine exposure and treatment with drugs like amiodar... | 4 | Diffuse colloid goitre | Mental retardation | Bilateral sensory neural deafness | All of the above | Pediatrics | Genetics And Genetic Disorders | 1c0c9192-04d6-4417-8ff9-43808e0a7a0f | multi |
Golden period for treatment of open wounds is .....hours - | Ans. is 'a' i.e., 4 | 1 | 4 | 6 | 12 | 24 | Surgery | null | d560d60b-f2ae-4d77-8e9b-9f3ffde845b2 | single |
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