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Jefferson is:
Ans. is 'a' ie of Atlas Some common named fractures :Jefferson *-Burst of atlas *Hangman's *- of axis *Clayshovellers *-Spines process of C7 * Smiths *-Reverse of colie's * ( at the cortico cancellus junction of radius with volar tilt of the distal fragment)* Barton 's *-distal radius ( extends from the distal articula...
1
of atlas
axis
of spinous process of C 7
of any cervical vertebra
Orthopaedics
Individual Cervical Vertebra Fracture of Interest
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single
Gingival finish lines are placed
null
1
Supra/subgingivally according to need
For better cleansing
Subgingivally only
Supragingivally only
Dental
null
c0ad1f9e-6ee6-4228-9e5e-e6543128f1b2
multi
Ganer duct cyst is the remnant of the following embryological structure?
Ganer duct cysts are uncommon vaginal cysts develop from remnants of the mesonephric (Wolffian) ducts. They are typically asymptomatic and are usually found within the lateral vaginal wall. Symptoms may include dyspareunia, vaginal pain, and difficulty inseing tampons or other vaginal devices. Examination reveals a ten...
2
Mullerian duct
Wolffian duct
Cloacal duct
Epoophoron
Anatomy
null
e43eac27-3278-4f14-9761-c41bc4afe337
single
Gram stain is a?
The Gram stain is the most impoant staining procedure in microbiology. It is used to differentiate between gram positive organisms and gram negative organisms. Hence, it is a differential stain. Gram negative and gram positive organisms are distinguished from each other by differences in their cell walls. Ref: Ananthan...
2
Simple stain
Differential stain
Negative stain
Fluorescent stain
Microbiology
general microbiology
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single
Leutic glossitis can occur in connection with:
null
4
Vitamin B deficiency
Vitamin C deficiency
Iron deficiency
Syphilis
Pathology
null
62ed7f12-d42f-417e-a2c7-be35eb86a2c3
single
Medullary thyroid carcinoma is associated with?
Ans. is 'b' i.e., MEN II About 70% of tumors arise sporadically. The remainder occurs in the rsetting of MEN syndrome 2A or 2B or as familial tumors without an associated MEN syndrome (familial medullary thyroid carcinoma, or FMTC.
2
MEN I
MEN II
MEN III
MEN IV
Pathology
null
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single
All are true about cystic hygroma except
Cystic hygroma is not pulsating .So option 1 is incorrect. Cystic hygroma is sequestration of lymphatic tissue. Cyst filled with clear lymph and lined by single layer of epithelium. Mostly found in the neck. It can obstruct labour, and can also cause respiratory difficulty. Swelling is brilliantly transluminant. Manage...
1
Pulsatile
May cause respiratory obstruction
Common in neck
present in bih
Surgery
Vascular surgery
7350e8ce-8bfa-4f9b-befc-504f449a5cb8
multi
Name the extra ocular muscle which is NOT arising from the apex of orbit?
All the extra ocular muscles except inferior oblique arise from the apex of orbit. Inferior oblique arises from lower and inner orbital walls near the lacrimal fossa and inses in the sclera below and lateral to the posterior pole of the globe. Ref: Parsons' 21st / Pg. 393.
4
Superior rectus
Superior oblique
Inferior rectus
Inferior oblique
Ophthalmology
null
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single
True about lamotrigene ?
Ans. is 'c' i.e., t1/2 is 24 hrs
3
Decreased efficacy in depression
First choice in absence seizure
t1/2 is 24 hrs
Not metabolised in liver
Pharmacology
null
edf176b1-2d7e-427d-b8bf-320e8d3ddc7e
multi
For DNA testing, which tissue sample is taken in an autopsy-
blood and splenic tissues are the best specimen for the DNA analysis and should be frozen if there is leikely to be any delay before reaching the laboratory,fluid, swabs ,hair.other organs( liver, brain kidney and muscle) however also acceptable. With blood samples, a good HMWDNA recovery from all the bodies investigat...
2
Liver
Spleen
Kidney
Brain
Forensic Medicine
Miscellaneous
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single
Power of normal eye is:
Total dioptric power of this schematic eye is 58.64 [?] 60D Refractive Power of Cornea =+45 D Refractive Power of Lens =+15 D
4
+6D
+10D
+16D
+60D
Ophthalmology
Optics and Errors of Refraction
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single
Excess sexual desire in male is known as?
Ans is 'b' i.e. Satyriasis * Has been explained in previous sessions.
2
Nymphomania
Satyriasis
Sadism
Masochism
Psychiatry
Sexual Disorders
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Gusten, a protein of the saliva is
null
3
Important for taste sensation
Contains zinc
Both
null
Biochemistry
null
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multi
Ketone body formation without glycosuria seen in -
Ans. is 'c' i.e., Prolonged starvation o Amongst the given options, DM and starvation are the causes of ketosisDiabetes :- Ketosis with hyperglycemia and glycosuria Prolonged starvation :- Ketosis with low or normal glucose and without glycosuria.o In diabetic Ketoacidosis:- (i) Positive Rothera's test (due to ketone b...
3
DM
DI
Prolonged starvation
Obesity'
Biochemistry
Oxidation of Fatty acids: Ketogenesis
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single
Functional adrenal incidentaloma of size is managed by
Management of adrenal incidentaloma :
1
Laparoscopic adrenalectomy
Observation and biannual hormonal evaluation
Palliative management using mitotane
Chemotherapy using vineristine, Cyclophosphamide
Surgery
null
38488781-6af4-4f80-aab2-204b1062da93
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For the physical finding "Short stature, webbed neck, low-set ears, and epicanthal folds" select the cardiovascular disorder with which it is most likely to be associated. (SELECT 1 DISORDER)
Myocarditis, aortitis, and pericarditis all have been described in association with Reiter syndrome; the original description included conjunctivitis, urethritis, and arthralgias. Although its cause is unknown, Reiter syndrome is associated with HLA-B27 antigen, as are aortic regurgitation, pericarditis, and ankylosing...
3
Massive tricuspid regurgitation
Aortic regurgitation
Coarctation of the aorta
Thoracic aortic aneurysm
Surgery
Heart & Pericardium
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Which of the the following is true about adenoid cystic carcinoma :
Adenoid cystic carcinoma: Most common malignant tumor in submandibular, sublingual and minor salivary glands Most common site is hard palate > sinonasal tract Most common site of metastasis is lungs AKA - Tracherous tumor - tumor is malignant but appear benign Most common type is- Cribriform variety - has swiss cheese ...
1
Most common malignant tumor in minor salivary glands
Most common site is sinonasal tract
Most commonly involved nerve is trigeminal
Most common site of metastasis is liver
Surgery
Salivary Glands
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A wide and notched P wave is typically seen in
Ans. is 'a' i.e., Mitral stenosis Mitral stenosis is icall associated with a Wide and Notched P wave rom Le t Atrial Enlar * ement LAE Cor-Pulmonate, COPD and Pulmonary embolism are all associated with Right Atrial Enlargement resulting in a Tall P wave (not a wide p wave). P wave becomes "tall" in RA enlargement and "...
1
Mitral stenosis
Cor-Pulmonale
COPD
Pulmonary embolism
Medicine
null
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multi
Which of the following is an alternative to methadone for maintenance treatment of opiate dependence?
MAINTENANCE TREATMENT OF OPIOID DEPENDENCE: Opioid Substitution Therapy Methadone Buprenorphine Levomethadyl (LAAM) Opioid Antagonists Naltrexone (oral) Naloxone (injectible, sho acting)
3
Diazepam
Chloridazepoxide
Buprenorphine
Dextropropoxyphene
Psychiatry
Substance Related and Addictive Disorders
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The lead of ECG marked as X is called?
And. B. V4R15 - Lead ECGV4R - 5th intercostal space midclavicular line (same as V4 but on the other side)V8 - On the back, 5th intercostal space midscapular line.V9 - On the Back, 5th intercostal space between V8 and the spine
2
Lewis lead
V4R
aVR
Vg
Physiology
Heart, Circulation, and Blood
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multi
A microbiologist carries out milk ring test, which is positive. What is the most likely organism?
Milk Ring Test (M) is positive for Brucella. It is used for detection of infected animals in dairy farms, etc. A sample of whole milk is mixed with a drop of Brucella antigen and incubated at 70 degC for 40-50 min. If antibodies are present in the milk the bacilli are agglutinated and rise with the cream to form a blue...
2
Salmonella
Brucella
Bordetella
Bacillus anthracis
Microbiology
Bacteriology
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single
Currarino triad includes:-
Currarino triad: Anorectal malformations + Sacrococcygeal osseous defect + presacral mass
3
Pre-sacral meningocele + sacral defect + Tethered cord
Ectopic vesicae + Anorectal malformation + Sacrococcygeal ossous defect
Anorectal malformations + Sacrococcygeal osseous defect + Presacral mass
Tethered cord + Anorectal malformations + Ectopia vesicae
Surgery
Pediatric Surgery
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Which enzyme is not seen in urea cycle?
Ans. is 'a' i.e., Carbamoyl Phosphate Synthetase II* Carbamoyl Phosphate Synthetase I is an enzyme of Urea cycle* Carbamoyl Phosphate Synthetase II is an enzyme of Pyrimidine synthesis* Enzymes of Urea cycle are:# Carbamoyl Phosphate Synthetase I# Ornithine Transcarbamoylase# Argininosuccinate synthetase# Argininosucci...
1
Carbamoyl Phosphate Synthetase II
Carbamoyl Phosphate Synthetase I
Argininosuccinate Synthetase
Arginase
Biochemistry
Proteins and Amino Acids
acf8b299-1142-4c6b-a2b6-bfd1ce22e366
single
Which of the following drug is an antidote for cyanide poisoning?
Ans. A. Amyl nitrateAmyl nitrite is one of antidote of cyanide poisoning. It is given via inhalational route. Hydroxocobalamin is also given for cyanide poisoning via intravenous route.
1
Amyl nitrate
Isosorbide dinitrate
Nitroglycerine
Propranolol
Pharmacology
C.V.S
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single
Kumar, a 31 yrs old motorcyclist sustained injury over his Right hip joint. X-ray revealed a posterior dislocation of the Right hip joint. The clinical attitude of the affected lower limb will be:
In posterior dislocation of hip, the limb is held in flexion, adduction and internal rotation. It's the opposite in anterior dislocation. The treatment is emergency reduction of the dislocated hip. Ref: Essential Ohopedics By J Maheswari, 2nd Edition, Pages 181-183
2
External rotation, extension and abduction
Internal rotation, flexion and adduction
Internal rotation, extension and abduction
External rotation, flexion and abduction
Surgery
null
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The complement is fixed best by which of the following immunoglobulins -
Ans. is 'b' i.e., IgMIgM is the most effective antibody to fix complement.
2
IgG
IgM
IgA
IgD
Pathology
null
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single
What does a positive schick test indicate?
Immune status of an individual to Corynebacterium diphtheria is assessed by the presence of antitoxin levels or schick test. This test is done by injecting 0.1ml of highly purified toxin into one forearm and 0.1ml of heat inactivated toxin into another forearm as a control. A positive reaction is characterized by a loc...
3
Carrier of diphtheria
Immune to diphtheria
Susceptible to diphtheria
Hypersensitivity to diphtheria
Microbiology
null
66dabb84-40bd-436d-8a81-4ba38fec1237
single
A G4P2 lady presented with history of two aboions at 16 weeks and 20 weeks POG. Which of the following could be the most likely reason for these aboions?
Aboions- MC causes 1st trimester - chromosomal causes 2nd trimester - Anatomical cause
2
Chromosomal abnormality
Cervical incompetence
Placenta pre
Thyroid abnormality
Gynaecology & Obstetrics
FMGE 2018
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single
Ritters disease is caused by
scalded skin syndrome Ritter disease: This is the scalded skin syndrome, a potentially serious side effect of infection with the Staph (Staphylococcus) bacteria that produces a specific protein which loosens the "cement" holding the various layers of the skin together. This allows blister formation and sloughing of the...
1
Staphylococcus aureus
Staphylococcus epidermidis
Staphylococcus albus
Staphylococcus saprophyticus
Dental
Bacterial infections
74cdf2a0-b060-459d-839d-c71dfd9b2eaf
single
In the small intestine, cholera toxin acts by-
null
1
ADP ribosylation of the G regulatory protein
Inhibition of adenyl cyclase
Activation of GTP ase
Active absorption of NaCl
Microbiology
null
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multi
MAO inhibitors should not be used with -
Ans. is 'b' i.e., Pethidine o Nonselective MAO inhibitors interact with many food constituents and drugs : 1-Cheese reaction o Ceain varieties of cheese, beer, wines, picked meat and fish, yeast extract contain large quantities of tyramine, dopa. o In MAO inhibited patients these indirectly acting sympathomimetic amine...
2
Buprenorphine
Pethidine
Pentazocin
Morphine
Pharmacology
null
588bbb2a-06f5-4808-bbc6-557be249d58d
single
Meckel&;s diveiculum is patent of
.Sometimes there may be a patent vitello-intestinal duct or a Meckel's diveiculum, which may require resection along with the bowel segment.Intestinal end may remain patent forming Meckel's diveiculum, which may be attached to umbilicus with a fibrous band. Meckel's diveiculum itself can cause diveiculitis, obstruction...
1
Vitello intestinal duct
Urachus
Oganic diaphragm
null
Surgery
G.I.T
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multi
Mycobacterium avium complex infections are common when the CD4+ counts in cells/mm3 are
The CD4+ T-cell count can define the risk of infection with specific organisms. As a rule of thumb, bacterial and tubercular infections are more likely at higher CD4+ counts (>200 cells/mm3). Pneumocystis pneumonia usually strikes at CD4+ counts below 200 cells/mm3, while cytomegalovirus and Mycobacterium avium complex...
4
200
< 200
>50
< 50
Unknown
null
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single
Joint erosions are not a feature of
Ref Semantischolar.org
4
Rheumatoid ahritis
Psoriatic ahritis
Gout
Systemic lupus ehematosus
Medicine
Immune system
c13ceea6-c607-44ef-af6d-f5244dbc4c31
single
Polycystic ovaries are associated with :
Endometrial carcinoma
3
Hypopituitarism
Ovarian malignancy
Endometrial carcinoma
Adrenal coical hyperplasia
Gynaecology & Obstetrics
null
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single
True about Braxton-Hick's contraction are all, except:Maharashtra 09
Ans. Painful
2
Felt at 4th month
Painful
Contraction last for 1 min
Present even when fetus is dead
Forensic Medicine
null
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multi
Hypovitaminosis - D causes -
Zonular or lamellar cataract is a congenital type Etiology may be either genetic or environmental in origin. Environmental form is associated with: deficiencyof vitamin D hypocalcemia Sometimes maternal rubella infection contracted between 7th and 8th week of gestation may also cause lamellar cataract.
1
Zonular cataract
Blue - Dot cataract
Rosette cataract
Cupliform cataract
Ophthalmology
Lens
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single
Non caseating granuloma is characteristically seen in
ref Robbins 8/e p701 ,9/e p98 NONCASEATING GRANULOMA Sarcoidosis is characterized bynoncaseating granulomas. These are different than the caseating granulomasproduced by other diseases, especially tuberculosis. Caseous necrosis is destruction of cells which are conveed to amorphous greyish debris located centrally ingr...
2
Syphilis
Sarcoidosis
TB
Histoplasmosis
Anatomy
General anatomy
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multi
Treatment for alcoholic hepatitis with discriminant function of >32 is?
Discriminat function of >32 Rx- Predinisolane Discriminant score= 4.6 x + Billirubin ( Normal PT = 11-16) - Alcohol deaddiction - Naltraxone, Acamprosate. - Thiamine - Wernike encephalopathy
2
Thiamine
Prednisolone
Disulfiram
Acamprosate
Medicine
Hepatitis
530e3ce3-49c1-4abf-925f-8d8cb77bc557
single
Oocyte at the time of bih, is present in which of the following stage of meiosis?
At Time of bih oocyteis dormant in diplotene stage (resting stage during prophase I) Oocyte and Prenatal period. 3rd month end 5th month 7th month Oogonia are arranged in clusters surrounded by a layer of epithelial cells. Number of germ cells in ovary reaches maximum (7 million) Majority of oocyte degenerate, except f...
1
Prophase I
Metaphase I
Anaphase I
Telophase I
Anatomy
Introduction and gametogenesis.
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single
Cytokine produced by TH1 cells
IL-2 produced by TH1 cells induces proliferation of activated T4 cells, Tc cells and some Nk cells.
1
IL-2
IL-4
IL-5
IL-6
Microbiology
null
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single
If a patient with Raynaud's disease immersed his hand in cold water, the hand will -
null
3
Become red
Remain unchanged
Turn white
Become blue
Surgery
null
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single
To define still bih, period is specified from -
Death of a foetus weighing 1000g at bih (this is equivalent to 28weeks of gestation.) REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 519
4
20th week of gestation to 1 week after bih
28th week of gestation to 1 week after bih
20th week of gestation to bih
28th week of gestation to bih
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
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A fifty year old male feels uncomfoable in using lift, being in crowded places and traveling. The most appropriate line of treatment is:
C i.e., Exposure and response preventionThe treatment of choice for established phobia (eg. agoraphobia) is a combination of exposure to phobic situationsQ with training in coping with panic attacks.
3
Counselling
Relaxation therapy
Exposure and response prevention
Cove sensitization
Psychiatry
null
ac6b43be-1d48-42c5-aa36-dc907b42eb39
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The Second most important intracellular cation is
(A) Magnesium # MAGNESIUM is the second most important intracellular divalent cation and is involved in a variety of metabolic processes including glucose metabolism, ion channel translocation, stimulus-contraction coupling, stimulus secretion coupling, peptide hormone receptor signal transduction.> Normal concentratio...
1
Magnesium
Calcium
Sodium
Iron
Biochemistry
Miscellaneous (Bio-Chemistry)
624335d2-ae39-4f85-81f8-9bdca11bb855
single
Which of the following types of nerve fibers carry pain -
Ans- D.
4
A- alpha
A-beta
A- gamma
A-delta
Physiology
Nerve Physiology
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Tracheostomy done at which level
A 2-3 cm veical or horizontal skin incision is made midway between the sternal notch and thyroid cailage . It&;s a Open surgical technique. Ref- Dhingra 6th edition, page 317.
2
T1
T3
T4
T5
ENT
Diagnostic and operative ENT
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Disease shown in this PFT is best characterized by
Restrictive disorders are characterized by low lung volumes. Diffusing capacity (DLCO) may or not be decreased in pulmonary fibrosis), a type of restrictive disease. A decrease in the forced expi­ratory volume in one second-forced vital ca­pacity (FEV1/FVC) ratio is the hallmark of obstructive, not restrictive, disease...
1
Low lung volumes
A decrease in the l-second forced expiratory volume-forced vital capacity (FEV1/FVC) ratio
An increased vital capacity (VC)
A decreased diffusing capacity DLCO)
Unknown
null
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Delayed prolonged bleeding is caused by
EndotheliumDirect injury to endothelial cells causes delayed prolonged bleeding because, endothelial cells are central regulators of hemostasis, the balance between the anti-and prothrombotic activities of endothelium determines whether thrombus formation, propagation or dissolution occurs.Robbins basic pathology 9th e...
4
Histamine
Leukocyte dependent injury
IL-I
Direct injury to endothelial cells
Pathology
General pathology
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The Cerebellar coex contains all of the following cells except
Pyramidal cells are seen in cerebral coex
4
Basket cells
Stellate cells
Purkinje cells
Pyramidal cells
Anatomy
All India exam
765ed7bb-10c9-41c1-9029-7dbd024ae2a2
multi
The effect of trituration on strength in an amalgam restoration depends on
null
4
Amalgam alloy
Trituration time
Speed of amalgamator
All the above
Dental
null
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multi
Prudent diet is:
(Diet for dietary goal achievement) Prudent diet is diet developed by National nutrition and food policy for achievement of "dietary goal". The Prudent diet recommended by WHO is: * Dietary fat < 20-30 % of total daily intake * Saturated fat <10% of total energy intake. * Avoid excessive consumption of refined carbohyd...
1
Diet for dietary goal achievement
Diet, which contains variety of foods to safe guard from deficiencies
on which a person or group lives
Diet, which fulfills recommended daily allowances
Surgery
null
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Ureters are identified during surgery by :
A. i.e. Peristalsis due to flow of urineUreters are muscular ducts situated retroperitonially & are identified by peristalsisQ
1
Peristalsis d/t flow of urine
Rich aerial plexus
Relation to renal vein & aery
Relation to lumbar plexus
Anatomy
null
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single
Uterine artery is a branch of?
ANSWER: (B) Internal iliac arteryREF: BDC 4th edition page 387BRANCHES OF THE INTERNAL ILIAC ARTERY:branches of anterior division: (6 in males, 7 in females)Superior vesicalObturatorMiddle rectalInferior vesical (in males)Vaginal artery (in females)Inferior glutealInternal pudendalUterine artery (in females)Branches of...
2
External iliac artery
Internal iliac artery
Aorta
Inferior vesical artery
Anatomy
Blood Vessels of Abdomen and Pelvis
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single
Angular conjunctivitis is caused by:
A i.e. Moraxella Angular or diplobacillary conjunctivitis is caused by Moraxella lacunate or axenfeld Q (mostly) or staphylococci Q and presents with hyperemia of bulbar conjunctiva & lid margins near the angles (i.e. outer & inner canthi) with foamy mucopurulent discharge. It is treated with oxytetracycline Q or zinc ...
1
Moraxella
Virus
Bacteroides
Fungus
Ophthalmology
null
52ba4803-6aca-4180-8d65-9ea4354fbf50
single
A married middle aged female gives history of repeated aboions for the past 5 years. The prenatal karyogram of the conceptus is given below: This karyogram suggests the following:
Karyogram shows 3 chromosomes at 21 instead of a pair. It is called Trisomy 21. Trisomy 21 Synonymous with Down's syndrome Most common of the chromosomal disorders. Major cause of mental retardation. -Other trisomies Edward syndrome (Trisomy 18) Patau syndrome (Trisomy 13) Turners syndrome (45 X0)
3
Klinefelter's syndrome
Turner's syndrome
Down's syndrome
Patau's syndrome
Pathology
Genetics
e29efa78-605d-48ec-b52d-faf03c76ef57
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Which one of the following is characteristic of mitral valve prolapse syndrome -
Early diastolic murmurs sta at the same time as S2 with the close of the semilunar (aoic & pulmonary) valves and typically end before S1. Common causes include aoic or pulmonary regurgitation and left anterior descending aery stenosis. Mid-diastolic murmurs sta after S2 and end before S1. They are due to turbulent flow...
1
Rough mid diatolic murmur
Collapsing pulse
Lound first hea sound
Mid systolic click
Medicine
C.V.S
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single
Which of the Anti - TB drug can not be used along with Rifampicin
PAS decreases absorption of Rifampicin and hence can to be used with Refampicin.
3
Thioacetazone
Bedaquiline
PAS
Ethionamide
Pharmacology
null
bf3c4bb3-3e75-4d3c-adaf-6ee43cb14ea5
single
Which of the following pathogenic mechanism is involved in the generation of sarcoidosis:
Pathogenesis of sarcoidosis: Unidentified antigen - CD4+ helper T cells - Non-necrotizing epithelioid granuloma Intra-alveolar and interstitial accumulation of CD4+ helper T-cells. Increase in Th1 cytokines such as IL-2 and IFN-g, resulting in T cell proliferation and macrophage activation, respectively Increase in sev...
4
Intra-alveolar and interstitial accumulation of CD4+ T cells
Increased levels of T cell-derived TH1 cytokines such as IL-2 and IFN-g
Increased levels of cytokines in the local environment IL-8, TNF
All of the above
Pathology
Sarcoidosis
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Most common organism responsible for gas gangrene is:
MC cause of gas gangrene is Cl. perfringens type A.
1
Clostridium perfringens
Clostridium difficile
Clostridium tetani
Clostridium botulism
Microbiology
null
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single
Leptomeninges is formed by:
Ans. B Arachnoid and pia materRef: Netter's Clinical Anatomy, 3rd ed. pg. 25* Meninx implies all three layers--dura, arachnoid and inner pia matter.* The dura mater is called pachymeninx.* The middle arachnoid and inner pia matter is called as leptomeninges.* The arachnoid does not follow the convolutions of brain and ...
2
Dura mater and Arachnoid
Arachnoid and pia mater
Dura and pia mater
Dura, arachnoid and pia matter
Anatomy
Neuroanatomy
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The facial nerve controls all of the following functions except:
Facial Nerve descends in the posterior wall of the middle ear, behind the pyramid, and emerges through the stylomastoid foramen into the neck.The greater petrosal nerve arises from the facial nerve at the geniculate ganglion.It contains secretomotor (parasympathetic) fibers to the lacrimal gland, submandibular and subl...
4
Intensity of the sound reaching the ear
Lacrimation
Salivation
Swallowing
Anatomy
null
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multi
In order to activate helper/inducer T (CD41) lymphocytes, macrophages release
Interleukin 1 (IL-1) is a thymocyte mitogen produced by activated macrophages as well as many other types of cells (e.g., monocytes, dendritic cells, Langerhans cells, neutrophils, microglial cells). It induces interleukin 2 production by the helper T cell, which initiates a cascade of immunoregulatory and inflammatory...
1
Interleukin 1
Interleukin 2
Interleukin 3
Interleukin 4
Surgery
Transplantation
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C-Carbohydrate in Streptococcus hemolyticus is important for:
Ans. is 'a' i.e Lancefield classification Hemolytic Streptococci were classified by Lancefield, serologically into groups based on the nature of carbohydrate C antigen on the cell wallThese are known as Lancefield groups. Twenty of these have been classified from A-V without I and J.The other component of the streptoco...
1
Lancefield classification
Phagocytic inhibition
Toxin production
Haemolysis
Microbiology
Bacteria
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single
Histology of Alpo syndrome -
Ans. is 'a' i.e., Foamy cells in interstitiumHistological characteristics of Alpo - syndrome :o Diffuse basement membrane thinningo Foam cell in interstitium -4 Due to accumulation of neutral fat and mucopolysaccharideo In advanced stage there is focal or global glomerulosclerosis.o Vascular sclerosiso Tubular atrophyo...
1
Foamy cells in interstitium
Foamy cells in tubular epithelial cells
Thickening of GBM > 100 nm
All
Pathology
null
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multi
Sudden onset of cough followed by increased dyspnea is typical of-
Causes of pneumothorax: 1. Primary spontaneous: a)rupture of apical blebs b)smokers 2.secondary : a)copd and any other lung disease 3. Traumatics secondary to thoracentesis,central intravenous catheters 4.tension pneumothorax: during mechanical ventilation may cause decreased venous return and decreased cardiac output.
1
Pneumothorax
Lobar pneumonia
Collapse of lung
Acute pleurisy
Medicine
Respiratory system
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single
Which of the following lymph nodes receive lymphatic drainage from testes?
Testicular lymphatics drain into the retroperitoneal lymph nodes; the right primarily into the interaoocaval area, the left into the para-aoic area, both just below the renal vessels. Lymph nodes of the testis extend from T1 to L4 but are concentrated at the level of the renal hilum because of their common embryologic ...
2
Internal iliac LN
Para aoic LN
Superior inguinal LN
Deep inguinal LN
Anatomy
null
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single
When the patient has acute viral hepatitis
null
3
The treatment should be done with stringent disinfection
The treatment should be carried out with precaution
The treatment should be deferred until active infection resolves
The treatment should be done in isolation
Medicine
null
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Which reaction uses propionic acid ?
Ans. is 'b' i.e., Gluconeogenesis
2
Glycolysis
Gluconeogenesis
Glycogenolysis
null
Biochemistry
null
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multi
Dispersion of data is measured by -a) Coefficient of correlationb) Rangec) Standard deviationd) Coefficient of variatione) Normal distribution curve
Measure of dispersion (Variation) Absolute: Range, Quartile deviation, Mean deviation, standard deviation. Relative: Co-efficient of range, co-efficient of quartile deviation, coefficient of mean deviation, co-efficient of variation.
4
a
c
ac
bcd
Social & Preventive Medicine
null
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single
A neonate presented with fever, lathargy, abdominal distension, Vomiting and constipation. Clinically he was diagnsoed as volvulus nenatarum with suspected perforation. Best investigation would be
.Volvulus neonatorum It is predisposed to by arrested gut rotation with a resultant narrow mesentry of the small bowel and caecum. Symptoms:repeated vomiting,dehydration,abdominal distension Abdominal radiography shows evidence of duodenal obstruction. Laprotomy shows distended stomach and coils of small bowel BAILEY A...
1
Plain x-ray
Barium enema
Upper GI endoscopy
Barium meal follow through
Pediatrics
Gastrointestinal tract
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multi
Which sampling method is used in assessing immunization status of children under an immunization program
null
4
Quota sampling
Multistage sampling
Stratified random sampling
Cluster samping
Dental
null
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Activity of factor VIII procoagulant is deficient in:
A i.e. HemophiliaHemophilia A is a disorder of coagulation occurs due to deficiency or reduced activity of factor VIII.FeaturesHemophilia A (Classical hemophilia)Hemophilia B (Christmas disease)DefectDeficiency of coagulant subunit of factor VIII i.e. VIIICfactor VIII=VIIIC + VWFDeficiency of factor IXQPathway ofcoagul...
1
Haemophilia
Von Willibrand's disease
ITP
Sickle cell anemia
Physiology
null
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single
Soft tissue profile of a thumbsucking patient is
null
1
convex
concave
normal
anterior divergent
Dental
null
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single
PKF-I Inhibitor
Phosphofructokinase (PFK) (step 3) of glycolysis is the most impoant rate-limiting enzyme for glycolysis pathway. ATP and citrate are the most impoant allosteric inhibitors. AMP acts as an allosteric activatorRef: DM Vasudevan, Page no: 98
2
AMP
Citrate
Glucose 6 phosphate
Insulin
Biochemistry
Enzymes
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single
A 55-year-old woman following major abdominal surgery has had discomfort and swelling of her left leg for the past week. On physical examination, the leg is slightly difficult to move, and on palpation there is tenderness. A Doppler sonogram shows thrombosis of deep left leg veins. Which of the following mechanisms is ...
The most important and the most common cause of venous thrombosis is vascular stasis, which often occurs with immobilization. Calcium is a cofactor in the coagulation pathway, but an increase in calcium has minimal effect on the coagulation process. Aspirin inhibits platelet function and limits thrombosis. Nitric oxide...
2
Hypercalcemia
Immobilization
Ingestion of aspirin
Nitric oxide release
Pathology
Hemodynamics
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single
In α–thalassemia –
Alpha - thalassemia People who do not produce enough alpha globin chain have alpha - thalassemia. Alpha globin chain is made by four genes, each gene contributes to 25% of the a-globin chains. The severity of a-thalassemia varies greatly depending on the number of α-globin genes affected - I)  Silent carrier state S...
2
Excess α–chain
No α–chain
Excess β–chain
No β–chain
Pediatrics
null
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single
A fundamental technique used in psychoanalysis is -
Psychoanalysis is based on the principle of free association, where the patient is asked to say whatever comes to mind.
4
Concentration
Hypnosis
Empathy
Free association
Psychiatry
null
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single
In a child ,Most of the speech is intelligible to strangers by the age of ____________
Emerging patterns for language behaviour from 1-5years of age 15months Jargon Follows simple commands May name a familiar object (e.g., ball) Responds to his/her name 18months 10 words (average) Names pictures Identifies 1 or more pas of the body 24months Puts 3 words together (subject, verb, object) 30months Refers to...
2
30 months
36 months
48 months
60 months
Pediatrics
Growth and development
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single
Mechanism of action thiazide is -
Ans. is 'a' i.e., Na+ Cl- synport inhibitor o Na+ absorption at different tubular sites.PT - 65-70%Asc. LH - 20-25%DT - 8-9%CD- 1-2%o Tubular absorption can be divided into four sites.Site I- Proximal tubuleo Four mechanisms of Na4 transport have been defined in this segment -1. Direct entry of Na4 along electrochemica...
1
Na+Cl- symport inhibitor
Na+K+ symport inhibitor
Carbonic anhydrase inhibitor
Osmotic diuresis
Pharmacology
Diuretic
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single
Which of the following is the most common ocular complication with renal transplantation:
Ans. Cytomegalo virus retinitis
3
Cataract
Glaucoma
Cytomegalo virus retinitis
Candida keratomycosis
Ophthalmology
null
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single
Stain used for maturity assessment of amniotic fluid cells :
Nile blue sulfate
3
Leishman's stain
Sudan red
Nile blue sulfate
Congo red
Gynaecology & Obstetrics
null
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single
A 20 year old man has a testicular mass, which on orchiectomy shows a malignant tumor with yolk sac differentiation. Which of the following tumor markers would probably be most useful in monitoring the patient for recurrent or metastatic disease?
Of the markers listed, alpha-fetoprotein is the best marker for non-seminomatous germ cell tumors of the testes, such as this patient's yolk sac tumor. Alpha-fetoprotein is also a good marker for hepatocellular carcinomas. Bombesin is a marker for neuroblastoma, small cell carcinomas, gastric carcinomas, and pancreatic...
1
Alpha-fetoprotein
Bombesin
Carcinoembryonic antigen (CEA)
Prostate-specific antigen (PSA)
Pathology
null
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single
If prevalence of diabetes is 10%, the probability that three people selected at random from the population will have diabetes is -
Ref :Parks 23rd edition Prevalence = 10% So probability of selecting a person having DM = 10/100= 0.1 So probability of selecting 3 persons with diabetes = 0.1*0.1*0.1= 0.001
3
0.01
0.03
0.001
0.003
Social & Preventive Medicine
Biostatistics
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single
Anakinra acts as-
Ans. is 'b' i.e., IL-1 antagonist BIOLOGIC RESPONSE MODIFIER (BRMs)* Several recombinant proteins/monoclonal antibodies that bind and inhibit cytokines, especially TNFa or IL-1 have been used succesfully in autoimmune diseases like RA, IBD, psoriosis or scleroderma.A. TNF-a inhibitorsa. Etanercept# It is a recombinant ...
2
IL-1 agonist
IL-1 antagonist
IL-2 agonist
IL-2 antagonist
Pharmacology
Immunomodulator
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single
The following is usually the first sign of puberty in girls –
null
4
Onset of menstruation
Appearance of pubic hair
Change in voice
Increase in breast size
Pediatrics
null
057d7563-2e0b-41cd-a80e-847dfc737ecd
multi
"Fleischer ring" is a distinct feature of NOT RELATED-PATHOLOGY
.
1
Keratoconus
Pterygium
Congenital ocular melanosis
Congenital epithelial Melanosis
Pharmacology
All India exam
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single
In a community with one lakh population, 20,000 slides were examined in a particular year. Out of these, 100 were positive for malarial parasite. What is the Annual Parasite Incidence (API) in this community ?
null
3
5
2
1
0.5
Social & Preventive Medicine
null
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single
GLUT3 is seen in
GLUT 3 is a protein channal for facilitated diffusion of glucose it is seen in neurons
2
Liver
Neurons
Pancreas
Spleen
Anatomy
General anatomy
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single
Long term use of lithium causes -
Ans. is 'c' i.e., Hypothyroidism o Lithium can cause hypokalemia.Side effects of lithium1) Neurological: - Tremor is the commonest side effect of lithium. Other CNS side effects are giddiness, ataxia, motor incordination, hyperreflexia, mental confusion, nystagmus.2) Renal: - Nephrogenic diabetes insipidus with polyuri...
3
Hypopituitarism
Diabetes mellitus
Hypothyroidism
Hyperthyroidism
Pharmacology
C.N.S
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single
Derealisation and depersonalization are seen in which type of disorder
Derealization: Sensation of changed reality or that one's surroundings have altered. Usually seen in schizophrenia, panic attacks, and dissociative disorders Depersonalization: Sensation of unreality concerning oneself, pas of oneself, or one's environment that occurs under extreme stress or fatigue. Seen in schizophre...
1
Dissociative disorder
Personality disorder
Mania
Somatoform disorder
Psychiatry
All India exam
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single
Maximum 02 concentration attained in venture mask is?
60% REF: Ajay Yadav 2nd ed p.35 Equipment and oxygen delivered in % * Nasal canula - 44% * Venturi mask - 60% * Oxygen mask - 60% * Ventilators - 100%
3
90%
100%
60%
80%
Anaesthesia
null
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single
Diagnosis is:
Ans. C Right hydropneumothoraxCXR shows lucent (black) lateral aspect of right hemithorax with air fluid level in it-s/o hydropneumothorax. An expiratory CXR better than an inspiratory CXR for a diagnosis of pneumothorax. CT Thorax is IOC for pneumo/hydro- pneumothorax.
3
Right pneumothorax
Left pneumothorax
Right hydropneumothorax
Left hydropneumothorax
Radiology
Respiratory System
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single
In Wintrobe's method for ESR, anticoagulant used is -a) Double oxalate b) EDTAc) Trisodium citrated) Citrate
null
3
ac
a
ab
bc
Pathology
null
16e4ecd8-e32e-4223-bb5e-f9fd823a1e4e
single
Which of the following is a not member of HACEK group-
The HACEK groupinclude -Hemophilus parainfluenzae, Hemophilus aphrophilus, Actinobacillus (now Aggregatibacter) actinomycecomitans, Cardiobacterium hominis, Eikinella corrodens and Kingella kingae. These are gram negative pleomorphic bacilli which are capnophilic and have fastidious growth requirements. They do not gro...
2
Hemophilus aphrophilus
Acinetobacter
Cardiobacterium
Kingella
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
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single
True statements about congeniatal megacolon include all of the following except:
Ans is 'd' i.e. large stool S. Das writes - "The symptoms appear within 3 days of bih and the presenting features are as follows: i) Constipation ii) Abdominal distention" Nelson writes - "The clinical symptoms of Hirschprung disease usually begin at bih with the delayed passage of meconium." Loud borborygmi is heard d...
4
Dilatation & hyper trophy of pelvic colon
Loud borborygmi
Symptoms appear with in 3 days following bih
Large stool
Surgery
null
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multi
Bupivacaine, a local anaesthetic agent used in the dentistry in the concentration of:
null
4
2%
4%
5%
0.50%
Surgery
null
f0491c3e-4212-4770-b182-4e2fbcf6a6b0
single
Which gas is NOT responsible for green house affect -
Carbon monoxide (CO) is not considered a direct greenhouse gas, mostly because it does not absorb terrestrial thermal IR energy strongly enough. Reference: Global changes of planet Eah OECD, page no:48.
1
Carbon monoxide
Ozone
Nitrous oxide
Nitrogen
Social & Preventive Medicine
Environment and health
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single
A 45-year-old woman presents with a 6-month history of fatigue and swelling in her neck. Physical examination shows a goiter. A CBC discloses megaloblastic anemia and a normal reticulocyte count. Additionally, there is an elevated serum level of TSH and antithyroid antibodies. Needle aspiration of the left lobe of the ...
This patient has chronic lymphocytic thyroiditis (Hashimoto thyroiditis) and pernicious anemia. Pernicious anemia is a megaloblastic anemia that is caused by malabsorption of vitamin B12 due to a deficiency of the intrinsic factor. In many cases, pernicious anemia is associated with other autoimmune diseases (e.g., Has...
2
Chief cells
Intrinsic factor
Paneth cells
TSH receptor
Pathology
G.I.T.
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multi
Pubarche is due to ?
Ans. is 'c' i.e., Testosterone
3
GH
Progesterone
Testosterone
Estrogen
Physiology
null
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single