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Vital capacity and timed vital capacity is decreased in all except: | In scoliosis, vital capacity is decreased but timed vital capacity is normal. | 2 | Asthma | Scoliosis | Pneumonia | Emphysema | Physiology | null | ae7c9059-6b55-4c94-b0cd-c7f1a8895993 | multi |
Dohlmans procedure is used for - | Ans. is 'a' i.e., Zenkers diverticulum Treatment of zenker's diverticulum* Treatment is excision of pouch and cricopharyngealmyotomy. This is done through cervical approach.* Dohlman'sprocedure: - The partition wall bewteen the oesophagus and the pouch is divided by diathermy through an endoscope. This is done in poor ... | 1 | Zenkers diverticulum | Carcinoma esophagus | Carcinoma larynx | Nasal carcinoma | Surgery | Oesophagus | 863ffc62-397e-4a42-aa00-169a3a43cd47 | single |
Which of the following is the most common etiological agent in paranasal sinus mycoses? | Many different species of fungi are found to involve the paranasal sinuses, the more common being the Aspergillus, Alternaria, Mucor or Rhizopus. "Most common type of fungal infection of nose and parsnasal sinuses are due to Aspergillus, Aspergillus fumigatus, Aspergillus niger and Aspergillus flavus" | 1 | Aspergillus spp | Histoplasma | Conidiobolus coronatus | Candida albicans | Microbiology | Mycology | c4078f89-29ea-4214-913e-0b5db8df7d22 | single |
Systolic BP of a group of 200 people follows normal distribution. Mean BP is 120 mm Hg and standard deviation 10. Which of the following is true -a) 68% of people have BP between 110-130 mmHgb) 95% of people have BP between 110-130 mm Hgc) 95% ofpeople have BP between 100-140 mm Hgd) 99% of pepole have BP between 100-1... | The data provided in the question
Mean =120
SD =10
1SD distribution
68% of people (136 out of 200) will have BP in range of 120 ± 10 (1SD) =110 —130 mm Hg.
32% of people (64 out of 200) will have BP outside 110-130 mm Hg.
16% of people (32 out of 200) will have BP above 130 mm Hg
16% of people (32 out of 200) will ha... | 3 | a | bc | ac | b | Social & Preventive Medicine | null | 69a56b5f-e45a-46f1-af80-e9a01b481729 | multi |
Gama globulins are synthesized in - | Ans. is 'c' i.e., Plasma cells o Gamma globulins (immunoglobulins) are synthesized by plasma cells.Plasma cellso Plasma cells are the antibody secreting cellso On contact with its appropriate antigen, the mature B cell undergoes clonal proliferation. The majority of activated B cells are transformed into plasma cells a... | 3 | Liver | Lung | Plasma cells | Spleen | Microbiology | Immunity | 2a5fe12a-8ed0-43d4-87a4-a254747db84d | single |
Which of these tests is the first to be performed in a patient with the following presentation? | IMAGE : SPADE LIKE DEFORMITY OF HANDS: Seen in ACROMEGALY Screening test done: IGF -1 IOC: Glucose challenge test (GCT) Treatment: Surgery (Transphenoidal Resection) If recurrence seen: PEGVISOMANT | 2 | ABG sampling | IGF- 1 levels | RA factor | HLA- B27 levels | Medicine | Disorders of pituitary gland | b8427883-c96c-4a17-a041-707d2e021937 | single |
A 62-year-old man presents with pallor, fatigue, and dyspnea on exeion. A complete blood count reveals microcytic hypochromic anemia. The likely cause of this hematological finding is? | - Iron deficiency anemia is the most common cause of hypochromic microcytic anemia - In men and postmenopausal women, the usual cause of IDA is occult gastrointestinal blood loss (due to helminthic infestations, GI malignancies, etc). warrants a complete workup, including GI endoscopy to detect the source of the bleedi... | 2 | Increased iron requirement | Gastrointestinal bleeding | Hypersplenism | Hemolytic anemia | Pathology | Iron deficiency anemia | 1377090b-96d9-42b9-b319-9634168f8215 | multi |
Which of the following is a prokinetic drug with no dopamine antagonism? | PROKINETIC DRUGS ACh is the main excitatory neurotransmitter in the GIT. Cholinergic neurons contain excitatory (5-HT4) as well as inhibitory (5HT3, D2) presynaptic receptors. Thus D2 and 5HT3 antagonists and 5 HT4 agonists will increase the release of ACh and stimulate the GI motility. Metoclopramide possesses central... | 4 | Chlorpromazine | Metoclopramide | Domperidone | Mosapride | Pharmacology | Gastro-Intestinal Tract | 1986196e-869c-41c0-a4fe-0bf8b993bc87 | single |
A patient with psoriasis was staed on systemic steroids. After stopping treatment patient developed generalized pustules all over his body, the most likely cause is: | Pustular psoriasis is another variant of psoriasis. Patients may have disease localized to the palms and soles, or the disease may be generalized. Regardless of the extent of disease, the skin is erythematous with pustules and variable scale. Localized to the palms and soles, it is easily confused with eczema. When gen... | 2 | Drug induced reactions | Pustular Psoriasis | Bacterial infection | Septicemia | Skin | null | a232ce06-6d65-4fd5-94f2-d85b65c7f9ee | multi |
All of the following statement about atrial myxomas are true, except: | Answer is D (Most myxomas are fmilial) Most cardiac myxomas are sporadic while some may he familial. | 4 | Most common site is Left Atrium | Most common in young individuals | Distant metastasis are rare | Most myxomas are familial | Medicine | null | 2d1f92ff-4581-4257-ac54-4da713ec0998 | multi |
All of the following are used in the management of hyperkalemia except: March 2007 | Ans. D: I.V. KC1 infusion Causes of hyperkalemia include: Ineffective elimination from the body Renal insufficiency - Medication that interferes with urinary excretion: ACE inhibitors and angiotensin receptor blockers Potassium-sparing diuretics (e.g. amiloride and spironolactone) NSAIDs such as ibuprofen, naproxen, or... | 4 | Calcium gluconate | Sodium bicarbonate | I.V. infusion with glucose and insulin | I.V. KC1 infusion | Medicine | null | 1e2506c8-4966-4a59-b475-a809b18deabf | multi |
Most common site of aortic dissection - | null | 1 | Ascending aorta | Arch. of aorta | Descending aorta | Abdominal aorta | Medicine | null | 97a77bb0-6a11-43da-8a2c-8d7c6e0db04c | single |
Which of the following mutation seen in Cowden syndrome? | Ans. b. PTEN mutationRef: Robbins and Cotran Pathologic Basis of Disease 9th Ed; Page No-291Tumor suppressor genes and associated with syndromesGeneProteinFunctionFamilial syndromesPTCHPatchedInhibitor of Hedgehog signalingGorlin syndrome (basal cell carcinoma, medulloblastoma, several benign tumors)PTENPhosphatase and... | 2 | PTCH mutation | PTEN mutation | STK11 mutation | SMAD4 mutation | Pathology | Neoplasia | 62300684-3991-4bca-be05-8b43c0dbd535 | single |
About biotransformation untrue is: | null | 3 | Inactive metabolites are formed | Active metabolites are formed | More fat soluble metabolites are formed | More H2O soluble metabolites are formed | Pharmacology | null | acc2f820-9d51-45ed-b471-85b8effc78b7 | multi |
Transpo of Ascorbic acid to lenses done by | Lens has a special carrier system for the Ascorbic acid which is a major oxidant in the lens This carrier system is mediated by myoinositol Refer: AK Khurana 6th edition | 1 | Myoinositol | Choline | Taurine | Na/K ATPase | Ophthalmology | Lens | 5b13ac7b-536c-430d-96fc-72fb942965ba | single |
Woods lamp used in diagnosis of – a) P. versicolorb) Vitiligoc) Porphyriad) Psoriasise) Lichen planus | Wood's lamp is used in Tinea capitis, Erythrasma, vitiligo, albinism, Leprosy, Tuberous sclerosis, Pseudomonas infection, Porphyria, Tinea versicolor. | 1 | abc | bc | acd | bcd | Dental | null | 36d5588e-dc12-48a9-ad0b-9d16041e7178 | single |
Which of the following liver disorders is a compli¬cation associated with oral contraceptives? | Oral contraceptives produce an intrahepatic cholestasis that is unpredictable (not related to the dose). The incidence of liver cell adenomas is also increased as a result of oral contraceptive use. These vascular tumors have a tendency to rupture during pregnancy, particularly those in a subcapsular location.
A purpo... | 4 | Drug-induced hepatitis with fatty change | Cholangiocarcinoma | Cavernous hemangiomas | Intrahepatic cholestasis | Unknown | null | 5209c440-7367-40e8-95ee-770d46c073ad | single |
Neonatal mortality is calculated as – | null | 1 | Number of deaths of children < 28 days per 1000 live birth | Number of death of children < 28 days per 1000 still birth | Number of death of children < 28 days per 1000 total birth | null | Social & Preventive Medicine | null | c3100da3-8546-4cdf-a378-517ae1a8e76c | multi |
A patient on NSAIDS with gastric ulcer and H. pylori infection - the treatment of choice is: | null | 1 | H. pylori eradication | No need for eradication | Check after 8 weeks and let patient continue with NSAIDS | Check after 16 weeks and let patient continue with NASAIDS | Medicine | null | b73ca9c7-c28d-47da-b4db-10feb59a634d | single |
Which receptors are blocked in Myasthenia Gravis. | Ref. Guyton. 13th edition. Page. 96
Myasthenia gravis is an autoimmune disease characterized by autoantibodies against the acetylcholine (ACh) receptor of the neuromuscular junction, result- ing in muscular weakness predominantly affecting the facial muscles. Females are affected more frequently than males.
Extra ocu... | 1 | Ach receptors | Calcium receptors | Sodium receptors | Opioid receptors | Unknown | null | 2a1993a5-29ea-4a2c-8386-3c6f2faa5a42 | single |
Klumpke’s paralysis affect- | ERB’S PARALYSIS
One region of upper trunk (C# CfQ of the brachial plexus is called Erb's point where six nerves meet,
Injury at this point results in Erb’s paralysis.
The injury is due to undue separation of the head from the shoulder; which may be seen in : -
i. Birth injury
ii. Fall on the shoulder
iii. During A... | 3 | C3C6 | C 6 C7 | C 8T1 | C4C5 | Anatomy | null | 78eeb919-124b-47d6-9f5a-1ecb5e7c2145 | single |
Antifolate cancer drug are - | Ans. is 'a' i.e., Methotrexate o Folate antagonists which are used as anticancer cancer drugs :- (i) Methotrexate; (ii) Premetrexate | 1 | Methotrexate | Azathioprine | Cycl osporin | Vincristine | Pharmacology | null | b3d41006-7d06-4d57-a69c-5f4524cacd27 | single |
A 42-year-old man is brought to you after suffering a grand mal seizure. There is no history of recent illness, fever, headache, seizures, or head trauma. Neurologic exam shows the patient to be ale and oriented. No focal abnormalities are noted. A CT scan of the head reveals multiple punctate calcifications, and two e... | This is the history of neurocysticercosis due to T. solium. Common name for this parasite is pork tapeworm or armed tapeworm. The intermediate host is pig, while human can act as both definitive and intermediate host. When humans act as intermediate host, it causes neurocysticercosis, which is the most common parasitic... | 4 | Amebiasis | Cytomegalovirus infection | Echinococcosis | Neurocysticercosis | Surgery | null | 7b222138-7c69-4421-8605-b5459405ba1f | single |
Serial interval is | The gap in the time interval between the onset of primary case and the secondary case is known as serial interval. By collecting information about a whole series of such onset we get a distribution of secondary cases from which we can guess the incubation period of disease ( refer pg 100, park 23 rd edition ) | 1 | Interval between primary and secondary case | Interval between first case and last case | Interval between primary case and all subsequent cases multiplied by secondary attack rate | Interval between incubation period and gestational period | Social & Preventive Medicine | Epidemiology | 69c20ceb-d906-4f9f-beb1-2dca453781ed | multi |
Whey : Casein ratio in breast milk is | null | 3 | 3:07 | 8:03 | 7:03 | 3:08 | Social & Preventive Medicine | null | 7fc63940-514a-49f3-98ad-a0323aa75d56 | single |
Which organ is the primary site of hematopoiesis in the fetus before midpregnancy - | Ans. is 'b' i.e., Liver In fetus hematopoiesis occurs in three anatomic stages. Mesoblastic stage Hepatitis stage Myeloid stage o This stage of hematopoiesis begins between 10th and 14th days of gestation o It occurs in the extraembryonic structures principally in the yolk sac. o This stage of hematopoiesis essentially... | 2 | Bone | Liver | Spleen | Lung | Pediatrics | null | f68f7dc8-4f78-45d8-89f6-0694af53410f | single |
Chromolacryorrhea is seen in poisoning with: WB 09 | Ans. Organophosphorus | 2 | Cobra | Organophosphorus | Dhatura | Carbolic acid | Forensic Medicine | null | 048d15ae-d51a-451e-a685-808f14ab0c26 | single |
Opsonins are | ref Robbins 8/e p51-53 ;7/e p59,9/e p78 | 3 | C3a | IgM | Carbohydrates binding protein | Selectins | Anatomy | General anatomy | 214ead16-3e33-4dea-9afd-2915a6368f06 | single |
No of inpatient beds in PHC ? | Medical care OPD services- 4 hours in the morning and 2 hours in the afternoon/evening 24 hour emergency services Referral services Inpatient services-6 beds (refer pgno:905 park 23rd edition) | 1 | 6 | 10 | 20 | 25 | Social & Preventive Medicine | Health care of community & international health | d55cfe49-6bb0-4493-b624-f44d4597a80e | single |
In a child with respiratory distress, failure to thrive. His sweat chloride levels were estimated at 35 meq/L and 41 meq/L. What is next best test to do cystic fibrosis for diagnosis - | Ans-A i.e., the Transepithelial nasal potential difference Diagnosis of cystic fibrosis Sweat chloride testingThe sweat test is the standard approach to diagnosis.The diagnosis is made by elevated sodium and chloride level in the sweat > 60 meq/l.Two tests on different days are required for accurate diagnosis.A normal ... | 1 | Nasal transmembrane potential difference | DNA analysis AF 508 mutation | CT chest | 72-hour fecal fat estimation | Unknown | null | 45ff5c4b-8d4a-474e-b402-4bae82738fa1 | single |
The average fatal period of copper poisoning is | B i.e. 1 - 3 days | 2 | 30-60 minutes | 1-3 days | 3-7 days | 7-14 days | Forensic Medicine | null | 67661291-4f9b-4322-8cfc-d05a66452f28 | single |
Most common cause of empyema is - | null | 3 | Bronchopleural fistula | Tubercular pneumonia | Bacterial pneumonia | Pleurisy | Medicine | null | a6007b5a-808a-48e6-967a-2bff465418c8 | single |
Bacteria with tuft of flagellae at one end are called- | Arrangement of flagella - | 4 | Monotrichate | Bipolar | Peritrichate | Lophotrichate | Microbiology | General Microbiology Pa 1 (History, Microscopy, Stains and Structure and Physiology of Bacteria) | 41ba792e-e0ec-45ff-ac3f-5c2fb04e71dc | multi |
All are causes of chronic granulomatous uveitis except- | The common organisms which excite this type of inflammation are those responsible for tuberculosis, leprosy, syphilis, brucellosis, leptospirosis, as well as most viral, mycotic, protozoal and helminthic infections. A typical granulomatous inflammation is also seen in sarcoidosis, sympathetic ophthalmitis and Vogt-Koya... | 4 | Sarcoidosis | Tuberculosis | Brucellosis | Fuchs heterochromic iridocyclitis | Ophthalmology | Uveal tract | 836fb6ae-d7da-48d7-94e5-9e8d2caabc5c | multi |
A 24-year-old sex worker from Mumbai develops chronic abdominal pain, low-grade fever, diarrhea, and malabsorption. He saw later found to be positive for HIV. Oocysts are demonstrated in the stool. Which of the following organisms is most likely to be the cause of the patient's diarrhea? | All of the organisms listed are protozoa. There are two intestinal protozoa specifically associated with AIDS that can cause transient diarrhea in immunocompetent individuals but can cause debilitating, and potentially life-threatening chronic diarrhea in AIDS patients. These organisms are Isospora belli, treated with ... | 4 | Diphyllobothrium latum | Entamoeba histolytica | Giardia lamblia | Isospora belli | Microbiology | null | 2a11edd1-d024-4265-be61-fd39b232b6ed | multi |
Causes of raised J.V.P. with hypotension are all except - | Causes of raised JVP with hypotension: Cardiac tamponade Right ventricular MI Right hea failure Constrictive pericarditis Restrictive cardiomyopathy Ref Harrisons internal medicine 20 e pg 1533 Topic Jugular venous pressure | 4 | Cardiac tamponade | Right ventricular M.I. | Hea failure | 2nd Degree A.V. block | Medicine | C.V.S | ec0b083b-518c-431b-a08e-7368a7a632fc | multi |
Rate limiting enzyme in bile acid synthesis - | Ans. is 'c' i.e., 7a-hydroxylase o About half of the cholesterol in the body is ultimately metabolized to bile acids.o The primary bile acids are synthesized from cholesterol in liver. These are cholic acid and chenodeoxycholic acid.o Rate limiting enzyme in primary bile acids synthesis is 7a- hydroxylase (cholesterol ... | 3 | Desmolase | 21a-hydroxylase | 7a-hydroxylase | 12a-hydroxylase | Unknown | null | d1368a71-758f-4ae0-8067-a5fd7ba9b0a0 | single |
A study of patients more than 25 years of age with body mass index above 30, dyslipidemia, hypertension, and fasting glucose averaging 115 mg/ dL is performed. They have adipose tissue abnormalities including increased non-esterified fatty acid release, altered adipokines with decreased adiponectin, greater proinflamma... | The findings are those of insulin resistance from obesity with metabolic syndrome. Insulin resistance drives beta-cell dysfunction, but other factors such as the TCF7L2 gene play a role in the eventual development of overt type 2 diabetes mellitus. Excess free fatty acids may stimulate cytokine release from beta cells ... | 2 | Adrenalectomy | Caloric restriction | Insulin injection | L-Thyroxine | Pathology | Endocrine | 69a1c96a-bfaa-4c78-aaed-65b684a22dc4 | multi |
What complication should one expect when PCNL is done through 11th intercostal space | Complications of PCNL (percutaneous nephrolithotomy) include sepsis, renal hemorrhage, renal collecting system injury, and damage to adjacent organs and viscera, Haematoma, Hematuria, colonic perforation. Hydrothorax or pneumothorax is related to the level of percutanous access . incidence are less than 0.5% below the ... | 1 | Hydrothorax | Hematuria | Damage to colon | Remnant fragments | Surgery | Urology | 0cd8c3d9-5be8-43b1-8ac8-398bafa94f97 | single |
Saccharolytic species of clostridia - | null | 3 | Cl. tetani | Cl. cochlearum | Cl. septicum | null | Microbiology | null | b893cc60-0f27-4a36-8b4b-1153657bad4e | multi |
Both temporary and permanent hardness of water can be removed by: | Temporary hardness can be removed by: Boiling Adding lime Adding sodium carbonate Permutit process Permanent hardness can be removed by Adding sodium carbonate Base exchange resins Ref: Park 21st edition page: 672. | 3 | Boiling | Adding lime | Adding sodium carbonate | None of the above | Social & Preventive Medicine | null | 90413e5a-be18-4524-92d7-db841df9a44f | multi |
Hyperbilirubinemia with the absence of urobilinogen in urine is seen in: | Urobilinogen is formed from degradation of bile pigments by bacterial action. In case of obstruction to bile flow as happens in cholelithiasis or any kind of biliary obstruction,There will be no urobilinogen in urine. So, No formation of stercobilinogen and the patient passes clay colored stools. Option analysis: Hemol... | 4 | G6PD enzyme deficiency | Cirrhosis of liver | Paroxysmal Nocturnal Hemoglobinuria | Obstruction of the common bile duct | Biochemistry | HAEM synth and porphyrias | c00a1262-555a-4da9-9909-6637bd8fda86 | single |
Galeazzi fracture is fracture of: | D i.e. Lower end of radius | 4 | Upper end of ulna | Lower end of ulna | Upper end of radius | Lower end of radius | Surgery | null | 4ad1a0ca-f9eb-4af2-81f0-5a811b02af87 | single |
All the following criteria contribute to a successful direct
pulp capping procedure except: | null | 3 | Haemorrhage from the exposure site is easily controlled | The exposure site is small, less than 0.5mm in diameter | Exposure site is the consequence of infected dentin extending into the pulp | Exposure occurred in a clean uncontaminated field | Dental | null | 2cc6ce02-4cc8-4842-bc43-8e89488423bf | multi |
The commonest of death in ARDS is | Moality estimates for ARDS range from 26 to 44%.Moality in ARDS is largely attributable to nonpulmonary causes,with sepsis and nonpulmonary organ failure accounting for >80% of deaths.Increasing age,chronic liver disease,cirrhosis,chronic alcohol abuse,chronic immunosuppression,sepsis,chronic renal disease,any nonpulmo... | 3 | Hypoxemia | Hypotension | Non-pulmonary organ failure | Respiratory failure | Medicine | Respiratory system | c91f1dc0-3222-474f-a6a7-f1f2e1b453a5 | single |
For the population of 10000, Trench method sanitary landfill pit of depth 2m is to be constructed. How much area is required per year? | Trench method sanitary landfill with depth of 2 m (6 feet ), it is estimated that one acre of land per year will be required for 10,000 population. Trench method is also known as Below Ground Landfill. Collected Waste is disposed inside excavated trench and is covered-up with a layer of soil. This method is suitable on... | 1 | 1 acre | 2 acres | 3 acres | 4 acres | Social & Preventive Medicine | NEET 2019 | 322fd003-f2bd-42f5-8632-fa862982abfd | single |
Least effect on myocardial contractility | Ans:D i.e. Isoflurane. CARDIAC EFFECTS OF ANESTHETIC AGENTS :Anticholinergic agents - Atropine/glycopyrrolate: will cause an increase in hea rate, contractility, cardiac output and myocardial oxygen consumption. Often there will be no changein blood pressure and a decrease in right atrial pressure.Thiopental - Barbitur... | 4 | Ether | Halothane | Trilene | Isoflurane | Anaesthesia | null | 9ccdedd7-51d5-4b3b-ab78-bf3cfa041894 | single |
Receptor responsible for decrease in aqueous humor formation: | Ans. B. Alpha 2Stimulation of alpha 2 present on ciliary muscle helps in reduction of aqueous humor. This mechanism is utilized in treatment of glaucoma by apraclonidine, brimonidine. Answer is B | 2 | Beta 1 | Alpha 2 | M2 | Beta 2 | Pharmacology | A.N.S. | fae5e0b6-6b01-4a7b-ab5e-cc9eb4d737fd | single |
All are used for Bier's block except | Ans. is 'c' i.e., Dibucaine | 3 | Lidocaine | Prilocaine | Dibucaine | Chlorprocaine | Anaesthesia | null | 85366a30-f0f1-4537-a3a0-68f28de67591 | multi |
Methylene blue 3 swab test is done for urinary fistulae. Source of leakage if the lowermost swab gets stained: March 2010 | Ans. C: Urethra Methylene blue 3 swab test is useful for diagnosing site of leakage. In this test, Catheter is introduced in to the bladder through the urethra. Vaginal cavity is packed with 3 sterile swabs 50-100 ml of dilute methylene blue dye is injected into the bladder through the catheter (methylene blue turns ur... | 3 | Ureter | Urinary bladder | Urethra | None of the above | Gynaecology & Obstetrics | null | a2c57940-d14e-40f6-8d68-0cab4e6f2690 | multi |
Bilateral ptosis is not seen in- | null | 1 | Marfan's syndrome | Myaesthenia gravis | Myotonic dystrophy | Kearns sayre syndrome | Ophthalmology | null | 6e90d738-e660-4835-a516-e78ee73be677 | single |
Mucopolysacchidosis, which is a lysosomal storage disease, occurs due to abnormality in: | Ans: a. Hydrolase enzyme [Ref Harper 30th/638-39, 29th/589, 599, 600; Lippincott 6th/163-64JThe mucopolysaccharidoses are hereditary diseases caused by a deficiency of any one of the lysosomal hydrolases normally involved in the degradation of heparan sulfate and/or dermatan sulfateThey are progressive disorders charac... | 1 | Hydrolase enzyme | Dehydorgenase enzyme | Lipase enzyme | Phosphatase | Biochemistry | null | 12205881-7f4a-4e37-a44f-924ddb00a6ba | single |
All of the following are direct causes of Acute lung injury, EXCEPT: | Acute lung injury can arise from direct injury to the lung parenchyma or from indirect systemic insults transmitted to the lung by the pulmonary circulation. Direct causes of acute lung injury are pneumonia, gastric aspiration, blunt chest trauma, near drowning, and toxic inhalations. Indirect causes of ALI are sepsis,... | 3 | Aspiration | Toxic gas inhalation | Cardiopulmonary bypass with hea lung machine | Lung contusion | Medicine | null | 6267b7b3-09ff-49fb-87d2-a847d47b9c3b | multi |
Aspiration of liquid vomitus into trachea or bronchi results in: | null | 1 | Bronchitis | Atelectasis | Lung abscess | Pleurisy | Medicine | null | 9f92c5d4-0cc0-4b4b-a2a2-36760ee46f7f | single |
CXR of a patient is shown. What is the next investigation to be done in the patient? | Ans. (c) Exploratory laparotomy.Image shows Chest X-ray with central trachea and increased bronchovascular markings. The Right lung shows clear presence of gas under diaphragm and needs an exploratory laparotomy. | 3 | Ventilation perfusion scan | Bronchoalveolar lavage | Exploratory laparotomy | High resolution CT scan | Radiology | Imaging of Interstitial Lung Disease | b45a3224-b19a-4e6c-9bd6-86644c00842e | single |
Super antigen acts through? | Superantigens are ceain protein molecules such as staphylococcal enterotoxin, that stimulate large numbers of T cells irrespective of antigenic specificity. This leads to an excessive and dysregulated immune response with release of cytokines such as interleukin-1,2 and tumor necrosis factor and interferon gamma. Refer... | 4 | IL-3 | IL-6 | IFN-Gamma | IL_1 & TNF | Microbiology | Immunology | 9c4f0eee-b4f9-4c18-874c-47310705fa6e | single |
Normal platelet count is found in: | All other options have decreased platelet count except Henoch Schonlein purpura. Henoch-Schonlein purpura is a systemic syndrome involving the skin (purpuric rash), gastrointestinal tract (abdominal pain), and joints (ahritis). skin manifestations in HSP are due to small vessel vasculitis and platelet count is normal. ... | 2 | Wiskott Aldrich syndrome | Henoch Schonlein purpura | Immune thrombocytopenia | Dengue fever | Pathology | Platelet | 35eb2f0c-f128-424f-943c-94de9df3f947 | single |
Guthrie's bacterial inhibition test detects: | Guthrie's bacterial inhibition test:- Screening test for phenylketonuria (PKU) Used to detect the abnormal presence of phenylalanine metabolites in blood i.e. Phenyl pyruvate Phenyl alanine Phenyl lactate. Procedure: A small amount of blood sample is taken from heel of the infant and placed in a medium with a strain of... | 4 | Phenyl pyruvate | Phenyl alanine | Phenyl lactate | All of the above | Biochemistry | Phenylalanine and Tyrosine metabolism Detail | 3b096e59-832b-4738-99ba-4567e0db2eea | multi |
The angle's system of classification of malocclusion was modified by: | null | 2 | Simon | Dewey's | Lischer | Ackerman Profit | Dental | null | cbed84c3-a384-4a43-87d9-a82a162da62b | single |
Risk factors for carcinoma Gallbladder are all except | Risk factors for Carcinoma Gallbladder Gallstones >3cm Procelain gallbladder Anomalous pancreaticobiliary junction (APBDJ) Choledochal cysts Adenomatous polyps Primary sclerosing cholangitis Obesity Salmonella typhi infection Ref: Sabiston 20th edition Pgno :1510 | 2 | Choledochal cysts | Xanthogranulomatous Cholecystitis | Calcification of gallbladder | Gallstone | Anatomy | G.I.T | c784dcb9-1e02-41d0-a3b0-8a1f64f2c266 | multi |
Arden index is related to - | Answer- B. EOG Arden index is related to ElectrooculographyInterpretation of results:- Results of EOG are interpreted by finding out the Arden ratio as follows :Normal curve values are 185 or above.Subnormal curve values are less than 150.Flat curve values are less than 125. | 2 | ERG | EOG | VER | Perimetry | Ophthalmology | null | 122e0ed1-80ca-4683-b9f1-4e70ae18534b | single |
HAIR-AN syndrome consists of | HAIR-AN syndrome consists of hyperandrogenism (HA), insulin resistance (IR), and acanthosis nigricans (AN)It is a subset of polycystic ovarian syndrome(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition) | 4 | Hyperandrogenism | Acanthosis nigricans | Insulin resistance | All of above | Pediatrics | All India exam | 5d6f0ccf-3b1f-4c3f-8b19-31c59bc1d418 | multi |
Microcornea is defined as: | Microcornea < 10 mm corneal diameter at bih. Megalocornea > 13 mm after 2 yr of age or >11.7 mm before 2 yr of age. | 1 | < 10 mm corneal diameter at bih | <13 mm corneal diameter at bih | < 10 mm axial length at bih | < 20 mm axial length at bih | Ophthalmology | Cornea | 5a4971cf-81e5-4a60-a91a-f8c847c2ceea | single |
Bile acids are synthesized from: | Bile acids are synthesized from cholesterol (by modification of side chain), which is synthesized from Acetyl CoA. Bile acids consists of Deoxycholic acid, Lithocholic acid and Chenodeoxycholic acid. Bile acids are more appropriately called bile salts Present in deprotonated form Made in liver (RLE is 7-a-Hydroxylase) ... | 4 | Arachidonic acid | Linoleic acid | Linolenic acid | Acetyl CoA | Biochemistry | Cholesterol synthesis and bile acids | c1c6e4b6-7f76-4211-968f-4a9660cfb581 | single |
Mechanism of action of allopurinol is | Allopurinol (hypoxanthine analog) and recently approved drug, decrease the production of uric acid by inhibiting the enzyme xanthine oxidase. Dose- 100-600 mg / day Allopurinol is metabolized by the same enzyme to allo xanthine which is a long acting inhibitor of xanthine oxidase. Allopurinol (purine analogue and Febux... | 1 | Xanthine oxidase inhibition | Recombinant uricase | Increase uric acid excretion | Decrease chemotaxis | Pharmacology | FMGE 2019 | 2a09dab3-5c98-4dd4-aa71-0c02b645efd1 | multi |
Which of these is used to measure contraceptive efficacy? | The use-effectiveness of contraceptive method is expressed by Pearl rate . Pearl rate or pearl index was introduced by Raymond Pearl in 1932. It is calculated as: total accidental pregnancies x 1200 / number of women observed x total months of contraceptive use It is expessed as HWY (hundred women years) AFS ( American... | 1 | Pearl index | William rate | Quasi-rate | AFS score | Gynaecology & Obstetrics | Contraceptives | 08bde152-f2c8-4ac8-a56d-460315fa24ef | single |
All of the following are associated with increased risk of atherosclerotic plaque formation except | Risk Factors for Cardiovascular Disease Class 1: Modifiable risk factors, Interventions have been proved to lower CAD risk. 1. Cigarette smoking 2. High total cholesterol 3. High LDL cholesterol 4. Low HDL cholesterol 5. High fat/cholesterol diet 6. Left ventricular hyperophy (LVH) 7. Thrombogenic factors Class 2: Modi... | 4 | Apo E mutation | Oxidized LDL | Increased homocysteine | Increased Alpha 2 macroglobulin | Biochemistry | Metabolism of lipid | 5dd7fc2d-eeee-4ab2-9a72-3ac6fd02b366 | multi |
The American Cancer Society recommends annual screening mammography for healthy women older than___________years NOT RELATED-GYN | . | 2 | 30 | 40 | 50 | 55 | Pharmacology | All India exam | 39f964c7-58c3-4c9f-af2b-771db12f3701 | single |
Cluster testing technique is useful in which of the following conditions? | Explanation: Following methods are used for case detection of STD: * CONTACT TRACING: Contact tracing is the term used for the technique by which the sexual paners of diagnosed patients are identified, located, investigated, and treated. * CLUSTER TESTING: Here the patients are asked name other persons of either sex wh... | 1 | Sexually Transmitted Diseases | Poliomyelitis | Measles | Smallpox | Social & Preventive Medicine | null | 24b48ef4-8df2-49ce-91af-0a8dc8667e92 | multi |
True regarding rhinitis medica mentosa is/are? | Answer- D. There is inferior terbinate hyperophyIt is a condition characterized by nasal congestion that is triggered by the extended use of topical decongestants and ceain oral medications that constrict blood vessels in the lining of the nose: recreational use of intranasal cocaine malt also cause a similar condition... | 4 | Caused by 132 - agonist sprays | Caused by coicosteroids spray | Spray itself can cause terbinate hyperophy | There is inferior terbinate hyperophy | ENT | null | 91538dff-58aa-49bc-aa0b-7bfcc3d9f75a | multi |
All are given in anterior uveitis except – | null | 1 | Pilocarpine | Atropine | Cyclophosphamide | Corticosteroids | Ophthalmology | null | b063c843-5417-41a8-ad9d-344ae5b1b73d | multi |
A 20 year old male had pain in abdomen and mild fever followed by gastroenteritis. The stool examination showed presence of pus cells and RBCs on microscopy. The etiological agent responsible is most likely to be - | null | 1 | Enteroinvasive E. coli. | Enterotoxigenic E. coli. | Enteropathogenic E. coli. | Enteroaggregative E. coli. | Microbiology | null | 15c3c7bb-c065-4d1a-9903-5fd74f583800 | single |
Which of the following antiarrhythmic drugs can develop Long QT syndrome? | Ans. is 'd' i.e., All the above Proarrhythmic Manifestations of Most Frequently Used Antiarrhythmic AgentsDrugCommon Proarrhythmic ToxicityAmiodarroneSinus bradycardia, AV block, increase in defibrillation thresholdRare: long QT and torsades des pointes,1:1 ventricular conduction with atrial flutterAdenosineAll arrhyth... | 4 | Ibutilide | Dofetilide | Sotalol | All the above | Pharmacology | C.V.S | 93896500-6fff-4ced-a5eb-d7fa9d5e8a1e | multi |
Emporiatrics is the study of health of: | Ans: c (Travellers) Ref: Park, 19th edEmporiatrics is the study of health of travellers | 3 | Children | Old age | Travellers | Animals | Social & Preventive Medicine | Miscellaneous | c939647e-d8c6-45c7-a7f5-6f08ea755703 | single |
Increased anion gap is seen in all except? | Fistula- normal anion gap is seen CAUSES OF NON ANION GAP METABOLIC ACIDOSIS(NAGMA) | 1 | Fistula | Starvation | Ethylene glycol poisoning | Phenformin | Medicine | Miscellaneous | e5e66402-c61d-417c-9f27-a8a678dfdbf0 | multi |
Which of the following binds to viral envelope glycoprotein preventing the conformational changes required for the fusion of viral and cellular membranes ? | null | 3 | Abacavir | Indinavir | Enfuvirtide | Oseltamivir | Pharmacology | null | a3a0f9d9-78bb-4a0e-a426-52f2cfcae750 | single |
Which of the following drug is not an adrenergic blocking neurone drug | Refer kDT 6/e p516 Minoxidil is a medication used for the treatment of male-pattern hair loss. It is an antihypeensive vasodilator | 4 | Reserpine | Guanithidine | Bretylium | Minoxidil | Pharmacology | Cardiovascular system | 5400edc7-8a67-40fa-b2eb-fa13c86cba94 | single |
A 15 year old girl presented with weakness for 2 months. On examination she had pallor and icterus. Spleen was palpable. Lab examination findings are increased MCV, reduced MCHC, reticulocystosis. Osmotic fragility test is positive and Coomb's test is negative. Diagnosis is | Ans is 'd' i.e. Hereditary spherocytosisIcterus, pallor, palpable spleen, reticulocystosis all are indicating towards hemolytic anemia.In AIHA Coomb's test is positive .In G-6-PD deficiency osmotic fragilty is not affected.All the findings in the case positive in Hereditary spherocytosis.Iron deficiency anemia shows re... | 4 | Iron deficiency anemia | AIHA | G-6-PD deficiency anemia | Hereditary spherocytosis | Pathology | null | 67866785-93ba-4bec-953c-c7ca9c5ed15d | multi |
All of the following inhibit cell wall synthesis EXCEPT | i.e. (Aminoglycosides): (669, 709-KDT 6th) (852-53-H17th)Aminoglycosides (Streptomycin, Gentamicin etc) causes mis reading of mRNA code and affect permeabilityMECHANISM OF ACTION1. Inhibit cell wall synthesis - Penicillins, Cephalosporins, Cycloserine, Vancomycin, Bacitracin2. Cause leakage from cell membranes:- Polype... | 1 | Aminoglycosides | Cephalosporins | Bacitracin | Meropenem | Pharmacology | Anti Microbial | e01f49de-7266-4944-a857-01b02b6cec09 | multi |
The CAD-CAM system uses | null | 3 | Cadmium in castings | A porcelain furnace with very high temperature | uses a video camera to all the prepared tooth | None of the above | Dental | null | b44b4b81-b9c1-46d6-93a9-903115584181 | multi |
Anterolateral avulsion fracture of the distal tibia! physis is known as - | Ans. is 'b' i.e., Tillaux fracture Trillaux fractureso Fracture occurring in older adolescents.o Mechanism of injury is an external rotational force with stress placed on the anterior tibio - fibular ligament, causing avulsion of the distal tibial physisanterolaterallv.o It occurs after the medial part of the physis ha... | 2 | Potts fracture | Tillaux fracture | Chopartracture | Jones fracture | Orthopaedics | Fracture of Tibia and Fibula | 4bf22579-7f38-4acd-aefc-e5da9dbf9efc | single |
Serous demilunes are present in large number in which gland: | Parotid gland is predominantly a serous gland & sublingual gland is mucous. Submandibular gland is mixed type with a cap of serous gland appearing on mucus (serous demilune) in histological preparations. | 2 | Parotid | Submandibular | Sublingual | Pituitary | Anatomy | null | 08abfa8c-7db6-4fd4-9aab-3c7165c7cba1 | single |
Signs of heart disease in pregnancy:a) Diastolic murmurb) Systolic murmurc) Tachycardiad) Dyspnea on exertione) Nervousness or syncope on exertion | null | 2 | acd | ade | abd | ad | Gynaecology & Obstetrics | null | a577cabb-be3e-4272-bc03-0b920328aecd | single |
The common preoperative causes of endodontic treatment failure include all of the following except which one? | Failure of previous endodontic therapy can be attributed to various factors, such as procedural errors, missed canals, or persistent periapical pathosis. Knowledge of the cause of failure is pertinent to the treatment of these cases because it allows the cause to be adequately rectified.
Misdiagnosis, p... | 2 | Misdiagnosis | Leaking coronal restoration | Poor case selection | Error in treatment planning | Dental | null | bedfdfda-ae17-4399-bd23-216a4597d85e | multi |
Renin antagonist is - | Ans. is'C' i.e., Remikiren Drugs acting on RAS ACE inhibitors: Captopril, enalapril, lisinopril, ramipril, perindopril, imidapril, trandopril, benazepril, fosinopril. Renin inhibitors: Aliskiren, remikiren, enakiren. AT1 blockers: Losartan, candesartan, irbesartan, valsartan, telmisartan. | 3 | Losartan | Benazepril | Remikiren | Imidapril | Pharmacology | null | 9657958e-dee5-4ddc-b1eb-97f455c06cd5 | single |
Most resistant organ to electric current: UP 12 | Ans. Bone | 1 | Bone | Skin | Blood vessel | Muscle | Forensic Medicine | null | e667a08d-9ba6-4a62-a2c9-1e2f95b09dc4 | single |
Chandler's index is - | null | 1 | No. of eggs of hookworm in per gram stool | No. of eggs of hookworm in per gram soil | No. of eggs of hook work in 100 gram soil | Percentage of stool specimens positive for hookworms | Social & Preventive Medicine | null | 9f158355-55ea-480e-bf6b-f83074b1ee38 | single |
Diaphyseal aclasis is ? | Ans. is 'a' i.e., Multiple exostosis Hereditary multiple exostoses The ordinary osteochondroma is single; but in the condition known as Diaphysial aclasis (multiple exostosis) the tumor affect several or many bones. Hereditary multiple exostoses is an autosomal dominant hereditary disorder. The risk of malignant change... | 1 | Multiple exostosis | Multiple enchondromatosis | Multiple hemagioma | Multiple osteoid osteoma | Surgery | null | 59019f42-174b-40b4-9e3c-825317d3e930 | single |
The most commonest cause for chronic cor pulmonale is | Ref Harrison 19 th ed pg 1505 Once patients with chronic pulmonary or pulmonary vascular disease develop cor pulmonale, the prognosis worsens. Although chronic obstructive pulmonary disease (COPD) and chronic bronchitis are responsible for approximately 50% of the cases of cor pulmonale . | 2 | Recurrent pulmonary embolization | COPD | cystic fibrosis | Bronchial asthma | Anatomy | Respiratory system | d06c306b-6d84-4c10-bc93-0bd3a55ae0c6 | single |
The definitive diagnosis of Pneumocystis carinii pneumonia is - | Its life cycle begins when cysts rupture and release sporozoites, which mature into trophozoites that eventually form cysts. The diagnostic methods for P. carinii pneumonia (PCP) have progressed from open lung biopsy to bronchoalveolar lavage (BAL) and induced sputum analysis . Ref Harrison20th edition pg 1056 | 3 | Serological test | Chest X-ray | Finding cysts in tissue specimens | ) CT scan of thorax | Medicine | Infection | 2c824394-1951-4d51-a1c1-44745e5a6287 | single |
Itchy polygonal violaceous papules seen in - | LICHEN PLANUS:- Inflammatory T cell mediated auto immune disorder affecting skin, hair,nails and mucous membranes.Four Ps- purple , polygonal and pruritic papule.Classic lesion- small polygonal shaped, and red/ violet, flat topped papule. Surface is slightly shiny/ transparent,and a network of fine,white lines called '... | 3 | Psoriasis | Pemphigus | Lichen planus | Pityriasis rosea | Dental | Papulosquamous disorders | f7d91b94-e6ac-4db9-95bf-33190d82ce84 | single |
One gray of radiation is equal to – | null | 3 | 1 rad | 10 rad | 100 rad | 1000 rad | Social & Preventive Medicine | null | c0c00f25-1d14-4a18-be06-4e84f3fdc126 | single |
Which of the following bacteria is associated with bright red fluorescence under UV light? | Ans: A (Prevotella melaninogenica) Ref:Ananthanarayan, 7th ed, p. 269 Examination of prevotella melaninogenica coming under bacteroids species shows bright red fluorescence under ultraviolet light. Porphyromonas gingivalis also coming under bacteroids sp is responsible for periodontal disease. Pseudomonas also produce ... | 1 | Prevotella melaninogenica | Porphyromonas gingivalis | Pseudomonas pyocyanea | Yersinia pestis | Unknown | null | 7cd28000-6f92-444a-93f8-7d4c28bb3f35 | single |
Which of the following statements about Gastric carcinoma is true | Achlorhydria is associated with intestinal metaplasia which is a risk factor for developing gastric carcinoma. most common histological type is adenocarcinoma, a patient will have occult blood in the stool | 2 | Squammous cell carcinoma is the most common histological subtype | Often associated with Hypochlorhydria\/ Achlohydria | Occult blood in stool is not seen | Highly Radiosensitive tumor | Surgery | G.I.T | de50d6a9-f8c5-4838-8827-beeea0831085 | multi |
A patient Manoj with severe pain thought to be of gastrointestinal origin received 60 mg of meperidine subsequent to which he developed reaction characterized by tachycardia, hypeension, hyperpyrexia and seizures. He gave the history that he is also taking some medicine for his psychiatric condition. Which of the follo... | Meperidine (pethidine) is metabolized mainly to meperidinic acid (inactive) by MAO inhibitors. Minor pathway is conversion to nor-meperidine (possesses excitatory propeies and shows cumulation) MAO inhibitors like phenelzine inhibits the major pathway; therefore minor pathway assumes impoance resulting in generation of... | 4 | Alprazolam | Imipramine | Lithium | Phenelzine | Pharmacology | Opioids and Alcohols | a915ec8d-ffe8-4c7a-99c4-e66232c5acfe | single |
FISCH classification is used for | FISCH classification is used for glomus tumours based on the extension into surrounding anatomic structures. Type A tumour - Tumour limited to the middle ear cleft (glomus tympanicum) Type B tumour - Tumour limited to the tympanomastoid area with no infralabyrinthine compament involvement Type C tumour - Tumour involvi... | 4 | Juvenile nasopharyngeal angiofibroma | Nasopharyngeal carcinoma | Vestibular schwannoma | Glomus tumor | ENT | Ear | ab73d8b8-f2dd-49d4-be1c-234acdff1782 | single |
WHO Global Target for Prevention and Control of Non-communicable Disease by 2025 is to decrease Hypeension by:- | THE WHO NCD TARGETS (to be achieved by 2025) : Target 1: 25% relative reduction in the overall moality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases. Target 2: At least 10% relative reduction in the harmful use of alcohol, as appropriate, within the national context. Target 3: 10% rela... | 1 | 25% | 35% | 55% | 75% | Social & Preventive Medicine | NEET 2018 | 68b351a9-c7f7-4307-9d1c-07a7eb2bab53 | single |
A child presents with gelastic seizures, precious puberty. MRI shows small pedunculated mass attached to tuber cinerum. What is the diagnosis? | Hypothalamic hamartoma :
Most common brain lesion causing central precocious puberty.
Consists of ectopically located neural tissue.
May be associated with gelastic seizures (laughing spells).
MRI - small pedunculated mass attached to cinerum or floor of 3rd ventiricle. | 3 | MC cune albright syndrome | Kallman syndrome | Hypothalamic hamartoma | Prader willi syndrome | Pediatrics | null | a3e05fc6-51d1-4a7f-ad17-ad51507a2e5e | multi |
For how long in cremation, 900-1000degC is used: | Ans: a (30 min)In cremation 900-1000degC is used for at least 30 min. | 1 | 30 min | 1 hr | 2 hr | 3 hr | Forensic Medicine | Death and Medicolegal Aspects | 785e7591-3d4b-4575-9195-3ed1b0550f8d | single |
The tissue stops should engage buccal and lingual slopes of residual ridge for | null | 1 | Stability | Support | Retention | Reciprocation | Dental | null | f7d85ff9-21ef-4dcb-8658-4bf910ed8550 | single |
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