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Proximal muscle weakness atrophy in a child with PEM due to which electrolyte disturbance:
C i.e. HypophosphatemiaRef: Nelson, Textbook of Pediatrics, 20th edition, page 833Explanation:Hypokalemia:* Heart and skeletal muscle (muscle weakness and cramps) are especially vulnerable to hypokalemia* Paralysis is a possible complication, generally only at levels <2.5 mEq/L (starts with the legs, followed by the ar...
3
Hypokalemia
Hypomagnesemia
Hypophosphatemia
Hypocalcemia
Pediatrics
Fluid & Electrolyte
2893ec45-ab78-4717-9bf4-e7208a0ccf93
single
The indication of cholecystectomy are
Mucocele(Hydrops) It results from Prolonged obstruction of the cystic duct, usually by a large solitary calculus Treatment - Early cholecystectomy, because empyema, perforation, or gangrene may complicate the condition Ref: Sabiston 20th edition Pgno :1494
2
Strawberry gallbladder
Mucocele of the gallbladder
Gallbladder polyp
Asymptomatic gallstone disease
Anatomy
G.I.T
c9b03fef-3f79-49f2-aa5d-0d136bc967a4
multi
True statement regarding Pneumococcus is :
Virulence of Pneumococci depends on its capsule, toxin called pneumolysin and autolysin.
1
Virulence is due to polysaccharide capsule
Capsule is protein in nature
Antibodies against capsule are not protective
Resistance to penicillin has not yet been reported
Microbiology
null
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multi
Drug X is normally administered to patients at a rate of 50 mg/hour. Elimination of the drug X from body takes place as: – Hepatic Metabolism 10% – Biliary Secretion 10% – Renal Excretion 80% This drug has to be administered to a 65 years old patient Uttaam Singh, with a GFR of 60 ml/min. (assuming normal GFR is 120ml/...
null
2
50 mg/hour
30 mg/hr
25 mg/hr
100 mg/hr
Pharmacology
null
c5c9fe85-4945-4360-8feb-b5145b2ff0ad
multi
Energy storage form in liver -
Ans. is 'd' i.e., Glycogeno Humans carry supplies of fuel within their body. Calories are stored in the body as fat (triglycerides), glycogen and some protein.Provider of energyGramsKilocaloriesPlasma glucose1248Hepatic glycogen70280Muscle glycogen2801120Fat (Triglyceride) in adipose tissue13,000117, 000Muscle protein1...
4
Triglyceride
Cholesterol
FFA
Glycogen
Biochemistry
Lipids
41de6442-8e90-48b7-af7b-032ddfb053fc
single
All are tests for stoppage of circulation except
Winslow test is a test for detect on of respiration while all the remaining mentioned tests are those for circulation.
2
Magnus test
Winslow's test
Icard's test
Diaphanous test
Physiology
All India exam
775560fd-77e8-44c9-99ba-be8ba71ea217
multi
Drugs increasing renin levels except:
Ans. A. ClonidineRenin levels are increased when there is reflex sympathetic outflow. Vasodilators and ACE inhibitors results in reflex increase in renin activity. Clonidine on the other hand decrease the sympathetic outflow.
1
Clonidine
Hydralazine
Nifedipine
Captopril
Pharmacology
C.V.S
822901d2-cda0-4a65-ab58-25adc638df17
multi
Which breathing pattern is described in below diagram?
CHEYNE-STOKES RESPIRATION It is also referred to as periodic respiration or cyclic respiration It is present in patients with advanced HF and low cardiac output. Etiology: Lengthy circulatory time and increased sensitivity to aerial PCO2 of respiratory center are causitive. During apneic phase, aerial PO2 falls and the...
3
Kussmaul's respiration
Biot's respiration
Cheyne-Stokes respiration
Hyperventilation respiration
Medicine
Hea failure
d4c9e713-867a-4a6e-89a6-c557cbd17d43
single
Quinsy is also known as?
ANSWER: (A) Peritosillar abscessREF: Dhingra 4th ed p. 245Quinsy is a collection of pus in the peritonsillar space which lies between the capsule of tonsil and the superior constrictor muscle.
1
Peritosillar abscess
Retropharyngeal abscess
Parapharyngeal abscess
Paraepiglottic abscess
ENT
Oral Cavity
594310cd-dff0-4af4-a3cf-8a535538cb5d
single
Maximum increase in cardiac output occurs by what stage of pregnancy :
30th week
3
10th week
20th week
30th week
At the onset of labour
Gynaecology & Obstetrics
null
1df75b51-d069-4de0-9958-e51c68fb9bf8
single
Cyclo-oxygenase pathway of arachidonic acid metabolism does not give rise to:
null
3
Thromboxane A2
Prostaglandin
Leukotrienes
Prostacyclin
Pathology
null
d3353de4-f48d-4ec2-abf2-3170efbff3c9
single
Which of the following drugs is contraindicated in a patient with raised intracranial pressure ?
Ans. is 'd' i.e.. Ketamine o Cerebral blood flow, metabolism, oxygen consumption and ICT all are increased by ketamine - ketamine is contraindicated in raised ICT.o Ketamine is a potent bronchodilator.o Ketamine increases BP and ICT.o Airway reflexes (pharyngeal and laryngeal) are not depressed.Ketamineo The primary si...
4
Thiopentone
Propofol
Midazolam
Ketamine
Anaesthesia
Miscellaneous General Anesthesia
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single
A trained dai caters for a population of -
Ans. is 'a' i.e., 1000 Local dais (Traditional birth attendants)o Under Rural Health Scheme, all categories of local dies are trained to improve their knowledge in the elementary concepts of: -o MCHii) Sterilization (Small family norm)Trainingo Training is for 30 working days.o They are paid a stipend of Rs. 300 during...
1
1000
2000
3000
4000
Social & Preventive Medicine
Community Healthcare
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single
Nabothian follicles occur in :
Ans. is a i.e. Erosion of cervix As a result of healing of an erosion, the mouth of cervical gland is blocked. The blocked gland becomes distended with secretion and forms small cysts which can be seen with naked eye and so called Nabothian cyst. The presence of cysts fahest from the external os indicates the extent of...
1
Erosion of cervix
Ca endometrium
Ca cervix
Ca vagina
Gynaecology & Obstetrics
null
28f7bd4f-6083-4cd4-8d1c-470b2d1663a6
multi
Which of the following is LEAST suggestive off infection with polio virus -
null
3
Low grade fever and malaise with complete resolution in 2 to 3 days
Biphasic illness with several days of fever, then meningeal symptoms and asymmetric flaccid paralysis 5 to 10 days later
Descending motor paralysis with preservation of tendon reflexes and sensation
Failure to isolate a virus from the cerebrospinal fluid in the presence of marked meningismus
Medicine
null
91fa9395-3192-46bd-9094-890229214d61
single
Disease of Basal ganglia dysfunction are all except
Alzheimer disease is the most common age-related neurodegenerative disorder. Memory decline initially manifests as a loss of episodic memory, which impedes recollection of recent events. Loss of sho-term memory is followed by general loss of cognitive and other brain functions, the need for constant care, and, eventual...
1
Alzheimer's disease
Parkinsonism
Chorea
Athetosis
Physiology
Nervous system
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multi
A 26-year-old male, Vikas presents to OPD complaining of hair loss and itching on scalp. Physical examination reveals moderate patchy hair loss from the cetral poion of scalp and the lesions have ring like configuration with central clearing. Which of the following drugs can be used to treat this patient's condition?
(Ref: Katzung 10/e p842) The diagnosis is Tinea capitis and terbinafine is used for the treatment. Male pattern baldness stas from anterior poion and scalp and are non-pruritic will family history. Tghe treatment of latter is finasteride.
4
Local glucocoicoids
Progesterone
Finasteride
Terbinafine
Pharmacology
Other topics and Adverse effects
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single
Consumption of which of following drugs in pregnancy causes Ebstein anomaly in newborn?
Maternal intake of lithium can cause Ebstein anomaly in newborn. Ebstein anomaly is a rare heart defect in which the tricuspid valve - the valve between the upper right chamber (right atrium) and the lower right chamber (right ventricle ) of the heart isn't formed properly. As a result, blood leaks back through the val...
4
Alcohol
Phenytoin
Valproate
Lithium
Dental
null
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True about giant cell aeritis include the following except
Temporal aeritis is also known as Giant cell aeritis (GCA) . It is a granulomatous aeritis that affects any large (including aoa) and medium-sized aeries. It is commonly associated with polymyalgia rheumatica (PMR), which presents with symmetrical, immobility-associated neck and shoulder girdle pain and stiffness. The ...
4
Causes sudden bilateral blindness
Common in elderly
Females more commonly affected than males
Males more commonly affected than females
Medicine
Immune system
db765864-1691-40d6-bd77-8de3048f55be
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Retinoblastoma gene is located on -
Ans. is 'c' i.e., Chromosome 13
3
Chromosome 5
Chromosome 8
Chromosome 13
Chromosome 16
Pediatrics
null
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single
Which of the following sugars is absorbed from the small intestine by facilitated diffusion?
Facilitated diffusion is the major transpo route for fructose. The duodenum and jejunum are the principal sites of carbohydrate absorption in humans. Digestion of carbohydrates is accomplished by amylase and brush border enzymes and results in a mixture of glucose, fructose, and galactose. A common sodium- dependent se...
3
Glucose
Galactose
Fructose
Sucrose
Surgery
null
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multi
A HIV mother delivers a baby All are true, except -
Ans. is 'a' i.e., Risk of HIV in baby is upto 90% The probability of transmission of HIV from mother to infant/fetus ranges from 15 to 25% in industrialized countries and from 25 to 35% in developing countries. It never reaches 90%. Transmission of HIV 1. Sexual transmission . Most common mode of transmission. . Most c...
1
Risk of HIV in the baby is upto 90%
HIV infection cannot be diagnosed in the baby with available methods.
AIDS can be transmitted from mother to child during delivery.
Breast feeding can transmit AIDS
Microbiology
null
19ac84ed-a4fc-4c1f-a119-579dadf2d18e
multi
Beta 2 microglobulin is a tumour marker for:
Increased levels of microglobulin are seen in the urine and serum of patients with multiple myeloma. Serum beta 2 microglobulin is the single most powerful predictor of survival and can substitute for staging. (ref Harsh mohan 6th/383,Robbins 9th/)
1
Multiple myeloma
Lung cancer
Colonic neoplasm
Choriocarcinoma
Anatomy
Haematology
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single
In conduction system of hea the maximum velocity of conduction is seen in?
Purkinje fibers are characterized by action potentials with a low resting membrane potential (-- 90 mV), a rapid maximum upstroke velocity (500 to 700 V/s), and, therefore, a rapid conduction velocity. Purkinje's fibres have many gap junctions which allows the rapid flow of current and hence the conduction velocity is ...
4
SA node
AV node
Bundle of HIS
Purkinje fibers
Physiology
null
49d06d7f-8ff8-427e-b30a-7870e6f481d0
single
At autopsy, the cyanide poisoning case will show the following features, except: Himachal 10
Ans. Characteristic bitter lemon smell
1
Characteristic bitter lemon smell
Congested organs
Skin may be pinkish or cherry red in color
Erosion and hemorrhages in esophagus and stomach
Forensic Medicine
null
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multi
mental retardation can be proved if delayed milestones and slow or retarded growth seen upto which age (in year)?
Ans. is 'c' i.e., 18 year
3
12
16
18
20
Pediatrics
null
140caa19-a6d7-49e9-b5a5-e10fcf88efbc
single
The Corynebacterium species which are lipophilic-
C. jeikeium-causes bacteremia with high moality rates in immunodeficient. C. urealyticum-causes UTI. Both are lipophilic.
1
C. jeikeium and C. urealyticum
C. ulcerans and C. diphtheriae
C. hofmanni and C. diphtheriae
C. xerosis and C. ulcerans
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
69fed9af-8fd7-499b-a828-3adfc11e96df
single
Mutation of which of the following gene is most impoant in Paroxysmal Nocturnal Hemoglobinuria
.
3
Decay accelerating factor (DAF)
Membrane inhibitor of reactive lysis (MIRL)
Glycosyl phosphatidyl inositol (GPI)
CD8 binding protein
Pathology
All India exam
c4aa4c29-2b12-439e-8e4a-e334e7502324
single
The amino acid which is associated With atherosclerosis is -
homocystein is a emerging risk factor for atherosclerosis ( Harrison20 pg 1505 table 235-1)
2
Lysine
Homocystein
Cysteine
Alanine
Medicine
Nutrition
993c6b73-c53a-4fe0-8191-00fdc2929974
single
What presentation is most likely to accompany this angiographic finding?
Answer A. Binocular visual lossThe patient developed vertigo and binocular visual loss during cardiac catheterization. Cerebral angiography revealed total occlusion of the distal basilar artery consistent with cardioembolic stroke. All neurological abnormalities resolved following selective intraarterial thrombolysis.
1
Binocular visual loss
Hemineglect
Paratonic rigidity
Urinary incontinence
Medicine
C.N.S.
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single
A 5 year old boy comes with overnight petechial spots 2 weeks back he had history of abdominal pain and no hepatosplenomegaly. Diagnosis is
most probable diagnosis here is ITP. in ALL there will be hepatosplenomegaly of a plastic anemia infection Symptoms Immune thrombocytopenia may have no signs and symptoms. When they do occur, they may include: Easy or excessive bruising Superficial bleeding into the skin that appears as pinpoint-sized reddish-purple sp...
3
Aute lymphatic leukemia
Aplastic anemia
Idiopathic thrombocytopenis purpura
Acute viral infection
Pediatrics
Hematology
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single
All are true about Pseudofractures except?
Ans APseudo fractures though associated with osteomalacia are not specific for it. Instead they are seen in many other conditions like OGI, hyperparathyroidism, Paget's disease.
1
Specific for osteomalacia
Often have symmetrical distribution
Occurs at right angles to the long axis of the long bones
Pubic rami, femoral neck and scapula are common sites
Radiology
Skeletal System
cdeeeeaf-8284-436b-89e6-86c9f4dbaecb
multi
Tzank smear is prepared for ?
Ans. is 'b' i.e., Varicella Tzank smear findings in bullous disorders Disorders Findings Pemphigus Bullous pemphigoid Varicella-zoster infection Herpes simpex infection Toxic epidermal necrolysis Acantholysis Predominantly eosinophils Multinucleated giant cells Multinucleated giant cells Necrotic cells
2
Leprosy
Varicella
Fungus
Atopic dermatitis
Skin
null
355edcf2-0d70-49c7-a9ea-1cba6488bd44
single
Which of the following is derived from ectoderm?
Some epithelia derived from ectoderm- the epithelium of the skin , hair follicles, sweat glands, sebaceous glands, and mammary glands - the epithelium over cornea and conjunctiva, external acoustic meatus and the outer surface of the tympanic membrane- the epithelium of some pa of the mouth, the lower pa of the anal ca...
1
Epithelium of iris
Ciliary muscles
Vascular endothelium
Sclera
Anatomy
General anatomy
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single
Tardy ulnar nerve palsy -
Ans. is 'b' i.e., Late onsetTardy ulnar nerve palsyo Tardy ulnar nerve palsy as a late complication of the lateral condylar physis is well known, especially after the development of cubitus valgus from malunion or nonunion. Due to cubitus valgus there is chronic stretching of ulnar nerve. However, you should keep in mi...
2
Early onset
Late onset
Caused by shoulder dislocation
null
Orthopaedics
Injuries Around Arm & Elbow
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multi
Function of thick gastric mucosa is ?
Ans. is 'a' i.e., Protects epithelium
1
Protects epithelium
Neutralises HCL
Traps foreign paicles
None of the above
Surgery
null
bd8e6799-95ed-4d64-95ca-1b60b049f130
multi
A 13 year old female patient, complains of bleeding from gums while brushing and has a history of deviated nasal septum. Extraoral examination reveals increased anterior facial height. Intraoral findings reveals erythematous gingiva and spontaneous bleeding on probing. These features are seen in patients with
A wide variety of local irritants can produce a hyperplastic type of gingivitis in children and young adults. The irritation to the gingival tissue produced by mouth breathing is often responsible for the development of the chronic hyperplastic form of gingivitis,  particularly in the maxillary arch. All these factors ...
3
Thumb sucking
Tongue thrusting
Mouth breathing
Bruxism
Dental
null
2cbc7b48-3ceb-4afa-a306-d26e00439915
single
A patient with ptosis, upper 4 mm of cornea is covered by upper eyelid. Grade of Ptosis is ?
Ans. is 'a' i.e., Mild In unilateral cases of ptosis, difference between the veical height of palpebral fissures of the two sides indicates the degree of ptosis. In bilateral cases it can be determined by measuring the amount of cornea covered by the upper eyelid and then substracting 2 mm. Depending upon its amount th...
1
Mild
Moderat
Severe
Profound
Anaesthesia
null
029a298b-826b-4138-ab2a-c0afe9bd4563
single
A Giemsa stain of a thin peripheral blood smear is prepared. Which of the following cannot be diagnosed?
Ans. (B) Coxiella burnettii(Ref: Jawetz's Medical Microbiology 27th Ed; Page No-347)A diagnosis of Coxiella burnettii cannot be done using a Giemsa stain of a thin peripheral smear.The diagnosis of Coxiella burnetii is done mainly by serology which shows a rise in the titer of specific antibodies to C. burnettii.Other ...
2
Bartonella henselae
Coxiella burnettii
Toxoplasma gondii
Ehrlichia chaffeensis
Microbiology
Bacteria
49125a5d-180d-42d9-b3dd-1cd99d902308
single
Roflumilast is a
Roflumilast is a PDE-4 inhibitor that inhibits degradation of cAMP and lead to bronchodilation.
2
PDE-3 inhibitor
PDE-4 inhibitor
PDE-5 inhibitor
Leucotriene receptor antagonist
Pharmacology
null
51452140-7daa-46e5-bc25-5ae707a24d6e
single
Buonian line is seen with poisoning of -
* Lead line (Buonian line) - a bluish line is present on gums. The line formation is due to lead sulphide. Lead sulphide is formed due to action of hydrogen sulphide gas, liberated from the decomposed food in the mouth, with lead. Ref: K.S.Narayan Reddy's Synopsis of Forensic Medicine and Toxicology, 29th edition, Chap...
2
Mercury
Lead
Arsenic
Zinc
Forensic Medicine
Poisoning
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single
True about incompletely descended testis are all of the following except: March 2008
Ans. C: Poorly developed secondary sexual charactersAssociated anomalies and conditions with cryptorchidism may include the following:Patent processus vaginalisAbnormal epididymisCerebral palsyMental retardationWilm's tumourAbdominal wall defects (e.g., gastroschisis, omphalocele, prune belly syndrome)HypospadiasisIn g...
3
Early repositioning can preserve function
It may lead to sterility, if bilateral
Poorly developed secondary sexual characters
May be associated with indirect inguinal hernia
Surgery
null
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multi
All are components of bile, except
Stercobilinogen is a chemical created by bacteria in the gut. It is made of broken-down hemoglobin. It is fuher processed to become the chemical that gives feces its brown color while all other things are components of bile Ref: guyton and hall textbook of medical physiology 12 edition page number:420,421,422
3
Bile salts
Bile pigment
Stercobilinogen
Bilirubin
Physiology
G.I.T
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multi
A High Tracing Device is used for
null
1
Extra oral graphic tracings
Intra oral graphic tracings
Cephalometric tracings
Determining focal forms
Dental
null
0480a827-fd28-4fbf-8031-0ab31ee82a10
single
Which of the following is a calcineurin inhibitor?
Ans. (A) Cyclosporine(Ref: Goodman Gilman 12th/e p1008; Katzung 12th/e p986; KDT 8/e p937)Cyclosporine and tacrolimus act as immunosuppresants by their inhibitory action on calcineurin.
1
Cyclosporine
Methotrexate
Azathioprine
Mycophenolate mofetil
Pharmacology
Immunomodulatory: DMARDS, Monoclonal Antibodies
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single
In presence of Haldane effect, CO2 uptake is 2 ml/100ml of blood in arteries, what will be CO2 uptake in absence of Haldane effect in veins-
Ans. (a) 2 ml/100 ml of blood(Ref: Ganong, 25th ed/p.642)This picture is carbon dioxide dissociation curveAt Po, 100 mm Hg and Pco2 45mmHg,CO2 content in blood changes from 48 ml/dl to 50 ml/dlAt Po2 40mmHg and Pco2 45mmHg,CO2 content in blood changes from 48 ml/dl to 52 ml/dlThe amount of Co2 taken up at tissues is do...
1
2 ml/100 ml of blood
4 ml/100 ml of blood
6 ml/100 ml of blood
8 ml/100 ml of blood
Physiology
Respiratory System
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single
Percentage of bilirubin production from old RBCs
(B) 80% > Bilirubin is the end product of heme degradation.> From 70 to 90% of bilirubin is derived from degradation of the hemoglobin of senescent red blood cells.> Bilirubin produced in the periphery is transported to the liver within the plasma, where, due to its insolubility in aqueous solutions, it is tightly boun...
2
20%
80%
100%
40%
Medicine
Miscellaneous
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single
Acute osteomyelitis can best be distinguished from soft tissue infection by -
Ans. is 'd' i.e., MRI MRI is the best radiographic imaging technique for the identification of abscess and for differentiation between bone and soft tissue infection.
4
Clinical examination
X-Ray
CT scan
MRI
Pediatrics
null
7b32aeaa-0f22-4cf9-9434-64cf54b68a4a
single
Which of the following parameter can be measured any time during the menstrual cycle to test ovarian reserve?
Ovarian ReserveOvarian reserve refers to the size of the nongrowing, or resting, primordial follicle population in the ovaries. This, in turn, presumably determines the number of growing follicles and the "quality" or reproductive potential of their oocytes.Serum Day 3 Follicle Stimulating HormoneAs women age, FSH phys...
3
Serum FSH
Serum estradiol
Serum Anti Mullerian hormone
Antral follicular count
Gynaecology & Obstetrics
Infertility
47e172a8-cdb5-4949-9016-d96778096976
single
Best site for taking biopsy for viral oesophagitis is-
In viral esophagitis dit Herpes simplex the biopsy sample is taken from the edge of the ulcer.
1
Edge of ulcer
Base of ulcer
Adjacent indurated area around ulcer
Surrounding normal mucosa
Pathology
null
6076de12-874b-4103-aa4c-5c8f0bc6c497
single
Which of the following drug is a leukotriene receptor antagonist?
Montelukast and zafirlukast inhibit the bronchoconstrictor action of LTs at cys LT1 receptor. These are used as prophylactic agents for bronchial asthma. These are very safe drugs but few cases of Churg Strauss syndrome (vasculitis with eosinophilia) have been associated with their use.
4
Nicorandil
Zileuton
Sodium cromoglycate
Montelukast
Pharmacology
Respiratory System
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single
Mallory bodies are seen in?
Ans. is 'c' i.e., al - antitrypsin deficiency Mallory hyaline (mallory bodies)* Mallory bodies are eosinophilic intracytoplasmic inclusion bodies which are composed predominantly of keratin intermediate filaments. They are also known as alcoholic hyaline.* These inclusions are characteristic but not specific feature of...
3
Hepatitis B infection
Hydatid cyst
al - antitrypsin deficiency
Autoimmune hepatitis
Pathology
Liver & Biliary Tract
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multi
Roid rage is seen in
ANABOLIC ANDROGENIC STEROIDS Testosterone like hormones * Muscle building propey * Body builders * Normal testosterone range is 300-1000micrograms * Need to administer 10-100 times the normal to have effect kaplon and Sadock, synopsis of psychiatry, 11 th edition, pg no 686
4
flunitrazepam
LSD
toluene
anabolic androgenic steroids
Psychiatry
Substance abuse
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single
What type of occlusion will be given for FPD?
null
2
Confirmatory
Reorganised
Balanced
null
Dental
null
64f3fba3-ab55-41e2-b142-3399d6197189
multi
Goodpasture's disease is characterized by all except:
Ans. i.e., b Leukocytoclastic vasculitis Goodpasture Syndrome -It is diffuse pulmonary hemorrhage syndrome Q characterized by presence of circulating autoantibodies targeted against the basement membrane of the kidney and lung. The antibodies initiate an inflammatory destruction of the basement membrane in kidney glome...
2
Glomerulonephritis
Leukocytoclastic vasculitis
Diffuse alveolar hemorrhage
Presence of antibodies to BM
Medicine
Glomerular Diseases
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multi
Dohlman's operation done for:
Ans. (d) Zenker's diverticulumRef Shackelford 7th Edition, Page 345* Surgical Management of Choice is - Cricopharyngeal Myotomy with Diverticulectomy (If given in choices is the best option)* Dohlman's operation - Endoscopic stapling technique preferred for Diverticulum more than 3cm Size.
4
Achalasia
Rectal prolapse
Ca esophagus
Zenker's diverticulum
Surgery
Oesophagus
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single
All of the following are features of hypothyroidism except: September 2005
Ans. D: Lid retraction Common features of hypothyroidism include easy fatigability, coldness, weight gain, constipation, menstrual irregularities, and muscle cramps. Physical findings include a cool, rough, dry skin, puffy face and hands (myxedema),hair becomes dry and tends to fall, a hoarse, husky voice, and slow ref...
4
Dry skin
Bradycardia
Myxedema
Lid retraction
Medicine
null
6bd64ac0-8f6e-4fa3-9dda-bddc5819e5cf
multi
Cervical restorations fail mostly due to
null
1
Inadequate moisture control
Marginal gingivitis
Cuspal flexure
All the above
Dental
null
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multi
Type of hemolysis produced by pneumococcus on blood agar -
Ans. is 'a' i.e., Alpha Hemolysis||||1Alpha (a)Beta (b)Gamma (g)o Greenish discolouration with partial hemolysis around the colonieseg - Str. pneumoniae, Str. viridanso Colourless zone of complete hemolysiseg - Str. pyogenes (grp A) Str. agalactiae (grp B) Str equisimilis (grp C)o No hemolysis eg - Enterococci (grp D)
1
Alpha
Beta
Gamma
Any of theabove
Microbiology
Bacteria
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multi
A patient presented with a platelet count of 700 x 109/L with abnormalities in size, shape and granularity of platelets. WBC count of 8 x109 L, hemoglobin of 12 g/dl and the absence of the Philadelphia chromosome. The most likely diagnosis would be?
A patient presents with thrombocytosis with abnormalities in size, shape and granularity of platelets, with normal WBC count & hemoglobin and the absence of the Philadelphia chromosome. The most likely diagnosis in this case would be Essential Thrombocythemia
2
Polycythemia vera
Essential thrombocythemia
Chronic myeloid leukemia
Leukemoid reaction
Pathology
Myeloproliferative Disorders
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single
Which one of the following hapatitis viruses have significant perinetal transmission ?
Hepatitis B virus infection is prevalent in Asia, Africa,Southern europe.HBsAg seropositive ranges from 2-20%.In hyperendemic areas HBV infections occur mainly during infancy and early childhood.In Asia perinatal transmission from HBsAg mother to their infants is a very impoant route of transmission,leading to chronici...
3
Hepatitis E virus
Hepatitis C virus
Hepatitis B virus
Hepatitis A virus
Pediatrics
Gastrointestinal tract
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when a behaviour is done and a rewarding response is removed, the behaviour is reduced, this works in which line of management
Behavioral therapy is learning given by BF Skinner , according to him all behaviors are learned phenomenon and thus can be unlearned Positive reinforcement a type of reinforcement when a behavior is rewarded there is more chance that the behavior is repeated Negative reinforcement is that when a behavior is done and an...
2
omission
extinction
negative reinforcement
positive reinforcrmrnt
Anatomy
Treatment in psychiatry
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single
The first gene therapy (somatic enzyme) was successfully done in
Deficiency of adenosine deaminase, a condition that affects lymphocytes paicularly, was the first disease to be treated by gene therapy. Deficiency of adenosine deaminase accounts for 15% of all cases of severe combined immunodeficiency (SCID)In 1990, Dr. William French Anderson introduced a new copy the gene, carried ...
1
SCID
Phenylketonuria
Thalassemia
Cystic fibrosis
Biochemistry
Structure and function of protein
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single
Who is the father of Psychoanalysis?
Psychoanalysis : Sigmond Freud Child psychoanalysis: Anna Freud Analytical psychology: Carl Jung.
3
Adla
Carl Jung
Sigmund Freud
Emil Kraeplin
Psychiatry
null
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single
A distinct advantage that tetracyclines have over penicillins is that tetracyclines:
null
4
Have no side effects
Do not cause superinfections
Are safer to use during pregnancy
Have a wider range of antibacterial activity
Pharmacology
null
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single
Homocysteine is
Homocysteine is a non-proteinogenic alpha- amino acid Homologous to cysteine, differing by an additional methylene bridge (-CH2-) Synthesized from methionine.
3
Amino-acid in Protein- D form
Amino-acid in Protein- L form
Non-protein alpha amino-acid
Seen in Collagen
Biochemistry
Methionine and Cysteine details
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single
Pinna calcification is seen in all except
Ans. a. Gout Pinna Calcification is seen in Addison's diseaseQ Diabetes mellitus OchronosisQ HypehyroidismQ AcromegalyQ von Meyenburg's disease (systemicchondromalacia) Hypeension Late calcification of the auricular cailage following frostbite. ( of Chapter/1550092413 .pdf) Delayed dystrophic calcification of the under...
1
Gout
Ochronosis
Frost bite
Addison's disease
Medicine
null
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multi
All are corneal signs of Trachoma except -
Arlst's is a conjunctival sign (not corneal). Signs of Trachoma Conjunctival signs :- Congestion, conjunctival follicles (boiled sagograin like), Papillary hyperplasia, conjunctival scarring (Arlt's line), concretion. Corneal signs :- Superficial keratitis, Herbe follicles, Pannus, Corneal ulcer, Herbe pits, Corneal op...
4
Herbe follicles
Pannus
Opacity
Arlt's line
Ophthalmology
Conjunctiva
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multi
Numerator in calculating positive predictive value -
Ans. is 'a' i.e., True positive Sensitivity =Number of true positive--------------------------------------------Number of true positives + Number of false negative Specificity =Number of true negatives--------------------------------------------Number of true negative + number of false positives. Positive predictive va...
1
True positive
False positive
True negative
False negative
Social & Preventive Medicine
Screening for Disease
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multi
False about OHSS?
Ans. D. The symptoms associated with OHSS usually begin 15-20d after hCG is givenOvulation induction promotes follicle maturation and oocyte release utilizing pharmacological agents. The most commonly used agent is Clomiphene citrate, which increases follicle-stimulating hormone release at the level of the hypothalamus...
4
Associated with massive stromal oedema of the ovary
The enlarged ovaries may be prone to torsion
Patients with OHSS usually have enlarged ovaries (>10 cm) that may contain several hypoechoic areas
The symptoms associated with OHSS usually begin 15-20d after hCG is given
Gynaecology & Obstetrics
Gynaecological Disorders in Obs.
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multi
The most common type of lung carcinoma in non- smokers
Adenocarcinomas often occur in more peripheral lung locations Most common type of lung cancer occurring in non smokers.
2
Squamous cell carcinoma
Adenocarcinoma
Small cell carcinoma
Large cell carcinoma
Medicine
Miscellaneous Questions
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multi
The mechanism of anticancer action of fluorouracil is:
5-Fluorouracil (5-FU) is an antimetabolite. It is a thymidine analogue and acts by conversion to 5'-dUMP. Latter inhibits the formation of dTMP and results in thymineless death of cells. Option 1 is mechanism of alkylating agents like cyclophosphamide Option 3: methotrexate is example of DHFRase inhibitor Option 4: Vin...
2
Cross linking of double stranded DNA and the resulting inhibition of DNA replication and transcription
Cytotoxicity resulting from a metabolite that interferes with the production of dTMP
Irreversible inhibition of dihydrofolic acid reductase
Inhibiting the formation of mitotic spindle
Pharmacology
Cytotoxic Anticancer Drugs
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Shortest acting NDMR:
Ans. is 'b' i.e. Mivacurium Note-Rapacuronium onset is 15-20 minsMiller's anesthesia 5/ep 892, Drugs and equipment in Anaesthesia 5/ep 78 Arm Kumar Paul] Among the given options Rapacuronium is the shortest acting drug. Rapacuronium has been withdrawn from the market because it produces intense bronchospasm in a signif...
2
Succinylcholine
Mivacurium
Atracurium
Pancuronium
Unknown
null
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single
Biceps brachi is supplied by
Root value of musculocutaneous nerve is C5, C6.It arises from the lateral cord of brachial plexus.B D Chaurasia 7th edition Page no : 57
3
Radial nerve
Median nerve
Musculocutaneous nerve
Axillary nerve
Anatomy
Upper limb
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single
What is true about confounding factor?
Confounding factor is defined as one which is associated with both exposure and disease and is distributed unequally in study and control groups. (refer pg no:72 park 23 rd edition)
2
It is found equally between study and control groups
It itself is a risk factor for the disease
Confounding can be eliminated by selecting a small group
It is associated with either the exposure or the disease
Social & Preventive Medicine
Epidemiology
ea94ebd6-aa15-40f5-84b5-5eacabb32801
multi
Which of the following membranes has the highest protein content per gram tissue
The membrane with the highest protein content is inner mitochondria The membrane with highest lipid content is myelin sheath Protein to Lipid ratio in Different Membranes Membranes Protein:Lipid Ratio Myelin 0.23 Human RBC 1.1 Mitochondrial outer membrane 1.1 Sarcoplasmic reticulum 2.0 Mitochondrial inner membrane 3.2 ...
4
Myelin sheath
Outer mitochondrial Membrane
Sarcoplasmic Reticulum
Inner Mitochondrial membrane
Physiology
General physiology
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single
Cavity formation in a tooth, due to dental caries is due to:
null
3
Destructive potential of streptococcus mutans
Destructive potential of lactobacillus acidophilus
Lateral spread of caries along DE junction and weakening of the outer covering enamel
Mastectomy force and unrelated to the extent of carious process
Pathology
null
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single
Eye donation Fonight is organized from :-
The National Eye Donation Fonight is observed every year from 25th August to 8th September. It is a campaign which aims to create mass public awareness about the impoance of eye donation and to motivate people to pledge their eyes for donation after death.
2
26th August to 9th September
25th August to 8th September
24th August to 7th September
None of these
Social & Preventive Medicine
NPCBVI, NACP
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multi
All of the following are considered in differential diagnosis of a pericoronal radiolucency except
null
3
Odontome
Ameloblastic fibro-odontome
Percipical osteitis
AOT
Radiology
null
341bf955-4e1e-4905-8d75-1ce255c57d83
multi
Joint between epiphysis and diaphysis of a long bone is a type of
D. i.e. Synchondrosis
4
Plane Synol joint
Fibrous joint
Symphysis
Synchondrosis
Anatomy
null
bb9d0a2f-28b5-4024-ba41-245a3371d797
single
Which of the following statements about &;Late expanding phase&; of Demographic cycle is true
Death rate declines still fuher and the bih rate tend to fall in third stage of demographic cycle or late expanding stage, but the population continue to grow as bihs exceeds death. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 479
3
Bih rate is lower than death rate
Death rate begins to decline while bih rate remains unchanged
Death rate declines more than bih rate
High death rate and high bih rate
Social & Preventive Medicine
Demography and family planning
f0548597-09c8-4a47-a592-7e2973c4cd52
multi
Hypercalcemia is seen in all EXCEPT:
Ans. C i.e. Pseudohypoparathyroidism Pseudohypoparathyroidism presents with hypocalcemia, normal to raised PTH, normal 25-(OH)D, and decreased 1,25-(OH),D
3
Bone metastasis
Sarcoidosis
Pseudohypoparathyroidism
Hyperparathyroidism
Pathology
null
2b69de7f-2cdb-462b-8d16-7b5f71597fd4
multi
All are branches of lumbar plexus except
LUMBAR PLEXUS - The lumbar plexus lies in the posterior pa of the substance of the psoas major muscle. It is formed by the ventral rami of the upper four lumbar nerves .The first lumbar nerve receives a contribution from the subcostal nerve, and the fouh lumbar nerve gives a contribution to the lumbosacral trunk; which...
4
Iliohypogastric nerve
Ilioinguinal nerve
Obturator nerve
Subcostal nerve
Anatomy
Lower limb
4a9a4488-e875-47de-bf0a-411f192068a4
multi
Cerelas are deficient in?
Cereal proteins are poor in nutritive value being deficient in the essential amino acid,lysine.REF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-578
2
Alanine
Lysine
Methionine
Cysteine
Social & Preventive Medicine
Nutrition and health
a422e55d-2c53-499e-9b1c-cdb8d9878bb8
single
Vasculitis involving the Aoic arch is
Takayasu aeritis classically involves the aoic arch. This is a granulomatous vasculitis of medium and larger aeries characterized principally by ocular disturbances and marked weakening of the pulses in the upper extremities (hence the name pulseless disease). Takayasu aeritismanifests with transmural fibrous thickenin...
1
Takayasu aeritis
Polyaeritis nodosa
Kawasaki disease
Churg-Strauss syndrome
Pathology
General pathology
27dbfbeb-573f-474d-8635-81a90c5297a7
single
A woman with H/o recurrent abortions presents with isolated increase in APTT. Most likely cause is:
Ans. is a, i.e. Lupus anticoagulantRef. Dutta Obs. 6/e, p 343; Fernando Arias 3/e, p 327; Leon Speroff 7/e, p 1082Isolated increase in APTT is suggestive of lupus anticoagulant.
1
Lupus anticoagulant
Factor VII
Von Willebrand's disease
Hemophilia A
Gynaecology & Obstetrics
Abortion
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single
Which is not a characteristic of wegeners granulomatosis?
Wegener granulomatosis is a necrotizing vasculitis characterizedby a specific triad of findings:* Granulomas of the lung and/or the upper respiratorytract (ear, nose, sinuses, throat)* Vasculitis of small to medium-sized vessels (capillaries,venules, aerioles, and aeries), most prominently inthe lungs and upper respira...
4
Granuloma in vessel wall
Focal necrotising glomerulonephritis
Positive for cANCA
Involves large vessels
Pathology
Cardiovascular system
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Good syndrome is
Ans. is 'a' i.e., Thymoma with immunodeficiency Good's syndrome (thymoma with immunodeficiency) is a rare cause of combined B and T cell immunodeficiency in adults. Clinical features of Good's syndrome are :- Increased susceptibility to bacterial infections with encapsulated organisms and oppounistic viral and fungal i...
1
Thymoma with immunodeficiency
Thymoma with M. Gravis
Thymoma with serum sickness
Thymoma with pure red cell aplasia
Medicine
null
75669caf-05de-44cf-a439-a700ff70343c
single
Dysphagia lusoria is best diagnosed by
Ans. is'c'i.e., CT AngiographyRef: Human Malformations and Related Anomalies p. 130Dysphagia lusoria is an impairment of swallowing due to compression from an aberrant right subclan aery (aeria lusoria)CT angiography and MRI thorax are the best diagnostic modalities that could identify the aeria lusoria.
3
Plain radiography
Fluoroscopy
CT Angiography
Ultrasound
Radiology
null
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single
Bolognini's symptom (a feeling of crepitationoccuring from gradual increasing pressure on the abdomen) is seen in -
Ans. is 'd' i.e., Measles
4
Congenital pyloric stenosis
Gastric polyp
Duodenal atresia
Measles
Surgery
null
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single
A pregnant woman is diagnosed with suffering from Graves' disease. The most appropriate therapy for her would be -
Ans. is 'd' i.e., Propylthiouracil oral o Graves' disease. an autoimmune disease characterized by antibodies against the thyrotropin (TSH) receptor (also called thyroid-stimulating immunoglobulins), is the most common cause of hyperthyroidism. Treatment of Graves disease o The therapeutic approach to Graves' hyperthyro...
4
Radioiodine therapy
Total thyroidectomy
Carbtmazole parenteral
Propylthiouracil oral
Unknown
null
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single
Lignocaine is useful:
Ans. C. Digitalis induced toxicityDOC for atrial fibrillation- verapamil. PSVT- adenosine, Digitalis induced toxicity- lignocaine.
3
Atrial fibrillation
PSVT
Digitalis induced toxicity
All of the above
Pharmacology
C.V.S
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multi
A 21 year old patient attended a pay the previous night and gives the following symptoms, pain in abdomen radiating to back, pulse 100/min, BP 100/76, Temp 39degC and vomiting before coming. Most probable diagnosis is
Clinical features of acute pancreatitis Cardinal symptoms : Epigastric and /or peri umbilical pain that radiates to the back, relieved by sitting & leaning forward Upto 90% of patients have nausea and/or vomiting that typically does not releive on pain Nature of the pain is constant Dehydration, poor skin turgor, tachy...
4
Acute appendicitis
Acute cholecystitis
Acute diveiculitis
Acute pancreatitis
Anatomy
G.I.T
97823612-86f9-4a26-a656-b624e244e55e
single
Kala azar is transmitted by
null
3
Phlebotomous papatasii
Phlebotomous sergenti
Phlebotomous argentipes
Phlebotomous punjabensis
Social & Preventive Medicine
null
7d82d69f-79fc-4c4a-81a0-5019cada32e3
single
a patient presented with swelling in his right foot with multiple discharging sinuses.the leison did not respond to antibiotics the likely etiological agent would be ?
Madurella mycetomatis causes the majority of the cases with the black grains. It is imperfect dematiaceous mold with brown colonies and diffused honey-colord pigment. Causes of mycetoma Eumycetoma : caused by species of fungi as: 1-Madurella mycetomatis 2-Madurella grisea 3-Leptosphaeria senegalensis 4-Pseudallescheria...
4
actino madura
nocardia
SPOROTHRIX
madurella mycetomatis
Dental
All India exam
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single
In postpartum patients, the blood volumes become normal after nonpregnant state is
Ans-C
3
2 weeks
4 weeks
6 weeks
10 weeks
Unknown
null
7171ad2a-3656-4cce-aa20-7b4fc0f8d0db
single
Among the secondary changes in tooth the most useful one for age determination is:
Root transparency is not seen until about 30 years of age. The canals in the dentin are first wide. With age they are filled by mineral, so that they become invisible and the dentin becomes transparent. It is more reliable of all criteria by Gustafson's method. Factors that determine age by assessing dental tissues in ...
4
Attrition
Secondary dentine deposition
Root resorption
Root transparency
Forensic Medicine
null
4ea89991-bfd5-4b6a-a0d0-40acf8fd5b7e
single
Which of the f ollowing factors helped in smallpox eradication?
Question repeated
4
Sho incubation period of disease
Slow evolution of rashes over body
Long-term carrier stages in patients
Life-long immunity after disease
Social & Preventive Medicine
Communicable diseases
1e026866-1128-48a7-8181-0ed6f01cd9a3
multi
Which is not a content of the spermatic cord?
Ans: d (Ilioinguinal nerve) Ref: BDC, 4th ed, Vol. II,p. 208The ilioinguinal nerve is not a content of the spermatic cord. In fact, it is a content of the inguinal canal, along with the spermatic cord.Ilioinguinal nerve:Enters the inguinal canal through the interval between the external and internal oblique and passes ...
4
Cremastric artery
Testicular artery
Pampniform plexus
Ilioinguinal nerve
Anatomy
Male Genital System
e0aab1d9-3586-4004-ad36-5fbbd94ed75e
single
In tandem bullet, number of bullet/bullets comingout of the gun is/are
2 [Ref: Parikh 6/e, p 4.26; Reddy, 25/e, p 1961 Tandem bullets: also k/a piggiback bullets are 2 bullets ejected one after the other, when the first bullet, having been stuck in the barrel, fails to leave the barrel, and is ejected by the subsequently fired bullet. The bullets may separate within the body, or before th...
2
1
2
3
4
Forensic Medicine
null
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single