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Klatskin tumor resembles- | Ans. is 'b' i.e., Cholangiocarcinoma o Extrahepatic adenocercinoma of bileducts, when proximal, is referred to as hilar cholangiocarcinoma (Klatskin's tumor). | 2 | Adenoma of liver | Cholangio CA | GB CA | Hepatic CA | Surgery | Gallbladder Cancer | f9230040-5c8d-42cf-a56f-837c966521e4 | single |
All are true about type 1 renal tubular acidosis except: | Ans. c. Sodium bicarbonate requirement Renal Tubular Acidosis Feature Type I(Distal) Type II(Proximal) Type IV Normal anion gap Yes Yes Yes Minimum urine pH >5.5deg <5.5deg <5.5 A filtered bicarbonate excreted <10 >15 <10 Serum potassium Low Low Highdeg Fanconi's syndrome No Yesdeg No Stones/Nephrocalcinosis Yesdeg No ... | 3 | Renal stones | Hypokalemia | Sodium bicarbonate requirement >4 mg/day | Urine pH > 5.5 | Medicine | null | 2026f295-4b19-4a83-8d96-86b9a52148c7 | multi |
Cottage Loaf sign in Chest x-ray is seen in | Snowman or Figure of 8 or Cottage Loaf sign is seen in TAPVC. | 2 | TGA | TAPVC | ASD | VSD | Radiology | null | 4c9811cc-ef45-4070-99f3-932aea193271 | single |
Dix Hallpike monouvre is used to assess ? | Ans. is'a'i.e., Differentiate peripheral and central lesions of vestibular systemRef: Dhingra Sh/e p. 47) Hallpike test is a test for assessing vestibular function.It is paicularly useful when patients complain of veigo in ceain head positions.It helps to differentiate peripheral and central lesions. | 1 | Differentiate peripheral and central lesions of vestibular system | Differentiate cochlear and retrocochlear deafness | Assess neonatal hearing loss | Assess patency of Eustachian tube | ENT | null | acfeb343-10e5-4bd3-a93f-982e37a246ee | multi |
A child with an abdominal mass diagnosed of having Wilms tumour. The child may have all of the following features associated with Wilms tumour, EXCEPT: | Horseshoe kidney is associated with Wilms tumor not bilateral polycystic kidney. In a few children, Wilms tumor occurs in the setting of associated malformations or syndromes, including, Aniridia Hemihyperophy Genitourinary malformations Cryptorchidism Hypospadias Gonadal dysgenesis Pseudohermaphroditism Horseshoe kidn... | 4 | Aniridia | Hemihyperophy | Hypeension | Bilateral polycystic kidney | Pediatrics | null | 107a71c7-6d81-445f-96c5-bf83a6780c11 | multi |
Which of the following contains both DNA and RNA? | Ans. (b) i.e., bacteria Microbe - DNA RNA Protein Bacteria + + + Virus +1-- +/-- Prion Fungi + Parasites Plasmids + -- Viroids Viroids: Plant pathogens that consists of sho, strech of circular single/double standed RNA. | 2 | Plasmids | Bacteria | Prions | Viroids | Microbiology | null | c8a5f5cb-daa4-43c1-9cb6-1fda0206190f | multi |
A 40 year old man with elevated mood: March 2007 | Ans. B: ManiaMania is characterized by extremely elevated mood, energy, unusual thought patterns and sometimes psychosis.It is most often associated with bipolar disorder, where episodes of mania may cyclically alternate with episodes of major depression.Manic symptoms include irritability, anger or rage, delusions, hy... | 2 | Schizophrenia | Mania | Depression | Hysteria | Psychiatry | null | 59faeadb-793d-412b-a2ba-db761ba065ee | single |
All are given for control of thyrotoxicosis prior to surgery except | Carbimazole 30-40 mg per day is the drug of choice for preparation. When euthyroid (after 8-12 weeks), the dose may be reduced to 5 mg 8-hourly. The last dose of carbimazole may be given on the evening before surgery. An alternative method of preparation is to abolish the clinical manifestations of the toxic state, usi... | 3 | Carbimazole | Propranolol | Betamethasone | Lugol's iodine | Surgery | Endocrinology and breast | c5f02557-c662-48a6-900a-6f88547ba892 | multi |
Amoebiasis is transmitted by all except- | infective cysts are passed in the faeces of convalescent and carriers Man acquires infection by ingestion of water and food containing these cysts. The infection can also be acquired by ano genital or orogenital sexual contact among homosexual males.(refer pgno:17 baveja 3 rd edition) | 3 | Cockroach | Faeco oral | Veical transmission | Oro-rectal | Microbiology | parasitology | 0c0ff361-db1d-4ed9-8953-c2e21c44b051 | multi |
Area under standard normal distribution curve- | Ans. is 'b' i.e., 1 Standard normal curve* It is also known as bell curve or Gaussian distribution.* The shape of the curve is like a bell - bell shaped curve.* The data are distributed symmetrically on either side of a central value.* Normal distribution curve looks symmetrical in the dispersion with the largest frequ... | 2 | 0.5 | 1 | 1.5 | 2 | Social & Preventive Medicine | Biostatistics | bad14ddc-3106-4e47-a3af-2940cd603db0 | single |
A young male presents with central scotoma in left eye. His right vision showed 6/6 vision. On examination, in the left eye, there was focal foveal detachment. What would be the next step? | Ans. b. Inquire about the use of steroids (Ref: Khurana 5/e pe p290)A young male presents with central scotoma in left eye. His right vision showed 6/6 vision. On examination, in she left eye, there was focal foveal detachment The clinical picture points towards a diagnosis of central serous retinopathy (CSR). which is... | 2 | Examine retrolental cells | Inquire about the use of steroids | Ask for history of trauma in the other eye | Examination under slit-lamp | Ophthalmology | Retinal Detachment | 2f690d8e-7997-4ea8-b4e8-010039568af2 | multi |
A 57-year-old woman has had pain on urination for 5 months and yesterday noted blood on her underwear. On examination, there is a tender red 1-cm nodule on the posterior lip of the external urethra. It is excised. What pathologic finding is most likely to be present on the microscopic examination of her lesion? | She has a urethral caruncle, which is most common in postmenopausal women as a result of urethral prolapse with atrophy from decreased estrogen. Topical estrogen creams and anti-inflammatory agents may shrink the lesion. It is not an infectious process, so multinucleated cells (herpes simplex virus) or plasma cell infi... | 1 | Granulation tissue | Multinucleated cells | Plasma cell infiltrates | Rhabdomyosarcoma | Pathology | Male Genital Tract | bb71d01c-a7dd-4ddc-8e56-dfd2cab3db9c | single |
True about anorexia nervosa is all except | Anorexia Nervosa Anorexia nervosa is an eating disorder characterised by the following prominent clinical features: 1. It occurs much more often in females as compared to the males. The common age of onset is adolescence (13-19 years of age). 2. There is an intense fear of becoming obese. This fear does not decrease ev... | 2 | Binge eating is common | Unknown in male | Ammenorrhoea stas before severe loss of weight | Self-induced vomiting | Psychiatry | Sleep disorders and eating disorders | 1b678be7-3af8-41f1-b29d-758e908b34b0 | multi |
Wrist drop is due to injury to which nerve: | Ans. D. RadialWrist drop, is a medical condition in which the wrist and the fingers cannot extend at the metacarpophalangeal joints & wrist joint. The wrist remains partially flexed due to an opposing action of flexor muscles of the forearm. It is due to injury to radial nerve. | 4 | Median | Ulnar | Axillary | Radial | Anatomy | Upper Extremity | ce51c245-8797-46ef-81c5-c6b7c0ee5b4e | single |
Neonate with anoxic spells and single S2. CXR shows all except? | Ans. (b) Pulmonary plethoraThe CXR shows an enlarged heart with boot shaped configuration and reduced vascularity of lungs. The clinical diagnosis is Tetralogy of Fallot, and due to subpulmonic stenosis it presents with pulmonic Oligemia. | 2 | Boot shaped heart | Pulmonary plethora | Right sided aortic arch | Right ventricular hypertrophy | Radiology | Cardiac and Pericardiac Imaging | eaf6b821-cdf6-4c74-a43d-b01df5d89bb0 | multi |
The inlay wax used for direct technique: | null | 1 | Type I | Type II | Type III | Type IV | Dental | null | daa9cf8d-3425-427f-8ae4-bfe327c83de6 | single |
Soft S1 is seen in all except: | MS: | Trans-valvular gradient, faster opening and faster elastic recoil - l/t loud S1 Option A- Causes bradycardia l/t soft S1 Option B- Blood comes black in LV, so increased volume in L.V during diastole d/t defective aoic valve closure blood comes back into the ventricle.The gradient stas reducing so l/t soft S1 soun... | 4 | First degree hea block | AR | Calcified valve | Mild MS | Medicine | Valvular hea diseases | 4af2555a-4fdb-47f9-8b8a-642aa9229820 | multi |
Which of the following structure develops from the proctodeum? | Proctodeum or ectoderm lined anal pit is formed by the accumulation of mesodermal cells around the periphery of the anal membrane. This gives rise to lower 1/3rd of the anal canal. Cloaca is the terminal expanded poion of the primitive hindgut. The cloacal chamber is divided into dorsal and ventral cavities. The dorsal... | 4 | Rectum | Sigmoid colon | Upper 2/3rd of anal canal | Lower 1/3rd of anal canal | Anatomy | null | a7d5a65d-19f8-4729-8842-b0b795bb1edb | single |
The foetal pole with cardiac activity is detected with Transvaginal USG by what stage of gestation? | Using transvaginal USG, the gestational sac can usually be seen at 4 weeks, the yolk sac at 5 weeks, and the fetal pole with cardiac activity by 6 weeks. Cardiac activity can be seen simultaneously with the appearance of a fetal pole as a pulsation at the lateral aspect of the yolk sac. Normal embryonic hea rate may be... | 1 | 6 weeks | 8 weeks | 10 weeks | 12 weeks | Gynaecology & Obstetrics | null | 5b286d7e-24a2-4942-a49d-82fe60cac652 | single |
Cyanide affects respiratory chain by ? | Ans. is 'd' i.e., Non-competitive irreversible inhibition Cyanide inhibits cytochrome oxidase (respiratory chain) irreversibly, and non-competitively. Types of enzyme inhibition Enzyme inhibition is of two types :? Reversible and Irreversible Reversible inhibition Reversible inhibition may be of following types :? i) C... | 4 | Non-competitive reversible inhibition | Competitive reversible inhibition | Suicide irreversible inhibition | Non-competitive irreversible inhibition | Biochemistry | null | c3d34044-ea66-4fb8-bafd-4103d2e5a159 | single |
A patient was brought to the hospital with a history of RTA eight hours back. A few drops of blood is noted at the external urethral meatus. He has not passed urine and his bladder is palpable per abdomen. The probable diagnosis is : | Ans. is 'a' i.e. Urethral injury Blood at urethral meatus and urine retention are suggestive of urethral injury. | 1 | Urethral injury | Rupture bladder | Urethral injury with extravasation of urine in the retroperitoneum | Anuria due to hypovolemia | Surgery | Miscellaneous (Urethra & Penis) | bb1634c8-5b26-4543-a55d-663175c7710b | single |
9th cranial nerve supplies which of the following? | The stylopharyngeus arises from the styloid process It passes through the gap between the superior and middle constrictors to run downwards on the inner surface of the middle and inferior constrictors The pharynx is supplied by the pharyngeal plexus of nerves which lies chiefly on the middle constrictor.The plexus is f... | 3 | Cricothyroid | Cricopharyngeus | Stylopharyngeus | Tensor veli palati | Anatomy | Head and neck | 39328db0-a29d-44f1-b43d-56a0525e6489 | single |
The drug which is used for long-term maintenance in opioid addiction: AIIMS 06; Punjab 09; AI 11 | Ans. Methadone | 4 | Nalorphine | Naloxone | Butarphanol | Methadone | Forensic Medicine | null | 7d8f6fae-d663-40c2-b6dc-b5bf44423c27 | single |
Killing of Thyroid Cancer cells By I-131 is mainly by | *I-131 produces both Gamma and Beta Rays, but killing of thyroid cancer is mainly done by Beta Rays. | 3 | Alpha Rays | X rays | Beta Rays | Gamma Rays | Radiology | Nuclear medicine | 0ea12290-ac64-46cd-b874-c39c6a4df58a | single |
A children presents with recurrent upper respiratory tract infection with mouth breathing and impairment of hearing. Treatment is | (Adenoidectomy + Grommet insertion) (228- Dhingra 4th)* Recurrent URTI + mouth breathing and impairment of hearing reflects - diagnosis is ADENOIDSClinical featuresAetiology - Physiological enlargement* Recurrent attack of rhinitis, sinusitis or chronic tonsillitis* URTI** Nasal symptoms Aural Symptoms General Symptoms... | 3 | Tonsillectomy | Grommet insertion | Adenoidectomy + Grommet insertion | Tympanoplasty | ENT | Miscellaneous (E.N.T.) | 84968554-468e-4c91-9ebe-beedf1e7a218 | single |
How many roots does a primary maxillary first molar have: | null | 3 | One | Two | Three | Four | Dental | null | 7a5e60b9-8a3b-431f-b287-cc442425d616 | single |
Retinoscopy is used for visualising the: | Ans. Detecting errors of refraction | 3 | Whole retina | Only the peripheral pa of the retina | Detecting errors of refraction | null | Ophthalmology | null | cb06ad68-cacf-4e04-85c5-2daddd0a225f | multi |
A child with a small head, minor anomalies of the face including a thin upper lip, growth delay, and developmental disability can have all of the following,except | The features given can occur as a pa of a chromosomal / teratogenic / mendelian syndrome. Polygenic inheritance is the answer of exclusion. In a polygenic inheritance, multiple genes are involved in the phenotypic expression. Some examples of polygenic inheritance are hypeension and diabetes. Reference: GHAI Essential ... | 4 | A chromosomal syndrome | A teratogenic syndrome | A mendelian syndrome | A polygenic syndrome | Pediatrics | Genetic and genetic disorders | 373916eb-7cb9-43bb-a560-7a8455c5621d | multi |
All of the following are known to cause biliary obstruction, except: | Biliary obstruction has been noticed in infection with Clonorchis, Fasciola and Ascaris but not with Ankylostoma duodenale infection. Ref: Harrison's Principles of Internal Medicine, 16th Edition, Pages 1257, 1271 | 3 | Clonorchis | Ascaris | Ankylostoma | Fasciola | Microbiology | null | d42b6634-e5d8-468b-9a82-6768a1c86310 | multi |
A 32-year-old man undergoes a laparotomy for multiple organ injury resulting from trauma. He is discharged after 2 weeks in the hospital, only to be readmitted 3 days later because of abdominal pain and sepsis. The CAT scan shows an accumulation of fluid in the subhepatic space (Figure below). This space is likely to b... | Subhepatic (intrahepatic) space infection usually occurs after surgery or peritonitis in the supracolic compartment. It is an unlikely amplication of biliary pancreatitis. Infections in the subhepatic space may extend to the infra- colic compartment via the paracolic gutter (of Morrison). In addition to the stomach, th... | 2 | Inferior pole of the right kidney | Stomach | Uncinate process of the pancreas | Aortic bifurcation | Surgery | Stomach & Duodenum | 2d83243d-ab27-4ddd-b01e-41ce46764c30 | single |
As per National Immunization Program, route of administration of BCG vaccine is | As per National Immunization Programme, route of administration of BCG vaccine is intradermal. Site - left upper arm. Dose 0.1 ml (0.05 ml until 1 month age) Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 123 | 4 | Subcutaneous | Intramuscular | Oral | Intradermal | Social & Preventive Medicine | Health programmes in India | dae21c92-405b-4968-9232-e2dfc66c1021 | single |
Hematuria, RBC casts and proteinuria are suggestive of: March 2004 | Ans. C i.e. Acute nephritic syndrome | 3 | Nephritic syndrome | Renal cell carcinoma | Acute nephritic syndrome | Chronic renal failure | Medicine | null | d9a92911-3ba9-44d7-b598-ced25668d6d4 | single |
The half-life of Amiodarone is | After oral administration, amiodarone only has a bioavailability of 30%. It also has a half-life of approximately 50 days, so it can take weeks for therapeutic effects to appear. | 4 | 3-8 min | 3-8 hours | 3-5 weeks | 3-8 weeks | Pharmacology | Cardiovascular system | 098c2d63-2160-48bc-af57-6faf0881c918 | single |
The highest percentages of polyunsaturated fatty acids are present in | null | 2 | Groundnut oil | Soyabean oil | Margarine | Palm oil | Dental | null | 409fc9ce-2fca-4a52-ade4-dcc5c5cf90c1 | single |
Indocyanine Green Angiography (ICG Angiography) is most useful in detecting – | Fluorescein angiography is primarily used for retinal vasculature because:-
Fluorescein is readily bound to the albumin in the blood stream. The blood-retinal barrier, by preventing dye leakage in the physiological state facilitates the delineation of retinal vessels of all calibres. In the choroidal circulation, fluor... | 1 | Occult Choroidal Neovascularization (Occult CNV) | Classic choroidal neovascularization(Calssic CNV) | Angioid streaks with choroidal Neovascularization (CNV) | Polypoidal choroidal vasculopathy | Ophthalmology | null | ee3e410d-54d4-4790-9708-dbfecae188f5 | single |
A patient who underwent abdominal surgery, developed infection at wound site. Awound swab was sent for culture, which revealed MRSA. All of following antibiotics can be used for his treatment except - | Ans. is 'a' i.e., Cefclor o Ciprofloxacin, Cotrimoxazole and vancomycin are used for MRSA infections. | 1 | Cefclor | Cotrimoxzate | Ciprofloxacin | Vancomycin | Pharmacology | null | 1effb4c6-5a9a-4c3e-a52c-b3fa98b62308 | multi |
Culture medium for campylobactor jejuni - | Ans. is 'b' i.e., Skirrow's medium Media for Campvlobactoro Preston mediao Campylobactor agar baseo Skirrow*s mediao Butzlers mediao Aka Balton mediao Karmali agaro Columbia blood agaro Campylobactor enrichment broth,o CCDA (Charcol-cefoperazone-deoxycholate agar)o CVA (Cefoperazone, Vancomycin and amphotericin B) | 2 | BYCE medium | Skirrow's medium | Thayer-Martin medium | TCBS medium | Microbiology | Compylobactor | 6b538fcc-efdc-4aeb-b500-d06fc9bf3224 | single |
Causes of raised J.V.P. with hypotension are allexcept | 2nd degree A.V. block Differential diagnosis of increased venous pressure with hypotension Cardiac tamponade Constrictive pericarditis Right ventricular wall M.I. Restrictive cardiornyopathy Right hea failure | 4 | >Cardiac tamponade | >Right ventricular M.I. | >Hea failure | >2nd degree A.V. block | Surgery | null | f0dabf78-1bf5-4471-85b5-a11588e1d10b | multi |
Chest compression during CPR depth: March 2013 (a, c, d, g) | Ans. B i.e. 2 inches | 2 | 1 inch | 2 inches | 3 inches | 4 inches | Anaesthesia | null | 4f74dbd7-4b41-42d0-96b6-611846130f28 | single |
What is false in relation to Carey Coombs Murmur? | In rheumatic carditis, the mitral valve is involved three times as frequently as the aoic valve. Therefore, mitral murmurs are more common. Mitral regurgitation is the most common finding. Mitral valvulitis during an episode of acute rheumatic fever can frequently cause sho mid-diastolic rumble, heard over the apical a... | 3 | Delayed Diastolic Murmur | Seen in Rheumatic Fever | Associated with AR | Low pitched Murmur | Medicine | All India exam | c7b65f3b-1cc3-4105-b44a-d2b4cf294e48 | multi |
What is false regarding DEC - | Ans. is 'b' i.e., DEC is microfilaristatic o DEC is the first drug used for filariasis; absorbed after oral ingestion; metaboized in liver and excreted in urine. It is microfilaricidal. o Most impoant action of DEC appears to alteration of organelle membrane of Mf promoting cell death. It is used in filariasis and trop... | 2 | DEC is excreted in urine | DEC is microfilaristatic | DEC is metabolised in liver | Most impoant action of DEC appears to alteration | Pharmacology | null | 4766dbb0-1ecf-4f15-8153-0d7be8dfff62 | multi |
One unit of packed RBC increases the blood hemoglobin by | null | 1 | 1 g/dl | 6-7 g/dl | 8-9 g/dl | null | Medicine | null | d27a7630-219b-47c4-8853-ec6a233d4d9b | multi |
Age for valid consent for operation is - | This question is tricky. Though the valid consent can be given by a person above 12 years of age, but not for the act which may result in death or grievous hurt.
A person above 18 years can give valid consent to suffer any harm, which may result from an act not intended or not known to cause death or grievous hurt. A p... | 2 | 12 years | 18 years | 21 years | Only guardian can give such consent | Forensic Medicine | null | 85ae110e-6bda-4744-948a-31bb46db38b2 | single |
Primary sinusoidal dilation of liver is also known as | Hepatic sinusoidal dilatation refers to the enlargement of the hepatic capillaries. Most of the time this condition is caused by hepatic venous outflow obstruction, which results in vascular stasis and congestion of hepatic parenchyma. In this setting, hepatic sinusoidal dilatation can be related to pericardial disease... | 2 | Hepar lobatum | Pellosis hepatis | Von Meyenburg complex | Caroli's disease | Anatomy | General anatomy | 31c159b3-0ca7-4475-9f54-544f2242feef | single |
A death ceificate is given below, main underlying cause of death is :- | Death ceificate consists of two pas. Pa I is divided into three sub pas - (a), (b) and (c). These are for disease processes that have led directly to death, (a) is a direct cause of death and is a consequence of (b), which in turn is due to (c). it is the disease in 1(c) or 1(d) that is the most impoant, as it is the p... | 4 | Pulmonary embolism | Secondary carcinoma shaft of femur | Fracture of femur | Malignant neoplasm of breast | Forensic Medicine | Medical Jurisprudence | 0baa755f-1e84-4857-a14a-dc0d8e47e7be | single |
Which of the following is NOT one of the many contributions of Louis Pasteur? | Louis Pasteur was a French chemist and microbiologist who was one of the most impoant founders of medical microbiology. He is remembered for his remarkable breakthroughs in the causes and prevention of diseases. He created the first vaccines for rabies and anthrax. His experiments suppoed the germ theory of disease. He... | 4 | Rabies Vaccine | Anthrax Vaccine | Germ Theory of Disease | Theory of Spontaneous Generation | Social & Preventive Medicine | null | d70d6dd9-0006-4d7c-8f77-71847fa01e7b | single |
Sub-arachnoid space ends at | (A) S2 level> Subarachnoid space surrounds the brain & spinal cord, and ends below at the lower border of the second sacral vertebra. | 1 | S2 level | L5 level | S1 level | L3 level | Anatomy | Neuroanatomy | d900fd36-3b42-4c61-bb16-da9414c133b1 | single |
The pin that causes minimum stress in dentin is | null | 2 | Threaded pin | Cemented pin | Amalga pin | Friction lock pin | Dental | null | 14a1e984-d59f-435b-9e8e-e9e0c80d0d10 | single |
All are true of benzodiazepines except: | Benzodiazepines are effective for the treatment of anxiety symptoms secondary to panic disorder, generalized anxiety disorder (GAD), social anxiety disorder, performance anxiety, post-traumatic stress disorder, obsessive-compulsive disorder, and extreme anxiety associated with phobias, such as fear of flying.
The ben... | 2 | Benzodiazepam is used in treatment of status epilepticus | Benzodiazepam is used in the long term treatment of psychic disorders | Clonazepam is used in the treatment of petitmal epilepsy | None of the above | Pharmacology | null | 76b8796c-7e59-4338-a1c4-c38e05e0c756 | multi |
Ring of Sommerring is seen in - | Ring of sommerring and Elsching's are seen in after cataract. (Ref: Parson's 22nd/e p.285 & 21st/e p.279) | 4 | Galactosemia | Dislocztion of lens | Acute congestive glaucoma | After cataract | Ophthalmology | Lens | 733835ce-83aa-435f-bc40-4322282f09c7 | single |
Large PDA leads to: | d. All of above(Ref: Nelson's 20/e p 2189-2191, Ghai 8/e p 413-414)Complications of large PDA are Cardiac failure; Infective endarteritis, Pulmonary or systemic emboli, Pulmonary hypertension (Eisenmenger syndrome) | 4 | Endocardial valvulitis | Essenmenger syndrome | Heart failure | All of the above | Pediatrics | C.V.S. | 481779fa-364c-4173-92b1-0d5759b510c0 | multi |
Transamination reaction requires - | Ans. is 'c- i.e., Pyridoxin o Transamination involves the reversible transfer of a-amino group of a-amino acid to an a-keto acidQ to form a new amino acid and a new keto acid.o The enzyme catalyze the reaction is called aminotransferase (transaminase).o Most transaminases use GL-ketoglutarate (a-keto acid) as a common ... | 3 | Biotin | Folic acid | Pyridoxin | Niacin | Biochemistry | Amino Acid Metabolism | 1a702ff5-e5c2-4150-8cbf-cc46b4faae00 | single |
Myositis ossificans is differentiated from other reactive fibroblastic proliferations by the presence of:September 2009 | Ans. C: Metaplastic boneMyositis ossificans usually develops in the athletic adolescents and young adults and follows an episode of trauma in more than 50% of cases.The lesion typically arises in the musculature of proximal extremities.It shows metaplastic bone.It should be differentiated from extraskeletal osteosarcom... | 3 | Dysplastic bone | Dystrophic bone | Metaplastic bone | Hyperophic bone | Pathology | null | aef5c805-cd89-45de-be8b-d7ab5bc448c7 | single |
M/C uterine malformation associated with infeility | Septate uterus The two mullerian ducts are fused together but there is a persistance of septum in between the either two paially or completely Infeility and dyspareunia are often associated with vaginal septum D.C.DUTTA&;S TEXTBOOK OF GYNAECOLOGY,Pg no:44,6th edition | 3 | Bicornuate | Unicornuate | Septate | Didelphys | Gynaecology & Obstetrics | Congenital malformations | 28056b29-d9fe-4f5e-900a-aa77abeb4e00 | single |
Which of the following is inhalational induction agent of choice for induction. | To be agent of choice for induction agent should have low blood gas solubility for fast induction and good smell for easy acceptability to conscious patient. Sevoflurane a sweet smelling gas, non pregnancy and low blood : gas solubility (0.63) is agent of choice for induction. Inhalational agent of choice for neurosurg... | 3 | Halothane | Isoflurane | Sevoflurane | Desflurane | Anaesthesia | Inhalational Anesthetic Agents | 4efe611d-4aae-44b1-b32d-3a68823a9d2a | single |
Which of these amino acids does not have asymmetric carbon atom? | Glycine is the simplest amino acid with no optical activity. | 2 | Valine | Glycine | Alanine | Tryosine | Biochemistry | null | 238d99f4-d77e-4b4b-aae8-d42322f1a293 | single |
A-34 year old person has rapidly developing cough, dyspnoea, expectoration and blood tinged sputum. He is febrile cyanosed and toxic.Chest examination reveals crepitation and rhonchi. The most likely diagnosis is - | Ans. is 'b' i.e., Pneumonic plague . Radidly developing cough, dyspnea, blood tinged sputum with fever and cyanosis is the classical presentation of pneumonic plague. About other options Option 'a' . Legionnaires pneumonia presents as mild cough, only slight production of cough . There is associated diarrhea and neurol... | 2 | Legionella pneumonia | Pneumonic plague | Septicaemic plague | Pulmonary tuberculosis | Microbiology | null | d9d92ea4-b7d4-4939-b677-074cdb036425 | single |
Shortest incubation period - | Ans. is 'b' i.e., Influenza Respiratory tract infectionsDiseaseCausative organismIncubation periodSmall poxVariola virus7-14 daysChicken poxHuman (alpha) herpes virus314-16 daysMeasles (Rubeolla)RNA paramyxovirus10-14 daysRubella (German Measles)RNA Togavirus14-21 daysMumpsRNA Myxovirus14-18 daysInfluenzaOrthomyxovirus... | 2 | Pertusis | Influenza | Diphtheria | Measles | Social & Preventive Medicine | Influenza | 2b3763de-365b-49b3-844b-8ff45ca22e29 | single |
APGAR stands for? | b. Appearance, Pulse, Grimace, Activity, Respiration(Ref: Nelson's 20/e p 798)APGAR score is based on 5 parameters: Appearance, Pulse, Grimace, Activity, Respiration | 2 | Appearance, Pressure, Grimace, Activity, respiration | Appearance, Pulse, Grimace, Activity, Respiration | Appearance, Pressure, Grimace, Activity, Respiration | Awareness, Pulse, Grimace, Activity, Respiration | Pediatrics | New Born Infants | d37115ba-78a8-4924-aa7c-dede363468b0 | single |
The role played by major histocompatibility complex 1 and 2 | Ref Robbins 8/e p191 Class I MHC molecules are encoded by three closely linked loci, designated HLA-A, HLA-B, and HLA-C (Fig. 4-3). Each of these molecules is a heterodimer, con- sisting of a polymorphic 44-kDa a chain noncovalently associated with an invariant 12-kDa b2-microglobulin polypeptide (encoded by a separate... | 3 | Transduce the signal to T cells following antigen recognition | Mediate immunogenic class switching | Present antigens for recognition by T cells antigen receptor | Enhance the secretion of cytokine | Anatomy | General anatomy | 25040b2f-b7f2-4d29-8a4f-cbd8451b91ac | single |
In Rh negative mother, who has delivered a Rh positive baby, prophylactic anti-D is indicated: March 2004 | Ans. A i.e. If the direct Coomb's test is negative | 1 | If the direct Coomb's test is negative | If the indirect Coomb's test is positive with rising titres | If the ICT is positive | As a routine procedure | Gynaecology & Obstetrics | null | cd9545e7-f1dd-4eea-93a3-7831672066d1 | single |
The stimulation of which of the following causes hyperventilation at high altitude | The composition of air stays the same, but the total barometric pressure falls with increasing altitude. Therefore, the PO2 also falls. At 3000 m (approximately 10,000 ft) above sea level, the alveolar PO2 is about 60 mm Hg and there is enough hypoxic stimulation of the peripheral chemoreceptors to definitely increase ... | 1 | Peripheral chemoreceptors | Vagal afferents | Central chemoreceptors | Proprioceptors | Physiology | Respiratory system | 89123dc4-cde8-4667-a778-73bb417468eb | single |
Clinpro 5000 tooth paste used as remineralizing agent contain W/V: | One similar product to Clinpro" Tooth Crème is "Clinpro 5000 1.1% Sodium fluoride Anti-Cavity Toothpaste. It is sold to remineralize lesions throughout-not just on the surface.
Clinpro" Tooth Crème is an anti-cavity toothpaste, from 3M, that aids in the prevention of dental cavities and can be used in place of your us... | 3 | 0.5% NaF | 0.21% NaF | 1.1% NaF | 0.02% NaF | Dental | null | 0f626998-c03c-417b-b334-4896976438fa | single |
Stellate wound is produced with firearm in | Stellate wound is a characteristic of a contact wound. Specific appearances of contact shot: Muzzle/Recoil imprint mark is regarded as a patterned abrasion/ intradermal contusion caused by the expansive power of the gases lifting the skin forcibly up against the muzzle.- Characteristic imprint marks can provide clues t... | 1 | Contact shot | Close shot | Range within 60 cm | Distant shot | Forensic Medicine | Ballistics | 956f0d0b-7afa-4ecc-94f5-d7ec4f674362 | single |
Epispadies is associates with? | In epispadiasis the urethra opens on the dorsum of the penis, proximal to the glans. Most common site is at the abdominopenile junction. It is associated with a dorsal chordee(Chordee is a condition in which the head of the penis curves downward or upward, at the junction of the head and shaft of the penis), ectopia ve... | 2 | Bifid pubic symphysis | Chordee | Anal atresia | Intestinal obstruction | Surgery | Urology | cb160907-15af-48c7-97a1-2c90d4042c84 | single |
Positive dipstick for RBC with red color urine and red supernatant and clear sediment with positive dipstick- | Ans. is 'd' i.e., Rhabdomyolysis Approach to red to brown urineo The excretion of red to brown urine is observed in a variety of clinical settings. The initial step in the evaluation of this abnormality is centrifugation of the urine to see whether the red color is in the urine sediment or the supernatanto If the red c... | 4 | Porphyria | Hematuria | Hemolysis | Rhabdomyolysis | Medicine | Glomerular Diseases | bed08139-8a7a-43b8-8724-cf0eda8f6882 | single |
A chronic alcoholic patient was admitted in a hospital few days ago following an accident. He developed alcohol withdrawal syndrome. Which of the following clinical feature is NOT associated with alcohol withdrawal syndrome? | Insomnia, not hypersomnolence, is seen in alcohol withdrawal. Delirium tremens is the most advanced stage of alcohol withdrawal and includes hallucinatory behavior associated with severe tremors and autonomic hyperactivity. The essential feature of delirium tremens is a delirium, with impaired attention and memory, dis... | 3 | Hallucination | Tremors | Hypersomnolence | Autonomic hyperactivity | Psychiatry | null | cbb0edd2-1e03-450e-8922-e61255a12607 | multi |
Diagnosis of traumatic rupture of diaphragma) Laparoscopyb) Chest X rayc) Diagnostic peritoneal lavaged) IPPV | • Diaphragmatic injuries are often caused by penetrating injuries.
• Patients sustaining penetrating injuries below the nipples and above the costal margins should be investigated to rule out diaphragmatic injury.
Etiology
• Penetrating trauma (knife, bullet, repair of hiatus hernia)
• Blunt trauma (motor vehicle accid... | 1 | ab | a | ad | bc | Surgery | null | aaa72154-8c39-456d-af2d-1b657a0b82b7 | single |
Search for gestational diabetes is carried out at what gestational age? | Ans, c (28 weeks). (Ref. Textbook of Obstetrics by Dutta, 3rd ed., 292)Note: The actual answer is 24 to 28 weeks.GTT IN PREGNANCY# Screening for gestational diabetes should be done between 24-28 weeks of gestation by using glucose tolerance.# Test - 50 gm oral glucose without regard to time of day and last meal.# Plasm... | 3 | 16 weeks | 20 weeks | 28 weeks | 32 weeks | Gynaecology & Obstetrics | Miscellaneous (Gynae) | 78d84e8a-356a-4e72-b06f-443d8b0a0819 | single |
Schistosoma haematobium is most commonly associated with which of the following bladder cancers? | Squamous cell carcinoma bladder Schistosoma haematobium infections in endemic areas are an established risk for bladder cancer. 70% of cancers with history of S. haematobium infection are squamous cell carcinoma. | 1 | Squamous cell carcinoma | Adenocarcinoma | Small cell carcinoma | Transitional cell carcinoma | Pathology | Renal carcinoma | 718400a5-eb92-42c9-9064-694fe226b641 | multi |
Renal GFR is best measured by – | Inulin clearance is the gold standard for assessing GFR. It is the preferred measure of GFR when an accurate measure is critical. However, this method is not performed in clinical practice, because of technical complexity and limited availability.
Next to inulin, radiocontrast agents (Tc - DTPA) are most accurate.
Howe... | 3 | Tc 99 DMSA | Tc 99 Pyrophosphate scan | Tc 99 DTPA | Creatinine clearance | Radiology | null | 33b4a2bc-2971-4b94-b28b-2284d0a2c601 | single |
A 3 yr old completely unimmunized child comes to an immunization clinic at PHC for the first time. He should receive - | null | 2 | BCG; Measles, Vitamin-A | DT-1, OPV-1, Measles, Vitamin-A | BCG; DPT-1, OPV-1, Measles, Vitamin-A | DPT-1, OPV-1, Measles, Vitamin-A | Social & Preventive Medicine | null | 4461ae02-1c5b-4ac1-b99e-20dcc7706201 | single |
"Brush-fire" pattern is seen in - | Ans. is 'a' i.e., CMV retinitis o CMV retinitis is the most common ophthalmic manifestation of CMV, occuring as a congenital infection in infants or an opportunistic infection in the immunocompromised host,o Adults commonly affected include those individuals with acquired immunodeficiency syndrome (AIDS), oncology pati... | 1 | CMV retinitis | Toxoplasmosis | Congenital rubella | Syphilis | Ophthalmology | Inflammatory Disorders | e018b673-1c9e-46cb-b28b-71551dcd58b6 | single |
The Gold standard investigation for GERD is | (A) 24 hr pH monitoring > Useful investigations may include barium swallow X-rays, esophageal manometry, 24 hour esophageal pH monitoring and Esophagogastroduodenoscopy (EGD). In general, an EGD is done when the patient does not respond well to treatment, or has alarm symptoms including: dysphagia, anemia, blood in the... | 1 | 24 hr pH monitoring | Endoscopy | CT scan | MRI | Surgery | Miscellaneous | 5d3f7560-0631-4701-a06f-170299b12789 | single |
Which of the foolwing is not seen in HIV Patient with CD count less than 100 Per micro litre, who has non productive cough - | Ans is 'c' i.e., Mycoplasma pneumoniae . Mycoplasma pneumoniae is not among the oppounistic organisms causing Pneumonia in a patient with AIDS. Organisms causing Pneumonia in AIDS patient . Bacterial S. pneumoniae (most common) H. influenza . arasite Pneumocystis carinii . Fungal Cryptococcus Aspergillus Coccidioides i... | 3 | Mycobacterium tuberculosis | Pneumocystis carinii | Mycoplasma pneumoniae | Cryptococcal infection | Microbiology | null | 2955be10-80c8-4f8f-83c9-b93771e67089 | single |
Which of the following can be used treat post operative gastric paresis | Bethanechol is a parasympathomimetic that acts on M3 receptors of Gastric smooth muscle to increase gut motility. | 3 | Atropine | Methacoline | Bethanecol | Oxtremorine | Pharmacology | null | ad2c5860-f6dc-40c8-b2bf-a6d6fa02571c | single |
The nerve supply of Middle ear is from | (B) Tympanic branch of glossopharyngeal nerve# Sensory nerve supply of middle ear cavity is provided by Glossopharyngeal nerve.> Tympanic Plexus It lies on the promontory and is formed by tympanic branch of glossopharyngeal and sympathetic fibres from the plexus round the internal carotid artery.> Tympanic plexus suppl... | 2 | Superior auricular nerve | Tympanic branch of glossopharyngeal nerve | Pharyngeal branch of glossopharyngeal nerve | Great auricular nerve | Anatomy | Misc. | f8bedf6b-920d-4662-b365-4f3217a15c37 | single |
Which form of alginic acid, which is present in alginate, provides strength to the impression material? | Alpha-d-mannuronic acid provides flexibility, which is extracted from certain brown seaweed, is a linear copolymer of β-D-mannuronic acid and α-L-guluronic acid. Mannuronic and guluronic acids are epimers. It is known that the block structure within the alginic acid can vary significantly. Alginates with higher guluron... | 2 | Alpha-d-mannuronic acid | Alpha-d-guluronic acid | Both of the above | None of the above | Dental | null | 6812c1db-fb12-49e7-88e9-969db631f253 | multi |
False statement about treatment of Carcinoma Cervix: | Management of Cervical Cancer Stage Ia1: Cone biopsy or Type I Hysterectomy Stage Ia2: Type II Hysterectomy and Pelvic lymphadenectomy Stage Ib1: Type III Hysterectomy and Pelvic lymphadenectomy Stage Ib2 and IIa: Type III Hysterectomy with Pelvic and Para aoic lymphadenectomy Stage IIb onwards: Primary Chemoradiation ... | 3 | Radiotherapy is helpful in all stages | Prognosis of surgery is good if done in early stages | When radiotherapy is given, para-aoic Lymph Nodes should be included | Chemotherapy is reserved for late stages | Gynaecology & Obstetrics | Gynaecological oncology | a61fa73f-b0de-4af1-83bb-1e9ca3d8c85f | multi |
Clostridium difficile infection occurs after | Clostridium difficile causes acute colitis with bloody diarrhea and pseudomembranous colitis. A common cause of nosocomial diarrhea. The disease follows the use of broad-spectrum antibiotics to which it is resistant. Exotoxin A and B involved in the pathogenesis. An oppounistic organism that causes disease only when th... | 1 | Prolonged antibiotic therapy | Pantoprazole increases the risk | Associated with use of rectal thermometer | Increased with propoion of hospital stay | Microbiology | Bacteriology | c84899b3-21d5-4d5e-ab12-39d879e0f3ad | single |
Incipient caries consists of opaque, chalky white areas that appear when the tooth surface is dried, this is referred as | null | 1 | white spot | hot spot | translucent zone | body of lesion | Dental | null | 53d1038d-8c30-4265-870f-eee41482c786 | single |
Most fulminant fungal meningitis is caused by ? | Ans. is 'c' i.e., Cryptococcus . Cryptococcal meningitis occurs after immunosuppression and the infection may be disseminated to involve other organs and skin. | 3 | Coccidioides | Histoplasma | Cryptococcus | Mucormycosis | Microbiology | null | e47e7566-476f-4d82-a75a-147dd939bbf4 | single |
Genetic analysis shows N-myc gene in a child. She may have the following malignancy: | Neuroblastoma is associated with N-myc amplification. It is associated with a poor prognosis regardless of patient age. Regression of neuroblastoma generally occurs only in tumors with a near triploid number of chromosomes that also lack N-myc amplification and loss of chromosome arm 1p. Ref: Hackam D.J., Grikscheit T.... | 1 | Neuroblastoma | Retinoblastoma | William's tumor | Nephroblastoma | Surgery | null | 0d249d28-925d-4d81-9d0a-591aa5b12fbf | single |
Steam at 100 degrees centigrade for 20min on 3 consecutive days is called as | Boiling,tyndallization and steam sterilizer are eg for temperature of 100 degree in moist heat sterilization Above 100 degree-autoclave Below 100 degrees- pasteurization, vaccine bath, inspissation Ref: CP Baveja 4th ed Pg:31 | 2 | Boiling | Tyndallization | Inspissation | Pasteurization | Microbiology | general microbiology | 30c20cdb-34c8-4b83-a55f-c51aa99a2c33 | multi |
Fish is deficient in which of the following nutrients? | Fish are less in iron. The fat of fish is Rich in vitamin A and D. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 582 | 1 | Iron | Iodine | Vitamin A | Phosphorous | Social & Preventive Medicine | Nutrition and health | bb63a67b-58d5-481b-9b83-cd1bb3bff88f | single |
Sphenopalatine foramen opens into which wall of pterygopalatine fossa? | Sphenopalatine foramen opens into the medial wall of pterygopalatine fossa. It opens into the nasal cavity and transmits sphenopalatine aery and nasopalatine nerve.Pterygopalatine fossa boundaries:Anterior wall: posterior surface of maxilla posterior wall of maxillary sinus.Posterior wall: formed by pterygoid process a... | 2 | Lateral wall | Medial wall | Superior wall | Inferior wall | Anatomy | null | 2fb5f0e1-8cdc-4b1a-9ab4-646a70c48d02 | multi |
The malleting force is directed: | First, hand pressure compaction is used to secure the pellet against the compacted E-Z Gold and spread it over the surface; next, mallet compaction is used. Likewise, each succeeding pellet is hand compacted, and then is compacted with the mallet. The condenser point is systematically stepped over the gold twice as mal... | 3 | Perpendicular to the walls | Parallel to long axis of crown | 45° to the wall | None of the above | Dental | null | 62a00d67-d337-4ce7-ae07-56b5899e03ff | multi |
An increase in the action potential frequency in a sensory nerve signifies | ↑ intensity of stimulus can increase frequency of action potential, but has no effect an amplitude of action potential | 3 | An increase in the action potential conduction velocity | An increase in amplitude of stimulus | Increased intensity of stimulus | All of the above | Physiology | null | b4835942-fc66-466a-b4a2-a4cdecbd6795 | multi |
Complement proteins constitute what percentage of serum proteins ? | Answer- C. 5-10%The complement system consists of alarge number of proteins that together constitute about 10% of the total circulating serum protein. | 3 | <1 | 5-Jan | 5-10% | >10% | Pathology | null | 41450d97-1555-452c-85e8-0d7e42c70154 | single |
Increased intercondylar distance is seen in fracture of all, EXCEPT: | Intercondylar distance is increased in Fractures of medial epicondyle/condyle Fracture lateral epicondyle/condyle Fracture intercondylar humerus. Ref: Apley's 8/e, Page 596-609. | 1 | Olecranon | Medial epicondyle | Lateral epicondyle | Lateral condyle | Surgery | null | 8d83d5f8-93a4-4692-83e4-deee80a9d068 | multi |
Haplike's test is done for | null | 2 | Cochleas function | Vestibular function | Middle Ear function | Not related to the Ear | ENT | null | 80ba9684-d040-4483-942d-2aea83e2f08f | single |
During rapid sequence induction of anaesthesia: | B i.e. Preoxygenation is mandatory | 2 | Sellick's maneuver is not required | Pre-oxygenation is mandatory | Suxamethonium is contraindicated | Patient is mechanically ventilated before endotracheal intubation | Anaesthesia | null | f4d55ba7-018f-4a1f-95a4-6b0670c3e0b1 | multi |
Gemination of teeth occur due to | null | 2 | Division of a single tooth bud after calcification | Division of a single tooth bud before calcification | Fusion of two teeth before calcification | Fusion of two teeth after calcification | Pathology | null | 116a0c3d-044b-4ef5-9920-ee30769ac514 | single |
Height of children in 2–10 years of age is increased by – | "After 4 years, the child gains about 5 cm in height every year, until the age of 10 years" -- O.P. Ghai.
"An average child gains approximately 7-8 cm in height between the age of 2-6 years and 6-7 cm in height between
6-12 years". -- Nelson
Amongst given option, 6 cm/year is the best answer. | 3 | 2 cm/year | 4 cm/year | 6 cm/year | 10 cm/ year | Pediatrics | null | d8201ff3-d644-483d-8ab1-96ba98ee0f5b | single |
Hypertension is not seen with : | Levo-dopa may form dopamine in the periphery. It can act on receptors in the blood vessels but the increase in BP is not seen. Rather, postural hypotension is quite common with L-dopa therapy. It may be due to its central action resulting in the decrease in the central sympathetic outflow.
Cyclosporine can produce neph... | 4 | Cyclosporine | NSAIDs | Erythropoietin | L–dopa | Pharmacology | null | c8e36859-1be4-4a66-8302-d2ecd26bf438 | single |
All are true about phosphorus except ? | Ans. is 'd' i.e., Parathormone acts on NaPilic receptors | 4 | Comprises 1 % of the total body weight | 85% remains in the bones | Diet is not a common source | Parathormone acts on NaPiIIc receptors | Biochemistry | null | 71d31fc0-424a-40c0-8f49-aa6511e798f5 | multi |
Prophylactic Chemotherapy is indicated evacuation of H.Mole in all. Except | Ans. is d i.e. Nulliparous lady | 4 | Initial level of urine HCG is 40000 IU after 6 week of evacuation | Increase in HCG titre 24000 IU after 10 week of evacuation | Metastasis | Nulliparous lady | Gynaecology & Obstetrics | null | 57a6359b-e3d3-41b7-84b0-9f8e464da41e | multi |
The characteristic feature of apoptosis | The plasma membrane of the apoptotic cell remains intact, but the membrane is altered in such a way that the cell and its fragments become avid targets for phagocytes. The dead cell and its fragments are rapidly cleared before cellular contents have leaked out, so apoptotic cell death does not elicit an inflammatory re... | 1 | Cell membrane intact | Cytoplasmic eosinophillia | Nuclear moulding | Cell swelling | Pathology | General pathology | 70c1e20a-1e1d-41d0-916f-b0de03186ffc | single |
Acantholysis means | Answer is option 2, loss of intercellular connections We performed scanning electron microscopy of an inveed blister roof in a case of pemphigus foliaceus. The loss of intercellular adherence could be easily seen with low magnification. The acantholytic keratinocytes displayed an irregular and sometimes polygonal conto... | 2 | Diffuse epidermal hyperplasia | Loss of intercellular connections | Intercellular edema of the epidermis. | Abnormal keratinization | Pathology | Endocrinology | c87acac5-eaae-41d1-b3f6-8351538141a6 | single |
Location of Arlt's line: | Ans. (d) Upper palpebral conjunctivaRef: A.K. Khurana 6th ed. 169* Conjuctival scarring seen in trachoma as irregular stellate shaped scars over sulcus subtarsalis is called Arlts line.* It is seen in upper palpebral conjunctiva. | 4 | Sclera | Lens | Lower palpebral conjunctiva | Upper palpebral conjunctiva | Ophthalmology | Inflammations of Conjunctiva - Infective | 8a55abb8-759f-475a-a000-8984374b6c2d | single |
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