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Brain abscess in cyanotic hea disease is commonly, located in | The most common microbe in children with cyanotic congenital hea disease was of the Streptococcus milleri group (52%). Computerized tomography confirmed the diagnosis and the most common location of the abscess was the parietal lobe of the cerebral hemisphere Ref Harrison20th edition pg 2567 | 4 | Cerebellar hemisphere | Thalamus | Temporal lobe | Parietal lobe | Medicine | C.N.S | 184d5f95-302c-4cd4-b29c-06dea94fa9ee | single |
This test is used as a screening tool for? | Ref: Harsh Mohan Textbook of Pathology, 7th ed. pg. 292 and Wintrobe's Hematology, 13th ed. pg. 610* The image shows performance of Naked eye single tube, osmotic fragility test. Notice that in control sample on right side, the fine print of newspaper can be acknowledged.* However, in the left sided sample, osmotic fra... | 3 | Hereditary spherocytosis | G6PD | Thalassemia | Megaloblastic anemia | Pathology | Blood | 56b61c79-a049-4ca0-a1c5-942b27a6d493 | single |
Which of the following structure passes through inferior orbital fissure? | Ans. C. Infraorbital nerveThe medial wall and the floor of the orbit are separated posteriorly by the inferior orbital fissure.It transmits the:a. Infra-orbital nerve (from the maxillary division of trigeminal nerve)b. Zygomatic nerve (from the maxillary division of trigeminal nerve)c. A branch of the inferior ophthalm... | 3 | Abducent nerve | Lacrimal nerve | Infraorbital nerve | Oculomotor nerve | Anatomy | Head & Neck | 0851ad59-4e18-4802-9750-67a3cf02e26b | single |
Drug dosage best decided in child by | Ans. is 'a' i.e., Weight | 1 | Weight | Age | Height | Investigation | Pediatrics | null | c572e92e-744c-4300-b9aa-3c9f86eba2fd | single |
The most serious side-effect of drug chloramphenicol is: | null | 3 | Candidiasis | Photosensitivity | Bone marrow depression | Angioneurotic oedema | Pharmacology | null | c49fd796-dceb-4b85-b946-55b2c7c1853c | single |
Which antiepileptic is safe during pregnancy- | Ans-A | 1 | Phenobarbitone | Sodium Valproate | diazepam | Carbamazepine | Unknown | null | 74271f67-af01-421a-856d-57670ba776f0 | single |
A 15-year-old boy presented with one day history of bleedig gums, subconjunctival bleed and purpuric rash. Investigations revealed the following results:Hb-6.4 gm/dL; TLC-26,500/mm3 Platelet 35,000 mm3; prothrombin time-20 sec with a control of 13 sec; paial thromboplastin time-50sec; and Fibrinogen 10mg/dL. Peripheral... | Ans. is 'c' i.e. promyelocytic leukemia o The child presents with acute onset of bleeding, along with the following laboratory anamolies. (i) Thrombocytopenia (iii) Increased paial thromboplastin time. (ii) Increased prothrombin time (iv) Decreased Fibrinogen o These hematological abnormalities indicate Disseminated in... | 3 | Myeloblastic leukemia without maturation | Myeloblastic leukemia with maturation | Promyelocytic leukemia | Myelomonocytic leukemia | Pathology | null | 998739e0-4b23-4c33-b2bd-09b2576a8048 | single |
Number of teeth seen on X-ray at birth: | null | 3 | 20 | 22 | 24 | 30 | Dental | null | d180fa13-6094-402d-9d29-0722f2d8c358 | single |
True about streptococcus - | Ans. is `c i.e. Group 'B' causes neonatal meningitis Lancefield classification is based on carbohydrate 'C' antigen not on M protein. Besides Str. pyogenes, streptococci belonging to group B, C, D, F, G and rarely H, K, 0 and R may also cause human infections. Group B streptococcus is the single most common cause of ne... | 3 | Lancefield classification is based on M protein | Group `G' not found in human | Group 'B' causes neonatal meningitis | Group 'C' can be isolated from vaginal flora | Microbiology | null | ae3e57d0-7482-44b0-9384-edb586dfc0dc | multi |
What is the most important good prognostic factor for neuroblastoma? | Ans. is 'd' i.e., CD44 expression Prognostic Factors in NeuroblastomasVariableFavorableUnfavorableStageStage 1, 2A, 2B, 4SStage 3, 4Age< 1 year> 1 yearHistology * Evidence of schwannian stroma and gangliocytic differentiationPresentAbsent* Mitotic rateLowHigh* Mitosis-karhorrhexis index< 200/500 cells> 200/500 ceils* I... | 4 | Telomerase expression | MRP expression | Loss of 11q | CD44 expression | Pathology | Neoplasia | 87acd70f-9ddd-401c-b86a-a86be3c313ec | single |
Burning foot syndrome is due to deficiency of which component of vitamin B complex - | <p> Pantothenic acid (vit B5):- Human blood normally contains 18-35 mg of pantothenic acid per 100 ml blood . Mostly present in cells as coenzyme A. The daily requirement: 10 mg Deficiency: Dr Gopalan ,a world renowned nutritionist from India, linked the burning feet syndrome with pantothenic acid deficiency. Manifeste... | 4 | Riboflavin | Thiamine | Niacin | Pentothenic acid | Social & Preventive Medicine | Nutrition and health | faaf816d-7fd5-4dec-b0b1-7ad880b07dd8 | single |
Calcium channel blocker effect is maximum on | Ans: b (Smooth muscle)Ref: Ganong, 21st edi., Pg. 70-84Ca influx in smooth muscle is mainly via Ca channels unlike skeletal and cardiac muscle where most of the calcium comes from sarcoplasmic reticulum.This is the reason why after taking calcium channel blockers there is on smooth muscle relaxation (arterial vessel) r... | 2 | Skeletal muscle | Smooth muscle | Neither | Both | Physiology | Misc. | ed240217-843c-41a0-b67f-b76c7d30e841 | multi |
Contribution to ESI Corporation by Employer & Employee are ____ and ____ respectively. | Contribution to ESI Corporation by (NEW GUIDELINES 2019) 1) Employer - 3.25% 2) Employee - 0.75% Beneficiary Income -Should be < 21,000/- per month ESI ACT, 1948 Covered Under Union Ministry of Labour Chairperson is Union Minister Of Labour Not applicable on Defence Mines Railway | 1 | 3.25 & 0.75% | 3.75 & 1.25% | 4.25 & 1.50% | 4.50 & 0.50% | Social & Preventive Medicine | Environment | 37a34c09-cff9-47e8-8610-9c299f25aea1 | single |
Inflammatory bowel disease found in children | .ULCERATIVE COLITIS * It is an inflammatory condition of rectum and colon of unknown aetiology perhaps related to stress, westernized diet, autoimmune factor, familial tendency, allergic factor. * Disease commonly stas in the rectum, spreads proximally to the colon and often into the ileum as back wash ileitis (5%). * ... | 1 | Ulcerative colitis | Tropical sprue | Crohn's disease | Celiac disease | Surgery | G.I.T | a2ea8c12-9737-4b24-b9bc-313f682459ff | single |
Lamotrigine and topiramate can be used for | lithium is used for EUPHORIC MANIA Valproate is used for RAPID CYCLING lamotrigine is used for BIPOLAR DEPRESSION carbamazepine causes STEVEN JOHNSONS SYNDROME topiramate causes WEIGHT LOSS AND RENAL STONES etc are used apa from lithium for bipolar disorder Ref: Essentials of postgraduate psychiatry By JN Vyas 1st ed P... | 3 | Depression | OCD | Bipolar disorder | Mania | Psychiatry | Mood disorders | 5f6b1b5f-c305-4031-9cff-880c6bfb93b8 | single |
All of the following are included in the laboratory criteria of APLA except | Laboratory criteria include (1) Lupus anticoagulant (2) anticardiolipin (aCL), and/or (3) anti-b2GPI antibodies, at intermediate or high titers on two occasions, 12 weeks apa. Laboratory criteria Venous thrombosis (e.g., deep vein thrombosis, pulmonary embolism, unusual site venous thromboembolism) Aerial thrombosis (e... | 3 | LA | anticardiolipin (aCL) | ANA | anti-beta2 glycoprotein antibodies | Medicine | Immune system | 96f308f6-6162-4f0b-8aad-7834d5d0aa28 | multi |
Patient with toothache & sinusitis. Which sinus is involved ? | Ans. is 'a' i.e., Maxillary All sinus infections have some common symptoms, including thick, yellow green discharge and a stuffy nose. However, the location of pain can signal which sinus is affected :- Maxillary sinusitis is Pain is situated over upper jaw, and may referred to gums or teeth Tenderness over the promine... | 1 | Maxillary | Ethmoid | Frontal | Sphenoid | ENT | null | 2210f266-780f-4788-9ec7-918e8ba4d919 | single |
Retinitis pigmentosa is characterized by ? | Ans. is 'c' i.e., Tubular vision Impoant facts Earliest visual field defect in primary open angle glaucoma- Isopeteric contraction. Earliest clinically significant visual .field defect in primary open angle glaucoma --> Paracentral scotoma, Visual field deject in rheugmatogenous retinal detachment- Loss of peripheral f... | 3 | Central scotoma | Centrocaecal scotoma | Tubular vision | Isopteric contraction | Ophthalmology | null | 6954e7d2-8457-496d-9eb9-83038836e4ed | single |
Pain of ovarian carcinoma is referred to the following pa: | The most common symptoms of ovarian tumors are abdominal pain and an abdominal mass, acute severe pain, peritoneal irritation, or intra-abdominal hemorrhage can be the presenting sign. The obturator nerve lies on the lateral wall of the pelvis and supplies the parietal peritoneum. Inflammation of the ovaries can cause ... | 4 | Back of thigh | Gluteal region | Anterior surface of thigh | Medial surface of thigh | Gynaecology & Obstetrics | null | b8b57bd1-bcd7-4915-b26d-4ded4382633c | single |
To see the bacteria methods used are - | Ans. is 'c' i.e., Both . Individal bacterial cells hard to see because i) They are too small to he seen by naked eye. ii) They are almost transparent . So, to be seen they require? i) Magnification under microscope ii) Staining techniques to produce contrast | 3 | Microscopy | Stained preparations | Both | null | Microbiology | null | 89dc8bf2-10b4-449e-ba11-506e720d88b0 | multi |
Supraomohyoid dissection is a type of - | Ans. is 'a' i.e., Selective neck dissection Types of neck lymph node dissectiono Radical neck dissection - is the traditional gold standard for control of cervical metastasis.- RND involves removal of levels I to V of the cervical lymph nodes + Sternocleidomastoid, IJV and the spinal accessory nerve (CN XI).o Modified ... | 1 | Selective neck dissection | Modified radical neck dissection | Radical neck dissection | Posterolateral dissection | Surgery | Miscellaneous (Neck) | 75c65706-524b-414a-adce-db85c92ae730 | single |
To examine the vaginal cells in the rape accused, the test used is: | Ans. (A). Lugol's iodine testLugol's iodine test is to detect vaginal epithelial cells containing glycogen.Takayama test is to detect blood stains; while Florence test is test for seminal stain. | 1 | Lugol's iodine test | Takayamatest | Florence test | Precipitin test | Forensic Medicine | Sexual Offenses | 36663f47-dd19-43c9-925d-5eb6bc13a7a9 | single |
Rectal polyp most commonly presents as- | null | 2 | Obstruction | Bleeding | Infection | Changes into malignancy | Surgery | null | eb6e31d4-a646-4b9f-a44f-3fa6945867a4 | single |
In Conn's syndrome the following is true: | Answer is A (Diastolic hypeension without edema): Conn's syndrome is characterized by diastolic hypeension without edema. | 1 | Diastolic HTN without oedema | Systolic HTN without oedema | Pseudotetany | Hyper K+ | Medicine | null | 4ec078ca-212e-486a-adde-3453c6eb0d62 | multi |
Which NSAID undergoes enterohepatic circulation ? | Piroxicam is a long acting analgesic due to enterohepatic circulation. Single daily dose is usually sufficient. | 4 | Phenylbutazone | Aspirin | Ibuprofen | Piroxicam | Pharmacology | null | cfd9de6d-6822-4bc2-abc1-177971e7b975 | single |
A 5-yr old boy presents with pubic hair development. He is tall and has increased pigmentation of his genitalia and phallic enlargement. Blood pressure is 130/90 mm Hg. Measurement of which of the following hormones would be most likely to be diagnostic? | Ans. is 'd' i.e., |11-Deoxycortisol Presence of Precocious puberty in a male child and hypertension (BP of 130/80 in a 5 year old child is considered hypertension) suggests a diagnosis of congenital adrenal hyperplasia due to 11-b Hydroxylase deficiency.11-b Hydroxylase deficiency.Deficiency of 11-b hydroxylase (CYP11B... | 4 | Increase 17b hydroxyl progesterone | Increase cortisol | Increase aldosterone | Increase 11 deoxycortisol | Pediatrics | Adrenal Gland | 6ac0a19b-0819-4533-9ba8-098ea57a30b0 | multi |
Max Joseph&;s space is a histopathological feature of | Max Joseph's space is a characteristic histological finding seen in lichen planus. These are small clefts formed due to dermoepidermal separation and basal cell degeneration character histopathology in lichen planus basal cell degeneration interface lymphocyte infiltration compact hyperkeratosis wedge shaped hypergranu... | 2 | Psoriasis vulgaris | Lichen planus | Pityriasis rosea | Parapsoriasis | Dental | Autoimmune skin disorders | f5a970f6-b466-4561-b081-2b7d1cef124c | single |
Post MI day 10 which enzyme is raised ? | Ans. is 'a' i.e., LDH | 1 | LDH | CPK | Troponin | Myoglobin | Pathology | null | 83f6eb0f-cfc1-43d6-b21c-6a136de37787 | single |
The fibers from the contralateral nasal hemiretina project to the following layers of the lateral geniculate nucleus: | C i.e. Layers 1, 4, 6 Lateral Geniculate Body & the relay pathway Lateral geniculate body (pa of thalamus) is relay station on the visual pathway lying just posterior to the optic tract. It receives fibres from the contralateral nasal hemiretina and ipsilateral temporal hemiretina Gray matter of this body is split into... | 3 | Layers 2, 3 & 5 | Layers 1, 2 & 6. | Layers 1, 4 & 6. | Layers 4, 5 & 6 | Ophthalmology | null | 40d13f8f-289f-4c07-8392-4c9c7a56eb9b | single |
Transplacental transmission is not seen in | HEPATITIS A Causative agent Enterovirus 72 (Picorna Virus) Incubation period 15-45 days Period of infectivity 2 weeks before to 1 week after onset of jaundice Sex distribution Equal in both sexes Children: More infected but mild or subclinical Reservoir Human cases Modes of transmission Fecal oral (Most common) Parente... | 3 | HIV | Varicella | Hepatitis A | Hepatitis B | Social & Preventive Medicine | Communicable diseases | 391b8e4c-a37d-4c90-8cf5-adff781d97e4 | single |
Posterior one third of tongue develops from: | null | 3 | First arch | Second arch | Third arch | Fourth arch | Anatomy | null | 5033ca72-1fcf-4104-b403-7d3a9f7de381 | single |
All drugs are used in treatment of breast carcinoma except : | null | 2 | Tamoxifen | Flutamide | Cyclophosphamide | Letrozole | Pharmacology | null | d1468079-d3dd-4d9f-a8d0-03cfd55442fa | multi |
All are true about ketamine except | Ketamine increases all the pressures. i.e intracranial pressure, intraocular pressure, blood pressure, intragastric pressure. With the rise in CBF and the generalized increase in sympathetic nervous system response, ICP increases after ketamine use. The increase in CMRO2 and CBF can be blocked by the use of thiopental ... | 2 | Increases ICT | Decreases blood pressure | Increases intraocular pressure | Increases intragastric pressure | Anaesthesia | General anaesthesia | 68325eff-1281-4b1b-bc43-20efa6a8d76f | multi |
Dercum's disease is commonest in the ? | Ans. is 'c' i.e., Back Dercum's disease or adiposis dolorosa is a condition in which multiple lipomatous swellings are seen paicularly affecting the trunk. | 3 | Face | Arm | Back | Thigh | Surgery | null | 5cf2b8d6-d1d9-47b3-a608-550bcaa55391 | single |
'First rank 'symptoms of Schneider's' schizophrenia include all except | There are 11 first rank symptoms first three are related to thoughts - Thought inseion Withdrawal Broadcasting Next three are related to hallucinations - Thought Echo Running commentary 3RD person or voices are arguing Next three are made phenomena Made Volition Made Impulse Made affect (mood) Somatic passivity Delusio... | 1 | Depersonalization | Running commentary of ones thoughts | Primary delusion | Somatic passivity | Pathology | All India exam | 38a2e7d9-4ca6-4da0-9915-dbab68846262 | multi |
Meena 45 years old female presents with post coital bleeding. On per speculum examination a friable mass is found in cervix. Next step in management is: | Ans. is d i.e. Punch Biopsy A 45 year female is presenting with post coital bleeding (i.e. suspicion of Ca cervix). On per speculum examination a friable mass is seen on cervix which has to be confirmed by Biopsy. If mass is seen - Punch biopsy is IOC. If no mass is seen - Colposcopy directed biopsy is IOC. | 4 | Colposcopy directed biopsy | 6 monthly pap smear | Only observation | Punch biopsy | Gynaecology & Obstetrics | null | 56111f49-3f2a-42d0-9a20-cb5e57d88d99 | multi |
Basal cell carcinoma is seen in most commonly in which eyelid- | Lower lid (50%) followed by medial canthus (25%),upper lid (10-15%),outer canthus (5-10%) Ref.ak khurana 6th edition pg no 384 | 3 | Upper medial | Upper lateral | Lower medial | Lower lateral | Ophthalmology | Diseases of orbit, Lids and lacrimal apparatus | 25ba4cbb-43ad-4510-85fb-4a36d95f5927 | single |
Which is shown below? | Ans. (b) Plexiform neurofibromatosis.Image source - style="font-family: Times New Roman, Times, serif"> | 2 | Proteus syndrome | Plexiform neurofibromatosis | Rhabdomyosarcoma | Malignant fibrous histiocy tosis | Medicine | Tumors of Nervous System | 1116a914-455c-4cb4-9173-2a54e63cef19 | single |
Anterior Spinal aery is a branch of ? | C i.e. Veebral aery | 3 | Internal Carotid aery | Basilar aery | Veebral aery | Labyrinthine aery | Anatomy | null | 523f06bd-21c1-47ed-a9a2-645530f88da4 | single |
Regarding lower lid surgery, in which plication of the lower lid retractors is done is called | (Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 371 - 372)Jones, Rech And Wobig OperationIt is performed for severe cases or recurrent cases of entropionIn this operation, the inferior lid retractors are straightened by tucking or plication procedure Ref khurana 6th edition pg 345 | 2 | Quicke | Jones | Weiss | Modified wheelers | Ophthalmology | Diseases of orbit, Lids and lacrimal apparatus | ad7aad26-2419-4b42-9d50-4c70070adaf9 | multi |
Amongst the following, thrombolytics are LEAST in: | Ans. C i.e. Hemorrhagic stroke Thrombolytic agents They are used for the treatment of myocardial infarction (hea attack), thromboembolic strokes, deep vein thrombosis and pulmonary embolism to clear a blocked aery and avoid permanent damage to the perfused tissue (e.g. myocardium, brain, leg) and death. They may also b... | 3 | Acute myocardial infarction | Peripheral aerial occlusion | Hemorrhagic stroke | Deep venous thrombosis | Pharmacology | null | 63d27f61-e265-44f9-b987-ea950a463f84 | single |
Which of the following cardiovascular change is abnormal in pregnancy:a) Enlarged cardiac silhouetteb) Increased S1 splitc) Right axis deviation on ECGd) Early diastolic murmure) HR increased by 10 to 15 per minute | null | 3 | ab | bc | cd | ac | Gynaecology & Obstetrics | null | f8e289b1-b10f-420f-907a-2648a93b276c | single |
Regarding testicular tumour, the following are false except | Seminomas are well known to be one of the most radiosensitive tumors About other options Option (a) : Commonest malignancy in older males is - Prostate cancer Option (c) : Stage I Nonseminomas (including teratomas) are t/t by surgery alone and show a high cure rate (>95%) Option (d) : Chemotherapy shows a good response... | 2 | They are commonest malignancy in older men | Seminomas are radiosensitive | Only 25% of stage 1 teratomas are cured by surgery alone | Chemotherapy rarely produces a cure with metastatic lesions | Anatomy | Urology | 9d638d93-d0d0-4616-adff-78ddd6fedf55 | multi |
The facial root of premolar appears to be distal to the lingual root in X-ray. What will be the direction of projection? | null | 3 | Changed vertical direction of projection | X-ray projected from distal side | X-ray projected from mesial side | Changing the tube film distance | Radiology | null | 0c374c3d-ac62-4e81-83da-aea863e3f645 | single |
Nerve to pterygoid canal is formed from - | Ans. is 'a' i.e., Deep petrosal nerve + greater petrosal nerve o The deep petrosal nerve joins the greater petrosal nerve to form the nerve of the pterygoid canalo Greater petrosal nerve proceeds towards the foramen lacerum, where it joins the deep petrosal nerve which carries sympathetic fibres to form the nerve of pt... | 1 | Deep petrosal nerve + greater petrosal nerve | Facial nerve | Lesser superficial petrosal nerve | Lesser petrosal nerve | Anatomy | Osteology of Head and Neck | 8b42c950-8574-450d-9a62-19f2d12c8654 | single |
Phrynoderma is due to ...deficiency – | In vitamin 'A' deficiency there is toad like skin also known as phrynoderma.
But this is due to associated deficiency of essential fatty acids. | 4 | Vitamin D | Niacin | Vitamin A | Essential fatty acid | Pediatrics | null | b9a74c2a-4236-424c-94e3-a024a1d80055 | single |
Epidemiological studies of H. pylori are done by using | Answer is B (Serological markers) An enzyme linked immuno-sorhant assay (ELISA) is the most commonly used serological method. `Compared with endoscopic detection of H.Pyloric infection, ELISA has proved to be sensitive and specific and is paicularly suited for Epidemiological studies'. Diagnostic Tests for Helicobacter... | 2 | Urea-breath test | Serological markers | Culture | Gastric-biopsy urease test | Medicine | null | 70d8e3ad-5057-4307-8b12-0b4405c91e5e | single |
An old man muthoot has difficulty in urination Associated with increased urge and frequency .He has to get up several times in night to relieve himself. There is no history of any burning micturation and lower back pain.which of the following represent the most likely change in bladder of the patient | Ref , Robbins 8/e p6-7 .9/e p36 The patient is most likely suffering from benign hyperplasia of prostate the question however asks about the change in bladder which would be hyperophy.This is secondary to obsruction in the urine outflow following which the smooth muscle in the bladder | 3 | Hyperlasia | Atropy | Hyperophy | Metaplasia | Anatomy | General anatomy | 5ce0f063-3f1b-49c6-9e5e-00fb275b97ef | single |
Which of the following statistics should be adjusted for age to allow comparisons | Crude death rate is adjusted on the basis of age to obtain "Age adjusted or standardized death rates".
Advantage of age adjusted standardized death rates is that it removes all the confounding effects of different age structures and yields a single standardized adjusted rate, by which the mortality experience can be di... | 2 | Age specific fertility rate | Crude mortality rate | Perinatal mortality rate | Infant mortality rate | Social & Preventive Medicine | null | 2ddcb834-f511-4f1e-9ac8-9e5f2482e859 | multi |
An ideal subcenter for a rural population should cater a population of: | 5000 | 3 | 1000 | 2000 | 5000 | 10000 | Social & Preventive Medicine | null | 1a421e4d-734e-409a-8b39-a82ca5688b64 | single |
Wernicke's encephalopathy involves which pa of CNS : | A i.e. Mammilary body | 1 | Mammillary body | Thalamus | Frontal lobe | Arcuate fasciculus | Psychiatry | null | c71e9926-38d7-44a3-a461-5348d14f02ed | single |
Spinal anesthesia is given at which of the following levels : | B i.e. L24 Spinal anesthesia is usually injected at L2-3, L34 or sometimes 1,4-5 space in adultsQ. | 2 | L1-2 | L2-4 | Midline of thorax | Below L5 (caudal) | Anaesthesia | null | bb7ad00d-bf48-4712-a03a-245927867f34 | single |
E.coli is an impoant causative agent of pyelonephritis in man. The propey that helps the bacteria in this is most likely to be:- | Adhesive propey of E.coli helps the bacteria in this case. Option 1 Adhesins: E. coli organisms possess numerous highly specialized adhesins. These adhesins include: (a) CFA-I,II,III (b) Aggregative adherence fimbriae (AAF I,II,III) (c) Bundle-forming pili (Bfp) (d) Intimin (e) P pili(binds to P blood group antigens) (... | 1 | Adhesive propey | Toxigenecity | Haemolytic propey | Presence of capsule | Microbiology | Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli) | 7e101ff4-48dd-46db-84da-efa55abe3fb5 | single |
Schilling's test is false + ve in (PGI June 2008) | Ans. B (Renal insufficiency) D-Xylose TestPositive TestDecreased D-Xylose excretion in urine due to malabsorption from gastrointestinal mucosal diseaseCauses IncludeCeliac diseaseTropical sprueWhipple's diseaseAnother mucosal diseaseFalse Positive TestDecreased D-Xylose excretion in urine due to causes other than malab... | 2 | Celiac sprue | Renal insufficiency | Short bowel syndrome | Diverticulosis | Unknown | null | 8e245132-7edf-469b-b271-2ac6379f174f | multi |
The subtype of hiatus hernia with gastric volvulus as an impoant complication is: | Types II, III, and IV hiatal hernias are all subtypes in which the herniation includes a visceral structure other than the gastric cardia. Type II and III paraesophageal hernias, the gastric fundus also herniates Type II and III paraesophageal hernias -the stomach inves and lead to an upside down stomach, gastric volvu... | 2 | Type-I | Type-III | Type-IV | None of the above | Medicine | null | c48cfa3d-6c7c-4382-a65a-28ccbd030d6c | multi |
As per ISO, color of N2O cylinder is – | Color code of N2O cylinder is blue. | 1 | Blue | Black | White | Red | Anaesthesia | null | bf0fa6bd-b1f7-4d34-a267-a61680b11cfe | single |
A young couple hiking in a wilderness area discovered the body of a man apparently in his 20s. He appeared to have been dead a few days, but animal predation was minimal. A postmortem examination was performed by the county medical examiner, and no evidence of penetrating wounds (bullet, lacerations, etc.) was found. A... | A fractured hyoid bone is evidence of strangulation. A fall from a height and subdural hematoma would likely be accompanied by fractured bones. Whereas myocardial infarction or poison remain possibilities, the medical examiner would have a high index of suspicion for strangulation because of the fractured hyoid bone. | 4 | Myocardial infarction (heart attack) | A fall from a height that resulted in fatal in ternal bleeding | Subdural hematoma | Strangulation | Anatomy | Head & Neck | 6c4091f0-43c1-49e4-be4b-4c78cd7216de | multi |
The most common condition of inherited blindness due to mitochondrial chromosomal anomaly is : | B i.e. Leber's hereditary optic neuropathy - Leber's hereditary optic neuropathy (WON) is a rare cause of bilateral optic neuritis Q which results from maternal mitochondrial DNA mutationsQ - Young male (15-35 years) presenting with bilateral sequential acute or subacute, severe, painless loss of vision with in weeks o... | 2 | Retinopathy of prematurity | Leber's Hereditary Optic neuropathy | Retinitis pigmentosa | Retinal detachment | Ophthalmology | null | a0ee6772-3762-4def-9ff9-6def734c3016 | single |
Short elimination half–life (8–10 min) of esmolol (beta–adrenergic blocker) is due to: | null | 3 | Rapid redistribution | Rapid elimination by kidney | Hydrolysis by blood esterase | Rapid protein binding | Pharmacology | null | 90ca0723-a736-4794-b83d-3c53ef85b1e8 | single |
Radiation-induced brain necrosis is diagnosed by | radiation-induced necrosis diagnosis is difficult to confirm withoutsurgical tissue sampling (craniotomy or biopsy)Advanced imaging techniques such as DTI (ADC and fractional anisotropy ratios), perfusion MR imaging (CBV, rPH, and relative PSR), MR spectroscopy, and PET hold promise for better differentiation between r... | 1 | PET scan | MRI | CT scan | Biopsy | Radiology | All India exam | 87ab3cdd-0c37-4ccd-8045-56f5629c3142 | single |
Earliest field defect in open angle glaucoma is - | Field defect in the order of appearance Isopter contractionBaring of blind spotsmall wing shaped paracentral scotomasiedel's scotomaArcuate or Bjerrum's scotomaRing or double arcuate scotomaRoenne's central nasal stepperipheral field defectsAdvanced glaucomatous field defects. Ref :Ophthalmology A K Khurana 6th edition... | 1 | Contraction of the all isopters | Enlarged blind spot | Nasal tip | Arcuate scotoma | Ophthalmology | Glaucoma | 32caa054-169d-4ed8-94b0-a3aedb6e3df9 | multi |
Toxoplasmosis in the fetus can be best confirmed by - | Diagnosis of Congenital toxoplasmosis: Presence of IgM Abs in fetus indicates congenital infection. The presence of circulating IgA ors the diagnosis of an acute infection as IgA-ELISA is more sensitive than IgM-ELISA for detecting congenital infection in the fetus. Toxoplasma Ag in amniotic fluid, PCR to detect Toxopl... | 2 | IgM Abs against toxoplasmosis in the mother | IgM Abs against toxoplasmosis in the fetus | IgG Abs against toxoplasmosis in the mother | IgG Abs against toxoplasmosis in the fetus | Microbiology | Parasitology Pa 1 (Protozoology) | cf384419-519b-4e45-9705-5d074c7b78cf | single |
Differential diagnosis in a case of fever with vesicular rash for two days are all except | Cutaneous candidosis is caused by candida albicans. - it may be interiginous or paronychial -the former is an erythematous, scaling or moist lesions with sharply demarcated borders, where papular lesions are most prominent. - paronychia is seen in occupations that lead to frequent immersion of hands in water. * In infe... | 1 | Candida-albicans | Infectious monocleosis | Klabsiella pneumonia | Influenza | Pediatrics | Infectious disease | 5052bf32-3b33-460d-8368-f9e846c1546b | multi |
Which structure does NOT form pa of the boundary defining the trigone of the bladder? | The trigone of the bladder is bounded by the openings of the left and right ureteric orifices superolaterally, the interureteric crest between the openings of the ureters and the internal urethral orifice inferiorly. The urachus is the structure that joins the apex of the fetal bladder to the umbilicus. After bih, it b... | 4 | Interureteric crest | Left Ureteric Orifice | Right Ureteric Orifice | Urachus | Anatomy | null | 7ce694fe-87ca-4f8a-a0ba-4516aa3cd254 | single |
Tom Smith septic ahritis affects | Septic ahritis of hip seen in infants. At this age, the head of the femur is cailaginous and is rapidly and completely destroyed by the pyogenic process. Onset is acute with rapid abscess formation, which may burst out or be incised and heals rapidly. Usually it is mistaken as a superficial infection and the child pres... | 1 | Hip of infants | Joint of children | Shoulder in children | Neck of infants | Surgery | Trauma | ae7cc188-d8c3-476f-99d1-33e64a5aa1e0 | single |
Treatment of drug induced gastritis -a) Mesoprostolb) H2 receptor blockersc) Antacidsd) Famotidine | null | 1 | bd | d | ab | ac | Medicine | null | bcb999df-d156-401b-b8a9-aeb94a61f058 | single |
All of the following structures forms the stomach bed except: | Relations of stomachAnteriorly: The anterior abdominal wall, the left costal margin, the left pleura and lung, the diaphragm, and the left lobe of the liverPosteriorly: The lesser sac, the diaphragm, the spleen, the left suprarenal gland, the upper pa of the left kidney, the splenic aery, the pancreas, the transverse m... | 1 | Hepatic flexure of colon | The left kidney | The pancreas | Transverse mesocolon | Anatomy | null | 825e47b9-73ac-4092-9f96-54decdf2b7e1 | multi |
An antipsychotic drug with a least extrapyramidal side effect is: | null | 2 | Triflupromazine | Thioridazine | Pimozide | Trifluoperazine | Pharmacology | null | 1c4429a1-2342-4ece-ad72-df974d6ad0c4 | single |
Characteristic pathological feature of rheumatic fever is/are: | null | 3 | Joint pains | Fever | Aschoff modules | All of the above | Medicine | null | f1857bd2-f6b8-44fc-9cc8-5d116788985c | multi |
Repeated Transcranial Magnetic Stimulation (rTMS) of the brain is used in the treatment of - | Somatic Therapies for depression
Electroconvulsive therapy (FDA approved)
Vagus Nerve Stimulation (VNS) (FDA approved)
Repeated Transcranial Magnetic Stimulation (rTMS) of the brain has recent FDA approved
Deep Brain Stimulation (DBS)
Phototherapy | 1 | Depression | Resistant Schizophrenia | Obsessive-Compulsive Disorder | Acute Psychosis | Psychiatry | null | f7c41026-7ee9-4750-8a23-d6a158f23d13 | single |
Tonsils are lined by which epithelium | null | 3 | Simple squamous | Stratified columnar | Stratified squamous | Simple cuboidal | Anatomy | null | 88516a91-ba07-468a-93c7-39cca1b48bfa | single |
In infective endocarditis which of the following is not immune mediated - | Ans. is 'None' | 4 | Roth spots | Osiers nodes | Glomerulonephritis | null | Pediatrics | null | 39b98cf1-db6b-4557-8764-5daf720af4b9 | multi |
Negri bodies, which are pathognomonic of Rabies, are commonly found in which of the following cells? | Rabies Severe encephalitis transmitted to humans by the bite of a rabid animal, usually a dog or various wild mammals. Microscopically, there is widespread neuronal degeneration and an inflammatory reaction that is most severe in the brainstem. Negri bodies, the pathognomonic microscopic finding, are cytoplasmic, round... | 2 | Anterior horn motor neurons of the spinal cord | Purkinje cells of the cerebellum | Microglial cells | Ependymal lining cells | Pathology | Miscellaneous | c982a5cb-f557-464e-895d-5d4ad48dd53f | single |
Which of the following conditions presents with a palpable crepitus? | null | 4 | Anaerobic infections | Streptococcal infections | Surgical emphysema | All of the above | Surgery | null | 275f849d-c695-418e-837d-d327f07094c4 | multi |
iloprost used in pulmonary hypertension- | null | 1 | Inhalation | Intravenous | Oral | Subcutaneous | Medicine | null | d3b34826-efa9-4cdc-a4cb-2e7c7d64e569 | single |
Treatment of acute dacrocystitis in stage of cellulitis is ? | Ans. is 'a' i.e., Antibiotics Treatment of acute dacryocystitis During cellulitis stage It consists of systemic and topical antibiotics to control infection; and systemic anti-inflammatory analgesic drugs and hot fomentation to relieve pain and swelling. During stage of lacrimal abscess In addition to the above treatme... | 1 | Antibiotics | Abscess drainage | DCT | DCR | Ophthalmology | null | 9dc79833-4641-4d79-80fa-008a2ebd6348 | single |
Which of the following has the worst prognosis – | Prognosis for normal mental development is poor. | 4 | Rolandic epilepsy | Versive epilepsy | Absence epilepsy | Infantile spasm | Pediatrics | null | 486a24ce-e9f1-43ad-b6be-ea13fbd45868 | single |
Most common location of extradural hematoma is | The most common site is temporal, as the pterion is not only the thinnest part of the skull but also overlies the largest meningeal artery –the middle meningeal. An EDH may also occur in other regions such as frontal as well as in the posterior fossa. | 2 | Frontal area | Temporal area | Mastoid area | Posterior fossa | Surgery | null | b1fb759d-4ce1-49ad-a8d3-a7ff28a9cc34 | single |
A man on return from a country complains of pain in abdomen, jaundice, with increased alkaline phosphatase and conjugated hyperbilirubinemia. U.S.G. shows blockage in the biliary tree. What could be the cause - | Ans. is 'b' i.e., Clonorchis sinensis Clonorchis sinensis is a trematode. It is also known as liver luke.Man is definitive host for Clonorchis and snail is the secondary host.Clonorchis sinensis is caused by ingestion of metacercaria in inadequately cooked freshwater fish.The organism's excyst in the duodenum.The larva... | 2 | Fasciola buski | Clonorchis sinensis | Strongyliodes | Ancylostoma | Microbiology | Parasitology | a5013f4d-3c2a-4ba4-8bc0-26a10802148b | single |
Magnification obtained with direct ophthalmoscope for an emmetropic patient is: | Ans. (c) 15 timesRef: Parson's, 19/e, p. 135Magnification obtained with direct ophthalmoscope* In emmetropes is about 15 times and* Least magnified is seen in hypermetropes,* Most magnified is seen in myopes. | 3 | 5 times | 10 times | 15 times | 20 times | Ophthalmology | Retina | cda6fff8-c18d-495d-9f27-a84b230319f6 | single |
Major mechanism of action of typical anti-psychotic drugs is:- | Antipsychotic drugs are divided into typical and atypical. Typical antipsychotic drugs mainly act by blocking D2 receptors of dopamine. Atypical drugs mainly act by blocking 5HT2 receptors of serotonin. | 2 | Dopamine D1 receptor blockade | Dopamine D2 receptor blockade | Dopamine D3 receptor blockade | Dopamine D4 receptor blockade | Pharmacology | Psychiatric Illness | 57201cd4-3d80-4ffc-8f41-8ec91ac97d85 | single |
C/F of cerebello pontine angle tumours | Most CPA tumors are benign, with over 85% being vestibular schwanommas (acoustic neuromas), lipomas, vascular malformations, and hemangiomas. Presenting symptoms of CPA tumors (including acoustic neuromas) include the following: Hearing loss - 95% Tinnitus - 80% Veigo/unsteadiness - 50-75% Headache - 25% Facial hypesth... | 4 | Tinitus | Deafness | Loss of cornea reflex | All | Medicine | C.N.S | e191da93-3210-40ce-97ad-9dbebcaa6740 | multi |
Plazomicin was approved by FDA recently for | it is ia new or nect generation aminoglycoside i.e neo glycoside, bactericidal in nature ,inhibiting the protein syunthesis, acting on both gram negetive and positive bacteria. | 2 | I | UTI | Cl difficale | Chicken pox | Pharmacology | All India exam | 6f33ff9c-04e7-46f9-882c-47360ea71db8 | single |
A 16-year old girl presents with primary amenorrhea, on examination has a blind vaginal pouch with absence of uterus. Investigation to be done is | The patient with primary amenorrhea, here is phenotypic female with absent vagina and uterus 3 possibilities here Mullerian agenesis : 46 XX Testicular feminization : 46 XY Swyer syndrome : 46 XY A Karyotyping will be the best to differentiate between the three. MRKH Androgen insensitivity syndrome Genotype XX XY Gonad... | 2 | Prolactin levels | Karyotyping | IVP | FSH levels | Gynaecology & Obstetrics | Mullerian Abnormalities | 6449c038-f803-4295-b64a-28c4b86292fc | single |
Arachidonic acid metabolites are all except: | The lipid mediators prostaglandins and leukotrienes are produced from arachidonic acid (AA) present in membrane phospholipids, and stimulate vascular and cellular reactions in acute inflammation. AA derived mediators, also called eicosanoids (because they are derived from 20 carbon fatty acids; Greek eicosa = 20) These... | 4 | Prostaglandin G2 | Leukotriene C4 | Thromboxanes | Phospholipase | Pathology | Arachidonic acid metabolites | d403ea17-a021-4357-8cae-15af4c2175ca | multi |
All are seen in carpal tunnel except - | Ans. is 'b' i.e., Ulnar nerve o Contents of carpal tunnel are 1 nerve and 9 tendons :-Median nerve4 tendons of flexor digitorum profunds.4 tendons of flexor digitorum superficialis.1 tendon of flexor pollicis longus. | 2 | Median nerve | Ulnar nerve | FPL | FDP | Anatomy | Nerves of Upper Extremity | b69bc11a-3f3b-4210-a19f-aafa1ac8f837 | multi |
Dorsal aery of penis passes beneath which layer (JIPMER May 2019) | Structure of penis:- Corpus spongiosum carry urethra - for urine excretion- Corpora cavernosa (2 in number) carry blood in cavernous spaces. - help in erection of penis. Supplied by deep aery of penis.- These 3 bodies are covered by Tunica albuginea very closely.- Outside that there is deep penile fascia / Buck's fasci... | 2 | Colle's fascia | Buck's fascia | Daos layer | Tunica albuginea | Anatomy | JIPMER 2019 | 3fa52aea-5472-45c3-8e44-7e5053793cd1 | single |
Otosclerosis shows which type of tympanogram? | Type A tympanograms have normal peak height and pressure. Two variations of the Type A tympanogram also are normal in pressure, but may be shallow (AS), reflecting otosclerosis or middle ear effusion, or peaked very high (AD), reflecting ossicular discontinuity or a monomeric eardrum | 1 | Type A | Type B | Type C | Type D | ENT | null | 43409a55-2290-4898-b22e-5c8ee8a0f6c0 | single |
Ligamentum teres is formed after | Umbilical vein closure occurs shortly after closure of umbilical arteries and forms the ligamentum teres. | 1 | Obliteration of the umbilical vein | Obliteration of the ductus venous | Obliteration of the ductus arteriosus | Obliteration of the hypogastric artery | Gynaecology & Obstetrics | null | 2c14bec0-2cbe-4ebb-ade4-b5a32b628b2f | single |
Which of the following calcium channel blocker has a predominant peripheral action: September 2006 | Ans. C: Nifidepine Sublingual nifedipine has previously been used in hypeensive emergencies. This was found to be dangerous, and has been abandoned. Sublingual nifedipine causes blood-pressure lowering through peripheral vasodilation. It can cause an uncontrollable decrease in blood pressure, reflex tachycardia, and a ... | 3 | Verapamil | Diltiazem | Nifidepine | Depranil | Pharmacology | null | b27929bc-cd5f-4f93-9569-e0db6cf2d094 | single |
Superior border of Epiploic foramen is formed by? | ANSWER: (B) Caudate lobe of liverREF: Gray's anatomy 39th edition, page 3136Repeat from June 2011 and December 2011In human anatomy, the omental foramen (Epiploic foramen, foramen of Winslow, or uncommonly aditus) is the passage of communication, or foramen, between the greater sac (general cavity of the abdomen), and ... | 2 | Head of pancreas | Caudate lobe of liver | Lesser omentum | IVC | Anatomy | Peritoneum & GI Tract | 727d266e-ac19-4b60-a9ba-9778b11ac655 | single |
Angle of wetting is zero, it reflects that attraction between the molecules is: | If the force of attraction between molecules of the adhesive and molecules of the substrate is stronger than the attraction between molecules of the adhesive, the liquid adhesive will spread much more broadly over the solid surface and result in a smaller contact angle. Thus, a small contact angle indicates that the ad... | 1 | Molecules of adhesive are attracted to molecules of adherend as much as or more than they are attracted to themselves | Molecules of adhesive are attracted to molecules of adherend less than they are attracted to themselves | Molecules of adhesive are attracted to molecules of adherend exactly same as they are attracted to themselves | No such correlation | Dental | null | 4a5b3be9-8d7b-44e4-b893-59d5f6ff45c3 | single |
Which of the following is not a cardinal feature of acute limb ischemia? | The cardinal feature of acute limb ischemia includes pain, paraesthesia which may later develop into anaesthesia, pallor, pulselessness, paralysis and perishing cold. Ref: Oxford Handbook of Accident and Emergency Medicine, 2nd Edition, Page 508. | 4 | Pallor | Paraesthesia | Pain | Increased temperature | Surgery | null | 859bf63a-8051-4ace-ae34-a991962b785d | multi |
ST segment elevation in ECG is not seen in? | Hypocalcemia REF: Harrison's Principles of Internal Medicine 17th ed-chapter 221 "Hypercalcemia not hypocalcemia causes ST segment elevation on ECG" DIFFERENTIAL DIAGNOSIS OF ST SEGMENT ELEVATIONS Ischemia/myocardial infarction Non infarction, transmural ischemia (Prinzmetal's angina, and possibly tako-tsubo syndrome) ... | 3 | Pericarditis | Hyperkalemia | Hypocalcemia | Hypothermia | Surgery | null | 1b2420ba-7ed6-41a5-8dc3-5beab0dfafa4 | single |
The most impoant indication for surgical repair of a Bicornuate Uterus is : | Habitual aboion Bicornuate uterus is caused by incomplete lateral fusion of the mullerian ducts is (only the lower pas of the duct fuse, leaving the cornua separate). it is characterized by 2 separate but communicating endometrial cavities and a single uterine cervix. Failure of fusion may extend to the cervix resultin... | 4 | Infeility | Dysmenorrhoea | Menorrhagia | Habitual aboion | Gynaecology & Obstetrics | null | bbf4e412-dbce-4813-8501-c1a4bb1e7e8f | single |
Best myocutaneous flap for breast reconstruction: | Methods of breast reconstruction: Autogenous - tissues of the patient used to create a myocutaneous flap Eg: TRAM, LD Alloplastic - silicone implant Combined - uses TRAM + implant or LD + implant Most common method of breast reconstruction / augmentation worldwide: silicone implants. IOC for implant related complicatio... | 4 | Pectoralis minor | Pectoralis major | Latissimus dorsi | Transverse rectus abdominis | Surgery | Breast | 4b9ed792-35cd-4479-958d-9e34b9f7d07e | single |
Which of the following is not a component of cognitive triad of Beck? | Ans. d. Guilt (Ref: Niraj Ahuja 7e p164)Beck 's cognitive triad involves negative thoughts about the self (the self is worthless) , the world/environment (i.e. the world is unfair, helpless), and the future (the future is hopeless)."Beck's cognitive triad represents three types of negative thoughts present in depressio... | 4 | Hopelessness | Worthlessness | Helplessness | Guilt | Psychiatry | Major Depression | 3857af1c-4c58-432c-861a-29b22e6c77f1 | single |
Most common mental health disorder is | Tourette's disorder(Gilles de la Tourette) - combined vocal and multiple motor tic disorder. presence of both multiple motor and one or more vocal tics (>1 year) Onset <18 years involuntary, spasmodic, stereotyped movement of small groups of muscles; seen most predominantly in moments of stress or anxiety Ex: Nose twit... | 2 | Anxiety | Depression | Phobia | Schizophrenia | Psychiatry | All India exam | 2825e7d6-6284-4830-9bc2-29596605a6e4 | single |
Which of the following drugs results in the production of orange coloured urine ? | null | 1 | Rifampicin | Isoniazid | Pyrazinamide | Ethambutol | Pharmacology | null | d89d9c9c-e64b-47aa-9170-219b6753fe6e | single |
Which one of the following is the example of metabolic acidosis with respiratory alkalosis - | Salicylate over dose : Metabolic alkalosis + Respiratory alkalosis. Alcoholic : metabolic alkalosis + metabolic acidosis. Cardiopulmonary edema : metabolic acidosis + respiratory alkalosis Pregnancy : metabolic alkalosis + respiratory alkalosis Ref: Harrison&;s 19thE | 1 | Salicylate overdose | Severe pulmonary oedema | Cardio-pulmonary arrest | Pregnancy with vomiting | Medicine | Fluid and electrolytes | 9f13cb0e-98df-41da-9f54-fd6a9a9669d4 | single |
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