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A young man having pheochromocytoma has BP of 188/92 mm Hg and a hematocrit of around 50%. Pulmonary function tests and renal functions are normal. His catecholamines are elevated. Which of the following drugs should not be included in the anesthesia protocol? | * Halothane sensitizes the hea to arrhythmogenic action of catecholamines. * In pheochromocytoma, there are elevated levels of catecholamines. * Therefore, halothane should not be used in patients with pheochromocytoma. | 3 | Desflurane | Fentanyl | Halothane | Midazolam | Pharmacology | Anaesthesia | 81089f42-fbbc-4cdf-8929-d4e1aef50d65 | single |
Ipsilateral third nerve lesion and contralateral ataxia | A third nerve palsy with contralateral ataxia (Claude's syndrome) or with contralateral hemiplegia (Weber's syndrome)The constellation of veigo, numbness of the ipsilateral face and contralateral limbs, diplopia, hoarseness, dysahria, dysphagia, and ipsilateral Horner's syndrome is called the lateral medullary (or Wall... | 2 | Weber syndrome | Claude's syndrome | Wallenberg's syndrome | Parinaud syndrome | Medicine | C.N.S | ec9d7e28-9d64-4f51-87f3-cf31cdba5822 | multi |
If you are in PHC, which anticoagulant is used to sent the blood sample for blood glucose estimation? - | It is used when blood is collected for glucose estimations. It is a weak anticoagulant but is often added as a preservative for blood glucose together with potassium oxalate as an anticoagulant. It is effective at a concentration of 2mg/ml blood. It inhibits the enzyme enolase (sodium fluoride) thus inhibiting glycolys... | 4 | EDTA | Heparin | Potassium oxalate | Potassium oxalate + sodium fluoride | Pathology | miscellaneous | 6fc3cd76-42fb-4a10-9050-4945e70285ca | single |
A female is on Mala N for contraception. After the end of the first strip, there was no withdrawal bleeding. What should be done? | (c) Urgent visit to hospital and check for pregnancy.Ref: WHO guidelines; CDC guidelinesAfter ruling out pregnancy, next cycle of OCPs can be started. | 3 | Start next cycle of tablets from 5th day | Start next cycle from next day | Urgent visit to hospital and check for pregnancy | Take two pills after 12 hours | Gynaecology & Obstetrics | Abortion | 2877134c-2cdf-4ef9-af5b-69f5647a7245 | single |
For assembling cohos for Coho study, all of the following considerations are considered except | The diagnostic and eligibility criteria of the disease must be defined beforehand; this will depend upon the availability of reliable methods for recognizing the disease when it develops. The groups are followed, under the same identical conditions, over a period of time to determine the outcome of exposure in both the... | 4 | The coho must be free from the disease under the study | Study and control cohos should be equally susceptible to disease under study | Both groups should be comparable in respect of all the possible variable | The diagnostic and eligibility criteria of the disease must be defined after the staing of research | Social & Preventive Medicine | Classification, Coho Study | 99dde61d-a31e-449c-a6f4-b2fb37d6009d | multi |
The most common clinical pattern of basal cell carcinoma is | null | 1 | Nodular | Morphea form | Superficial | Keratotic | Surgery | null | 27e2cb77-27b6-4e67-aef7-adfaa20f38f8 | single |
Which of the following fetal complications is associated with the penicillamine use in pregnancy? | Pencillamine interferes with the synthesis of collagen and elastin and can cause elastosis perforans serpiginosa and localized cutis laxa. | 4 | Conradi syndrome | Renal anomalies | Thymus hypoplasia | Cutis laxa | Gynaecology & Obstetrics | Drugs in Pregnancy | 15abc870-c019-45dc-8435-afb3f47c8f4a | single |
Visual area of coex is supplied by: | C i.e. Posterior cerebral aery | 3 | Anterior cerebral aery | Middle cerebral aery | Posterior cerebral aery | Posterior inferior cerebellar aery | Anatomy | null | 7e032d2c-fb8c-4a50-8f06-5258a27a2c0e | single |
A case of carcinoma cervix who earlier received radiotherapy, relapses with new lesion, what should be the next line of management? | ANSWER: (C) Pelvic exenterationREF: Danforth's Obstetrics and Gynecology, 10th Edition P.983Treatment of Recurrent Cervical Cancer:Cervical cancer detected within the first 6 months after primary therapy is often termed persistent cancer, while that diagnosed later is referred to as recurrent disease.Appropriate treatm... | 3 | Repeat radiotherapy | Chemotherapy | Pelvic exenteration | Complete hysterectomy | Gynaecology & Obstetrics | Management (Carcinoma Cervix) | 910778ff-a739-4193-bfd3-6a128386e4be | single |
Essential criteria for TOF includes all except | The four components of the tetralogy of Fallot are malaligned VSD, obstruction to RV outflow, aoic override of the VSD, and RV hyperophy due to the RV's response to aoic pressure the large VSD. ( Harrison&;s principle of internal medicine,18th edition,pg no. 1926 ) | 1 | Valvular stenosis | Infundibular stenosis | Over riding of aoa | RVH | Medicine | C.V.S | 641d177f-a6fe-4e79-9302-9eaa54797b3c | multi |
All of the following methods are used for the diagnosis of HIV infection in a 2 month old child, | Anti-HIV antibody detection by ELISA or any other method is done only after 18 months of birth when all maternal antibodies would have disappeared.
HIV diagnosis <18 months: (i) HIV DNA detection (best), (ii) p-24 antigen, (iii) HIV RNA detection, (iv) virus isolation | 3 | DNA-PCR. | Viral culture. | HIV ELISA | p24 antigen assay | Microbiology | null | 9ef0bf1e-1eca-4112-af34-9daa260314fe | multi |
Microalbuminuria is dened
as protein levels os - | Albuminuria in the range of 30-300 mg/24 hrs is called microalbuminuria , In patients with type 1 & 2 diabetes microalbuminuria appears 5-10 years after the onset of diabetes. | 2 | 10-150 mg/dL | 30-300 mg/dL | 15-200 mg/dL | 30-100 mg/dL | Medicine | null | aff9a799-c259-47b1-b0a2-5183996116d3 | single |
Measurement of Hb1AC is required for? | null | 2 | Screening of controlled diabetes | Monitoring of diabetes | Screening of uncontrolled diabetes | Confirmation of diabetes | Medicine | null | 888935f3-9a72-4ccf-897a-c9780f4bd7d7 | single |
Ectopic mucosa of Meckel's Diveicula is diagnosed by | The 99mTc- peechnetate is preferentially taken up by the mucus secreting cells of the gastric mucosa and ectopic gastric tissue in the Diveicula. It is less accurate in adults because of reduced prevalence of ectopic gastric mucosa. The sensitivity and specificity can be improved by pentagastrin and glucagon or H2-rece... | 1 | Tc-99m radionuclide scan | Angiography | CT | Endoscopy | Anatomy | G.I.T | b3d4ebb7-489f-4e4c-bf33-84c6e84ee48e | single |
Earliest sign of rickets is: | Ans: bRef: Pedia ghai, 6th ed, p. 128 | 2 | Rickety rosary | Craniotabes | Boe legs | Harrison's groove | Pediatrics | Metabolic Disorders | afb5bfdb-18d3-47ed-bda3-c9d3e94af94c | single |
Earliest menopausal symptom is : | Hot flushes | 1 | Hot flushes | Osteoporosis | Vaginal discharge | Spotting | Gynaecology & Obstetrics | null | 84b4df43-26d2-4103-91f5-6bb20ee48b48 | single |
Physiological antagonism is found in | ref ; KD Tripathi pharmacology 7th edition (page no; 58) Physiological/functional antagonism; The two drugs act on different receptors or by different mechanisms but have opposite ove effects on the same physiological function, i. e . have pharmacological effects in the opposite direction, e.g.Histamine and adrenaline ... | 4 | Isoprenaline and salbutamol | Isoprenaline and adrenaline | Isoprenaline and propanolol | Adrenaline and histamine | Pharmacology | General pharmacology | a343013b-a0c9-4c0f-b819-7d5b52789717 | single |
Presence of both Wolffian and Mullerian ducts are seen in all EXCEPT: | AMH DEFICIENCY or PMDS (Persistant Mullerian Duct Syndrome) Karyotype = 46XY and normal male external genitalia. Persistent Mullerian duct syndrome (PMDS) refers to the presence of a uterus and sometimes other Mullerian duct derivatives in a male. Both the Wolffian ducts and Mullerian ducts develop. The tissues are oft... | 3 | Anti-Mullerian hormone deficiency | Ovotestis | FSH receptor mutation | Mixed Gonadal dysgenesis | Gynaecology & Obstetrics | Intersex | c9cda351-527c-4cf0-82f8-815252cfa255 | multi |
Concentrating ability of kidney is lost by damage to? | Ans. b (Loop of Henle & collecting duct). (Ref. Ganong, Physiology, 21st/pg.721)NEPHRONS# Proximal convoluted tubule-- reabsorbs all of the glucose, inorganic phosphate, Cl, lactate and amino acids and most of the bicarbonate, sodium, and water. Secretes ammonia, which acts as a buffer for secreted W+.QThin descending ... | 2 | Glomerulus | Loop of Henle & collecting duct | Macula densa | Renal Pelvis | Physiology | Kidneys and Body Fluids | 2bf908e6-c07b-4eff-b867-b120ee81b91c | single |
All are true about cluster sampling except? | . | 1 | Sample size is same as that of simple random sampling | It is a two stage sampling | It is cheapter than other methods of sampling | It has a disadvantage of higher sampling error | Social & Preventive Medicine | Biostatistics | ae5b0e37-ae43-49a3-8a4a-81c706c8f435 | multi |
Which of the following is the main form of oestrogen secreted from the ovary? | The major estrogens produced by women are estradiol (estradiol-17, E2), estrone (E1), and estriol (E3). Estradiol is the major secretory product of the ovary. Although some estrone is produced in the ovary, most estrone and estriol are formed in the liver from estradiol or in peripheral tissues from androstenedione and... | 1 | Estradiol | Estrone | Estriol | All of the above | Gynaecology & Obstetrics | null | 0f31fbf5-9b36-4cad-b858-8bbd663972c3 | multi |
You are in the eye OPD and wish to use a topical Beta blocker in a patient. The Chosen dug by you should have all the following propeies except | Ref-KDT 6/e p144 Timolol and betaxolol are the preferred beta blockers for the treatment of glaucoma because they lack local anaesthetic activity. Drugs possessing this propey increase the risk of corneal ulcers | 1 | Strong local anaesthetic activity | High lipophilicity | High ocular capture | Low Systemic activity | Anatomy | Other topics and Adverse effects | 9c0a89a1-05f3-4409-b128-c83c43d04ef6 | multi |
Toxic effect of local anaesthetic include: | null | 4 | Convulsions | Asystole | Methemoglobinemia | All of the above | Surgery | null | 4b8bbb6d-3acd-4f76-b528-4a81c96056ff | multi |
which one of the following is not the appropriate treatment of hypehyroidism due to subacute thyroiditis? | Subacute thyroiditis is a self-limited thyroid condition associated with a triphasic clinical course of hypehyroidism, hypothyroidism, and return to normal thyroid function. Subacute thyroiditis may be responsible for 15-20% of patients presenting with thyrotoxicosis and 10% of patients presenting with hypothyroidism .... | 4 | Propylthiouracil | Suppoive treatment | Subtotal thyroidectomy | beta blockers | Medicine | Endocrinology | b2832601-2fe4-447c-b985-6c24d44524b2 | single |
Not true regarding arcus senilis | Arcus senilis usually stas from inferior cornea and then involves superior cornea. Arcus senilis Corneal degeneration. Deposition of lipids in cornea. Seen in corneal periphery. There is clear margin between the limbus and the arcus deposition. It stas from inferior cornea and then involves superior cornea. Does not in... | 4 | Deposition of lipids in cornea | Seen in corneal periphery | There is clear margin between the limbus and the arcus deposition | It stas from superior cornea and then involves inferior cornea | Ophthalmology | Cornea | b10cd73e-0d5a-4cf6-8d9f-91f92913cfb0 | multi |
The deficiency of all of the following factors increases the incidence of thrombus formation except ? | Ans. is 'a' i.e., Lipoprotein A | 1 | Lipoprotein A | Protein - C | Anti - thrombin III | Protein - S | Surgery | null | 594be62c-62bf-4591-b096-ef2c084f2677 | multi |
Atypical pneumonia can be caused by the following microbial agents except - | null | 4 | Mycoplasma | Legionella pneumophila | Human corona virus | Klebsiella pneumoniae | Microbiology | null | 289f2aba-640e-4137-8cc1-8cedd6f96020 | multi |
Pro-inflammatory cytokines are - | Ans. is All-`a' i.e.,IL-1;'b' i.e., IL-2;'c' i.e.,IL-4 | 4 | IL-1 | IL-2 | IL-4 | All | Pathology | null | 453f0baf-7986-4b15-a4bf-a13dd477e8b5 | multi |
Signs of organophosphorous poisoning are all EXCEPT: | ANSWER: (D) BronchodilatationREF: Textbook of Forensic Medicine and Toxicology: Principles and Practice, 5/e By Krishan Vij page 533"Bronchoconstristition (bronchospasm) not bronchodilatation is seen in OPC poisoning"'Muscarinic signs of OPC poisoning can be remembered as SLUDGE- BBB: Salivation, Lacrimation, Urination... | 4 | Bradycardia | Salivation | Miosis | Bronchodilatation | Forensic Medicine | Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques | 59d4a64b-5280-4b46-b0db-79fb49f6cb3e | multi |
As per immunisation schdule, Hepatitis A vaccine is recommended at? | 2 year REF: Nelson Textbook of Pediatrics 17th edition page 1178, WHO website: vaccines/en/hepatitisa.shtml Hepatitis A vaccines "Hepatitis A vaccine is recommended at 24 months of age in states and regions with an increased incidence of disease. A second dose is administered 6-12 months later to complete the series"' ... | 2 | 1 year | 2 year | 5 years | 10 years | Pediatrics | null | 210a9cfe-f83f-4089-949e-fb076dc0d4fc | single |
Casal's necklace' is seen in the following disease | The Casal necklace is an erythematous pigmented skin rash in the distribution of a broad collar (dermatomes C3 and C4). It is seen in patients with pellagra. It occurs as a result of niacin (vitamin B-3) deficiency. Pellagra is a disease characterised by diarrhoea, dermatitis and dementia. Ref : Biochemistry by U. Saty... | 4 | Beri-Beri | Scurvy | Pernicious anemia | Pellagra | Biochemistry | vitamins | 53b9f521-2956-4caf-9f5d-59f8712f672d | single |
A 60 year old male patient operated for cataract 6 months back now complains of floaters and sudden loss of vision. The diagnosis is: | Retinal detachment | 2 | Vitreous hemorrhage | Retinal detachment | Central retinal aery occlusion | Cystoid macular edema | Ophthalmology | null | 93e96e4a-9e00-40e8-a277-405dc3675f96 | single |
Which of the following is not an action of growth hormone: | Insulin shows anti insulin effect and stimulate production of insulin like growth factor Anti insulin effect: increased lipolysis, hyperglycemia Effects mediated by insulin like growth factor: increased cailage and bone formation, increased protein synthesis and growth factor secretion, Ref:Guyton and Hall textbook of ... | 3 | Anti insulin effect | Increased cailage formation | Decreased lipolysis | Increased protein synthesis | Physiology | Endocrinology | 5af65680-74e1-41bd-86c9-882e603d22c1 | single |
Impaired function of Aquaporin results in | ADH acts V2 receptors on DCT casuing facultative reabsorption of water by inseing Aquaporin -2 channels into apical (luminal side ). Nephrogenic DI-defect in aquaporins BATER SYNDROME - Autosomal recessive Defect in"Na-K-2Cl cotranspoer, Cl channel & ROMK"in loop of Henle LIDDLE SYNDROME - Gain of function of epithelia... | 1 | Nephrogenic DI | Liddle syndrome | Cystic fibrosis | Baer syndrome | Physiology | NEET Jan 2020 | b3c03539-4ad3-4162-aaf6-069ace9d9a02 | single |
Which is true of malaria - | RBCs shape and size malaria: P. vivex - Enlarged, Round and Bizarre form P. falciparum - Normal in size P. malariae - Normal in size P. ovale - Enlarged, Oval and Fimbriated margin Relapse: Seen in P. vivax and P. ovale Recrudescence: Seen in P. falciparum and P. malariae infections Definitive host: Female Anopheles mo... | 2 | Rods forms are seen in P. malariae | RBC size is more in P. vivax | Relapse seen in P. falciparum | Male and female mosquito transmit disease | Microbiology | Parasitology Pa 1 (Protozoology) | 4b29261a-e222-4bf5-bffd-77e6b7d14246 | multi |
Occlusion of left anterior descending aery results in ischemia of | Occlusion of left anterior descending aery result in ishemia of anteriolateral wall . Ref - BDC 6th edition vol1 pg 263-265 | 1 | Anterolateral wall | Left atrium | Right ventricle | Interatrial septum | Anatomy | Thorax | 7c907eee-730f-4364-a6bc-f862d83db1fc | multi |
The second messengers cyclic AMP and cyclic GMP (REPEAT) | . | 2 | Activate the same signal transduction pathways | Are generated by the activation of cyclases | Activate the same protein kinase | Are impoant only in sensory transduction | Pharmacology | All India exam | 5bcef734-e893-4d94-a25a-f8b3e4a5bc00 | single |
All of the following are affected in low radial nerve palsy except | A i.e. Extensor carpi radialis longus Extensor carpi radialis longus muscle is supplied by main trunk of radial nerve above the level of elbow joint; whereas extensor carpi radialis brevis, finger extensors (extensor indics, extensor digitorum, extensor digits minimi) are supplied by its posterior interosseous branch a... | 1 | Extensor carpi radialis longus | Extensor carpi radialis brevis | Finger extensors | Sensation on dorsum of hand | Anatomy | null | cdb506e5-d6b5-45b3-a351-c6c3927fae6a | multi |
The following can lead to acute renal failure (ARF) due to intrinsic renal disease except- | Lupus nephritis happens when lupus involves the kidneys. Up to 60% of lupus patients will develop lupus nephritis. When the kidneys are inflamed, they can't function normally and can leak protein. If not controlled, lupus nephritis can lead to kidney failure. Renal involvement in leptospirosis can vary from a subclinic... | 3 | Systemic lupus erythematosus | Leptospirosis | Hepatorenal syndrome | Hemolytic uremic syndrome | Medicine | Kidney | 8cbb9ee4-341a-41b7-8ee2-8dda66573461 | multi |
Despite blockage of the celiac trunk, the organs receiving their blood supply from the trunk continue to operate normally. This is due to anastomoses between which vessels? | The superior pancreaticoduodenal aery is a branch of the gastroduodenal aery, which is a branch of the common hepatic aery, itself a branch of the celiac trunk. The inferior pancreaticoduodenal aery is a branch of the superior mesenteric aery. | 4 | Left gastroepiploic aery and right gastroepiploic aery | Left gastroepiploic aery and right hepatic aery | Proper hepatic aery and gastroduodenal aery | Superior pancreaticoduodenal aery and inferior pancreaticoduodenal aery | Anatomy | All India exam | 07e36c0f-3a3e-42fc-82ae-7ba60974e1fd | multi |
A 9 year old boy presents with growth retardation and propensity to hypoglycemia. Physical examination reveals sho stature, micropenis, increased fat and high-pitched voice. The skeletal survey reveals bone age of 5 years. Which of the following is most appropriate diagnosis - | Ans. is 'b' i.e., Growth hormone deficiency Clinical features of Growth hormone deficiency o Sho children with normal body propoions o Markely increased subcutaneous fat o Delayed skeletal age than chronological age o The height age is less than skeletal age and chronological age. o Hypoplastic penis and scrotum o May ... | 2 | Malabsorption | Growth hormone deficiency | Adrenal tumour | Thyroxin deficiency | Pediatrics | null | d22b556b-e92b-4554-8cec-e3382a1fa920 | single |
Middle meningeal artery is direct branch of - | Middle meningeal artery is a branch of the first part of the maxillary artery given off in the infratemporal fossa. It enters the middle cranial fossa through the foramen spinosum. | 2 | External carotid artery | Maxillary artery | Superficial temporal artery | Middle cerebral artery | Anatomy | null | 6b1c63b2-3e56-4a15-b7be-0b6ed03ff195 | single |
Horner's syndrome causes all of the following clinical manifestations, EXCEPT: | Horner's syndrome result from a lesion affecting the sympathetic supply to the eye. Manifestations of horner's syndrome includes 1-2mm ptosis, anhidrosis, enophthalmos and mild upper lid ptosis. Miosis in horner's syndrome occur from denervation of sympathetically innervated pupillary dilator muscle. Mild upper eyelid ... | 2 | Enophthalmos | Mydriasis | Anhidrosis | Narrowed palpebral fissure | Ophthalmology | null | 7276455d-f3ec-40ba-a9d4-d80be21eb17a | multi |
Most common cause of syncope in children? | Ans. is 'c' i.e., Neurocardiogenic syncope"The most common cause of childhood syncope is vasovagal syncope""Autonomic syncope" or "vasovagal syncope" or " vasodepressor syncope" is by far the most common cause of syncope in children, accounting for at least 50 percent of cases. "In susceptible children, pain and emotio... | 3 | Breath holding spells | Hypoglycemia | Neurocardiogenic syncope | Hypovolemia | Pediatrics | null | 3097988b-3201-4634-8786-a62a9ae46028 | single |
In a village having a population of 1000, we found patients with ceain disease. The results of new diagnostic test on that disease are as follows Test Result Disease Disease Present Absent + 180 400 - 20 400 What is the prevalence of the disease? | Prevalence is defined as all current cases (Old+New) at a given point of time Prevalence= No. of all current cases of a disease at a time/Estimated total population at that time * 100 And "Cases are those persons having the disease" (controls are healthy people, without the disease) In the given question, Test Results ... | 4 | 0.2 | 2 | 18 | 20 | Social & Preventive Medicine | Epidemiology | 4dad8ab4-3cc3-4d75-a2d7-7da7b0878fcc | single |
Which of the following drug combination is supraadditive | Additive: Effect of drug A + B = effect of drug A + effect of drug B Aspirin + paracetamol as analgesic/ antipyretic Nitrous oxide + halothane as general anaesthetic Amlodipine + atenolol as antihypeensive Glibenclamide + metformin as hypoglycaemic Ephedrine + theophylline as bronchodilator Supra additive : Effect of d... | 3 | Nitrous oxide + halothane as general anaesthetic | Glibenclamide + metformin as hypoglycaemic | Sulfamethoxazole + trimethoprim | Ephedrine + theophylline as bronchodilator | Pharmacology | Pharmacodynamics | bd885c0a-dbff-4089-a244-202255391076 | single |
The extension of the vaginal lumen around the intravaginal pa of the uterine cervix is the? | The cervix is the inferior end of the uterus that projects into the vagina. This means that the vagina comes up and wraps around the cervix, creating the vaginal fornix. There are multiple fornices at the top of the vagina: anterior, posterior, and lateral. The cervical canal is the passageway through the cervix to the... | 3 | Cervical canal | Uterine lumen | Fornix | Rectouterine Pouch | Gynaecology & Obstetrics | null | 2434a18f-ffea-4ec9-83a8-6e977c8bf47d | single |
Drug of choice for acute severe migraine is | Acute migraine is a general term for migraines that aren't diagnosed as chronic. Another name for this type is episodic migraine.People who have episodic migraines have headachesup to 14 days a month. Thus, people with episodic migraines have fewerheadaches a month than people with chronic ones. Triptans are drugs of c... | 3 | NSAID | Beta blockers | Sumatriptan | Caffeine | Pharmacology | Central Nervous system | 9a45de3a-f341-4f0f-9509-bb5c895961d5 | single |
Which is not seen during the acute phase of Hepatitis B infection | Ans: C) IgM Anti HBe Ag | 3 | HBV DNA | HBs Ag | IgM Anti HBe Ag | IgM Anti HBc Ag | Unknown | null | eba5691d-c9a5-45de-aad0-f86ebe999751 | single |
Increasing severity of mental retardation of male members over generations is a result of ? | Ans. is 'd' i.e., Trinucleotide repeat mutation | 4 | Mitochondrial DNA mutation | Frameshift mutation | Y linked disorder | Trinucleotide repeat mutation | Pathology | null | 4e58f87a-12e6-4799-84b5-069a966e5e50 | single |
Most common type of lesion in Pott's spine: | The most common type of lesion in Pott's spine is Paradiscal area. Because the paradiscal area (lower pa of upper veebrae, upper pa of lower veebrae and the in-between veebral disc) arise from single mesodermal somite &has single supply of segmental aery through which tuberculosis spreads. Central (within the veebrae),... | 3 | Central | Anterior | Paradiscal | Appendiceal | Orthopaedics | FMGE 2017 | e702fcf3-c643-4e36-9c7b-1aefd8fa347d | single |
Opening of the jaw is done by the: | Ans: b (Lateral pterygoid) Ref.: BDC, 4th ed, VoL III, p. 152Depressing the jaw, ie. opening wide of the mouth is brought about mainly by the lateral pterygoid. The muscles which assist are the digastric, geniohyoid and mylohyoid.Movements that occur at the temporo-mandibular joint and muscles responsible:MOVEMENTMUSCL... | 2 | Medial pterygoid | Lateral pterygoid | Masseter | Temporalis | Anatomy | Temporomandibular Joint | a6111718-fbcd-497b-ab71-e92ea85cc26b | single |
Soap bubble appearance is shown by: | null | 1 | Osteoclastoma | Osteosarcoma | Multiple myeloma | Ewing's sarcoma | Radiology | null | 34e9bf54-62e8-4ce4-9d56-4123ae0eb86b | single |
The treatment of choice for primary grade V VUR involving both kidneys in a 6 month old boy is: | Treatment of VUR: 1. Continuous antibiotic prophylaxis: Age < 1 year Grade 3-5 VUR with h/o febrile UTI Associated bowel bladder dysfunction 2. Surgery- break through UTI despite on continuous antibiotic prophylaxis | 1 | Antibiotic prophylaxis | Ureteric implantation | Cystoscopy followed by subureteric injection of Teflon | Bilateral ureterostomies | Pediatrics | Renal Tubular And Obstructive Disorders | 782bd6b2-b2e0-45d2-bf7f-7967953ded9f | multi |
Most common malignant tumor of parotid gland is | The major salivary glands include the parotid glands, subman- dibular glands, and sublingual glands. There are also approxi- mately 750 minor salivary glands scattered throughout the submucosa of the oral cavity, oropharynx, hypopharynx, larynx, parapharyngeal space, and nasopharynx. Salivary gland neoplasms are rare a... | 1 | Mucoepidermoid cancer | Adenoid cyst cancer | Acinic cell tumor | Lymphoma | Anatomy | Head and neck | d231db1c-541a-4602-9cd8-035f3498f63e | single |
'a'wave in JVP is seen in- | The a wave is due to atrial systole.some blood regurgitates into great veins when the atria contract.In addition,venous flow stops, the resultant rise in venous pressure contributes to a wave. (Ganong&;s Reviw of medical physiology,23rd edition,pg no.512) | 1 | Will be large when atria contracts against resistance | Filling of ventricles | It is followed by "V" waves | in inspiration | Medicine | C.V.S | 1238a953-31bf-4853-a173-86f742a48068 | single |
Which of the following type of collagen is most prominent and important during repair: | Type 3 collagen which is normally present in the skin more also, is most prominent and important during the repair process. | 2 | Type 2 | Type 3 | Type 4 | Type 6 | Pathology | null | 365f124a-299f-4021-9e05-80650016cfaf | single |
Interval tonsillectomy is done following________ of quinsy drainage | Ans. a (4-6 weeks) (Ref: Diseases of ENT by PL Dhingra 2nd/pg. 261; 3rd/pg. 318)Tonsils are removed 4-6 weeks following an attack of Quinsy interval tonsillectomy,PERITONSILLAR ABSCESS (QUINSY)# Peritonsillar abscess (quinsy) is a complication of acute tonsillitis caused mainly by a mixed flora containing anaerobes and... | 1 | 4-6 weeks | 4-6 months | 12 months | Any of the above | ENT | Oral Cavity | ed203444-4dca-4d00-9523-a73a4f013ddd | multi |
Glucose transport along cell membranes occurs along with ? | Ans. (b) Na+Ref Ganong's 23/e, chapter 28 | 2 | K+ | Na+ | Cl- | HCO3- | Unknown | null | 09f83828-2c22-4f18-b15a-0193523b13b9 | single |
Superficial inguinal ring is deficient of | It is a triangular opening that forms the exit of the inguinal canal, which houses the ilioinguinal nerve, the genital branch of the genitofemoral nerve, and the spermatic cord (in men) or the round ligament (in women). At the other end of the canal, the deep inguinal ring forms the entrance. ref - BDC 6e vol2 | 3 | External oblique abdominis | Internal oblique abdominis | External oblique aponeurosis | Internal oblique aponeurosis | Anatomy | Abdomen and pelvis | c8fa80ed-9153-4b26-93a2-5d730b16f96b | single |
Endodermal sinus tumour is characterized by ? | Ans. is 'a' i.e., Schiller-Duval body | 1 | Schiller-Duval body | Psammoma body | Call-Exner bodies | Homer-Wright rosettes | Pathology | null | 56038da9-9164-447c-93e7-f29d6287a636 | multi |
A 3 year old child suffers from burn injury with the following body parts involved: face including scalp, both buttocks and circumferentially around both thighs. How much is TBSA involved? | Using Modified Lund-Browder chart: | 3 | 0.25 | 0.26 | 0.35 | 0.45 | Surgery | null | 80c622fd-ff2a-4795-945c-efe846c13dc1 | multi |
EGC in young heaithy person with 80 beats/min willnot show- | Normal values for waves and intervals are as follows: RR interval: 0.6-1.2 seconds. P wave: 80 milliseconds. PR interval: 120-200 milliseconds The normal duration (interval) of the QRS complex is between 0.08 and 0.10 seconds -- that is, 80 and 100 milliseconds. When the duration is between 0.10 and 0.12 seconds, it is... | 1 | PR interval between 80 to 120 msec | QRS interval less than 100 msec | Interval between 2 QRS is 750 msec | T. wave repressents repolarization | Medicine | C.V.S | 9e6028b1-1bd0-45b4-af00-dc07537b20a0 | single |
In hydatidiform mole, blood cells does not develop because of defect in | As organs form, a process called organogenesis, mesoderm interacts with endoderm and ectoderm to give rise to the digestive tract, the hea and skeletal muscles, red blood cells, and the tubules of the kidneys, as well as a type of connective tissue called mesenchyme. Ref:Human embryology Inderber singh | 2 | Primary ectoderm | Mesoderm | Endoderm | Trophoblast | Anatomy | General anatomy | a7dd554a-539e-4ab0-8697-fd5b639156af | single |
In fracture of femur popliteal aery is commonly damaged by | B i.e. Distal fragment lit fracture supracondylar femur, the distal fragmentQ is markedly displaced by gastrocnemius, thus risking to the popliteal aery. | 2 | Proximal fragment | Distal fragment | Muscle haematoma | Tissue swelling | Surgery | null | a135fc13-5896-462d-bb20-5321a443469d | single |
A family consist of husband, wife and 2 children wife's father has huntington's chorea. Which statement is true: | Ans. is 'c' If the wife does not get disease till age 50 children are not affected Huntington's chorea is an autosomal dominant* disease. The age of onset is usually 4th or 5th decade. But if the child has inherited the disease from father, juvenile onset of the disease is seen.In the question the lady has inherited th... | 3 | Chance of getting disease in child is 1:4 | Can occur upto age of 50 | If wife does not get disease till age 50 children are not affected. | Huntington's chorea is due to point mutation in gene. | Medicine | C.N.S. | 0dafb5c9-e48a-4223-bf33-9fa0ece030e2 | multi |
Leprosy affects all the following except : | Complications of M. leprae
Eye : uveitis, cataracts, glaucoma, corneal insensitivity and lagophthalmus.
Testes : orchitis followed by impotence.
Nerve abscesses : mostly seen in BT form, ulnar nerve is most frequently involved.
Extremities : planter ulceration (most frequent complication of leprous neuropathy), footdr... | 2 | Testes | Ovaries | Eyes | Nerves | Microbiology | null | 6e189252-f451-4807-ae42-3b3fa7e0ce37 | multi |
Alcoholic hyaline, in alcoholic liver disease is composed of | mallory body or hyaline degeneration consist of dense eosinophilic ropey cytoplasmic inclusion body GENERAL AND SYSTEMIC PATHOLOGY RAMDAS NAYAK PGNO.449 IMAGE REF: | 2 | Lipofuscin | Eosinophilic intracytoplasmic inclusions | Basophilic intracytoplasmic inclusions | Hemozoin | Pathology | G.I.T | c198305c-a99e-4661-a3fd-1456a696d0ab | single |
Trichophyton species which is zoophilic ? | Ans. is 'd' i.e. mentagrophytes Zoophilic dermatophytes are the species which primarily infect animals and occasionally transmitted to humans. Zoophilic species of trichophyton are T. montegrophytes and T verrucosum. Other zoophilic species of dermatophytes is M. canis. | 4 | T. tonsurans | T. violaceum | T. schoenleinii | T. mentagrophytes | Microbiology | null | cb0bd296-4be0-424f-b8ef-6b0a6e81205f | single |
Serial extraction should not be undertaken if there is | null | 3 | Crowding | Presence of ectopic eruption | Deep bite or open bite | None of these | Dental | null | ec2b92fe-cedb-4136-a03f-ba9aef411ab0 | multi |
Which of the following statements is true about Rectal atresia? | null | 2 | Usually a fistula is present with the urethra or bladder | Anus is usually normal | Stricture of the rectum | Common type of anorectal malformation | Surgery | null | c62ae132-7213-4e78-bd4b-ca3023556ce3 | multi |
Which of the following organs is not involved in autoimmune polyendocrine syndrome 2 | Autoimmune polyendocrine syndrome type 2, a form ofautoimmune polyendocrine syndrome also known as Schmidt's syndrome, APS-II, or PAS II, is the most common form of the polyglandular failure syndromes.autoimmune polyendocrine syndrome type 2 has an autosomal dominant pattern of inheritance, with an incomplete penetranc... | 1 | Parathyroid | Thyroid | Adrenal | Pancreas | Pathology | Endocrinology | a7438c56-ea90-43f4-9756-9828db5319b0 | single |
The pattern of fingerprint demonstrated here is | Loop Fingerprint patterns and their relative frequency: Loop - 67% Whorls - 25% Arches - 6-7% Composite - 1-2% | 2 | Arch | Loop | Whorl | Composite | Physiology | All India exam | 2920bb0f-2d14-4df3-9b8f-b52dffd38b60 | single |
All are Characteristic of SAPHO syndrome except | The syndrome of synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) characterized by a variety of skin and musculoskeletal manifestations. Dermatologic manifestations include palmoplantar pustulosis, acne conglobate, acne fulminans, and hidradenitis suppurativa. Reference: Harrison&;s Principles of Internal... | 4 | Synovitis | Acne | Pustulosis | Hyperpigmentation | Orthopaedics | Joint disorders | 8f2ddd26-c260-4a0a-82bf-3320b4e84af3 | multi |
The neonatal teeth in infants are: | Most studies suggest that the etiology for the premature eruption or the appearance of natal and neonatal teeth is multifactorial. A possible factor involving the early eruption of primary teeth seems to be familial, due to inheritance as an autosomal-dominant trait.
A radiograph should be made to determine the amount... | 1 | Teeth of normal series usually | Supernumerary teeth | Only calcified structures | Only keratinised structures | Dental | null | b0f8442f-4105-41e7-b09e-35186b7b3e57 | multi |
Topical mitomycin C is used in the treatment of: | Ans. b. Tracheal stenosis "Topical Mitomycin C is the drug of choice used to aid the treatment of laryngeal stenosis. Topical Mitomycin C can inhibit fibroblast activity and restenosis." | 2 | Basal skull cancer | Trachea] stenosis | Skull base osteomyelitis | Angiofibroma | Pharmacology | Anti-Neoplastic Agents | 5f0aed57-f230-46ce-81ee-492b4bbd0898 | single |
The most rapidly acting nondepolarizing neuromuscular blbcking agent which can be used as an alternative to Succinylcholine for tracheal intubation is: | (Ref: KDT 6/e p345) Rocuronium is the fastest acting non-depolarizing muscle relaxant (NDMR). It can be used for the rapid sequence endotracheal intubation in patients having contra-indications to the use of SCh. Mivacurium is the shoest acting NDMR. SCh is the shoest and fastest acting skeletal muscle relaxant. It is ... | 1 | Rocuronium | Pancuronium | Doxacurium | Pipecuronium | Pharmacology | Other topics and Adverse effects | a90f5427-96c8-40c9-ac82-94185ddc233a | single |
Inhibition of myenteric plexus results in - | Ans. is 'c' i.e., Decreased gut motility o The gastrointestinal tract has a nervous system all its own called the enteric nervous system. It lies entirely in the wall of the gut, begining in the esophagus and extending all the way to the anus. The enteric nervous system is composed mainly of two plexus: -Myenteric plex... | 3 | Hyperacidity | Diarrhea | Decreased gut motility | Increased secretions | Physiology | General Principles of Gastrointestinal Function | d096a180-0770-4ad8-85b7-f3a28b375d32 | single |
For determination of sex, smear is taken from | Buccal mucosa | 1 | Buccal mucosa | Vagina | Skin | Nose | Pathology | All India exam | 375488e8-cf5f-45f3-b08d-45d5f85477bc | single |
Mania is characterized by all except - | Ans. is 'a' i.e., Hypersomnia o Insomnia and not hypersomnia is a feature in mania.Diagnostic criteria for maniao Three or more of the following for at least 1 weeki) Inflated self esteem or grandiosityv) Distractibilityii) Decreased need for sleepvi) Psychom otor agitation or Increased goal directed activitiesiii) Ove... | 1 | Hypersomnia | Pressure of speech | High self esteem | Delusion of grandeur | Psychiatry | Substance Abuse | 89c343ba-843b-4728-bbc7-d7e865e5839a | multi |
Hemophilic A have following diagnostic features except- | Ans. is 'c' i.e., | PT | 3 | | VIII factor | | PTT | | PT | Normal BT | Pediatrics | null | e0dc9d76-e5ba-4d53-81fa-11b75ec66f32 | multi |
A patient presented with the extension of the MCP joint and flexion of IP which muscle is affected | Extension of MCP and flexion of IP joints is due to palsy of lumbrical and interossei muscles Action of lumbricals = flexion of Mcp,,extension of IP Tnt Action of palmar interossei =adduction of fingers Action of dorsal interossei =abduction of fingers ref : BD CHAURASIA | 4 | Extensor digitorum | Abductor pollicis brevis | Abductor pollicis longus | Interossei and lumbricalis | Anatomy | All India exam | e4bb90c9-0fbc-4d2d-b4e6-2a107fff5ec2 | single |
The minimal concentration of oxygen that should be used with Nitrous oxide analgesia is: | Nitrous oxide is a weak anaesthetic and while some patients can be brought to an unconscious level by mixture of Nitrous oxide and Oxygen containing at least 20% Oxygen. | 2 | 10% | 20% | 30% | 40% | Dental | null | 4212d9ef-1390-42f2-934a-785b0795a3ae | single |
A 6 year old boy presents with progressive weakness in muscles, and difficulty in walking upstairs. He has difficulty in walking on his toes and has a waddling gait. Hyperophy of calf muscles in noted. His CPK levels are 10,000 IU. Which of the following is the most appropriate diagnosis - | Ans. is 'a' i.e., Duchenne muscular dystrophy Clinical features of DMD The age of onset is 2-5 years. Early development of the child is normal, the disease begins to manifest when the child stats walking. The child walks clumsily, has difficulty in climbing stairs and the gait is waddling. Hyperophy of calf muscle is a... | 1 | Duchenne muscular dystrophy | Polymyositis | Congenital myopathy | Myotonia congenita | Pediatrics | null | 0795a25b-3ace-4bd9-80d9-f3150c064417 | single |
Genes with purely or predominantly matrilineal inheritance without recombination are present in: | Ans. c (Mitochondrial chromosome). (Ref. Harper's Biochemistry 26th ed. 323; Ganong 22nd ed. 11, 27)Inherited mitochondrial disorders are transmitted in a matrilineal fashion; all children from an affected mother will inherit the disease, but it will not be transmitted from an affected father to his children. Heterogen... | 3 | X chromosome | Y chromosome | Mitochondrial chromosome | All of the above | Biochemistry | Molecular Genetics | 41d2102e-063a-4d16-b493-aa0e0042127e | multi |
Codex ali Men tarius is related to - | Ans. is 'd i.e., Food standardization Food standards are :- i) Coder alimentarius ii) The Agmark standards iii) Bureau of Indian standards iv) ETA standards | 4 | Water purity | Milk purity | Air pollution | Food stardardization | Social & Preventive Medicine | null | 26324561-b7b1-47ed-b3fd-e2177f46b79f | single |
Cause of hydrocele in infants ? | Ans. is 'a' i.e., Patent processus vaginalis | 1 | Patent processus vaginalis | Patent gubernaculum | Impaired drainage | Epididymal cyst | Surgery | null | 611ee6f4-c41b-4f45-a9f0-a1ef3c0c93b6 | single |
Vaccine with maximum efficacy | b. Measles(Ref: Nelson's 20/e p 1546, Ghai 8/e p 145; IAP guidebook of Immunization 2013-14, p 222-223)Seroconversion rates after measles vaccination are around 60% at the age of 6 months, 80-85% at the age of 9 months and beyond 95% at the age of 12-15 months. | 2 | OPV | Measles | BCG | TT | Pediatrics | Immunization | 535ded66-8217-4b1f-a5d1-411841dd3151 | single |
If a 4 nucleotides sequence code for an amino acid instead of 3, then theoretically how many unique amino acids could be coded by such a system? | Ans. d. 256 (Ref: Harper 28/e p353)If there would have been two nucleotides in each codon, the chance of their varied combination will be 42, i.e. 16, and three nucleotide in each codon means there will occur 43, i.e. 64 codons are possible. According to the above calculation, if there occurs 4 nucleotides in a codon, ... | 4 | 16 | 64 | 128 | 256 | Biochemistry | Structure of DNA | da92acb1-a7fc-4c23-883f-631d8d6a63f6 | multi |
A lady with 50% TBSA burn with involvement of dermis & subcutaneous tissue came to emergency depament. Burns will be classified as; | Third degree burns - Aka full thickness burn - Involvement of Epidermis + dermis + Subcutaneous fat - Burn Surface has Black coloured leathery eschar - Escharotomy is done to prevent compament syndrome - Characteristic features No pain, No blister, No pin prick sensation Healing occurs with contracture - To prevent con... | 4 | 1st degree | 2nd degree superficial | 2nd degree deep | 3rd degree burn | Surgery | FMGE 2019 | e440e0ca-0a0c-4d2a-911b-fa3c2e1b0e87 | single |
A 4 month old female child presents with grade IV Vesicoureteral Reflux (VUR); without dilation of urinary bladder. The Treatment of choice is – | Treatment of grade IV VIJR
Age 0-5 years
Give antibiotic prophylaxis first
Follow up the patient, if recurrences occur, surgical management should be done.
Age 6-10 years
Unilateral -3 Same as above
Bilateral --> Surgery | 1 | Septran + Follow up | Re – implantation of ureter | Injection of collagen at ureteric orifices | Bilateral Ureterostomy | Pediatrics | null | 23879bed-cca2-48c3-b9c6-7086b21502f7 | single |
Type of joint TMJ has: | TMJ is condylar or diarthrodal or ginglymo-arthroidal joint as it has both hinge and sliding movements. | 4 | Condylar | Diarthrodal | Ginglymo-arthroidal joint | All of the above | Dental | null | 130f64da-9ba0-40e8-8919-bac241d3af17 | multi |
All of the following abbretions are true except | TMP stands for thymidine monophosphateRef: DM Vasudevan, 7th edition, page no: 560 | 4 | AMP - Adenosine monophosphate | CMP - Cutidine monophosphate | GMP - Guanosine monophosphate | TMP - Thymine monophosphate | Biochemistry | Metabolism of nucleic acids | ab8ac386-0ad4-4c03-b821-44e2316353b0 | multi |
A 30 years old male presented with silvery scales on elbow and knee, that bleed on removal. The probable diagnosis is: | C i.e. Psoriasis | 3 | Pityriasis | Seborrhoeic dermatitis | Psoriasis | Secondary syphilis | Skin | null | 367ee286-9591-42a2-89eb-7bedf3a8fa2e | single |
Which of the following is false about intra-uterine devices (IUDs)? | Multioad Cu-375 is a newer copper intra-uterine device (IUD). The copper devices comprise the second generation IUDs. The non-medicated or ine devices are the first generation IUDs and the hormone-releasing devices are the third generation IUDs Ref: Park's Textbook Of Preventive And Social Medicine, By K. Park, 19th Ed... | 1 | Multiload Cu-375 is a third generation intra-uterine device (IUD) | Copper devices are effective as post-coital contraceptives | LNG-20 (Mirena) has an effective life of 5 years | Pregnancy rates of Lippes Loop and T Cu-200 are similar | Social & Preventive Medicine | null | 0e04a394-0781-4240-bf67-99ff3bc7ca9a | multi |
Success of Block 1 is assessed by | Westphal's sign (Block 1 is Epidural block) | 1 | Westphal's sign | Gutierrez sign | Loss of resistance | Crawford sign | Anaesthesia | Spinal, Epidural, & Caudal Blocks | c9fd38f3-12da-4492-a4cf-19a26d79484f | single |
On radiography widened duodenal 'C' loop with irregular mucosal pattern on upper gastrointestinal barium series is most likely due to: | Ans. Carcinoma head of pancreas | 2 | Chronic pancreatitis | Carcinoma head of pancreas | Duodenal ulcer | Duodenal ileus | Radiology | null | 800c3773-33da-44ae-8fc2-42d6846d57d1 | single |
Phobia is a type of | In ICD-10, neurosis, stress-related and somatoform disorders have been classified into the following types: Phobic anxiety disorders Other anxiety disorders Obsessive-compulsive disorders (Ref: a sho textbook of psychiatry, Niraj Ahuja,7th edition, pg no 89) | 2 | Psychosis | Neurosis | Mania | Depression | Psychiatry | Anxiety disorders stress disorders and grief | 24ab5dfe-5b8b-4e0a-8878-09c379a24d16 | single |
Macular sparing is seen in the affection of - | Macular sparing is seen in: - (i) Anterior occipital cortex lesion; (ii) Sometimes in total optic radiation lesions. | 4 | Optic nerve | Optic tract | Optic chiasma | Occipital lobe | Ophthalmology | null | 1439f23d-006b-40f0-af9b-8889fde5ac77 | single |
Tuberculosis verrucosa cutis is a form of:- | Tuberculosis verrucosa cutis is a variant of cutaneous tuberculosis in patients with good cell mediated immunity to M. tuberculosis. Rough verrucous way lesion usually heals with scar. Generally present on extremities. Tuberculid include Lichen scrofulosorum/ Micronodular TB Papulonecrotic TB Erythema induratum of bazi... | 3 | Tuberculid | Primary tuberculosis | Post primary tuberculosis with good resistance | Post primary tuberculosis with poor resistance | Dental | Mycobacterial Infections | 386ff4d9-284c-4ecd-970e-d0ff2f95cf76 | single |
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