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For the following disorders, select the serum concentrations (mEq/L) of sodium (Na+) and potassium (K+) with which it is most likely to be associated in a dehydrated patient.A 1-year-old girl has had since about 3 months of age repeated episodes of hypoglycemic seizures and bouts of lactacidosis. She has a protuberant ...
Patients with a deficiency of glucose-6-phosphatase (von Gierke disease) are, as a rule, hyperlipidemic. Increased triglyceride concentration in the serum decreases the volume of the aqueous compartment. Because electrolytes are present only in the aqueous compartment of the serum but are expressed in milliequivalents ...
2
Na+ 118, K+ 7.5
Na+ 125, K+ 3.0
Na+ 134, K+ 6.0
Na+ 144, K+ 2.9
Pediatrics
Genetics And Genetic Disorders
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single
A-7 year child presenting with acute otitis media, does not respond to ampicillin. Examination reveals full and bulging tympanic membrane, the treatment of choice is:
Indications of myringotomy in acute otitis media:Drum is bulging + acute pain.Incomplete resolution despite antibiotics when drum remains full with persistent conductive deafness.Persistent effusion beyond 12 weeks.
3
Sytemic steroid
Ciprofloxacin
Myringotomy
Coical mastoidectomy
ENT
null
ffa09e57-d00e-48aa-976c-2184413be3a8
single
Altered (bizarre) perception/interpretation of real objects is most appropriately known as:
A i.e. Illusion
1
Illusion
Delusion
Hallucination
Delirium
Psychiatry
null
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multi
A child has an extreme open bite only the most posterior teeth contact in the opposite arch. The best procedure for dentist would be to
null
1
Refer the child to an orthodontist for treatment
Remove the posterior teeth in each quadrant
Make an overlay denture to create occlusion
Place bands on the teeth and place elastics to close the bite
Dental
null
d24f5bea-1067-4232-8b25-751a775af2ab
single
Not a histological feature of lichen planus is -
LICHEN PLANUS:-Inflammatory T cell mediated auto immune disorder affecting skin, hair,nails and mucous membranes.Histology:-1. Irregular acanthosis of the epidermis.2. Hypergranulosis- wedge shaped3. Compact hyperkeratosis.4. Basal cell degeneration5. Colloid bodies6. Pigment incontinence.7. Band like lympho histiocyti...
3
Acanthosis
Hyperkeratosis
Neutrophils in stratum corneum
Pigment incontinence
Dental
Papulosquamous disorders
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single
Most commonly abused opioid -
Diacetylmorphine (heroin) is the most commonly abused opioid.
2
Morphine
Diacetylmorphine
Oxycodine
Bupremorphine
Psychiatry
null
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single
Which of the following is the most accurate way of dating the pregnancy?
Ans. is c, i.e. Crown rump length on abdominal or vaginal ultrasoundBest method for dating of pregnancy is ultrasound in first trimester. The best parameter is Crown Rump length.
3
Determination of uterine size on pelvic examination
Quantitative serum HCG level
Crown rump length on abdominal or vaginal ultrasound
Determination of progesterone level along with serum HCG level
Gynaecology & Obstetrics
Diagnosis of Pregnancy
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single
The transpo protein responsible for entry of glucose into the intestinal enterocyte is called:
The transpo protein responsible for the sodium-dependent glucose transpo in the small intestine is termed the SGLT1. The absorption of glucose occurs through the coordinated action of transpo proteins located in the brush border and basolateral membranes of the enterocyte. Glucose uptake into the enterocyte occurs prim...
3
Glut-2
Glut-5
SGLT1
SGLT2
Surgery
null
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multi
Slap cheek appearance is seen in -
Ans. is 'a' i.e., Erythema infectiosum o Erythema infectiosum (also known as fifth disease) is usually a benign childhood condition characterized by aclassic slapped-cheek appearance (see the image below) and lacy exanthem. It results from infection with human parvovirus (PV) B19. an erythrovirus.o Human herpesvirus 6 ...
1
Erythema infectiosum
Exanthem subitum
Roseola infantun
None of above
Pediatrics
Viral Infections
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multi
The most common cyst of the oral region is
repeated question.
4
Dentigerous cyst
Keratosis cyst
Dermoid cyst
Periapical cyst
Surgery
Head and neck
b74bd8b4-c7d8-4481-a3e8-5e4b2a89c300
single
What is the daily fluid requirement on day 1 for a 1 neonate who weighs 1400 gms?
Ans. C. 80ml/kgDaily fluid requirement during first week of life.Birth wtDay 1Day 2Day 3Day 4Day 5Day 6Day 7 and onwards<1500g8095110120130140150>=1500g607590105120135150
3
60 ml/kg
70 ml/kg
80ml/kg
90ml/kg
Pediatrics
Fluid & Electrolyte
d714432a-8cb9-47c5-87c8-c6d608c572a3
single
The earlies antibody marker to appear In the serum in Hepatitis B virus infection Is-
<P>Davidson&;s principles and practice of medicine 22nd edition. #HBc Ag is not found in blood but antibody to it appeared early in the illness (incubation period) and rapidly reached a high titre which subsides gradually but then persist.</p>
3
Anti-HBs
Anti-HBe
Anti-HBc
Anti-Hbx
Medicine
G.I.T
f4047369-dd59-455a-b775-5b3cef805e40
single
Croup syndrome is usually caused by –a) Rhinovirusesb) Coxsackie A virusc) Coxsackie B virusd) Para influenza
Croup (Laryngotracheobronchitis) Croup is a viral infection of the upper respiratory tract. Children between the age of 1-5 years are affected. Causative organisms → Parainfluenza type I, RSV, Influenza, Adenovirus, Rhinovirus
4
b
c
ac
ad
Pediatrics
null
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multi
Acyclovir is indicated in:
ANTIVIRAL DRUGS: CLASSI FICATION 1.Anti-Herpes virus Idoxuridine, Acyclovir, Valacyclovir, Famciclovir, Ganciclovir*, Foscarnet* 2 Anti-Retrovirus (a) Nucleoside reverse transcriptase inhibitors (Nis): Zidovudine (AZT), Didanosine, Zalcitabine*, Stavudine, Lamivudine, Abaca vir (b) Nonnucleoside reverse transcriptase i...
2
Candida
Herpes simplex
Mycoplasma
Pneumocystis
Pharmacology
Chemotherapy
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True statement about cerebrospinal fluid is
Ref:1. Koeppen BM, Stanton BA. The Nervous System: Introduction to Cells and Systems. In: Berne & Levy Physiology 6th ed. Mosby; 2008 p 61-62.2. W F Ganong. Excitable Tissue: Nerve. In: Review of Medical Physiology. 21st ed. California: McGraw-Hill Companies; 2003Explanation:Cerebrospinal Fluid50-70% of the CSF is form...
1
Maximum secreted by choroid plexus
Flows from lateral ventricles to 3rd ventricle through aqueduct of sylvius
More in ventricle than in subarachnoid space
CSF formation and absorption are equal at 68 mm CSF pressure
Unknown
null
1daf123b-cf02-4858-a8b0-ada6247e3604
multi
MC age of presentation of gastric ulcer is:
GUs tend to occur later in life than duodenal lesions, with a peak incidence repoed in the sixth decade. More than one half of GUs occur in males and are less common than DUs, perhaps due to the higher likelihood of GUs being silent and presenting only after a complication develops.
4
3rd decade
4th decade
5th decade
6th decade
Medicine
Peptic Ulcer Disease
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single
Transitional cell carcinoma of bladder is associated with-a) Schistosomiasisb) Naphthylaminec) Smokingd) TB bladder
null
2
ab
abc
acd
bcd
Pathology
null
04370c05-19fd-43a4-b59e-a6d8e057d616
single
Which of the following most significantly increases the risk of HCC
Risk factors for HCC Chronic infection with HBV and HCV ( 100 fold increase in risk in individuals with HBV infection) Post necrotic cirrhosis Alcoholic cirrhosis Primary biliary cirrhosis Ref : Sabiston 20th edition Pgno :1458
1
HBV
HAV
CMV
EBV
Anatomy
G.I.T
2b2f67c8-e0f0-4564-89a1-5c691f9cb3fd
single
S1 nerve root irritation causes pain along the
Sural nerve supplies the skin over the little toe and lateral aspect of the foot, with dermatome S1. Ref: Gray's Anatomy The Anatomical Basics of Clinical Practice 41 e pg 1324.
3
Anterior aspect of thigh
Medial aspect of thigh
Lateral aspect of foot
Anteromedial aspect of leg
Anatomy
Lower limb
47f7d9aa-d28e-407e-97e5-3ecc8c4fcf51
single
Whipple's operation is done for
(C) Pancreatic cancer # WHIPPLE'S PROCEDURE is pancreatico duodenectomy* Tumours of the ampulla have a good prognosis.* Duct cell cancers which are less than 4 cm in diameter, not involving the supeior mesenteric & or portal veins and with no evidence of multiple enlarged nodes or distant spread should be considered fo...
3
Chronic pancreatitis
Acute pancreatitis
Pancreatic cancer
All the above
Surgery
Miscellaneous
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multi
Ear Lobule is made up of:
Elastic cailage
1
Elastic cailage
Hyaline cailage
Fibrocailage
All of the above
Anatomy
null
32a96ee0-2fb4-4ba8-9440-5ea8d9674998
multi
Risk of rubella to fetus is maximum, if the mother is infected in:
Risk of rubella to fetus is maximum, if the mother is infected in 6-12 weeks. Timing of fetal infection determines the extent of teratogenic effect in fetus Ist 2 months Abnormalities in 65-85% cases, Multiple congenital defects (cataracts, deafness and hea defects) Spontaneous aboion 3rd month of fetal life: 30% to 35...
1
6-12 weeks
20-24 weeks
24-28 weeks
32-36 weeks
Microbiology
Virology (RNA Virus Pa-1,2 & Miscellaneous Viruses)
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single
Injury to the Ulnar nerve at the wrist causes paralysis of-
Adduction of thumb is lost due to paralysis of adductor pollicis.
3
Apposition of the thumb
Abduction of the carpo-metacarpal joint of the thumb
Adduction of the thumb
Flexion of the MCP joint of the middle finger
Orthopaedics
null
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single
The skeletal muscles become more excitable even to a mild stimulus is known as:
null
3
Trousseau's sign.
Chvostek's sign.
Erb sign.
null
Physiology
null
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multi
The parvocellular pathway, from die lateral geniculate nucleus to the visual coex, carries signals for the detection of
From the lateral geniculate nucleus, a magnocellular pathway and a parvocellular pathway project to the visual coex. The parvocellular pathway, from layers 3-6, carries signals for color vision, texture, shape, and fine detail. The parvocellular pathway also carries color opponent data to the deep pa of layer 4.Ref: Ga...
2
Movement, depth and flicker
Color vision, shape and fine details
Temporal frequency
Luminance contrast
Physiology
Nervous system
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single
Not a symptom of angle closure glaucoma -
Metamorphosia herein,patients perceive distoed images of the object . This results due to alteration in the ratinal contour caused by a raised patch of choroiditis. Ref :Ophthalmology A K Khurana 6th edition chapter-10 page no :162
3
Blurring of vision
Coloured Halos
Metamorphosia
Headache
Ophthalmology
Glaucoma
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single
Which of the following does not contain uronic acid?
Glycosaminoglycans (mucopolysaccharides) are complex carbohydrates containing amino sugars and uronic acidsHeparin -Sulfated glucosamine +L iduronic acidKeratan sulfate - galactose + N-acetylglucosamineChondroitin sulfate - glucuronic acid + N-acetylglucosamineDermatan sulfate - L iduronic acid + N-acetylglucosamineRef...
2
Heparin
Keratin sulfate
Chondroitin sulfate
Dermatan sulfate
Biochemistry
miscellaneous
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single
Bradykinin is a clevage product of -
Ans. is 'a' i.e., Kininogen
1
Kininogen
Prekallikrein
Kallikrien
Histamine
Pathology
null
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multi
All the following antimicrobial agents are used topically except –
Griseofulvin is used systemically for dermatophytosis. It is ineffective topically. Polyene Amphotericin B → Topically as well as systemically (oral, iv intrathecally. Nystatin, Hamycin, Natamycin (Pimaricin) → Topically. Hetrocyclic benzofuran Griseofulvin → Systemically (oral) Imidazoles Clotrimazole, econazole,...
2
Clotrimazole
Griseofulvin
Nystatin
Miconazole
Dental
null
4a55eda0-a818-4ea4-9d11-0650f242e2ff
multi
Double bubble sign on X-Ray is seen in:
A i.e. Duodenal atresia
1
Duodenal atresia
Oesophageal atresia
Colonic atresia/Hirschprung's disease
Pyloric stenosis
Radiology
null
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single
The most common cause of fungal sinusitis is( REPEAT QUESTION)
Fungal infections of the paranasal sinuses are uncommon and usually occur in individuals who are immunocompromised. Aspergillus fumigatus is most commonly involved in allergic fungal sinusitis and sinus mycetoma. (Ref: Textbook of diseases of ENT, PL DHINGRA, 7th edition, pg no. 220)
1
A fumigates
A niger
A flavus
Candida
ENT
Nose and paranasal sinuses
044cd6eb-063f-400d-9311-ace020023523
single
Flesh eating bacteria is:
Ans. B. Strep pyogenesStrep pyogenes is caused flesh eating bacteria as it causes rapidly spreading necrotizing fasciitis due to Strep pyogenes erythrogenic or pyrogenic toxin
2
Strep pneumoniae
Strep pyogenes
Strep agalactiae
Streoviridans
Microbiology
Bacteria
b51f6992-9c70-4912-a635-68739cca51bf
single
Origin of lymphoplasmacytic lymphoma is from:-
Lymphoplasmacytic lymphoma (Waldenstrom Macroglobinemia) : B cell lymphoma that exhibit plasmocytic differentiation, clinical symptoms dominated by hyperviscosity related to high level of tumor derived IgM. Origin:- Post geminal Centre B cell.
3
Germinal centre T cell
Germinal centre B cell
Post germinal centre B cell
Pre germinal centre B cell
Pathology
JIPMER 2018
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single
Which of the following most commonly produces osteoblastic secondaries?
Most common tumor producing osteoblastic bone metastasis is carcinoma prostate. Purely Osteoblastic secondaries are produced by Ca.prostate, Ca.Breast, carcinoid tumor and medulloblastoma.
4
Carcinoma lung
Carcinoma breast
Carcinoma urinary bladder
Carcinoma prostate
Orthopaedics
Ohopaedics Q Bank
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single
Which of the following is the least likely physiological change in pregnancy :
The increase in cardiac output does not cause increase in BP. This is due to massive fall in peripheral vascular resistance due to smooth muscle relaxant propeies of progesterone. Reference : Dutta's Textbook of Obstetrics 7th edition page 53
4
Increase in intravascular volume
Increase in cardiac output
Increase in stroke volume
Increase In peripheral vascular resistance
Gynaecology & Obstetrics
General obstetrics
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single
75% respiration is due to:
Ans. A DiaphragmRef: Snell Anatomy, 7h ed. pg 499; BDC 6th ed. vol. I pg. 212-13* Diaphragm is major respiratory muscle* Inspiration is an active process and requires contraction of inspiratory muscles.* During quiet breathing expiration is a passive process.* During inspiration all the 3 dimensions of the thoracic cav...
1
Diaphragm
Internal intercostals
Intercostals
Serratus anterior
Anatomy
Thorax
dfc531c3-5726-4872-83a8-07dc4fe13282
single
Oblique cord is the modification of
After bih, the proximal pas of the flexor digitorum profundus and flexor pollicis Longus FPL muscles were likely replaced by collagenous tissues, providing a specific type of intermuscular septum i.e., the oblique cord. Reference: Vishram Singh Anatomy; 2nd edition; Page no: 134
1
Flexor pollicis Longus
Flexor Pollicis Brevis
Supinator
Pronator Teres
Anatomy
Upper limb
6a88c1d6-688b-4ada-b323-795e514865bf
single
Posterior border of ovary is -
Ans. is 'd' i.e., Free of ligament attachment OVARYo The ovaries are female gonads. Each ovary lies in the ovarian fossa on the lateral pelvic wall which is bound anteriorly by obliterated u mb lie a I artery and posteriorly by ureter and internal iliac artery. Each ovary has two poles (upper and lower), two borders (a...
4
Attached to suspensory ligament
Attached to broad ligament
Attached to infundibulopelvic ligament
Free of ligament attachment
Anatomy
Female Genital System
eafcf0df-1296-475a-bbc5-030cb474c1a3
single
Apple jelly nodules on diascopy shown below are seen in?
Lupus vulgaris is the most common type of cutaneous TB. Presence of apple jelly nodules at the edge of a plaque. Apple jelly nodules on diascopy- erythematous lesions will turn from pink to golden brown. They do not exhibit this color on Indian skin. In European cases the lesions occur on face paicularly about the nose...
2
Scrofuloderma
Lupus vulgaris
Lichen scrofulosorum
Tuberculosis verrucosa cutis
Dental
Mycobacterial Infections
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single
A person presents with following parameters PCO2 – 30 mm of Hg, PO2 – 105 mm of Hg, pH – 7.45 is having partially compensated -
Increase in pH suggests alkalosis PCO2 is decreased, this suggests respiratory alkalosis. The metabolic component cannot be evaluated as data is not provided. So the diagnosis seems to be respiratory alkalosis.
4
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Medicine
null
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multi
True about nasopharyngeal Ca is all except
AETIOLOGY OF NASOPHARYNGEAL CARCINOMA The exact aetiology is not known. The factors responsible are: 1. Genetic. Chinese have a higher genetic susceptibility to nasopharyngeal cancer. Even after migration to other countries they continue to have higher incidence. 2. Viral Epstein-Barr (EB) virus is closely associated w...
4
Most common site is fossa of Rosen Muller
Most common type of nasopharyngeal carcinoma is Squamous cell carcinoma
Epstein Barr virus has been identified in tumour epithelial cells
Most common cranial nerve palsy in nasopharyngeal carcinoma is V cranial nerve
ENT
All India exam
951de7d8-9968-4169-9de0-f79feae54068
multi
Which of the following bone tumors occurs in young age group, arises in medullary cavity, and characteristically shows sheets of small uniform sized round cells and Homer Wright rossets?
Ans. b (Ewing's tumor) (Ref. Robbin's pathology, 7th/pg. 1301; 558).The four main types of rosettes in pathology :1. Homer Wright rosette: typically seen in neuroblastomas, medulloblastomas, and primitive neuroectodermal tumors (PNETs). It consists of a halo of tumor cells surrounding a central region containing neurop...
2
Osteosarcoma
Ewing's tumor
Chondrosarcoma
Osteoid osteoma
Pathology
Osteology
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multi
Load bearing fixation device is:
null
1
Reconstruction plate.
Lag screw.
Champy's plate.
All of the above.
Surgery
null
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multi
Chevron Sign is seen with?
*Chevron sign is the inveed V shape notches of growth plates especially distal femur seen in Achondroplasia
3
Rickets
Scurvy
Achondroplasia
Osteogenesis Imperfecta
Radiology
Musculoskeletal Radiology
b997eec3-fadf-4ec0-9488-0d015112d47c
single
Which is not transmitted breast milk?
Even if HCV RNA is present in breast milk, there is little evidence for its relevance to HCV transmission to children. This lack of evidence might be due to a high blood-to-milk gradient ranging from 103 to 107, and low concentrations of viral paicles may be inactivated in the gastrointestinal tract. Neutralizing effec...
3
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Medicine
Hepatitis
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single
Dysphagia lusoria is due to -
Dysphagia Lusoria is a disorder of swallowing caused due to vascular anomalies Causes of Dysphagia Lusoria A right aortic arch A double aortic arch A vascular constricting ring formed by a PDA or a ligamentum arteriosum and the pulmonary artery or aortic arch. An abnormal right subclavian artery. (Arteria lusoria) A...
4
Oesophageal diverticulum
Aneurysm of aorta
Oesophageal web
Compression by aberrant blood vessel.
Surgery
null
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single
The following diseases can cause Bullous lesions in the skin except:
(D) Pityriasis rosea # PITYRIASIS ROSEA is a skin rash.> It is benign but may inflict substantial discomfort in certain cases.> Classically, it begins with a single "herald patch" lesion, followed in 1 or 2 weeks by a generalized body rash lasting up to 12 weeks, however usually around 6-8.> A single, 2- to (rarely) 10...
4
Pemphigus
Impetigo
Toxic epidermal necrolysis
Pityriasis rosea
Skin
Miscellaneous
404eddcb-f6fb-4420-9129-3eacf20c5b98
multi
Which is the investigation of choice in assessing hearing loss in neonates?
Impedance audiometry is not used in children before 4 months of age because of the characteristics of ear canal. Ear canal is collapsible and a true tympanogram is difficult to get.Similarly behavioral audiometry and free field audiometry are not possible in a neonate. They cannot test the level of hearing. Results of ...
2
Impedance audiometry
Brain-stem evoked response audiometry
Free field audiometry
Behavioral audiometry
ENT
Ear
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single
Mitochondiral DNA is ?
Ans. is 'a' i.e., Closed circular Human mitochondria contain two to ten copies of a small circular double-stranded DNA molecule that makes up approximately 1% of total cellular DNA. The majority of the peptides in mitochondria (about 54 out of 67) are coded by nuclear genes. The rest are coded by genes found in mitocho...
1
Closed circular
Nicked circular
Linear
Open circular
Biochemistry
null
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single
Wide fixed splitting of the second hea sound is typical of-
Wide fixed split of S2 is seen in ASD. Wide split : VSD, MR, LV pacemaker, WPW, PS, RVF, RBBB. Reverse split : RV pacemaker, WPW, Eisen menkers, AS, LVF, LBBB, TR Ref: Harrison&;s 20th ed
1
Atrial septal defect
Ventricular septal defect
Patent ductus aeriosus
Coarctation of aoa
Medicine
C.V.S
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single
In sickle cell trait, number of bands found in Hb –
In hemoglobin electrophoresis, various types of hemoglobin move at varying speed. In sickle cell trait (heterozygous state), there are two types of hemoglobin - HbS (40%) and HbA (60%). So, on electrophoresis, two different bands are produced. In Homozygous state, almost all hemoglobin is HbS. So, a single band is prod...
1
2
1
4
5
Pediatrics
null
b24d16a5-ec0f-4ec4-87f2-8bc8cf845887
single
Functions of limbic system
Emotional behaviour is one of the most impoant functions of the limbic system. Emotions refer to an aroused state involving intense feeling, autonomic activation and related behaviour, which accompany many of our conscious experiences. Emotions have two major components: mental and physical. - MENTAL OR SENSORY COMPONE...
1
Emotion
Memory
Higher function
Planned motor activity
Physiology
Nervous system
dec40644-bf23-40ea-b5f7-f8585f128fc6
single
Oral hypoglycemics are useful in which of the types of diabetes mellitus
null
1
Mild stable maturity onset type
Juvenile type
Diabetes in obese
Diabetic ketoacidosis type
Medicine
null
cb290a08-834e-47d5-82a2-ad81046bc57f
single
Amyloidosis causes which type of cardiomyopathy?
Ans. B. Restrictive. (Ref. Robbins Basic Pathology 8th/ Table 11-5).Restrictive cardiomyopathy results in a stiff, noncompliant myocardium and can be due to depositions (e.g., amyloidosis and hemochromatosis), increased interstitial fibrosis (e.g., caused by irradiation), or to endomyocardial scarring. Myocarditis resu...
2
Constrictive
Restrictive
Hypertrophic
Any of the above
Pathology
C.V.S
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multi
Phycomycetes produce
Phycomycetes Non - Septate hyphae Form both sexual & Asexual spores.
3
Sexual spores
Asexual spores
Both sexual & Asexual spores
None of the above
Microbiology
null
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multi
Dysmenorrhoea is due to?
ANSWER: (B) Decreased progesteroneREF: Shaw 15th ed page 294-296DYSMENORRHOEADefinition: Dysmenorrhoea means painful cramping pain accompanying menstruationEtiological types: Dysmenorrhoea in ovulatory cycle is due to prostaglandins released by progesterone in the endometrium.Primary dysmenorrhoea refers to one that is...
2
Ovulation
Decreased progesterone
Increased progesterone
Secretory epithelium
Gynaecology & Obstetrics
Dysmenorrhoea
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single
Which is the treatment of choice for duodenal atresia?
Diamond shaped duodenoduodenostomy is treatment of choice for duodenal atresia. Bishop-koop procedure- used in the management of Meconium Ileus
1
Duodenoduodenostomy
Duodenojejunostomy
Bishop-koop procedure
Gastroduodenostomy
Surgery
Stomach & Duodenum
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single
Which is the COMMONEST type of seizure in newborn?
Essentials of Diagnosis & Typical Features of Neonatal seizures: Usual onset at 12-48 hours. Seizure types include subtle (characterized by variable findings), tonic, and multifocal clonic. Most common causes include hypoxic-ischemic encephalopathy, intracranial bleeds, and infection. Most common type of seizures is ne...
4
Clonic
Tonic
Myoclonic
Subtle
Pediatrics
null
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single
Tetracyclines are not useful for:
(a)chlamydial non specific urethritis(b)lymphogranulima venereum(c)atupical pneumonia(d)cholera(e)brucellosis(f)plague. (g)Relapsing fever*(h) Rickettsial infections: typhus, rocky mountain fever(i)syphilis ESSENTIALS OF MEDICAL PHARMACOLOGY page no.738
1
Trichomonas
Chlamydia
Syphilis
Rickettsia
Pharmacology
Chemotherapy
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Which thyroid malignancy can present with diarrhea?
A patient with a sporadic medullary thyroid cancer typically has one of two manifestations: a palpable mass in the thyroid that is present in most cases and for which a diagnosis can be made with FNA with immunohistochemistry or the finding of an elevated calcitonin level This calcitonin excess may rarely result in sym...
3
Papillary carcinoma
Follicular carcinoma
Medullary carcinoma
Huhle cell carcinoma
Surgery
Endocrinology and breast
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Endoscopic biopsy from a case of H. pylori related duodenal ulcer is most likely to reveal:
Ans. (a) Antral predominant gastritis(Ref: Harrison 18th ed: 2458, 17th ed:1870)The most common cause of chronic gastritis- H. pylori QWithin the stomach, H. pylori are most often found in the antrum - antral predominant gastritis Q or type B gastritis Q
1
Antral predominant gastritis
Multifocal atrophic gastritis
Acute erosive gastritis
Gastric atrophy
Pathology
G.I.T.
eadab84d-6492-4401-9dbf-fbdcd811fd23
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Longest acting muscle relaxant?
Ans. a. Doxacurium (Ref: Tripathi 6th edition, 345; Lee 12th edition, p. 180-190).Doxacurium is a bisquaternary muscle relaxant having the least rapid onset and the longest action: suitable for longer duration surgeries. It is primarily eliminated by kidney, although hepatic metabolism also occurs. Cardio- vascular chn...
1
Doxacurium
Atracurium
Scoline
Vecuronium
Anaesthesia
Muscle Relaxant
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Left lobe of the brain is responsible for
Categorial hemisphere (left)- Spoken language, written language, mathematical calculation. Representational hemisphere (right)- Visuospatial orientation, musical awareness.
4
Appreciation of music
Spatial orientation
Visual stimuli processing
Using written and spoken language
Physiology
null
30a04595-8793-4759-bfca-f128b2710bc3
single
Name the person shown here for "Psychoanalysis"
(D) Sigmund Freud # Coining the term "Free Association"; Introduction of "Psycho-Analysis"; 'Oedipus-Complex' and the concept of 'Super ego' were given by Sigmund Freud> Father of Modern Psychiatry is John Weyer> Father of Psychosomatic Medicine is Franz Alexander> The term "Ambivalence" was coined by Eugen Bleuler
4
John Weyer
Franz Alexander
Eugen Bleuler
Sigmund Freud
Psychiatry
Miscellaneous
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single
Which of the following antimalarial drug is a slow acting erythrocytic schizonticidal drug for malaria?
Erythrocytic schizonticides may be fast acting or slow acting: Fast acting M - Mefloquine A - Atovaquone C - Chloroquine (and amodiaquine and piperaquine) H - Halofantrine (and lumefant rine) A - Aemisinins R - Res-Q (Quinine) - Slow acting: Proguanil Pyrimethamine Sulfonamides T Tetracyclines Clindamycin
3
Aemether
Mefloquine
Pyrimethamine
Quinine
Pharmacology
Anti-Malaria Drugs
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Which part of the instrument should remain parallel (whenever possible) to the long axis of the tooth?
null
4
Blade
Cutting edge
Handle
Shank
Dental
null
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multi
Cataract is seen in all except
Rheumatoid ahritis causes thinning and melting of the peripheral cornea and sclerosing keratitis called scleromalcia perforans Refer: Khurana 6th edition page number 198
1
Rheumatoid ahritis
Glucocoicoid admistration
Galactosemia
Hypoparathyroidism
Ophthalmology
Lens
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Retinitis pigmentosa is a feature of all except
Ans is 'b' i.e. Hallervorden-Spatz disease Retinitis pigmentosa is associated with many systemic conditions. These are important as they may be recognized first by an ophthalmologist.Systemic conditions associated with retinitis pigmentosa (RP)-Bardet-Biedl syndrome: It is characterized principally by retinitis pigment...
2
Refsum's disease
Hallervorden-Spatz disease
NARP
Abetalipoproteinemia
Ophthalmology
Retina
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Short chain fatty acid produced by bacteria are maximally absorbed in:
Increasing attention is being focused on short-chain fatty acids (SCFAs) that are produced in the colon and absorbed from it. SCFAs are 2–5 carbon weak acids that have an average normal concentration of about 80 mmol/L in the lumen. About 60% of this total is acetate, 25% propionate, and 15% butyrate. They are formed b...
2
Duodenum
Colon
Ileum
Jejunum
Physiology
null
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multi
Most common cause of hyperparathyroidism -
null
3
Iatrogenic
Medullary carcinoma thyroid
Parathyroid adenoma
Parathyroid hyperplasia
Medicine
null
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Most common ovarian tumor in less than 20 year age group is :
Germ cell tumour
2
Epithelial tumour
Germ cell tumour
Metastatic tumour
Sexcord stromal tumour
Gynaecology & Obstetrics
null
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Difference in the trajectory between inspiratory and the expiratory loop in the compliance curve is due to:
The difference in the inspiratory and expiratory component exists in compliance curve and it is called hysteresis The difference exists because greater trans pulmonary pressure is required to open a closed airway owing to deficit of the surfactants than to keep an open airway from closing, reflecting abundant surfactan...
2
Difference between alveolar pressure during inspiration and expiration
Difference between concentration of the surfactants during inspiration and expiration
Difference in airway resistance during inspiration and expiration
Inspiration is active and expiration is passive
Physiology
Respiratory system
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Amplifier host in Japanese encephalitis-
Ans. is 'b' i.e., Pigs Japanese encephalitis* JE is caused by flavivirus, a group B arbovirus. It is a zoonotic disease infecting mainly animals and incidentally man.* In south, epidemics have occured in Karnataka, Andhra pradesh, Tamil-Nadu and Kerala. Now Gorakhpur district of U.P. contributes largest number of cases...
2
Horse
Pigs
Dogs
Monkey
Social & Preventive Medicine
Communicable Diseases
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Which of the following general anaesthetics has poor muscle relaxant action?
(Ref: KDT 6/e p371) Nitrous oxide is not a complete anaesthetic (MAC 104%). It is a good analgesic but poor muscle relaxant.
2
Ether
Nitrous oxide
Halothane
Isoflurane
Pharmacology
Other topics and Adverse effects
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Pale infarcts seen in A/E-
. Lung
4
Kidney
Spleen
Hea
Lung
Pathology
null
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single
Antibody in Goodpasture syndrome:
Ans. (b) Anti GBM antibodyRef.: Harrison 18th edition, Chapter 283* Patients who develop autoantibodies directed against glomerular basement antigens frequently develop a glomerulonephritis termed antiglomerular basement membrane (anti-GBM) disease. When they present with lung hemorrhage and glomerulonephritis, they ha...
2
Lupus anticoagulant
Anti-GBM antibody
Anti-Ro antibody
Anti- mitochondrial antibody
Medicine
Glomerular Diseases
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Which antigen is not of prognostic significance in carcinoma breast
The presence of hormone receptors confers a slightly better prognosis.The highest rate of response (approximately 80%) to antiestrogen therapy (oophorectomy or tamoxifen) is seen in women whose tumor cells express both estrogen and progesterone receptors Overexpression of HER2/NEU:Overexpression of this membrane-bound ...
2
Her 2 neu
Epithelial membrane antigen
ER
PR
Pathology
Breast
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Commonest cause of intestinal obstruction in Down syndrome is:
c. Duodenal atresia(Ref: Nelson's 20/e p 610-615, Ghai 8/e p 637-639)Most common cause of Intestinal obstruction in Down's syndrome is duodenal atresia.
3
Colonic atresia
Intestinal atresia
Duodenal atresia
Esophageal atresia
Pediatrics
Genetics And Genetic Disorders
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AUER rods seen in ?
Ans. is 'b' i.e., M3 AML Acute myelogenous leukemia (AML) AML is a cancer of myeloid line of WBCs, characterized by the rapid proliferation of abnormal cells which accumulate in the bone marrow and interfere with the production of normal blood cells. AML is the most common acute leukemia affecting adults. The diagnosis...
2
M1 AML
M3 AML
M6 AML
ALL
Pathology
null
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multi
Formula of hydroxyapatite crystal is
null
2
Ca3 (Po4)2. CaCo3
3Ca(Po4)2. Ca(OH)2
CaPo4. Ca(OH)2
None of the above
Dental
null
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Secondary osteosarcoma are associated with -
Ans. is 'a' i.e., Paget's disease Causes of secondary osteosarcomao Pagets Diseaseo Fibrous dysplasiao Radiationo Enchondromatosiso Hereditary multiple exostosiso Chronic osteomyelitiso Bone infarction
1
Paget's disease
Osteogenesis imperfecta
Melhoreostosis
Ankylosing spondylitis
Orthopaedics
Metabolic Disorders Leading to Osteosclerosis
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Which pa of the fallopian tube is the most common site for female tubal sterilization?
Most common site for female tubal sterilization is isthmus. Isthmus is the pa of the fallopian tube which is cut or sealed in a tubal ligation or sterilization procedure. In the bipolar electrocoagulation technique, the mid isthmic poion of the tube is grasped and radiofrequency electric current is applied to three adj...
3
Cornua
Ampulla
Isthmus
Infundibulum
Gynaecology & Obstetrics
null
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multi
IVC obstruction presents with
IVC obstruction presents with Thoraco epigastric dilation Blockade of IVC causes a communication between SVC & IVC by azygos vein due to which blood from IVC enters the SVC. A communication also sets up b/w superior and inferior epigastric vein in the rectus sheath which drains into Brachiocephalic vein Internal thorac...
4
Esophageal varices
Haemorrhoids
Para-umbilical dilatation
Thoraco-epigastric dilatation
Anatomy
Thorax- wall and Bronchopulmonary segment
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The extraction of which of the following is most difficult in maxillary arch
null
2
Lateral incisor
First premolar
Second premolar
Canine
Surgery
null
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single
Vocal cord palsy in thyroid surgery is due to injury to
Reccurent laryngeal nerve injury is classically described as a paralyzed vocal cord with loss of movement from the midline (supplies all the intrinsic muscles of the larynx, except cricothyroid muscles). Injury to the external branch of the superior laryngeal nerve leads to loss of tension in the vocal cord (supplies c...
2
Superficial laryngeal nerve
Recurrent laryngeal nerve
Ansa cervicalis
Vagus nerve
Surgery
Endocrinology and breast
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Nerve damaged in radical mastiodectomy is:
Complications of mastoid surgery- Total hearing loss/dead ear Facial palsy (rare)
1
Facial
Chochlear
Vestibular
All
ENT
null
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multi
False with regard to permanent teeth is: TN 08
Ans. Dentigerous cyst is common in canines
2
Molars erupt around 6 years
Dentigerous cyst is common in canines
There are 16 permanent teeth at the age of 10 years
3rd molars eruption is variable
Forensic Medicine
null
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Mad cow disease is due to –
Mad cow disease or bovine spongiform encephalopathy i.e. Caused by “prions” “PRIONS” are unconventional transmissible agents, proteinaceous in nature.” Diseases caused by prions are Kuru Creutzfeldt Jakob Disease. Gerstmann Straussler Scheinker Syndrome Fatal Familial Insomnia. Scrapie Of Sheep Transmissible Encephalop...
1
Slow virus
Mycoplasma
Bacteria
Fungus
Microbiology
null
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Which of the following drugs is to be discontinued on the day of surgery
Metformin If the patient is taking an oral hypoglycemic agent preoperatively the drug can be continued until the day of surgery, but sulfonylureas and nzetfornzin should not be used 24-48 h before surgery beause of their long half-lives. Patients with type 11 diabetes mellitus should be stopped oral hypoglycemics sever...
3
Atenolol
Amlodipine
Metformin
Statins
Pharmacology
null
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single
In a normal distribution curve, the True statement is
Ans. is 'd' Mean = Mode The standard normal curve is a smooth bell shaped, perfectly symmetrical curveThe total area of the curve is 1. *Its mean is zero*Its standard deviation is 1 *The mean, median and mode all coincide. *
4
Mean = SD
Median=SD
Mean = 2 Median
Mean = Mode
Social & Preventive Medicine
Measures of Central Tendency and Distribution
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Treatment of chronic cholecystitis -
Elective Laparoscopic cholecystectomy is the treatment of choice for chronic cholecystitis. Patients should be advised to avoid dietary fats and large meals while awaiting surgery. But diabetic patients with chronic cholecystitis should have a cholecystectomy promptly as they are at higher risk for acute cholecystitis ...
1
Cholecystectomy
Choledochocystectomy
Choledochocytostomy
Conservative
Anatomy
G.I.T
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Most common missing tooth in the permanent dentition is:
null
3
Maxillary canine
Maxillary first molar
Mandibular second premolar
Mandibular first molar
Pathology
null
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single
Most abundant in bone
Hydroxyproline is catabolized more or less similar to proline. It is confer strength to fibrous proteins like collagen , elastin, keratin.etc.In vitamin C deficiency hydroxyproline synthesis is reduced , causing strength of fibers , leading to scurvy. The excretion of hydroxyproline in urine is increased in tumours inf...
2
Alanine
Hydroxyproline
Lysine
Arginine
Biochemistry
Structure and function of protein
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single
Which is not a peptide hormone?
Somatostatin is a polypeptide hormone.
2
Somatostatin
Serotonin
Neuropeptide
Enkephalin
Physiology
null
4b7b376f-5037-461c-b772-b3ec54f20cdc
single
A 40-year-old man with Alport syndrome presents with a 3-month history of headaches. His blood pressure is 165/100 mm Hg. A urinalysis shows 3+ proteinuria and 2+ hematuria. Laboratory studies disclose elevated levels of BUN (48 mg/dL) and creatinine (3.6 mg/dL). This patient's renal disease is caused by mutation in a ...
Hereditary nephritis (Alport syndrome) reflects abnormal type IV collagen in the glomerular basement membrane. The syndrome is a proliferative and sclerosing glomerular disease, often accompanied by defects of the ear or the eyes, which is caused by a genetic abnormality in type IV collagen. Hematuria is present early ...
1
Collagen
Entactin
Fibrillin
Fibronectin
Pathology
Kidney
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In a patient who has diarrhoea and vomiting with inadequate water intake is suffering from-
Ans. is 'c' i.e., Extracellular dehydration with hyponatremia o Extracellular fluid consists of Interstitial (intercellular fluid) Circulating blood Intestinal fluids and secretions o Intracellular fluid consists of fluid present within the cells. o Loss of fluid in diarrhoea and vomiting comes from extracellular fluid...
3
Intracellular dehydration with hypernatremia
Intracellular dehydration with hyponatremia
Extracellular dehydration with hyponatremia
Extracellular dehydration with hypernatremia
Pediatrics
null
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By definition, granulomas are composed of:
Granulomatous inflammation is characterized by the presence of granulomas, which by definition are aggregates of activated macrophages (epithelioid cells).
4
Cholesterol clefts
Collagen
Endothelial cells and fibroblasts
Epithelioid cells
Pathology
null
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single
A lady presents with complaints of dysnea. Pulse rate is 70/min while BP=110/70 mm Hg. On examination there is an early-diastolic murmur. CXR is given here. Diagnosis of the patient is?
The striking feature in this chest X-ray is the remarkably prominent main pulmonary aery segment (MPA), which appears to be dilated. This X-ray also shows a prominent right atrial contour, indicating right atrial dilatation as a consequence of pulmonary hypeension and right ventricular hyperophy. In view of prominent p...
1
Pulmonary aery hypeension
Pulmonary venous hypeension
Valvular lesion of left side of hea
Congestive hea failure
Medicine
Hypeension
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ranulomatous mastitis is caused by all except -
Ans. is 'c' i.e., Staphylococcus Granulomatous mastitis Granulomatous inflammation is present in less than I% of all breast biopsy specimens. The causes include systemic granulomatous disease (e.g., Wegener granulomatosis or sarcoidosis) that occasionally involve the breast, and granulomatous infections caused by mycob...
3
TB
Fungus
Staphylococcus
Antibodies to milk antigens
Pathology
null
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multi
The investing layer of deep cervical fascia splits to enclose all of the following, except:
The investing layer of deep cervical fascia splits to enclose: Muscles—trapezius and sternocleidomastoid. Salivary glands— parotid and submandibular glands. Spaces— suprasternal and supraclavicular spaces.
2
Parotid and submandibular glands
Sternocleidomastoid and vertebral arteries
Trapezius and sternocleidomastoid muscles
Suprasternal and supraclavicular spaces
Anatomy
null
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